Arthroscopic and Open Anatomy of the Hip 11
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Blount, Anteversion and Torsion: What's It All About?
Blount, Anteversion and Torsion: What’s it all about? Arthur B. Meyers, MD Assistant Professor of Radiology Children’s Hospital of WisConsin/ MediCal College of WisConsin Disclosures • Author for Amirsys/Elsevier, reCeiving royalGes Lower Extremity Alignment in Children • Lower extremity rotaGon – Femoral version / Gbial torsion – Normal values & CliniCal indiCaGons – Imaging • Blount disease – Physiologic bowing – Blount disease Lower Extremity RotaGonal Alignment Primarily determined by: 1. Femoral version 2. Tibial torsion 3. PosiGon of the foot Rosenfeld SB. Approach to the Child with in-toeing. Up-to-date. 2/2014 Lower Extremity RotaGonal Alignment Primarily determined by: 1. Femoral version 2. Tibial torsion 3. PosiGon of the foot Rosenfeld SB. Approach to the Child with in-toeing. Up-to-date. 2/2014 Femoral Version The rotaGon of the femoral neCk in relaGon to the long axis of the femur (posterior Condylar axis of the distal femur) Femoral Version The rotaGon of the femoral neCk in relaGon to the long axis of the femur (posterior Condylar axis of the distal femur) Femoral Version The rotaGon of the femoral neCk in relaGon to the long axis of the femur (posterior Condylar axis of the distal femur) Femoral Version The rotaGon of the femoral neCk in relaGon to the long axis of the femur (posterior Condylar axis of the distal femur) Femoral Version The rotaGon of the femoral neCk in relaGon to the long axis of the femur (posterior Condylar axis of the distal femur) Femoral Version The rotaGon of the femoral neCk in relaGon to the long -
Total HIP Replacement Exercise Program 1. Ankle Pumps 2. Quad
3 sets of 10 reps (30 ea) 2 times a day Total HIP Replacement Exercise Program 5. Heel slides 1. Ankle Pumps Bend knee and pull heel toward buttocks. DO NOT GO Gently point toes up towards your nose and down PAST 90* HIP FLEXION towards the surface. Do both ankles at the same time or alternating feet. Perform slowly. 2. Quad Sets Slowly tighten thigh muscles of legs, pushing knees down into the surface. Hold for 10 count. 6. Short Arc Quads Place a large can or rolled towel (about 8”diameter) under the leg. Straighten knee and leg. Hold straight for 5 count. 3. Gluteal Sets Squeeze the buttocks together as tightly as possible. Hold for a 10 count. 7. Knee extension - Long Arc Quads Slowly straighten operated leg and try to hold it for 5 sec. Bend knee, taking foot under the chair. 4. Abduction and Adduction Slide leg out to the side. Keep kneecap pointing toward ceiling. Gently bring leg back to pillow. May do both legs at the same time. Copywriter VHI Corp 3 sets of 10 reps (30 ea) 2 times a day Total HIP Replacement Exercise Program 8. Standing Stair/Step Training: Heel/Toe Raises: 1. The “good” (non-operated) leg goes Holding on to an immovable surface. UP first. Rise up on toes slowly 2. The “bad” (operated) leg goes for a 5 count. Come back to foot flat and lift DOWN first. toes from floor. 3. The cane stays on the level of the operated leg. Resting positions: To Stretch your hip to neutral position: 1. -
Hip Extensor Mechanics and the Evolution of Walking and Climbing Capabilities in Humans, Apes, and Fossil Hominins
Hip extensor mechanics and the evolution of walking and climbing capabilities in humans, apes, and fossil hominins Elaine E. Kozmaa,b,1, Nicole M. Webba,b,c, William E. H. Harcourt-Smitha,b,c,d, David A. Raichlene, Kristiaan D’Aoûtf,g, Mary H. Brownh, Emma M. Finestonea,b, Stephen R. Rossh, Peter Aertsg, and Herman Pontzera,b,i,j,1 aGraduate Center, City University of New York, New York, NY 10016; bNew York Consortium in Evolutionary Primatology, New York, NY 10024; cDepartment of Anthropology, Lehman College, New York, NY 10468; dDivision of Paleontology, American Museum of Natural History, New York, NY 10024; eSchool of Anthropology, University of Arizona, Tucson, AZ 85721; fInstitute of Ageing and Chronic Disease, University of Liverpool, Liverpool L7 8TX, United Kingdom; gDepartment of Biology, University of Antwerp, 2610 Antwerp, Belgium; hLester E. Fisher Center for the Study and Conservation of Apes, Lincoln Park Zoo, Chicago, IL 60614; iDepartment of Anthropology, Hunter College, New York, NY 10065; and jDepartment of Evolutionary Anthropology, Duke University, Durham, NC 27708 Edited by Carol V. Ward, University of Missouri-Columbia, Columbia, MO, and accepted by Editorial Board Member C. O. Lovejoy March 1, 2018 (received for review September 10, 2017) The evolutionary emergence of humans’ remarkably economical their effects on climbing performance or tested whether these walking gait remains a focus of research and debate, but experi- traits constrain walking and running performance. mentally validated approaches linking locomotor -
FLOOR EXERCISES for Strengthening Your Hip and Knee INTERMEDIATE LEVEL THIGH STRENGTHENING 3
FLOOR EXERCISES for strengthening your hip and knee INTERMEDIATE LEVEL THIGH STRENGTHENING 3 HIP STRENGTHENING ON YOUR SIDE 5 HIP STRENGTHENING ON YOUR BACK 8 ALL 4’S WITH LEG LIFT 10 hen you have pain or an injury to your knee or lower extremity, Wit’s necessary to strengthen muscles in your whole lower body to have the best recovery possible, even if your injury is just in one area. The hip and trunk muscles support your knee, ankle and foot, and they all work together when you move. The exercises in this booklet will help you strengthen these muscles to help you recover. Please read the instructions carefully and follow the advice of your physical therapist or doctor when starting or progressing an exer- cise program such as this. If your symptoms get worse while doing these exercises, please read the instructions again to be sure you are doing the exercises exactly as described. If your symptoms con- tinue to worsen, talk to your health care provider. Equipment needed: • exercise ball • pillow • foam • towel(s) • exercise band ________ (color) or resistance band 2 THIGH (QUADRICEPS) STRENGTHENING q Quadriceps set: Place a small towel roll under your knee. Straighten your knee by tightening your thigh muscles. Press the back of your knee into the floor or towel and hold for 5-10 seconds. This may also be done sitting. FREQUENCY_____________ q Straight leg raise: Lie on your back with your affected leg straight and your other leg bent. Tighten your thigh muscle then lift your straight leg no higher than the other knee without allow- ing your knee to bend. -
Medial Collateral Ligament (MCL) Sprain
INFORMATION FOR PATIENTS Medial collateral ligament (MCL) sprain This leaflet intends to educate you on Knee ligament sprains are graded in the immediate management of your severity from one to three: knee injury. It also contains exercises to prevent stiffening of your knee, Grade one: Mild sprain with ligaments whilst your ligament heals. stretched but not torn. Grade two: Moderate sprain with some What is an MCL injury? ligaments torn. Grade three: Severe sprain with There are two collateral ligaments, one complete tear of ligaments. either side of the knee, which act to stop side to side movement of the knee. The Symptoms you may experience medial collateral ligament (MCL) is most commonly injured. It lies on the inner side Pain in the knee, especially on the of your knee joint, connecting your thigh inside, particularly with twisting bone (femur) to your shin bone (tibia) and movements. provides stability to the knee. Tenderness along the ligament on the inside. Injuries to this ligament tend to occur Stiffness. when a person is bearing weight and the Swelling and some bruising. knee is forced inwards, such as slipping depending on the grade of the injury. on ice or playing sports, e.g. skiing, You may have the feeling the knee will football and rugby. In older people, this give way or some unstable feeling can be injured during a fall. An MCL injury can be a partial or complete tear, or overstretching of the ligament. Knee ligament injuries are also referred to as sprains. It’s common to injure one of your cruciate ligaments (the two ligaments that cross in the middle of your knee which help to stabilise), or your meniscus (cartilage discs that help provide a cushion between your thigh and shin bone), at the same time as your MCL. -
Femur Pelvis HIP JOINT Femoral Head in Acetabulum Acetabular
Anatomy of the Hip Joint Overview The hip joint is one of the largest weight-bearing HIP JOINT joints in the body. This ball-and-socket joint allows the leg to move and rotate while keeping the body Femoral head in stable and balanced. Let's take a closer look at the acetabulum main parts of the hip joint's anatomy. Pelvis Bones Two bones meet at the hip joint, the femur and the pelvis. The femur, commonly called the "thighbone," is the longest and heaviest bone of the body. At the top of the femur, positioned on the femoral neck, is the femoral head. This is the "ball" of the hip joint. The other part of the joint – the Femur "socket" – is found in the pelvis. The pelvis is a bone made of three sections: the ilium, the ischium and the pubis. The socket is located where these three sections fuse. The proper name of the socket is the "acetabulum." The head of the femur fits tightly into this cup-shaped cavity. Articular Cartilage The femoral head and the acetabulum are covered Acetabular with a layer of articular cartilage. This tough, smooth tissue protects the bones. It allows them to labrum glide smoothly against each other as the ball moves in the socket. Soft Tissues Several soft tissue structures work together to hold the femoral head securely in place. The acetabulum is surrounded by a ring of cartilage called the "acetabular labrum." This deepens the socket and helps keep the ball from slipping out of alignment. It also acts as a shock absorber. -
Hip Acetabular Labral Repair with Juggerknot Long
Hip Acetabular Labral Repair with the JuggerKnot® Long Soft Anchor Surgical Technique by Dean Matsuda, M.D. and Jason Hurst, M.D. Table of Contents Introduction .............................................................................................................. 3 Patient Preparation ................................................................................................... 3 Portal Placement ...................................................................................................... 4 Labral Repair Preparation......................................................................................... 5 Drill Guide and Hole Placement ................................................................................ 5 Curved Guide with Optional Centering Sleeve ........................................................ 6 Insert the Anchor ...................................................................................................... 8 Deploy the Anchor .................................................................................................... 9 Repair the Labrum .................................................................................................. 10 Ordering Information ............................................................................................. 12 Indications For Use ................................................................................................. 13 Contraindications .................................................................................................. -
Hip Conditioning Program
Our knowledge of orthopaedics. Your best health. Prepared for: Prepared by: Hip Conditioning Program Purpose of Program _________________________________________________________________ After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Following a well-structured conditioning program will also help you return to sports and other recreational activities. This is a general conditioning program that provides a wide range of exercises. To ensure that the program is safe and effective for you, it should be performed under your doctor’s supervision. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Strength: Strengthening the muscles that support your hip will help keep your hip joint stable. Keeping these muscles strong can relieve pain and prevent further injury. Flexibility: Stretching the muscles that you strengthen is important for restoring range of motion and preventing injury. Gently stretching after strengthening exercises can help reduce muscle soreness and keep your muscles long and flexible. Target Muscles: The muscle groups targeted in this conditioning program include: • Gluteus maximus (buttocks) • Adductors (inner thigh) • Gluteus medius (buttocks) • Abductors (outer thigh) • Hamstrings (back of thigh) • Tensor Fascia (outer thigh) • Piriformis (buttocks) Length of program: This hip conditioning program should be continued for 4 to 6 weeks, unless otherwise specified by your doctor or physical therapist. After your recovery, these exercises can be continued as a maintenance program for lifelong protection and health of your hips and thighs. Performing the exercises two to three days a week will maintain strength and range of motion in your hips and thighs. -
Effects of Transverse and Frontal Plane Knee Laxity on Hip and Knee Neuromechanics During Drop Landings
Effects of Transverse and Frontal Plane Knee Laxity on Hip and Knee Neuromechanics During Drop Landings Shultz SJ, Schmitz RJ. Effects of Transverse and Frontal Plane Knee Laxity on Hip and Knee Neuromechanics During Drop Landings. American Journal of Sports Medicine 2009; 37(9): 1821-1830. doi: 10.1177/0363546509334225 Made available courtesy of SAGE Publications (UK and US): http://ajs.sagepub.com/ ***Reprinted with permission. No further reproduction is authorized without written permission from SAGE Publications (UK and US). This version of the document is not the version of record. Figures and/or pictures may be missing from this format of the document.*** Abstract: Background Varus-valgus (LAXVV) and internal-external (LAXIER) rotational knee laxity have received attention as potential contributing factors in anterior cruciate ligament injury. This study compared persons with above-and below-average LAXVV and LAXIER values on hip and knee neuromechanics during drop jump landings. Hypothesis People with greater LAXVV and LAXIER values will have greater challenges controlling frontal and transverse plane knee motions, as evidenced by greater joint excursions, joint moments, and muscle activation levels during the landing phase. Study Design Descriptive laboratory study. Methods Recreationally active participants (52 women and 44 men) between 18 and 30 years old were measured for LAXVV and LAXIER and for their muscle activation and transverse and frontal plane hip and knee kinetics and kinematics during the initial landing phase of a drop jump. The mean value was obtained for each sex, and those with above-average values on LAXVV and LAXIER (LAXHIGH = 17 women, 16 men) were compared with those with below-average values (LAXLOW = 18 women, 17 men). -
Compiled for Lower Limb
Updated: December, 9th, 2020 MSI ANATOMY LAB: STRUCTURE LIST Lower Extremity Lower Extremity Osteology Hip bone Tibia • Greater sciatic notch • Medial condyle • Lesser sciatic notch • Lateral condyle • Obturator foramen • Tibial plateau • Acetabulum o Medial tibial plateau o Lunate surface o Lateral tibial plateau o Acetabular notch o Intercondylar eminence • Ischiopubic ramus o Anterior intercondylar area o Posterior intercondylar area Pubic bone (pubis) • Pectineal line • Tibial tuberosity • Pubic tubercle • Medial malleolus • Body • Superior pubic ramus Patella • Inferior pubic ramus Fibula Ischium • Head • Body • Neck • Ramus • Lateral malleolus • Ischial tuberosity • Ischial spine Foot • Calcaneus Ilium o Calcaneal tuberosity • Iliac fossa o Sustentaculum tali (talar shelf) • Anterior superior iliac spine • Anterior inferior iliac spine • Talus o Head • Posterior superior iliac spine o Neck • Posterior inferior iliac spine • Arcuate line • Navicular • Iliac crest • Cuboid • Body • Cuneiforms: medial, intermediate, and lateral Femur • Metatarsals 1-5 • Greater trochanter • Phalanges 1-5 • Lesser trochanter o Proximal • Head o Middle • Neck o Distal • Linea aspera • L • Lateral condyle • L • Intercondylar fossa (notch) • L • Medial condyle • L • Lateral epicondyle • L • Medial epicondyle • L • Adductor tubercle • L • L • L • L • 1 Updated: December, 9th, 2020 Lab 3: Anterior and Medial Thigh Anterior Thigh Medial thigh General Structures Muscles • Fascia lata • Adductor longus m. • Anterior compartment • Adductor brevis m. • Medial compartment • Adductor magnus m. • Great saphenous vein o Adductor hiatus • Femoral sheath o Compartments and contents • Pectineus m. o Femoral canal and ring • Gracilis m. Muscles & Associated Tendons Nerves • Tensor fasciae lata • Obturator nerve • Iliotibial tract (band) • Femoral triangle: Boundaries Vessels o Inguinal ligament • Obturator artery o Sartorius m. • Femoral artery o Adductor longus m. -
Arthrodiastasis for Treatment of Avascular Necrosis of Lesser Metatarsal Heads
QUICK START GUIDE QUICK START GUIDE (THIS SIDEBAR WILL NOT PRINT) Arthrodiastasis for Treatment of Avascular Necrosis of Lesser Metatarsal Heads (THIS SIDEBAR WILL NOT PRINT) This PowerPoint template produces a 42”x90" presentation poster. You can use it to create your research poster by placing your title, subtitle, text, tables, charts and How to change the template colors photos. You can change the overall template color theme by clicking on the COLORS Stephanie Wu, DPM¹, Jones Thomas, DPM², Hummira Abawi, DPM, FACFAS³ dropdown menu under the DESIGN tab. You can see a tutorial here: We provide a series of online tutorials that will guide you through the poster design ¹ PGY-1, VA Maryland Healthcare System and Sinai Hospital, Baltimore, Rubin Institute for Advanced Orthopedics https://www.posterpresentations.com/how-to-change-the-research-poster-template-colors.h process and answer your poster production questions. For complete template tml tutorials, go online to PosterPresentations.com and click on the HELP DESK tab. ² PGY-2, VA Maryland Healthcare System and Sinai Hospital, Baltimore, Rubin Institute for Advanced Orthopedics You can also manually change the color of individual elements by going to VIEW > ³ Assistant Director, VA Maryland Healthcare System and Sinai Hospital, Baltimore, Rubin Institute for Advanced Orthopedics To print your poster using our same-day professional printing service, go online to SLIDE MASTER. On the left side of your screen select the background master where PosterPresentations.com and click on "Order your poster". you can change the template background, column sizes, etc. After you finish working on the SLIDE MASTER, it is important that you go to VIEW > NORMAL to continue working on your poster. -
Osteonecrosis of the Femoral Head. Surgical Technique Free
This is an enhanced PDF from The Journal of Bone and Joint Surgery The PDF of the article you requested follows this cover page. Free Vascularized Fibular Grafting for the Treatment of Postcollapse Osteonecrosis of the Femoral Head. Surgical Technique J. Mack Aldridge, III, Keith R. Berend, Eunice E. Gunneson and James R. Urbaniak J Bone Joint Surg Am. 2004;86:87-101. This information is current as of August 9, 2009 Reprints and Permissions Click here to order reprints or request permission to use material from this article, or locate the article citation on jbjs.org and click on the [Reprints and Permissions] link. Publisher Information The Journal of Bone and Joint Surgery 20 Pickering Street, Needham, MA 02492-3157 www.jbjs.org COPYRIGHT © 2004 BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED Free Vascularized Fibular Grafting for the Treatment of Postcollapse Osteonecrosis of the Femoral Head Surgical Technique By J. Mack Aldridge III, MD, Keith R. Berend, MD, Eunice E. Gunneson, PA-C, and James R. Urbaniak, MD Investigation performed at Duke University Medical Center, Durham, North Carolina The original scientific article in which the surgical technique was presented was published in JBJS Vol. 85-A, pp. 987-993, June 2003 SURGICAL TECHNIQUE ABSTRACT Overview In its early stages, free vascularized fibular grafting of the femoral BACKGROUND: head required two teams of surgeons and an operative time of six Osteonecrosis of the femoral hours or more. Today, thanks in large part to the development of tech- head, a disease primarily affect- nical shortcuts, customized instrumentation, and an operative sup- ing young adults, is often associ- port staff familiar with the nuances of the surgery, free vascularized ated with collapse of the articular fibular grafting of the femoral head can easily be performed in be- surface and subsequent arthro- tween two and one-half and three hours, with two surgeons and one sis.