Origins, Insertions and Prime Mover Actions of Muscles in Figure 6.8

Total Page:16

File Type:pdf, Size:1020Kb

Origins, Insertions and Prime Mover Actions of Muscles in Figure 6.8 ORIGINS, INSERTIONS AND PRIME MOVER ACTIONS OF MUSCLES IN FIGURE 6.8 Muscle Origin Insertion Actions Adductor Longus Anterior surface of pubis Adducts thigh Adductor Magnus Ischial and pubic rami and ischial tuberosity Medial half of linea aspera Adducts thigh on the femur Biceps Brachii Long head – upper margin of glenoid fossa; Radial (bicipital) tuberosity Flexes and supinates forearm short head – coracoid process of scapula of radius Biceps Femoris Long head – ischial tuberosity; short head – Lateral aspect of head of Flexes knee; long head extends thigh linea aspera of femur fibula and lateral condyle of tibia Brachialis Anterior surface of lower ½ of humerus Anterior surface of Flexes forearm coranoid process of ulna Brachioradialis Upper 2/3rd of lateral supracondylar ridge of Base of styloids process of Flexes forearm humerus humerus Deltoid - Anterior Anterior border of outer 1/3rd of clavicle } Flexes and horizontally flexes humerus } - Medial Acromion process and lateral end of clavicle }Deltoid tuberosity of Abducts and horizontally flexes humerus }humerus (lateral aspect of - Posterior Lower margin of spine of scapula }humerus near midpoint) Extends and horizontally extends } humerus Extensor Digitorum Lateral epicondyle of humerus Distal phalanges of fingers Extends fingers at metacarpophalangeal 2-5 and interphalangeal joints Extensor Digitorum Lateral condyle of tibia and upper ¾ of Second and third phalanges Dorsiflexes and everts foot and extends Longus anterior surface of fibula of four lesser toes toes Extensor Carpi Lateral epicondyle and supracondylar ridge Base of 2nd metacarpal Extends and abducts wrist Radialis Longus of humerus Extensor Carpi Lateral epicondyle of humerus and posterior Base of 5th metacarpal Extends and adducts wrist Ulnaris border of ulna External Obliques Outer surfaces of lower eight ribs Anterior half of crest of Flexes and laterally flexes trunk, rotates ilium and from ribs to trunk to opposite side public crest Flexor Carpi Radialis Medial epicondyle of humerus Base of 2nd metacarpal Flexes and abducts wrist Flexor Carpi Ulnaris Medial epicondyle of humerus, posterior Pisiform bone and base of Flexes and adducts wrist surface and olecranon process of ulna 5th metcarpal Gastrocnemius By two heads from medial and lateral Calcaneus through Achilles Plantar flexes foot; can help flex knee condyles of femur tendon Gluteus Maximus Posterior gluteal line of ilium, lower part of Posterior surface of femur Extends and externally rotates thigh sacrum, coccyx at gluteal tuberosity, iliotibial tract Gluteus Medius Lateral surface of ilium between anterior and Lateral aspect of greater Abducts and internally rotates thigh posterior gluteal lines trochanter of femur Gracilis Inferior ramus and body of pubis Medial surface of tibia just Adducts thigh; helps extend and below medial condyle internally rotate knee Iliopsoas Iliacus – iliac fossa; Psoas Major – transverse Lesser trochanter of femur Flexes thigh processes, bodies and discs of 12th thoracic vertebra and all lumbar vertebrae Infraspinatus Medial 2/3rd of infraspinous fossa of scapula Greater tubercle of humerus Outwardly rotates and horizontally extends humerus Intercostals External – inferior border of rib above; External – superior border Respiration Internal – superior border of rib below of rib below; Internal – inferior border of rib above Internal Obliques Linea alba, pubic crest and lower three ribs Crest of ilium and inguinal Flexes and laterally flexes trunk, rotates ligament trunk to same side Latissimus Dorsi Spinous processes of lower six thoracic and Inferior portion of Extends and adducts humerus all lumbar vertebrae, posterior surface of intertubercular groove of sacrum, iliac crest, lower three ribs humerus Palmaris Longus Medial epicondyle of humerus Palmar aponeurosis Weak flexor of wrist Pectineus Pectineal line of pubis on superior ramus Pectineal line of femur Flexes and adducts thigh between lesser trochanter and linea aspera Pectoralis Major Medial 2/3rd of anterior border of clavicle, Greater tubercle of humerus Flexes, internally rotates, adducts and anterior surface of sternum, cartilage of ribs (lateral surface of humerus) horizontally flexes humerus 1-6 Pectoralis Minor Anterior surfaces of ribs 3 to 5 Tip of coracoid process of Depresses, protracts and downwardly scapula rotates scapula Peroneus Longus Lateral condyle of tibia, head and upper 2/3rd Lateral margin of plantar Everts foot of fibula surface of medial cuneiform and base of first metatarsal Pronator Teres Medial epicondyle of humerus, coronoid Lateral surface of radius Pronates forearm process of ulna near middle Rectus Abdominis Cartilages of ribs 5 to 7 Pubic crest and pubic Flexes trunk symphysis Rectus Femoris Anterior inferior iliac spine and superior Base of patella and, by Flexes thigh and extends knee margin of acetabulum patellar ligament, tibial tuberosity Rhomboideus Major Spinous processes of 7th cervical vertebra and Medial border of scapula Elevates, retracts and downwardly rotates all thoracic vertebrae scapula Sartorius Anterior superior iliac spine Anterior and medial surface Helps flex and laterally rotate thigh and of tibia just below medial flex knee condyle Semimembranosus Upper and lateral aspects of ischial tuberosity Medial condyle of tibia Extends thigh; flexes and internally rotates knee Semitendinosus Lower and medial aspects of ischial Upper part of medial Extends thigh; flexes and internally tuberosity surface of shaft of tibia rotates knee Serratus Anterior Outer surfaces of upper nine ribs at side of Anterior surface of medial Protracts and upwardly rotates scapula chest border of scapula Soleus Posterior surface of head of fibula and upper Calcaneus through Achilles Plantar flexes foot 2/3rd of shaft, medial border of middle 1/3 of tendon tibia Sternocleidomastoid Manubrium of sternum; medial 1/3rd of Mastoid process of Flexes, laterally flexes, and rotates to the clavicle temporal bone opposite side the head and cervical spine Tensor Fasciae Latae Anterior aspect of iliac crest and anterior Iliotibial tract Helps flex, abduct and internally rotate superior iliac spine thigh Teres Major Posterior surface of inferior angle of scapula Crest of lesser tubercle on Extends, adducts and internally rotates anterior surface of humerus humerus Tibialis Anterior Lateral condyle and upper 2/3rd of lateral Inferior surface of medial Dorsiflexes and inverts foot surface of tibia cuneiform and first metatarsal Transversus Inguinal ligament, iliac crest, lumbodorsal Linea alba and pubic crest Compresses abdominal contents Abdominis fascia, cartilages of lower six ribs Trapezius Occipital bone, ligamentum nuchae, spinous Acromion process, spine of Retracts and upwardly rotates scapula; processes of 7th cervical vertebra and all scapula and posterior upper fibres elevate scapula; middle thoracic vertebrae border of lateral 1/3rd of fibres retract scapula; lower fibres clavicle depress scapula Triceps Brachii Long head – infraglenoid tuberosity of Olecranon process of ulna Extends forearm scapula; lateral head – posterior surface of upper half of humerus; medial head – posterior surface of lower 2/3rd of humerus Vastus Lateralis Greater trochanter, upper part of Base of patella and, by Extends knee intertrochanteric line, and linea aspera of patellar ligament, tibial femur tuberosity Vastus Medialis Linea aspera and lower half of Base of patella and, by Extends knee intertrochanteric line of femur patellar ligament, tibial tuberosity .
Recommended publications
  • Elbow Checklist
    Workbook Musculoskeletal Ultrasound September 26, 2013 Shoulder Checklist Long biceps tendon Patient position: Facing the examiner Shoulder in slight medial rotation; elbow in flexion and supination Plane/ region: Transverse (axial): from a) intraarticular portion to b) myotendinous junction (at level of the pectoralis major tendon). What you will see: Long head of the biceps tendon Supraspinatus tendon Transverse humeral ligament Subscapularis tendon Lesser tuberosity Greater tuberosity Short head of the biceps Long head of the biceps (musculotendinous junction) Humeral shaft Pectoralis major tendon Plane/ region: Logitudinal (sagittal): What you will see: Long head of biceps; fibrillar structure Lesser tuberosity Long head of the biceps tendon Notes: Subscapularis muscle and tendon Patient position: Facing the examiner Shoulder in lateral rotation; elbow in flexion/ supination Plane/ region: longitudinal (axial): full vertical width of tendon. What you will see: Subscapularis muscle, tendon, and insertion Supraspinatus tendon Coracoid process Deltoid Greater tuberosity Lesser tuberosity Notes: Do passive medial/ lateral rotation while examining Plane/ region: Transverse (sagittal): What you will see: Lesser tuberosity Fascicles of subscapularis tendon Supraspinatus tendon Patient position: Lateral to examiner Shoulder in extension and medial rotation Hand on ipsilateral buttock Plane/ region: Longitudinal (oblique sagittal) Identify the intra-articular portion of biceps LH in the transverse plane; then
    [Show full text]
  • Scapular Motion Tracking Using Acromion Skin Marker Cluster: in Vitro Accuracy Assessment
    Scapular Motion Tracking Using Acromion Skin Marker Cluster: In Vitro Accuracy Assessment Andrea Cereatti, Claudio Rosso, Ara Nazarian, Joseph P. DeAngelis, Arun J. Ramappa & Ugo Della Croce Journal of Medical and Biological Engineering ISSN 1609-0985 J. Med. Biol. Eng. DOI 10.1007/s40846-015-0010-2 1 23 Your article is protected by copyright and all rights are held exclusively by Taiwanese Society of Biomedical Engineering. This e- offprint is for personal use only and shall not be self-archived in electronic repositories. If you wish to self-archive your article, please use the accepted manuscript version for posting on your own website. You may further deposit the accepted manuscript version in any repository, provided it is only made publicly available 12 months after official publication or later and provided acknowledgement is given to the original source of publication and a link is inserted to the published article on Springer's website. The link must be accompanied by the following text: "The final publication is available at link.springer.com”. 1 23 Author's personal copy J. Med. Biol. Eng. DOI 10.1007/s40846-015-0010-2 ORIGINAL ARTICLE Scapular Motion Tracking Using Acromion Skin Marker Cluster: In Vitro Accuracy Assessment Andrea Cereatti • Claudio Rosso • Ara Nazarian • Joseph P. DeAngelis • Arun J. Ramappa • Ugo Della Croce Received: 11 October 2013 / Accepted: 20 March 2014 Ó Taiwanese Society of Biomedical Engineering 2015 Abstract Several studies have recently investigated how estimated using an AMC combined with a single anatom- the implementations of acromion marker clusters (AMCs) ical calibration, the accuracy was highly dependent on the method and stereo-photogrammetry affect the estimates of specimen and the type of motion (maximum errors between scapula kinematics.
    [Show full text]
  • Structure of the Human Body
    STRUCTURE OF THE HUMAN BODY Vertebral Levels 2011 - 2012 Landmarks and internal structures found at various vertebral levels. Vertebral Landmark Internal Significance Level • Bifurcation of common carotid artery. C3 Hyoid bone Superior border of thyroid C4 cartilage • Larynx ends; trachea begins • Pharynx ends; esophagus begins • Inferior thyroid A crosses posterior to carotid sheath. • Middle cervical sympathetic ganglion C6 Cricoid cartilage behind inf. thyroid a. • Inferior laryngeal nerve enters the larynx. • Vertebral a. enters the transverse. Foramen of C 6. • Thoracic duct reaches its greatest height C7 Vertebra prominens • Isthmus of thyroid gland Sternoclavicular joint (it is a • Highest point of apex of lung. T1 finger's breadth below the bismuth of the thyroid gland T1-2 Superior angle of the scapula T2 Jugular notch T3 Base of spine of scapula • Division between superior and inferior mediastinum • Ascending aorta ends T4 Sternal angle (of Louis) • Arch of aorta begins & ends. • Trachea ends; primary bronchi begin • Heart T5-9 Body of sternum T7 Inferior angle of scapula • Inferior vena cava passes through T8 diaphragm T9 Xiphisternal junction • Costal slips of diaphragm T9-L3 Costal margin • Esophagus through diaphragm T10 • Aorta through diaphragm • Thoracic duct through diaphragm T12 • Azygos V. through diaphragm • Pyloris of stomach immediately above and to the right of the midline. • Duodenojejunal flexure to the left of midline and immediately below it Tran pyloric plane: Found at the • Pancreas on a line with it L1 midpoint between the jugular • Origin of Superior Mesenteric artery notch and the pubic symphysis • Hilum of kidneys: left is above and right is below. • Celiac a.
    [Show full text]
  • Bone Limb Upper
    Shoulder Pectoral girdle (shoulder girdle) Scapula Acromioclavicular joint proximal end of Humerus Clavicle Sternoclavicular joint Bone: Upper limb - 1 Scapula Coracoid proc. 3 angles Superior Inferior Lateral 3 borders Lateral angle Medial Lateral Superior 2 surfaces 3 processes Posterior view: Acromion Right Scapula Spine Coracoid Bone: Upper limb - 2 Scapula 2 surfaces: Costal (Anterior), Posterior Posterior view: Costal (Anterior) view: Right Scapula Right Scapula Bone: Upper limb - 3 Scapula Glenoid cavity: Glenohumeral joint Lateral view: Infraglenoid tubercle Right Scapula Supraglenoid tubercle posterior anterior Bone: Upper limb - 4 Scapula Supraglenoid tubercle: long head of biceps Anterior view: brachii Right Scapula Bone: Upper limb - 5 Scapula Infraglenoid tubercle: long head of triceps brachii Anterior view: Right Scapula (with biceps brachii removed) Bone: Upper limb - 6 Posterior surface of Scapula, Right Acromion; Spine; Spinoglenoid notch Suprspinatous fossa, Infraspinatous fossa Bone: Upper limb - 7 Costal (Anterior) surface of Scapula, Right Subscapular fossa: Shallow concave surface for subscapularis Bone: Upper limb - 8 Superior border Coracoid process Suprascapular notch Suprascapular nerve Posterior view: Right Scapula Bone: Upper limb - 9 Acromial Clavicle end Sternal end S-shaped Acromial end: smaller, oval facet Sternal end: larger,quadrangular facet, with manubrium, 1st rib Conoid tubercle Trapezoid line Right Clavicle Bone: Upper limb - 10 Clavicle Conoid tubercle: inferior
    [Show full text]
  • Trapezius Origin: Occipital Bone, Ligamentum Nuchae & Spinous Processes of Thoracic Vertebrae Insertion: Clavicle and Scapul
    Origin: occipital bone, ligamentum nuchae & spinous processes of thoracic vertebrae Insertion: clavicle and scapula (acromion Trapezius and scapular spine) Action: elevate, retract, depress, or rotate scapula upward and/or elevate clavicle; extend neck Origin: spinous process of vertebrae C7-T1 Rhomboideus Insertion: vertebral border of scapula Minor Action: adducts & performs downward rotation of scapula Origin: spinous process of superior thoracic vertebrae Rhomboideus Insertion: vertebral border of scapula from Major spine to inferior angle Action: adducts and downward rotation of scapula Origin: transverse precesses of C1-C4 vertebrae Levator Scapulae Insertion: vertebral border of scapula near superior angle Action: elevates scapula Origin: anterior and superior margins of ribs 1-8 or 1-9 Insertion: anterior surface of vertebral Serratus Anterior border of scapula Action: protracts shoulder: rotates scapula so glenoid cavity moves upward rotation Origin: anterior surfaces and superior margins of ribs 3-5 Insertion: coracoid process of scapula Pectoralis Minor Action: depresses & protracts shoulder, rotates scapula (glenoid cavity rotates downward), elevates ribs Origin: supraspinous fossa of scapula Supraspinatus Insertion: greater tuberacle of humerus Action: abduction at the shoulder Origin: infraspinous fossa of scapula Infraspinatus Insertion: greater tubercle of humerus Action: lateral rotation at shoulder Origin: clavicle and scapula (acromion and adjacent scapular spine) Insertion: deltoid tuberosity of humerus Deltoid Action:
    [Show full text]
  • Parts of the Body 1) Head – Caput, Capitus 2) Skull- Cranium Cephalic- Toward the Skull Caudal- Toward the Tail Rostral- Toward the Nose 3) Collum (Pl
    BIO 3330 Advanced Human Cadaver Anatomy Instructor: Dr. Jeff Simpson Department of Biology Metropolitan State College of Denver 1 PARTS OF THE BODY 1) HEAD – CAPUT, CAPITUS 2) SKULL- CRANIUM CEPHALIC- TOWARD THE SKULL CAUDAL- TOWARD THE TAIL ROSTRAL- TOWARD THE NOSE 3) COLLUM (PL. COLLI), CERVIX 4) TRUNK- THORAX, CHEST 5) ABDOMEN- AREA BETWEEN THE DIAPHRAGM AND THE HIP BONES 6) PELVIS- AREA BETWEEN OS COXAS EXTREMITIES -UPPER 1) SHOULDER GIRDLE - SCAPULA, CLAVICLE 2) BRACHIUM - ARM 3) ANTEBRACHIUM -FOREARM 4) CUBITAL FOSSA 6) METACARPALS 7) PHALANGES 2 Lower Extremities Pelvis Os Coxae (2) Inominant Bones Sacrum Coccyx Terms of Position and Direction Anatomical Position Body Erect, head, eyes and toes facing forward. Limbs at side, palms facing forward Anterior-ventral Posterior-dorsal Superficial Deep Internal/external Vertical & horizontal- refer to the body in the standing position Lateral/ medial Superior/inferior Ipsilateral Contralateral Planes of the Body Median-cuts the body into left and right halves Sagittal- parallel to median Frontal (Coronal)- divides the body into front and back halves 3 Horizontal(transverse)- cuts the body into upper and lower portions Positions of the Body Proximal Distal Limbs Radial Ulnar Tibial Fibular Foot Dorsum Plantar Hallicus HAND Dorsum- back of hand Palmar (volar)- palm side Pollicus Index finger Middle finger Ring finger Pinky finger TERMS OF MOVEMENT 1) FLEXION: DECREASE ANGLE BETWEEN TWO BONES OF A JOINT 2) EXTENSION: INCREASE ANGLE BETWEEN TWO BONES OF A JOINT 3) ADDUCTION: TOWARDS MIDLINE
    [Show full text]
  • Evaluation of Humeral and Glenoid Bone Deformity in Glenohumeral Arthritis 5
    Evaluation of Humeral and Glenoid Bone Deformity 1 in Glenohumeral Arthritis Brian F. Grogan and Charles M. Jobin Introduction glenoid bone wear helps the surgeon formulate a successful treatment plan and surgical goals Glenohumeral arthritis is the sequela of a vari- to address the pathoanatomy and improve the ety of pathologic shoulder processes, most durability of shoulder arthroplasty. The evalu- commonly degenerative osteoarthritis, but may ation of humeral and glenoid bone deformity also be secondary to post-traumatic conditions, in glenohumeral arthritis has profound surgical inflammatory arthritis, rotator cuff tear arthrop- implications and is fundamental to successful athy, and postsurgical conditions most com- shoulder arthroplasty. monly post-capsulorrhaphy arthritis. Patients with glenohumeral arthritis commonly demon- strate patterns of bony deformity on the glenoid Glenoid Deformity in Osteoarthritis and humerus that are caused by the etiology of the arthritis. For example, osteoarthritis com- Glenoid deformity and glenohumeral subluxation monly presents with posterior glenoid wear, are commonly seen in the setting of primary osteo- secondary glenoid retroversion, and posterior arthritis of the glenohumeral joint. The glenoid humeral head subluxation, while inflammatory wear tends to occur posteriorly and may be best arthritis routinely causes concentric glenoid viewed on axial radiographs or computed tomog- wear with central glenoid erosion. A thorough raphy (CT) axial images. Glenoid erosion, as first history and physical, as well as laboratory and characterized by Walch, is noted to be either central radiographic workup, are keys to understanding or posterior, with varying degrees of wear and pos- the etiology of arthritis and understanding the terior subluxation of the humerus [1, 2] (Fig.
    [Show full text]
  • Periprosthetic Fractures
    Periprosthetic Fractures SRS 2017 Stephen R Smith Orthopaedic Surgeon Northeast Nebraska Orthopaedics P C Norfolk Nebraska SRS 2017 Periprosthetic Fractures Fractures around Joint Replacements Mostly Lower Limb Knee Arthroplasty 700,000/ yr. Hip Arthroplasty 350,000/yr. Shoulder Arthroplasty ? 60,000/yr. Elbow Arthroplasty ? 20,000/yr. Periprosthetic Fractures Incidence Increasing due Increasing Demand and High Demands of Older Patients Projections 2025 2,000,000 (2 million) Knee Replacements 750,000 Total Hip Replacements Periprosthetic Fractures Risk Factors Mechanical Patient Factors Implant Loosening Rheumatoid Arthritis Chronic Steroid Use Neurologic Osteolysis Disease/Disorders Osteoporosis Osteopenia Femoral Notching Female Gender (Above TKA) Increasing Age SRS 2017 Periprosthetic Fractures Incidence Hip Intraoperative Acetabulum Cemented 0.2% Uncemented 0.4% During Impaction Under reaming> 2mm, Osteoporosis, Dysplasia Radiation Periprosthetic Fractures Incidence Hip Intraoperative Primary 0.1-5% Classification Osteoporosis,Cementless, Technique, Revision, Minimally Invasive, Revision 3-21% Periprosthetic Fractures Risk Factors DON’T FALL Remove Loose Rugs Minimize Stair Use Rail Stay Home in Bad Weather!!! Use Common Sense SRS 2017 Periprosthetic Fractures Risk Factors This Is Ice DON’T FALL Remove Loose Rugs Minimize Stair Use Rail Stay Home in Bad Weather!!! Use Common Sense SRS 2017 Periprosthetic Fractures Incidence Knee Intraoperative ?? Occasional Medial Femoral Condyle Often Tibial Crack after Stem Impaction Postoperative
    [Show full text]
  • Integrating the Shoulder Complex to the Body As a Whole: Practical Applications for the Dancer
    RESOURCE PAPER FOR TEACHERS INTEGRATING THE SHOULDER COMPLEX TO THE BODY AS A WHOLE: PRACTICAL APPLICATIONS FOR THE DANCER LISA DONEGAN SHOAF, DPT, PHD AND JUDITH STEEL MA, CMA WITH THE IADMS DANCE EDUCATORS’ COMMITTEE, 2018. TABLE OF CONTENTS 1. Introduction 2 2. Anatomy and Movements of the Shoulder Complex 3 3. Force Couples: Muscle Connections of the Scapula and Upper Extremity 12 4. The Shoulder Joint and Rotator Cuff Muscles 17 5. Integration of the Shoulder Girdle to the Trunk, Pelvis and Lower Extremities 20 6. Common Dancer Issues in the Upper Extremity 22 7. Summary 25 8. Illustration Credits 26 9. Recommended Reading 27 10. The Authors 28 1. INTRODUCTION Figure 1: Ease and elegance in the shoulder complex The focus in many forms of dance training is often on the movements of the lower body- the legs and feet. Movement of the upper body- trunk, shoulders, and arms, is often introduced later. Because so much emphasis is placed on function of the trunk and legs, and since most injuries for dancers occur in the lower body regions, it is easy to overlook the importance of optimal function of the shoulder and arms. The shoulder complex (defined as the humerus, clavicle, sternum, and scapula bones that form a girdle or shawl over the rib cage) in combination with its connection to the trunk and, ultimately, the lower body, has many components. There are three important concepts (listed below) that, when understood and experienced, can help dance educators and dancers better make the important connections to merge maximal range of motion with well aligned and supported movements that create full body artistic expressiveness.
    [Show full text]
  • Fracture of the Lesser Trochanter As a Sign of Undiagnosed Tumor Disease in Adults Christian Herren*, Christian D
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Springer - Publisher Connector Herren et al. Eur J Med Res (2015) 20:72 DOI 10.1186/s40001-015-0167-8 CASE REPORT Open Access Fracture of the lesser trochanter as a sign of undiagnosed tumor disease in adults Christian Herren*, Christian D. Weber, Miguel Pishnamaz, Thomas Dienstknecht, Philipp Kobbe, Frank Hildebrand and Hans‑Christoph Pape Abstract Isolated avulsion fractures of the pelvic ring are rare and occur predominantly in adolescent athletes. Isolated fractures of the lesser trochanter are reported to be pathognomic for tumor diseases in adults. We present a case of a female patient with an isolated avulsion of the lesser trochanter after treatment by her chiropractor. After staging exami‑ nation, we determine the diagnosis of a left-sided carcinoma of the mamma. Additional imaging shows multiple metastases in liver, spine and pelvis. Palliative therapy has started over the course of time. We suggest, on suspicion of a malignant metastatic process, further investigation. Keywords: Fracture, Lesser trochanter, Metastatic, Tumor disease Background described unexplained weight loss of 5 kg in 4 months. Isolated fractures of the lesser trochanter are uncommon Sporadic onset of night sweats was also reported. She had and have been reported predominantly in adolescent ath- no other musculoskeletal or constitutional diseases in her letes [1]. This injury is caused by severe impact, usually medical history. Physical examination showed tenderness in context of contact sports and following a forceful and in the right groin, almost preserved passive mobility of sudden muscle contraction of the iliopsoas with avulsion the right hip joint in the full range of motion.
    [Show full text]
  • Supplementary Table 1: Description of All Clinical Tests Test Protocol
    Supplementary Table 1: Description of all clinical tests Test Protocol description Tibiofemoral • Palpate & mark tibial tuberosity & midpoint over the talus neck frontal plane • Ask participant to stand on footprint map with foot at 10° external rotation, feet shoulder width, looking alignment forward, 50% weightbearing • Place callipers of inclinometer in alignment with the the two landmarks • Record varus/valgus direction in degrees Herrington test • Participant supine on plinth, knee positioned and supported in 20° of knee flexion (to place the patella within the trochlea groove) • With knee in position, place a piece of 1” Leukotape (or similar) across the knee joint, and mark the medial and lateral epicondyles of the femur and mid-point of the patella. Be sure to make note of medial and lateral end of tape • Repeat 3 times, attaching tape to this document for measuring later 30 second chair • Shoes on, middle of chair, feet ~ shoulder width apart and slightly behind knees with feet flat on floor, stand test arms crossed on chest • Instructions “stand up keeping arms across chest, and ensure you stand completely up so hips and knees are fully extended; then sit completely back down, so that the bottom fully touches the seat, as many times as possible in 30 seconds,” • 1-2 practice repetitions for technique • One 30-second test trial • Record number of correctly performed full stands (if more than ½ of way up at end of the test, counted as a full stand) Repetitive single • Shoes on, seated on edge of plinth, foot placed with heel 10 cm forward from a plumb line at edge of leg rise test plinth, other leg held at side of body, arms across chest.
    [Show full text]
  • Scapular (Shoulder Blade) Disorders
    DISEASES & CONDITIONS Scapular (Shoulder Blade) Disorders The scapula, or shoulder blade, is a large triangular-shaped bone that lies in the upper back. The bone is surrounded and supported by a complex system of muscles that work together to help you move your arm. If an injury or condition causes these muscles to become weak or imbalanced, it can alter the position of the scapula at rest or in motion. An alteration in scapular positioning or motion can make it difficult to move your arm, especially when performing overhead activities, and may cause your shoulder to feel weak. An alteration can also lead to injury if the normal ball-and-socket alignment of your shoulder joint is not maintained. Treatment for scapular disorders usually involves physical therapy designed to strengthen the muscles in the shoulder and restore the proper position and motion of the scapula. Anatomy Your shoulder joint is a ball-and-socket joint. The head of the humerus (upper arm bone) is the ball and the scapula (shoulder blade) forms the socket where the humerus sits. The scapula and arm are connected to the body by multiple muscle and ligament attachments. The front of the scapula (acromion) is also connected to the clavicle (collarbone) through the acromioclavicular joint. As you move your arm around your body, your scapula must also move to maintain the ball and socket in normal alignment. (Left) The bones of the shoulder. The scapula serves as a site for the attachment of multiple muscles around the shoulder. (Right) The muscles and soft tissues of the shoulder.
    [Show full text]