Temporomandibular Joint Pain and Dysfunction
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Making Stillbirths Visible: Changes in Indicators of Lithuanian Population During the 1995-2016 Period
Uniwersytet Medyczny w Łodzi Medical University of Lodz https://publicum.umed.lodz.pl Intramuscular Innervation Pattern of Extraocular Rectus Muscles (Superior, Inferior, Publikacja / Publication Medial and Lateral) in Humans , Haładaj Robert , Wysiadecki Grzegorz, Topol Mirosław Adres publikacji w Repozytorium URL / Publication address in https://publicum.umed.lodz.pl/info/article/AML3e183c5c8a3e4dc29d1d9c421ec762f6/ Repository Data opublikowania w Repozytorium 2020-09-11 / Deposited in Repository on Rodzaj licencji / Type of licence Attribution (CC BY) Haładaj Robert , Wysiadecki Grzegorz, Topol Mirosław: Intramuscular Innervation Cytuj tę wersję / Cite this version Pattern of Extraocular Rectus Muscles (Superior, Inferior, Medial and Lateral) in Humans , Medicina-Lithuania, vol. 55, no. Supplement 2, 2019, pp. 226-226 ISSN 1648-9233 Volume 55, Supplement 2, 2019 Issued since 1920 EDITOR-IN-CHIEF Prof. Dr. Edgaras Stankevičius Lithuanian University of Health Sciences, Kaunas, Lithuania ASSOCIATE EDITORS Prof. Dr. Vita Mačiulskienė Prof. Dr. Vytenis Arvydas Skeberdis Lithuanian University of Health Sciences, Kaunas, Lithuania Lithuanian University of Health Sciences, Kaunas, Lithuania Prof. Dr. Bayram Yılmaza Prof. Dr. Andrius Macas Yeditepe University, İstanbul, Turkey Lithuanian University of Health Sciences, Kaunas, Lithuania Prof. Dr. Abdonas Tamošiūnas Assoc. Prof. Dr. Julius Liobikas Lithuanian University of Health Sciences, Kaunas, Lithuania Lithuanian University of Health Sciences, Kaunas, Lithuania EDITORIAL BOARD Assoc. Prof. Dr. Ludovico Abenavoli Prof. Dr. Ioanna Gouni-Berthold Prof. Dr. Michel Roland Magistris Prof. Dr. Ulf Simonsen Magna Græcia University, University of Cologne, Köln, Geneva University Hospitals, Aarhus University, Aarhus, Catanzaro, Italy Germany Geneva, Switzerland Denmark Prof. Dr. Mauro Alaibac Prof. Dr. Martin Grapow Dr. Philippe Menasché Prof. Dr. Jean-Paul Stahl University of Padua, Padova, Italy Universität Basel, Basel, Switzerland Hôpital Européen Georges Universite Grenoble Alpes, Grenoble cedex, France Dr. -
Ankylosing Spondylitis
Page 1 of 4 Ankylosing Spondylitis Ankylosing spondylitis (AS) is a form of arthritis. It mainly affects the lower back. Other joints and other parts of the body are sometimes affected. Treatment includes regular exercise and anti-inflammatory drugs. The severity of AS varies from mild to severe. It is mild or moderate in most cases. What is ankylosing spondylitis? Spondylitis means inflammation of the spine. Ankylosing is a word that describes bones that tend to join together (fuse) across a joint. In ankylosing spondylitis (AS), the discs and ligaments of the lower spine become inflamed. The discs and ligaments are the strong tissues that connect the spinal bones (vertebrae) together. The joints between the lower spine and the pelvis (the sacro-iliac joints), and the small facet joints between the vertebrae are also commonly affected. Inflammation around the lower spine that persists long-term can cause scarring. This may, over time, cause some of the vertebrae in the spine to fuse together. In some cases, inflammation occurs in other joints and in other parts of the body outside of the spine (detailed below). Who gets ankylosing spondylitis? AS usually develops in teenagers or young adults. It rarely first develops after the age of 40. It is three times more common in men than women. There may be a family history with two or more members of a family being affected. About 1 in 1000 people in the UK have AS. What causes ankylosing spondylitis? The cause of AS is not known. There is a strong genetic (hereditary) part. Something may 'trigger' AS to develop in people who have an inherited tendency to have it. -
Synovial Joints Permit Movements of the Skeleton
8 Joints Lecture Presentation by Lori Garrett © 2018 Pearson Education, Inc. Section 1: Joint Structure and Movement Learning Outcomes 8.1 Contrast the major categories of joints, and explain the relationship between structure and function for each category. 8.2 Describe the basic structure of a synovial joint, and describe common accessory structures and their functions. 8.3 Describe how the anatomical and functional properties of synovial joints permit movements of the skeleton. © 2018 Pearson Education, Inc. Section 1: Joint Structure and Movement Learning Outcomes (continued) 8.4 Describe flexion/extension, abduction/ adduction, and circumduction movements of the skeleton. 8.5 Describe rotational and special movements of the skeleton. © 2018 Pearson Education, Inc. Module 8.1: Joints are classified according to structure and movement Joints, or articulations . Locations where two or more bones meet . Only points at which movements of bones can occur • Joints allow mobility while preserving bone strength • Amount of movement allowed is determined by anatomical structure . Categorized • Functionally by amount of motion allowed, or range of motion (ROM) • Structurally by anatomical organization © 2018 Pearson Education, Inc. Module 8.1: Joint classification Functional classification of joints . Synarthrosis (syn-, together + arthrosis, joint) • No movement allowed • Extremely strong . Amphiarthrosis (amphi-, on both sides) • Little movement allowed (more than synarthrosis) • Much stronger than diarthrosis • Articulating bones connected by collagen fibers or cartilage . Diarthrosis (dia-, through) • Freely movable © 2018 Pearson Education, Inc. Module 8.1: Joint classification Structural classification of joints . Fibrous • Suture (sutura, a sewing together) – Synarthrotic joint connected by dense fibrous connective tissue – Located between bones of the skull • Gomphosis (gomphos, bolt) – Synarthrotic joint binding teeth to bony sockets in maxillae and mandible © 2018 Pearson Education, Inc. -
Clinical and Radiographic Features of Spondylitic Hip Disease J
Ann Rheum Dis: first published as 10.1136/ard.38.4.332 on 1 August 1979. Downloaded from Annals of the Rheumatic Diseases, 1979, 38, 332-336 Clinical and radiographic features of spondylitic hip disease J. S. MARKS AND K. HARDINGE From the Rheumatology Unit and the Centre for Hip Surgery, Wrightington Hospital, Wigan, Lancs SUMMARY The clinical and radiographic features of hip disease in 76 patients with definite anky- losing spondylitis have been studied. Symptomatic hip involvement occurred late in the course of the disease, with a mean delay after the onset of 12 years in males and 7 years in females. Patients with disease onset before the age of 20 developed hip symptoms at an earlier stage. Associated diseases included uveitis (13 %), colitis (4 %), and psoriasis (4 %). Bilateral concentric loss of hip joint space with a relatively undeformed femoral head was the commonest radiological change (61 %). Localised loss ofjoint space at the upper pole (16 %) was associated with femoral head destruction and a greater degree of osteophytosis, suggesting coincidental or secondary osteoarthrosis. Bony ankylosis of the hips (10%) was present only in women, and the absence of osteophytes, cysts, and bone lesions of the iliac crests and ischial rami suggests that it is a distinct radiographic manifestation of female ankylosing spondylitis. copyright. Ankylosing spondylitis characteristically affects Clinical details obtained from the medical records the sacroiliac joints and the spine, but peripheral included age at onset of disease, site(s) of initial joint involvement occurs in at least 50% of patients symptoms, age at initial hip symptoms, associated during the course of their disease (Polley and diseases, previous medical and surgical treatment, Slocumb, 1947; Wilkinson and Bywaters, 1958; and details of hip surgery during admission. -
Hallux Valgus
MedicalContinuing Education Building Your FOOTWEAR PRACTICE Objectives 1) To be able to identify and evaluate the hallux abductovalgus deformity and associated pedal conditions 2) To know the current theory of etiology and pathomechanics of hallux valgus. 3) To know the results of recent Hallux Valgus empirical studies of the manage- ment of hallux valgus. Assessment and 4) To be aware of the role of conservative management, faulty footwear in the develop- ment of hallux valgus deformity. and the role of faulty footwear. 5) To know the pedorthic man- agement of hallux valgus and to be cognizant of the 10 rules for proper shoe fit. 6) To be familiar with all aspects of non-surgical management of hallux valgus and associated de- formities. Welcome to Podiatry Management’s CME Instructional program. Our journal has been approved as a sponsor of Continu- ing Medical Education by the Council on Podiatric Medical Education. You may enroll: 1) on a per issue basis (at $15 per topic) or 2) per year, for the special introductory rate of $99 (you save $51). You may submit the answer sheet, along with the other information requested, via mail, fax, or phone. In the near future, you may be able to submit via the Internet. If you correctly answer seventy (70%) of the questions correctly, you will receive a certificate attesting to your earned credits. You will also receive a record of any incorrectly answered questions. If you score less than 70%, you can retake the test at no additional cost. A list of states currently honoring CPME approved credits is listed on pg. -
Septic Arthritis of the Sternoclavicular Joint
J Am Board Fam Med: first published as 10.3122/jabfm.2012.06.110196 on 7 November 2012. Downloaded from BRIEF REPORT Septic Arthritis of the Sternoclavicular Joint Jason Womack, MD Septic arthritis is a medical emergency that requires immediate action to prevent significant morbidity and mortality. The sternoclavicular joint may have a more insidious onset than septic arthritis at other sites. A high index of suspicion and judicious use of laboratory and radiologic evaluation can help so- lidify this diagnosis. The sternoclavicular joint is likely to become infected in the immunocompromised patient or the patient who uses intravenous drugs, but sternoclavicular joint arthritis in the former is uncommon. This case series describes the course of 2 immunocompetent patients who were treated conservatively for septic arthritis of the sternoclavicular joint. (J Am Board Fam Med 2012;25: 908–912.) Keywords: Case Reports, Septic Arthritis, Sternoclavicular Joint Case 1 of admission, he continued to complain of left cla- A 50-year-old man presented to his primary care vicular pain, and the course of prednisone failed to physician with a 1-week history of nausea, vomit- provide any pain relief. The patient denied any ing, and diarrhea. His medical history was signifi- current fevers or chills. He was afebrile, and exam- cant for 1 episode of pseudo-gout. He had no ination revealed a swollen and tender left sterno- chronic medical illnesses. He was noted to have a clavicular (SC) joint. The prostate was normal in heart rate of 60 beats per minute and a blood size and texture and was not tender during palpa- pressure of 94/58 mm Hg. -
Synovial Fluidfluid 11
LWBK461-c11_p253-262.qxd 11/18/09 6:04 PM Page 253 Aptara Inc CHAPTER SynovialSynovial FluidFluid 11 Key Terms ANTINUCLEAR ANTIBODY ARTHROCENTESIS BULGE TEST CRYSTAL-INDUCED ARTHRITIS GROUND PEPPER HYALURONATE MUCIN OCHRONOTIC SHARDS RHEUMATOID ARTHRITIS (RA) RHEUMATOID FACTOR (RF) RICE BODIES ROPE’S TEST SEPTIC ARTHRITIS Learning Objectives SYNOVIAL SYSTEMIC LUPUS ERYTHEMATOSUS 1. Define synovial. VISCOSITY 2. Describe the formation and function of synovial fluid. 3. Explain the collection and handling of synovial fluid. 4. Describe the appearance of normal and abnormal synovial fluids. 5. Correlate the appearance of synovial fluid with possible cause. 6. Interpret laboratory tests on synovial fluid. 7. Suggest further testing for synovial fluid, based on preliminary results. 8. List the four classes or categories of joint disease. 9. Correlate synovial fluid analyses with their representative disease classification. 253 LWBK461-c11_p253-262.qxd 11/18/09 6:04 PM Page 254 Aptara Inc 254 Graff’s Textbook of Routine Urinalysis and Body Fluids oint fluid is called synovial fluid because of its resem- blance to egg white. It is a viscous, mucinous substance Jthat lubricates most joints. Analysis of synovial fluid is important in the diagnosis of joint disease. Aspiration of joint fluid is indicated for any patient with a joint effusion or inflamed joints. Aspiration of asymptomatic joints is beneficial for patients with gout and pseudogout as these fluids may still contain crystals.1 Evaluation of physical, chemical, and microscopic characteristics of synovial fluid comprise routine analysis. This chapter includes an overview of the composition and function of synovial fluid, and laboratory procedures and their interpretations. -
Adult Still's Disease
44 y/o male who reports severe knee pain with daily fevers and rash. High ESR, CRP add negative RF and ANA on labs. Edward Gillis, DO ? Adult Still’s Disease Frontal view of the hands shows severe radiocarpal and intercarpal joint space narrowing without significant bony productive changes. Joint space narrowing also present at the CMC, MCP and PIP joint spaces. Diffuse osteopenia is also evident. Spot views of the hands after Tc99m-MDP injection correlate with radiographs, showing significantly increased radiotracer uptake in the wrists, CMC, PIP, and to a lesser extent, the DIP joints bilaterally. Tc99m-MDP bone scan shows increased uptake in the right greater than left shoulders, as well as bilaterally symmetric increased radiotracer uptake in the elbows, hands, knees, ankles, and first MTP joints. Note the absence of radiotracer uptake in the hips. Patient had bilateral total hip arthroplasties. Not clearly evident are bilateral shoulder hemiarthroplasties. The increased periprosthetic uptake could signify prosthesis loosening. Adult Stills Disease Imaging Features • Radiographs – Distinctive pattern of diffuse radiocarpal, intercarpal, and carpometacarpal joint space narrowing without productive bony changes. Osseous ankylosis in the wrists common late in the disease. – Joint space narrowing is uniform – May see bony erosions. • Tc99m-MDP Bone Scan – Bilaterally symmetric increased uptake in the small and large joints of the axial and appendicular skeleton. Adult Still’s Disease General Features • Rare systemic inflammatory disease of unknown etiology • 75% have onset between 16 and 35 years • No gender, race, or ethnic predominance • Considered adult continuum of JIA • Triad of high spiking daily fevers with a skin rash and polyarthralgia • Prodromal sore throat is common • Negative RF and ANA Adult Still’s Disease General Features • Most commonly involved joint is the knee • Wrist involved in 74% of cases • In the hands, interphalangeal joints are more commonly affected than the MCP joints. -
Approach to Polyarthritis for the Primary Care Physician
24 Osteopathic Family Physician (2018) 24 - 31 Osteopathic Family Physician | Volume 10, No. 5 | September / October, 2018 REVIEW ARTICLE Approach to Polyarthritis for the Primary Care Physician Arielle Freilich, DO, PGY2 & Helaine Larsen, DO Good Samaritan Hospital Medical Center, West Islip, New York KEYWORDS: Complaints of joint pain are commonly seen in clinical practice. Primary care physicians are frequently the frst practitioners to work up these complaints. Polyarthritis can be seen in a multitude of diseases. It Polyarthritis can be a challenging diagnostic process. In this article, we review the approach to diagnosing polyarthritis Synovitis joint pain in the primary care setting. Starting with history and physical, we outline the defning characteristics of various causes of arthralgia. We discuss the use of certain laboratory studies including Joint Pain sedimentation rate, antinuclear antibody, and rheumatoid factor. Aspiration of synovial fuid is often required for diagnosis, and we discuss the interpretation of possible results. Primary care physicians can Rheumatic Disease initiate the evaluation of polyarthralgia, and this article outlines a diagnostic approach. Rheumatology INTRODUCTION PATIENT HISTORY Polyarticular joint pain is a common complaint seen Although laboratory studies can shed much light on a possible diagnosis, a in primary care practices. The diferential diagnosis detailed history and physical examination remain crucial in the evaluation is extensive, thus making the diagnostic process of polyarticular symptoms. The vast diferential for polyarticular pain can difcult. A comprehensive history and physical exam be greatly narrowed using a thorough history. can help point towards the more likely etiology of the complaint. The physician must frst ensure that there are no symptoms pointing towards a more serious Emergencies diagnosis, which may require urgent management or During the initial evaluation, the physician must frst exclude any life- referral. -
Applied Anatomy of the Temporomandibular Joint
Applied anatomy of the temporomandibular joint CHAPTER CONTENTS process which, together with the temporal process of the zygo- Bones . e198 matic bone, forms the zygomatic arch (Fig. 1). The midline fusion of the left and right mandibular bodies Joint .capsule .and .ligaments . e198 provides a connection between the two temporomandibular Intra-articular .meniscus . e198 joints, so that movement in one joint always influences the opposite one. Nociceptive .innervation . e199 Muscles .and .tendons . e199 Joint capsule and ligaments Biomechanical .aspects . e200 Forward movement of the mandible . e200 The joint capsule is wide and loose on the upper aspect around Opening and closing the mouth. e200 the mandibular fossa. Distally, it diminishes in a funnel shaped Grinding movements . e200 manner to become attached to the mandibular neck (Fig. 2). Nerves .and .blood .vessels . e200 Its laxity prevents rupture even after dislocation. Laterally and medially, a local reinforcement of the joint capsule is found. The lateral collateral ligament courses from The temporomandibular joint (TMJ) is sited at the base of the the zygomatic arch obliquely downwards and backwards skull and formed by parts of the mandible and the temporal towards the posterior rim of the mandibular neck, lateral to bone, separated by an intra-articular meniscus. It is a synovial the outer aspect of the capsule. At its posterior aspect, it is in joint capable of both hinge (rotation) and sliding (translatory) close relation to the joint capsule and prevents the joint from movements. Like other synovial joints, it may be affected by opening widely. Medially, the joint capsule is locally reinforced internal derangement, inflammatory arthritis, arthrosis, and by the medial collateral ligament. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
Innervation of the Temporomandibular Joint Can Be Discussed It Is Necessary First to Describe Its Embryology, Gfoss Anatomy and Microscopic Appe¿Ìrance
à8.ì 'R? INNERVATION OF THE TEMPOROMAI\DIBULAR J AN EXPERIMENTAL AMMAL MODEL USING AUSTRALIAN MERINO STIEEP ABDOLGHAFAR TAHMASEBI-SARVESTANI' B. Sc, M. Sc Thesis submitted for the degree of DOCTOR OF PHILOSOPHY In The Department of Anatomical Sciences The University of Adelaide (Faculty of Medicine)' Adelaide, South Australia, 5005 April, L997 tfüs tñesisis [elicatelø nl wtfe Aggñleñ ø¡tlour g4.arzi"e tfr.re e c friûfren Ía fiera ñ, fo zic ñ atú fi l-1 ACKNOWLEDGMENTS I am greatly indebted to my supervisors Dr. Ray Tedman and Professor Alastair Goss who first inrroduced me to this freld of study and providing me with the opportunity to carry out this work. I wish to thank them for their constant interest and guidance throughout the course of this study. I am also indebted to the scholarship committee of the Shiraz Medical Science University and Ministry of Health and Medical Education, Iran for gânting me a 4 year scholarship to study at the Universiry of Adelaide. I thank professor Goss and the Japanese Surgical Research team for their expertise in surgical animal models, and Professor July Polak and Dr Mika Hukkanen, Royal postgraduate Medical School London University for their expertise in immunohistochemistry and for providing some of the antisera used in the neuropeptide studies. I would also like to thank Professor Ian Gibbins, Department of Anatomy and Histology of the Flinders Medical Centre for, without the use of his laboratories, materials, and expertise, the double and triple labelling parts of the immunocytochemical work would not have occurred. I also orwe many thanks to Susan Matthew, a senior laboratory officer for her skilful technical assistance in double and triple immunocytochemistry.