– See: Innervation – Discussion: – adductors of the thigh take origin from body & inferior ramus of pubis & from ramus of ischium & insert on medial side of femur; – innervated obturator nerve; – Adductors Include: – adductor bevis – longus – magnus – … Read more
– Discussion: – hip fusions acn occur spontaneously following childhood sepsis or after ORIF of acetabular fractures (secondary to heterotopic bone). – they also occur spontaneously due to ankylosing spondylitis; – surgical fusions are performed for young adults with advanced arthritis; – indications: … Read more
– Discussion: – w/ the knee flexed 70 deg, the patella apex is palpated, and a longitudinal stab incision is made just lateral to the border of the patellar tendon using a No. 11 or 15 knife blade; – placing the incision close to the lateral border of the patellar ligament facilitates inspection of the … Read more
– See: Ossification of Soft Tissues: and Myositis Ossificans – Discussion: – occurence and formation of mature bone in non-osseous tissue; – may present w/ signs of localized inflammation or pain, elevated skin temp, ect. – tends to occur after thr, spinal injury, head injury (11%), burns, bruises, elbow trauma, total hip replacement; … Read more
– See: Bipolar Arthroplasty: – Discussion: – indications: indicated for patients w/ a femoral neck frx who meet the following criteria: – poor general health thay would prevent a second operation; – pathologic hip fractures: – parkinson’s disease, hemiplegia, or other neurological disease; – physiologic age > 70 yrs; – severe osteoporosis w/ loss of primary … Read more
– See: Pediatric BKA: – Overgrowth Phenomena: – occurs as a result of appositional growth (not physeal growth); – in order of frequency it occurs in the: humerus, fibula, tibia, and femur; – AKA: – hemiatrophy of pelvis associated with coxa valga and elongation of lesser trochanter; femur … Read more
– See: – Bigelow’s Maneuver: for Posterior Hip Dislocation – Closed Reduction – Discussion: – described primarily for acute posterior dislocations, but anterior dislocations can occassionally be reduced by this method; – believed to be least traumatic; – pt is in prone position w/ lower limbs hanging from end of table; – assistant immobilizes the … Read more
– Anatomy: – origin: posterior gluteal line of the ilium, tendon of sacrospinalis, – dorsal surface of sacrum, coccyx and sacrotuberous ligament; – insertion: gluteal tuberosity of femur and iliotibial tract of fascia lata – it inserts partly into the … Read more
– Anatomy: – origin: – outer surface of ilium from iliac crest and posterior gluteal line above to the anterior gluteal line below, gluteal aponeurosis; – note that posterior border of the gluteus medius is almost in line w/ femoral shaft; the anterior border fans anteriorly; … Read more