The Hip - book

Laceration Injuries at the Wrist

– Discussion: Zone IV:     – extends from distal end of transverse retinacular ligament to proximal margin;     – combined nerve – tendon procedure may be delayed for 21 days if wound is contaminated, if crushing trauma has occurred;     – median nerve management: (nerve repair)            – lacerations of flexor tendons within … Read more

Medial Release

– Discussion:      – following are components of a Medial Release:      – recession or excision of abductor hallucis;      – elongation/release of                – tibionavicular portion of deltoid ligament                – tibialis posterior tendon                – talonavicular joint capsule                – talocalcaneal joint capsule                – interosseous ligament (only rarely performed) … Read more

Median Artery

– See: Arterial Development of the Limbs: – Embryologic Anatomy:     – subclavian artery projects into early upper limb bud in axial position, its proximal portion becoming subclavian-axillary- brachial             trunk, & its distal portion becoming interosseous artery that initially supplies a plexus of arteries in the primitive hand;           … Read more

Medial Patellofemoral Ligament

 – Anatomy and Function: (see medial compartment of knee / patellar subluxation); – medial patellofemoral ligament, a distinct condensation of capsular fibers in coronal plane which originates at the medial epicondyle (adductor tubercle and adductor tendon) as well as the MCL; – deep fascia and aponeurotic edge of the VMO fuses with the superior border … Read more

Medial Portals

– Anteromedial Portal:     – for visualization of the lateral compartment, and instrumentation of the the medial compartment;     – this portal is located in a manner similar to the anterolateral portal, that is, 1 cm above the medial joint line and 1 cm medial to the edge of the patellar tendon;     … Read more

Medial Femoral Circumflex Artery

– See:     – blood supply for femoral head;     – external rotators of the hip   – Discussion:     – MFCA supplies majority of blood supply to femoral head;     – branches of MFCA enter capsule of hip joint near its distal insertion and couse proximally along femoral neck toward … Read more