– Discussion: – low back pain is the second most common symptomatic reason for physician visits (followed by URTI) – diff dx: – waddel criteria: – Exam of Lumbar Spine: – exam of C-Spine: – neuro exam – general assessment: … Read more
– Discussion: – plain radiographs: – in low risk patients, radiographs are indicated if LBP does not improve after 6 weeks; – low risk implies that the patient is between 18-50 years, acute onset, absence of night pain, no … Read more
– See: – Claw Hand: – Tendon Excursion: – Nerve Repair: – Combined Injuries of the Median and Ulnar Nerves: – Discussion: – lesion of ulnar nerve at or near wrist or base of palm will result in paralysis of hypothenar … Read more
origin: anterior tubercles of transverse processes of the 3rd to 6th cervical vertebrae; insertion: inferior surfaces of the basilar portion of the occipital. action: – acting bilaterally, flexes cervical vertebrae and head; – acting unilaterally, rotates and flexes cervical vertebrae and head to the same side; nerve supply: muscular branches of C1, C2, … Read more
– Discussion: – long thoracic nerve is derived from ventral rami of C5, C6, & C7 – close to their emergence from intervertebral foramina; – it runs downward & pases either in front of or behind middle scalene muscle; – it reaches upper slip of serratius anterior muscle & descends on outer surface of this … Read more
origin: the common broad thich tendon with Iliocostalis Lumborum, fibers from the transverse and mamillary processes of the lumbar vertebrae and lumbrosacral aponeurosis; insertion: the tips of transverse process of all thoracic vertebrae and the lower 9 or 10 ribs between the tubercles and angles; action: acting unilaterally, extension of vertebral column … Read more
Case Example by Dr. James R. Urbaniak MD – Discussion: – indicated for patients with basal joint arthritis or CMC instability; – LRTI involves partial or complete resection of the trapezium and recreation of the palmar oblique ligament using the distally based radial half of FCR to reconstruct ligamentous support for the metacarpal; – … Read more
origin: transverse process of 1st 4 cervical vertebrae insertion: vertebral border of scapula between superior medial angle and scapular spine; action: elevates scapula to inferiorly rotate glenoid cavity; working with the upper Trapezius , elevates and adducts scapula; reversed origin insertion action: when scapula is fixed, laterally flexes and slightly rotates cervical spine; nerve supply: dorsal … Read more
– See: Limb Lengthening Fixators Post Op Care in the Ilizarov Method: (by Dr. Mangal Parihar) distraction histiogenesis – Discussion: – lengthening thru the proximal tibia, tends to drift into valgus and procurvatum, and therefore consider presetting distraction in 5 deg of varus; … Read more
Co-authored by: Jan Van Der Bauwhede MD – Discussion: – disorder of unknown etiology characterised by local proliferation of abnormal fibrous tissue in the plantar fascia – this tissue is locally aggressive and progressively replaces the normal plantar aponeurosis – this leads to often painful thickened fascia with nodules … Read more