– Anatomy: – arises from posterior divisions of Ventral Rami of L2, L3, L4 – see innerv. musc. lower limb; – passes inferolaterally thru psoas, & then runs between this muscle & iliacus; – it passes over Iliacus muscle to enter thigh underneath the inguinal ligament; … Read more
– See: – Anastomoses of Lower Limb Arteries – Femoral Arteriogram: – Lower Limb: anatomy of arteries and bones with 3D pictures and angiographic radiological images – Anatomy: – common iliac bifurcates at the L5-S1 disc; – internal iliac: – courses anterior and adjacent to … Read more
– See: Total Hip Replacement Menu – Discussion: – design considerations – femoral stem collar – cemented femoral stems (radiology of cemented femoral stems) – press fit femoral stems – femoral component offset – modular neck: – … Read more
– Discussion: – see acetabular component, reestablishment of acetabular floor, and component position; – see: preoperative and post operative radiographic eval – femoral offset is measured from the distance between the center of the femoral head and a line drawn down center of femoral shaft; – note that increasing … Read more
– Discussion: – two sites have been proposed for nail entry: – tip of the greater trochanter and the piriformis fossa; – Entry thru Piriformis Fossa; – main advantage a colinear trajectory with the long axis of the femoral shaft – accurate positioning of the entrace hole is critical. … Read more
– See: – Zone I injuries – Zone II injuries – Zone III injuries – Zone IV and Zone V: – Discussion: – FDS serves as an isolated activator of middle phalanx; – function is determined by holding adjacent … Read more
– Anesthesia: – skeletal traction can be applied under sedation & local anesthesia; – Distal Femoral Pins: – inserted on medial side to avoid injury to femoral artery on pin exist; – flex the knee and thigh on several folded sheets inorder to facilitate pin insertion from the … Read more
– See: – Compartment Syndrome Menu – Compartment Syndromes resulting from Tibial Fractures – Anterior Compartment – Lateral Compartment – Deep Posterior Compartment – Superfical Posterior – Anterolateral Incision: (Two Incision Technique) – anterior & … Read more
– Discussion: – two fat planes on lateral view & 5 fat planes on PA view are useful for analysis; – deep fat pad of pronator quadratus (lateral view), which lies between the pronator quadratus muscle and the flexor tendon sheaths, normally forms a slight ventral concave line and is convexly bowed in a ventral … Read more
– See: Phalangeal Injury – Mechanism: – results from forceful hyperextension of DIP joint w/ FDP in maximal contraction; – classic examples include pts injured by the sudden jerk of a rope, such as starting a lawnmower or retraining an animal; – tendon may rupture directly from its insertion into bone, or it … Read more