The Hip - book

Long Thoracic Nerve

– Discussion: – long thoracic nerve is derived from ventral rami of C5, C6, & C7 – close to their emergence from intervertebral foramina; – it runs downward & pases either in front of or behind middle scalene muscle; – it reaches upper slip of serratius anterior muscle & descends on outer surface of this … Read more

Limb-Girdle Muscular Dystrophy

– Discussion:     – limb-girdle muscular dystrophy encompasses a wide variety of clinical diseases;           – characterized by weakness of the shoulders and hips with weakness of the distal muscles of the limbs in more severely affected patients;     – usually transmitted in an autosomal recessive mode but there … Read more

Levator Scapula

  origin: transverse process of 1st 4 cervical vertebrae insertion: vertebral border of scapula between superior medial angle and scapular spine; action: elevates scapula to inferiorly rotate glenoid cavity; working with the upper Trapezius , elevates and adducts scapula; reversed origin insertion action: when scapula is fixed, laterally flexes and slightly rotates cervical spine; nerve supply: dorsal … Read more

Lesser Tuberosity Fractures

– See: Fracture Dislocation: – Discussion:     – pure avulsions of the lesser tuberosity are rare;     – pressence of this frx raises possibility of assoicatted posterior dislocation;     – lesser tuberosity fragment consists of the lesser tuberosity with its attached subscapularis muscle;     – avulsion of this frag may allow … Read more

Latissimus Dorsi

– origin: broad aponeurosis that originates on the spinous processesof the lower 6 thoracic and all lumbar vertebrae;          posterior crest of ilium, posterior surface  of sacrum, lower 3 or 4 ribs, and an attachment of the tip of the scapula; – insertion: flat tendon that twists upon itself to insert into the intertubercular groove of … Read more

Klippel Feil Syndrome

– History:    -Maurice Klippel and Andre Feil first to describe syndrome in 1912    -Characterized by patients with:              Short neck              Low hairline              Decreased cervical motion    -Fewer than 50% with congenital defects of cervical spine have … Read more

King Type I Scoliosis

(based on classification of King et al) assistance provided by Ben Allen Jr. M.D. – See: Selection of Fusion Level:  – Discussion  – S thoracolumbar curve crosses midline;  – flexibility: lumbar < thoracic – lumbar curve is larger;  – treatment: fuse lumbar and thoracic vertebrae;  – treatment:  – the goal w/ this type of curve … Read more

King Type II Scoliosis

(based on classification of King et al) assistance provided by Ben Allen Jr. M.D. – See: Selection of Fusion Level:  – Discussion:  – “S” shaped thoracolumbar curve crosses midline;  – thoracic curve is larger and stiffer than lumbar curve;  – selective arthrodesis of the thoracic curve in King type II curves may lead to larger … Read more