Hip Joint in CP
– See: cerebral palsy – Discussion: – may occur in upto 30% of patients w/ spastic CP, and may occur in upto 50% of patients w/ spastic quadriparetic CP; – more severe contractures with … Read more
Muscles Tendons
Hip Frx: Angle of Guide Pin Insertion
– Considerations: – select point on lateral side of shaft of femur midway between anterior & posterior cortices at the midpoint of the lesser trochanter; – if pins are inserted below the level of the lesser trochanter, a stress riser will be created in cortical bone; … Read more
Hip in Myelomeningocele
– Dislocation of Hip: – hip dislocation in children w/ myelomeningocele may either teratological or paralytic (which is due to muscle imbalance); – paralytic dislocation: – hip dislocation occurs because of paralysis of the hip abductors and extensors w/ unopposed hip flexors and adductors; … Read more
Hip Joint Arthroscopy
Hip Arthroscopy (see also hip joint and hip capsule) Indications evaluation of hip pain – candidates are patients with nonspecific radiographic findings and reproducible, functionally-limiting exam findings; false negative rate of plain x-ray, bone scan, CT, arthrogram, and routine MRI has been quoted as high as 80% in some patient populations. gadolinium enhanced MRI demonstrated a … Read more
Hip Capsule
– See: Anterior Capsulotomy – Discussion: – fibrous capsule encloses hip joint & greater part of neck of femur; – it encloses the femoral head and most of its neck; – capsule is attached anteriorly at the intertrochanteric line; – posteriorly … Read more
Hip Dislocation
– Discussion: – dislocate the hip posteriorly by flexing, adducting, and gently internally rotating the hip; – this may drive the femur against posterior edge of acetabulum; – place bone hook beneath femoral neck at level of lesser troch. to gently lift the head out of the acetabulum; … Read more
High Ulnar Nerve Lesions
– See: – Tendon transfers: – Nerve Repair: – Combined Injuries of the Median and Ulnar Nerves: – Discussion: – ulnar innervated intrinsic muscles of hand, FCU, & FDP units to ring & little fingers & part of long finger; – functional deficit: … Read more
Hip Adductors
– See: Innervation – Discussion: – adductors of the thigh take origin from body & inferior ramus of pubis & from ramus of ischium & insert on medial side of femur; – innervated obturator nerve; – Adductors Include: – adductor bevis – longus – magnus – … Read more
High Anterolateral Portal
– Discussion: – w/ the knee flexed 70 deg, the patella apex is palpated, and a longitudinal stab incision is made just lateral to the border of the patellar tendon using a No. 11 or 15 knife blade; – placing the incision close to the lateral border of the patellar ligament facilitates inspection of the … Read more
High Median Nerve Lesions
– See: – Entrapment of Median nerve at the Elbow and Forearm: – Combined Injuries of the Median and Ulnar Nerves: – Median Nerve – Nerve Repair – Deficit: – loss of pronation of forearm, wrist flexors, index & long finger … Read more