Ortho Oracle - orthopaedic operative atlas

Biomechanics of the Patello-Femoral Joint

– See: Role of Knee Joint During Gait: – Discussion:     – patella increases the mechanical advantage of extensor muscles by transmitting forces across knee at greater distance (moment) from axis              of rotation;     – increases functional lever arm of quads as well as changing direction of pull of quad mechanism;     … Read more

Bankart Lesion

    – Discussion: – is an avulsion of the anteroinferior glenoid labrum at its attachment to IGHL complex; – lesion is felt to result from anterior shoulder dislocation and is felt to be primary lesion in recurrent anterior instability; – when Bankart lesion occurs, there is obligitory concomitant capsular disruption, w/ stretching or elongation … Read more

Axillary Approach to the Shoulder

– Indications:     – most often used for anterior shoulder reconstructions – Positioning:     – beach chair w/ full access to posterior aspect of shoulder;     – holding shoulder in flexion, will relax shoulder & facilitate exposure;     – consider the Mconnel Shoulder Positioner;     – references:       … Read more

Axillary Artery

– See: Arteries of the Upper Limb – Discussion:     – the axillary artery begins at the first rib as a direct continuation of the subclavian artery and becomes the brachial artery at the lower border of the teres major     – artery passes behind pectoralis minor in its course thru axilla & is conveniently described as having 3 … Read more

Axillary nerve

– Discuussion: – axillary nerve (C5, C6) originates from and passes backward from posterior cord of brachial plexus  – at level of axilla; – it arises immediately posterior to the coracoid process and conjoined tendon; – it crosses the inferolateral surface of the subscapularis, 3-5 mm medial to the musculotendinous border; – sweeping a finger … Read more