– Discussion: – are placed from the medial side to avoid damage to the posterior tibial neurovascular pedicle; – posterior tibial pulse should be palpated with one hand during the initial placement; – safe zone is outlined by a vertical line tangential to the posterior border of the medial … Read more
– Discussion: – calcaneofibular ligament is a extra-articular round and cordlike ligament which connnects tip of distal fibula to small tubercle on posterior & lateral aspect of calcaneus; – crosses two joints, talocrural and the talocalcaneal; – 2 cm long, 5 mm wide, and 3 mm thick; … Read more
– Discussion: – type of tarsal coalition: – calcaneonavicular bar is most common, followed by middle facet of the talocalcaneal joint; – ossification occurs between 8 and 12 years; – coalition between calcaneus & navicular is usually seen in pts between 8-12 years of age when cartilaginous … Read more
– Discussion: – AKA – NSNA, Cat-Cam, with a narrower medial – lateral designs will share load w/ gluteal structures & greater trochanteric; – ischium and the ramus are contained within the socket of these newer, more anatomic, and more functional designs; – narrow medial-lateral above knee … Read more
– See: – Calcaneal Frx in Children – Fatigue Fractures of the Calcaneus – Fractures of the Anterior Process – Sub-Talar Joint – Sustentaculuum Tali Fractures – Discussion: – typically results from fall from height (see mechanism) – 2 types of frx may occur: extra-articular and intra-articular: – intra-articular fracture: – secondary frx line; … Read more
– Muscle Testing: – deltoid & biceps are two muscles w/ C5 innervation that are easily tested; – while deltoid is innervated almost entirely by C5, biceps has dual innervation, from both C5 and C6, and therefore, evaluation of C5 neurologic level thru biceps testing … Read more
– Radiculopathy: – pts with a C6 radiculopathy should cause pain in the neck, shoulder, lateral arm, radial forearm, dorsum of hand, and tips of thumb, index, and long finger; – distribution of pain is less extensive and more proximal, whereas paresthesia’s predominate distally; – in some individuals, a … Read more
– C6-7 Disc Herniation: – intervertebral disk herniation between 6th & 7th cervical vertebrae would affect 7th cervical nerve root; – impingement on root at this level would most likely cause sensory changes down the posterior aspect of the arm, posterolateral aspect of forearm, about dorsum of hand, and long … Read more
– Nerves: – Median nerne C5 C6 C7 C8 T1 – Radial Nerve C5 C6 C7 C8 T1 … Read more
– See: – Burn Management: – Chemical Burns: – Electrical Burns: – Frost Bite: – Burn Depth: – first degree: – typical “sun burn” injury; – injury is limited to the … Read more