– Discussion: – anatomic axis of femur is approx 6 deg of valgus from mechanical axis or 9 deg of valgus from vertical axis w/ variations according to body habitus; – anatomic axis of tibia is in approx 2-3 deg of varus from mechanical axis; – lines … Read more
– Gravity Method of Stimson – Bigelow’s Maneuver: for Posterior Hip Dislocation – Closed Reduction – Discussion: – patient is placed in the supine position; – knee is flexed to relax the hamstrings; – assistant stabilizes the pelvis and applies a lateral traction force to the inside of the thigh; … Read more
– see bone graft menu – Discussion of Allografts: – see autograft menu and bone healing: – allografts are most indicated when bone grafting is required along with need for mechanical structural support; – morselized bone graft: – structural bone grafts: – fresh allografts – generally … Read more
– Discussion: – consists of polyostotic fibrous dysplasia, cafe’-au-lait spots of “coast of Maine” variety, and premature menses; – it is more common in girls than boys and accompanies approx 1 in 30 cases of polyostotic fibrous dysplasia; – there is appreciable coincidence of other endocrinologic dz including hyperthyroidism & Cushing’s … 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
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
– Discussion: – femoral tunnel – tibial tunnel: – isometric placement of ACL refers to the concept that a full range of knee can be achieved w/o causing long-term ligament deformation; – isometry can not exist because, during ROM, there is no one point on femur that … Read more
– Normal Hip Development: (limb development and pediatric anteversion); – at 4 to 6 gestational weeks, the hip joint develops from the cartilaginous anlage; – by 7 weeks a cleft develops between precartilagenous cells which are programmed to form the femoral head and acetabulum; – by 11 weeks, the hip … Read more
– See Rotator cuff; – origin: infraspinatus fossa of scapula – insertion: posterior aspect of greater tuberosity of humerus, capsule of shoulder joint; – demensions: infraspinatus has been shown to average 29 mm wide, with a mean medial-to-lateral width of 19 mm – action: extension, horizontal extension and lateral rotation of humerus at the shoulder … Read more
(see also: Pelvic Frx; Radiographs; Work Up and Treatment) Anterior Column Frx Anterior Wall Fractures Both Column Frx Central Acebular Fracture Dislocations Classification and Column Theory Displaced Dome Fractures Heterotopic Ossification Hip Frx Fracture Dislocations of the Hip Judet View Iliofemoral Approach to the Acetabulum Ilioinguinal Approach to the Acetabulum Pediatric Acetabular Fractures Posterolateral Approach: … Read more