The Hip book

Dysplastic Spondylolisthesis

– Discussion:     – involves a congenital insufficiency of facet joints (of S1 or L5) & disk complex, resulting           in displacement w/o a defect or elongation of pars interarticularis;           – there is gradual attenuation of the pars interarticularis, but  no gap or defect in … Read more

Dural Membrane of the Spine

– Discussion:     – spinal dura is separated from inner surface of bones forming vertebral canal by epidural space containing fat and a rich plexus of veins;     – dural sac continues inferiorly to about middle of 2nd sacral vertebra;     – pia mater:             – closely attached … Read more

Dorsal Interossei

    – See: Intrinsic Muscles of the Hand; – Origin: each from the 2 metacarpal bones between which it inserts; – Insertion:     – superficial belly:          – inserts onto the lateral tubercle at the base of the proximal phalanx (proximal phalanges of 2nd, 3rd, and 4th digits)                  to function as … Read more

Dorsal Interossei of Feet

– See: Plantar Muscles of the Foot:  Origin: there are 4 dorsal interossei which arise by double pennate fibers from the bases and sides of the bodies of adjacent bones.  Insertion: base of the proximal phalanx and aponeurosis of the tendons of the Extensor digitorum longus.  The first dorsal interosseus              (arising from the 1st an … Read more

Dorsal Scapular Nerve

– See: brachial plexus – Anatomy:     – dorsal scapular nerve to both rhomboids is typically derived from C5 neve close to intervertebral foramen and runs downward and backward             thru or across surface of middle scalene, parallel to & below accessory nerve;     – it then passes medial to or thru levator scapulae (to which … Read more

Dorsal Approach to the Wrist

div class=”mh-row clearfix”> h1>/h1> div class=”bodycopy”>hr size=”3″/> – See Compartments: a href=”/muscles-tendons/extensor-tunnel-i/”>I/a>, a href=”/bones/hand/extensor-carpi-radialis-longus/”>II/a>, a href=”/bones/hand/extensor-pollicis-longus/”>III/a>, a href=”/muscles-tendons/extensor-digitorum-communis/”>IV/a>, a href=”/muscles-tendons/extensor-digiti-minimi-quniti/”>V/a>, a href=”/bones/extensor-carpi-ulnaris/”>VI/a> and a href=”/ortho/9430″>approach to the distal radius/a>;a href=”/ortho/anatomy_of_the_upper_limb_6″>img alt=”” align=”right” src=”/image4/armm9a.jpg”/>/a>br/> br/> strong>- Technique:/strong>br/>     – straight dorsal incision centered over the wrist;br/>           – because the skin is loose … Read more

Division of Subscapularis & Capsule

– Discussion:     – w/ arm in external rotation, upper & lower borders of subscapularis can be visualized and palpated;     – rotator cuff interval (soft spot) between supraspinatus & subscapularis is identified;     – subscapularis tendon is tagged just shy of insertion;     – subscapularis tendon and subajacent capsule are … Read more