– See: Sesamoid Bones of Foot – Discussion: – type of fatigue frx which usually involves tibial sesamoid; – tibial sesamoid is more likely to fracture because normally it receives most of the wt transmitted by the first metatarsal; – fracture is usually transverse or … Read more
– Discussion: – inflammation and swelling around the sesamoid (tibial > fibular) and FHB can be secondary to trauma, infection, AVN, stress fractures, or a systemic disorder; – sesamoiditis may also be precipitated by a cavus foot w/ excessive wt bearing under the first metatarsal; … Read more
* Arrhythmia: * Consider Sinus Tach due to CHF/Pain/Anxiety * Rx of Cardiogenic Shock * Syncope * Stroke * Rx CHF / SOB – may develop in > 50% of pts, many will resolve within 48 hrs; – this is an acute process, normal heart size, little retention of NaCl/H2O; – CHF is due to … Read more
– Discussion: – anterior tibiofibular ligament disruption; – frx of fibula by external rotation or abduction injury is often preceded by rupture of anterior tibiofibular ligament; – according to Lauge-Hansen (1950), this ligament injury (or an eqivalent frx) always proceeds … Read more
– Discussion: – serratus anterior arises from upper eight ribs, inserts on vertebral border of scapula, is innervated by long thoracic nerve, and functions to draw scapula forward in sports such as a jab in boxing; – paralysis produces characteristic prominence (“medial winging”) of vertebral border of the scapula; … Read more
– See: – septic arthritis – general orders and treatment – Discussion: – septic arthritis of the hip is a surgical emergency; – it is essential that dx be made ASAP to prevent joint damage; – if any pus is obtained from arthrotomy, … Read more
– Diff Dx: – reactive transient synovitis (toxic synovitis) – in the report by Kocher MS et al., the authors sought to distinguish transient synovitis vs sepsis on the basis of lab data and patient history; – independent clinical predictors between … Read more
origin: C7 and T1-T6 thoracic transverse processes and articular processes of 4th, 5th, and 6th cervical vertebrae; insertion: between superior and inferior nuchal lines of the occipital; action: extnesion of lateral flexion of the neck and head, and rotates it to the opposite side; nerve supply: posterior rami of the cervial nerves; synergists: splenius group, … Read more
– Discussion: – origin: transverse processes of the first to sixth thoracic, articular processes of the 4th to 7th cervical vertebrae; – insertion: spinous processes of 2nd to 5th cervical vertebrae; – action: – acting bilaterally, extension and hyperextension of the cervical spine; – acting unilaterally, lateral flexion of the neck and head; – synergists: … Read more
origin: the transverse process of the 6th to 10 Thoracic vertebrae; insertion: the spinous process of the 1st to 4th thoracic and 6th-7th cervical vertebrae; action: extends the spine and rotates it toward the opposite side; nerve supply: posterior rami of the thoracic nerves, T1 to T6; synergists: Longissimus Thoracis , Iliocostalis thoracis, Spinalis … Read more