– See: – Open Tibia Fractures – Infections of the Tibia – ” There have been major improvements in the surgical treatment of open tibial fractures during the past two decades. These improvements include aggressive treatment of soft tissue injury by means of immediate debridement and early coverage as well as … Read more
Dr. Mangal Parihar – Discussion: Much is spoken about physiotherapy and it’s importance in the Ilizarov method. Unfortunately, this is infrequently translated into practice. One just has to look at many cases with iatrogenic problems to realize that lack of physiotherapy lies at the root of the majority of these. The patient has to participate … Read more
– See: Watson Jones Approach – Discussion: – frx of anterior column & some anterior column-posterior hemitransverse frx are approached using ilioinguinal approach; – ilioinguinal approach can give simultaneous access to both anterior & posterior portions of the pelvic ring; – medial portion of this approach … Read more
– Discussion: – ilioinguinal nerve originates from first lumbar root (L1 ); – emerges from lateral aspect of Psoas muscle, and passes around posterior abdominal wall over quadratus lumborum and Iliacus; – it then travels under external oblique, enters inguinal canal & descends to supply sensory fibers to skin of … Read more
– Discussion: – an overuse phenomenon which is common in runners (more common w/ downhill running); (see running injuries) – pts usually have pain over lateral femoral epicondyle, which is caused by inflammation resulting from friction as iliotibial band slides over condylar prominence; – syndrome may be more common in … Read more
– See: Safe Zone of Pin Insertion – Discussion: – whether a ring or unilateral fixator is used, there is some evidence that a better regenerate is formed with the use of titanium half pins rather than transfixation wires; – ref: Limb lengthening by callus distraction (callotasis). – … Read more
origin: anterior surface of a broad and thick tendon which originates from the sacrum, spinous proceses of the lumbar vertebrae and from the inner lip of the iliac crest; insertion: inferior borders of the angles of the lower 6 or 7 ribs; action: acting bilaterally, extension and hyperextension of the spine; acting unilaterally, laterally flexes the … Read more
origin: superior borders of the angles of lower 6 ribs medial to the tendons of insertion of the Iliocostalis Lumborum; insertion: into the angles of the upper 6 or 7 ribs and into the transverse process of the 7th cervical vertebrae; action: acting bilaterally, extension and hyperextension of the spine; acting unilaterally, laterally flexes the spine; … Read more
– Discussion: – arises from T12 & L1; – emerges from lateral border of Psoas & passes over Quadratus Lumborum to penetrate transverse abdominal muscle near the iliac crest; – nerve supplies anterior cutaneous branch to skin of suprapubic region
– Discussion: – before retractors are placed beneath coracoid process palpate for musculocutaneous nerve as it enters conjoined tendon; – nerve lies on deep surface of coracoid muscles; – most often nerve enters coracobrachialis and biceps from medial aspect about 5 cm distal to tip of coracoid process; … Read more