– See: brachial plexus – Discussion: – subscapular and thoracodorsal nerves arise from posterior cord of brachial plexus while this is on costal surface of subscapularis; – both subscapular nerves usually receive fibers from C5 and C6; – upper subscapular nerve passes directly into … Read more
– Examine Recipient Site: – review the reconstructive latter and the requirements for coverage – STSG cannot be placed over bare tendon or bone, and neither can be placed over exposed vessels or nerves; – determine optimal time for grafting; … Read more
– Discussion: – straight leg raising, by itself, can produce pain from a variety of sources, including myogenic pain, ischial burisitis, annular tear, and hamstring tightness, as well as herniated disc; – the critical distinction is made by the sciatic stretch test; – this test is … Read more
– See: torticollis: – origin: sternal head: anterior surface of the manubrium; clavicular head: superior surface of the medial half of clavicle; – insertion: – lateral surface of the mastoid process of the temporal bone and lateral half of the superior nuchal line of the occipital; – action: – acting unilaterally, … Read more
– Discussion: – methylprednisolone given as bolus of 30 mg / kg body wt – followed by infusion at 5.4 mg / kg / hour for 23 hours; – if given w/ in 8 hrs, benefit from methylprednisolone was seen in patients whose injuries were initially … Read more
– See: – Primary Flexor Tendon Grafting – Pulley Reconstruction – Prosthetic Grafts – Discussion: – indicated for delayed or neglected flexor tendon injuries, tendon rupture following previous attempted repair, and in some cases is indicated for zone II tendon injuries; – probably in most cases, … Read more
origin: spinous processes of 3rd to 6th thoracic vertebrae; insertion: 1st, 2nd, 3rd and sometimes the 4th cervical vertebrae transverse processes on the posterior aspect; action: acting bilaterally, extends and hyperextends the head and neck; Acting unilaterally flexes and rotates neck to the same side; nerve supply: posterior rami of the lower cervical spinal nerves; synergists: … Read more
origin: spinous process of C7 to T3, inferior half of ligamentum nuchae; insertion: mastoid process and lateral portion of superior nuchal line; action: acting bilaterally, extends and hyperextends the head and neck;acing unilateally, laterally flexes and rotates head and neck to the same side; nerve supply: lateral branches of the posterior … Read more
– See: Pagets Disease – Discussion: – Paget’s disease involves spine, esp third and fourth lumbar vertebras, in up to 1/3 of affected patients, & lower thoracic vertebras in 20%; – most patients have symptoms; – localized pain can develop because of pathologic fracture w/ vertebral collapse, spinal-canal stenosis, … Read more
Origin: the spinous process of the 1st and 2nd lumbar vertebrae, the thoracic vertebrae 10, 11, 12; insertion: the spinous process of the thoracic vertebrae 3-8 and sometimes 9; action: acting unilaterally, lateral flexion of the spine; acting bilaterally, extension and hyperextension of the spine; nerve supply: posterior rami of the spinal nerves; synergists: Semispinalis Thoracis, … Read more