– Discussion: – an overuse phenomenon which is common in runners (more common w/ downhill running); (see running injuries) – pts usually have pain over lateral femoral epicondyle, which is caused by inflammation resulting from friction as iliotibial band slides over condylar prominence; – syndrome may be more common in … Read more
– See: Watson Jones Approach – Discussion: – frx of anterior column & some anterior column-posterior hemitransverse frx are approached using ilioinguinal approach; – ilioinguinal approach can give simultaneous access to both anterior & posterior portions of the pelvic ring; – medial portion of this approach … Read more
origin: anterior surface of a broad and thick tendon which originates from the sacrum, spinous proceses of the lumbar vertebrae and from the inner lip of the iliac crest; insertion: inferior borders of the angles of the lower 6 or 7 ribs; action: acting bilaterally, extension and hyperextension of the spine; acting unilaterally, laterally flexes the … Read more
origin: superior borders of the angles of lower 6 ribs medial to the tendons of insertion of the Iliocostalis Lumborum; insertion: into the angles of the upper 6 or 7 ribs and into the transverse process of the 7th cervical vertebrae; action: acting bilaterally, extension and hyperextension of the spine; acting unilaterally, laterally flexes the spine; … Read more
– Discussion: – approach is similar to Smith Peterson; – provides exposure to the outer aspect of the iliac bone and gives exposure of the anterior and posterior columns; – extended iliofemoral approach provides best access to both column fractures (esp w/ greater sciatic notch involvement) & allows best … Read more
– Discussion: – arises from T12 & L1; – emerges from lateral border of Psoas & passes over Quadratus Lumborum to penetrate transverse abdominal muscle near the iliac crest; – nerve supplies anterior cutaneous branch to skin of suprapubic region
– Discussion: – before retractors are placed beneath coracoid process palpate for musculocutaneous nerve as it enters conjoined tendon; – nerve lies on deep surface of coracoid muscles; – most often nerve enters coracobrachialis and biceps from medial aspect about 5 cm distal to tip of coracoid process; … Read more
Origin: superior 2/3 of the iliac fossa, internal border iliac crest, anterior sacroiliac, lumbosacral and iliolumbar ligaments, ala sacrum; Insertion: Lesser trochanter of femur and for a short distance below along medial border of the shaft; Action: Flexes thigh at the hip, minimal activity on lateral rotation of the thigh; Reversed origin-insertion action: when the … Read more
origin: superior borders of the angles of the 3rd to 6th ribs; insertion: the posterior tubercles of the transverse processes of the 4th, 5th, and 6th cervical vertebrae; action: acting bilaterally, extends and hyperextends the vertebral column; nerve supply: posterior rami of the spinal nerve, C6, C7, C8 ; synergists: splenius cervicis, Semispinalis Cervicis Longissimus Cervicis
– Discussion: – it is essential to locate axillary nerve when performing any anterior shoulder reconstruction; – to facilitate nerve identification, place arm in adduction & in neutral rotation; – pass a finger along lower aspect of subscapularis, inorder to palpate nerve as it passes medially along subscapularis to … Read more