The Hip - book

H. influenza

– Discussion:     – historically has been the most common cause of infection in children between 3 months and 3 years of age;     – currently infections due to this organism have decreased due to widespread use of a vaccine;            – in the study by Peltola H, et … Read more

Group Fasicular Nerve Repair

– Discussion:     – indicated in cases where a minimal number of group fasicles can clearly be indentified;     – may be indicated in lacerations of the median and ulnar nerves in the distal forearm; – Operative Technique:     – expsure and debridement:          – see: phalangeal incisions:   … Read more

Greater Sciatic Foramen

      – 7 nerves:      – Sciatic Nerve:      – Superior Gluteal Nerve:      – Inferior Gluteal Nerve:      – Internal Pudendal Nerve:      – Posterior Femoral Cutaneous Nerve      – Nerve to Quadratus Femoris      – Nerve to Obturator Externus – 3 Vessel Sets:   … Read more

Greater Tuberosity Fractures

– See: Fracture Dislocation – Discussion:     – isolated displaced greater tuberosity fractures are thought to occur in less than 2% of proximal humeral frx;     – greater tuberosity fragments w/ its attached rotator cuff will characteristically have a longitudinal tear in the cuff between the supraspinatus and subscapularis tendons;       … Read more

Gluteus Medius

– Anatomy:     – origin:          – outer surface of ilium from iliac crest and posterior gluteal line above to the anterior gluteal line below, gluteal aponeurosis;          – note that posterior border of the gluteus medius is almost in line w/ femoral shaft; the anterior border fans anteriorly;   … Read more

Gluteus Minimus

– origin:       – outer surface of ilium between anterior and inferior gluteal lines and margin of greater sciatic notch; – insertion: anterior border of greater trochanter; – action:       – abducts femur at the hip and rotates it medially;         – lateral pelvic stabilizer;       … Read more

Genital Femoral Nerve

– Discussion:     – arises from L1  and L2;     – in abdomen, it descends on anterior surface of Psoas and then divides into genital and femoral branches;     – genital branch innervates cremaster muscle and gives twigs to scrotum and adjacent thigh;     – femoral branch passes under inguinal ligament & … Read more