Technique decreases interscalene space by tensing anterior and middle scalenes; arm of the affected side placed on the sitting patients thigh with forearm supinated; turn head to the affected side; extend neck and hold breath; positive test is obliteration of the radial pulse; Hyperabduction maneuver tests for compression against axillary pulley which consists of pectoralis … Read more
Origin: anterior of pubis in angle between crest and symphysis; Insertion: middle 1/3 of medial lip of linea aspera; Action: addducts thigh at the hip, lateral rotation as it adducts the thigh. Some assistance in hip flexion; Nerve Supply: Obturator, L3, L2, L4; (See Innervation) Synergists: Gracilis, Adductor Magnus, Pectineus, Adductor Brevis References Surgical Management of Sportsman’s Hernia in … Read more
– origin: – posterior fibers: ischial tuberosity; – anterior fibers: ramus of ischium and pubis; – insertion: – from a line extending from the greater trochanter along linea aspera, medial suprcondylar line and adductor tubercle on medial condyle of femur; – action: – … Read more
– Discussion: – adductor pollicis consists of 2 parts, one of which is transverse & other oblique; – transverse head attaches to the volar crest of the 3rd metacarpal; – oblique head attaches to ligaments around capitate, trapezium, and covering of the FCR; – heads … Read more
– Discussion: – refers to a condition in which the shoulder capsule becomes contracted and thickened; – patients note a dramatic decrease in shoulder ROM; – in many cases there is spontaneous resolution after 1-3 years and motion is re-gained; – associated disorders: – cervical spondylosis – hypothyroidism – ref: Prevalence of hypothyroidism in patients … Read more
– See: Plantar Muscles of the Foot: – Anatomy: – origin: – oblique Head: the proximal ends ofthe 2nd, 3rd, and 4th metatarsals. – transverse Head: the metatarsophalangeal ligaments of the 3rd, 4th, and 5th toes. … Read more
– See: Bone Tumor Menu – Discussion: – rare tumor of unknown origin; – occurs primarily in young males between 10 – 30 years of age (most common after skeletal maturity); – pts present w/ firm, slowly enlarging mass that produces minimal disability; … Read more
Origin: outer surface of inferior ramus of pubis; Insertion: on a line extending from lesser trochaner to linea aspera and proximal 1/4 of linea aspera; Action: adduction of the femur at the hip; lateral rotation as it adducts the thigh. some assistance to femur flexion at the hip; Nerve Supply: Obturator, L2, L3, L4; (See Innervation) Synergists: Gracilis, Pectineus
by William Mallon MD – Skin Incision: – Identification of Radial Nerve: – Identification of 3-4 Interval: – Longitudinal Arthrotomy: – arthrotomy performed just distal to Lister’s tubercle over scapholunate interval; – this should provide clear exposure of scaphoid and lunate; – alternatively, a distally based capsular flap can be … Read more
– Discussion: – see Arthrex, Mitek, Linvatec, Smith-Nephew – in choosing a fixation technqiue consider the need for the following: – circumferential (360 deg) healing of graft against tunnel wall (interference screws do not permit this); – bioabsorbable material … Read more