DOCSLIB.ORG

Chapter 8: Appendicular Skeleton

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Chapter 8: Appendicular Skeleton Ch 8 Activity: 1. Why does a fracture of the clavicle usually occur in the mid-region of the bone? a) Due to the medial pressure from the inflated lungs b) Due to the ligament-reinforced strength of the acromial joint c) Due to weakness at the junction of the two curves of clavicle d) Due to position of the clavicle relative to the humerus e) Due to fusion of the ends of the clavicle to the sternum and scapula 2. Which part of the clavicle articulates with the manubrium? a) A b) B c) C d) D 3. Which is the only part of the clavicle that articulates with the scapula? a) A b) B c) C d) D e) None of these choices are correct. 4. Which site labeled on the diagram is considered the weakest point of the clavicle? a) A b) B c) C d) D e) None of these choices are correct. 5. Which of the following bones is located in the posterior thorax between the levels of second and seventh vertebrae? a) Sternum d) Scapula b) Clavicle e) Sacrum c) Pelvis 6. This is the thick edge of the scapula that is closer to the arm. a) Axillary border d) Coracoid process b) Medial border e) Acromion c) Infraspinous fossa 7. The epiphyseal line on the proximal end of the humerus is found in the a) anatomical neck. d) surgical neck. b) greater tubercle. e) olecranon fossa. c) intertubercular sulcus. 8. The medial and lateral epicondyles are found on the distal end of the humerus and are used for a) formation of the elbow joint. b) tendon attachment. c) passage of nerves and blood vessels through the bone into the marrow cavity. d) Both formation of the elbow joint and tendon attachment. e) All of these choices are correct. 9. Which of the following structures on the ulna receives the trochlea of the humerus? a) Olecranon fossa d) Radial notch b) Coronoid process e) Capitulum c) Trochlear notch 10. What is the function of the interosseous membrane between the ulna and radius? a) Joins the shafts of two bones b) Tendon attachment c) Site of bone repair d) Both site of tendon attachment and bone repair e) None of these choices are correct. 11. Which of the following carpal bones is named for its large hook-shaped projection on its anterior surface? a) Lunate d) Hamate b) Scaphoid e) Pisiform c) Triquetrum 12. What is included in the carpal tunnel? a) Pisiform d) Both pisiform and trapezium. b) Trapezium e) All of these choices are correct. c) Flexor retinaculum 13. The carpometacarpal joint consists of the a) base of metacarpal bones and distal row of carpal bones. b) base of metacarpal bones and proximal row of carpal bones. c) head of metacarpal bones and distal row of carpal bones. d) head of metacarpal bones and proximal row of carpal bones. e) None of these choices are correct. 14. The coxal bones unite anteriorly at a joint called the a) pubic symphysis. d) acetabulum. b) sacroiliac joint. e) None of these choices are correct c) hip. 15. What is the function of the pelvic girdle? a) Support for vertebral column b) Attachment site for lower limbs c) Attachment site for large pectoral muscles. d) Attachment site for lower limbs and for large pectoral muscles. e) All of these choices are correct. 16. Which of the following is the largest foramen in the human skeleton? a) Acetabulum d) Mental foramen b) Obturator foramen e) Foramen magnum c) Vertebral foramen 17. Which projection extends superiorly and laterally along the superior ramus of the pubis eventually merging with the arcuate line of the ilium? a) Pectineal line d) Inferior gluteal line b) Ischial tuberosity e) Greater sciatic notch c) Anterior gluteal line 18. The hip joint is the joint found between a) the femur and tibia. d) the femur and patella. b) the pelvis and sacrum. e) the pelvis and femur. c) the pelvis and tibia. 19. In comparison to the male pelvis, the female pelvis is NOT a) wider. d) larger in the pelvic outlet. b) shallower. e) larger in the acetabulum. c) larger in the pelvic inlet. 20. Which process on the femur serves as an attachment point for tendons of several thigh muscles? a) Gluteal tuberosity d) Both gluteal tuberosity and linea aspera b) Linea aspera e) Both linea aspera and medial epicondyle c) Medial epicondyle 21. Which of the following markings is located on the medial side of the femur? a) Lesser trochanter d) Lateral epicondyle b) Greater trochanter e) Linea aspera c) Gluteal tuberosity 22. The medial and lateral condyles of the femur fit into what part of the patella? a) Articular facets d) Apex of the patella b) Base of the patella e) None of these choices are correct. c) Tibiofemoral crest 23. Which of the structures listed below is NOT part of the knee joint? a) Lateral condyle of the femur d) Condyles of the tibia b) Medial condyle of the femur e) Patella c) Lateral malleolus of the fibula 24. The hard sharp ridge of the shin that can easily be felt below the skin is the a) anterior border (crest) of the tibia. d) tibiofemoral joint. b) tibial tuberosity. e) intercondylar eminence. c) medial condyle of the tibia. 25. The lateral malleolus is found on the distal end of what bone? a) Tibia d) Metatarsals b) Fibula e) Femur c) Talus 26. Which of the following is a condition where the foot is twisted inferiorly and medially, and the angle of the arch is increased? a) Patellofemoral stress syndrome d) Clawfoot b) Bunions e) Clubfoot c) Flatfoot 27. Which of the labeled structures in the diagram serve as attachment sites for tendons of the shoulder muscles? a) A, B d) A, B, C, D b) B, C, D e) A, C, D, E c) A, B, C, 28. Which of the labeled structures in the diagram is the coracoid process? a) A d) D b) B e) E c) C 29. Which of the labeled structures in the diagram is the supraspinous fossa? a) A d) D b) B e) E c) C 30. In the diagram of the humerus, which is the lateral epicondyle? a) A d) G b) B e) H c) F 31. In the diagram of the humerus, this structure receives the head of the radius when the forearm is flexed. a) A d) D b) B e) F c) C 32. In the diagram of the humerus, where is the olecranon fossa? a) A b) B c) C d) F e) Not labeled on the diagram 33. In the diagram of the humerus, where is the trochlea? a) B d) E b) C e) F c) D 34. In the diagram of the wrist and hand, where is the capitate bone? a) D d) G b) E e) H c) F 35. In the diagram of the wrist and hand, where is the trapezoid bone? a) A d) D b) B e) E c) C 36. In the diagram of the ulna and radius, where is the styloid process of the radius? a) A b) B c) E d) F e) None of these choices are correct. 37. In the diagram of the ulna and radius, where is the radial tuberosity? a) A b) B c) E d) F e) None of these choices are correct. 38. Which structure in the pelvis is where the longest nerve in the body passes? a) C d) G b) D e) H c) F 39. In the diagrams of the pelvis, where is the ischial tuberosity? a) E b) F c) G d) H e) Not labeled in the diagrams 40. Which labeled structure in the diagrams of the pelvis terminates anteriorly as the anterior superior iliac spine? a) A b) B c) C d) D e) H 41. Which of the following is NOT a way that the skeletal system contributes to homeostasis? a) Provides support and protection for internal organs. b) Stores and releases sodium ions. c) Houses blood forming tissue. d) Protects the brain and spinal cord. e) Serves as attachment and leverage points for muscles. 42. Which of the labeled structures of the femur serve as points of attachment for the tendons of thigh and buttocks muscles? a) A, B b) A, B, C c) A, D d) A, B, M e) D, M, L 43. In the diagram of the femur, where is the medial condyle? a) E b) F c) G d) H e) I 44. In the diagram of the tibia and fibula, where is the tibial tuberosity? a) B b) C c) E d) F e) G 45. In the diagram of the tibia and fibula, this structure articulates with the talus and forms a protrusion on the medial surface of the ankle. a) E b) F c) G d) Both E and F e) All of these choices are correct. 46. In the diagram of the foot, where is the navicular? a) A d) D b) B e) E c) C 47. Which labeled bone in the diagram of the foot is the largest and strongest tarsal bone? a) A d) D b) B e) E c) C 48. Which labeled bone in the diagram of the foot is the only bone of the foot that articulates with the fibula and tibia? a) A d) D b) B e) E c) C 49. Which pelvis in the diagram shows the characteristics of a female pelvis? a) A b) B c) Both are male.
Load more

Recommended publications
  • Isolated Trapezoid Fractures a Case Report with Compilation of the Literature
    Bulletin of the NYU Hospital for Joint Diseases 2008;66(1):57-60 57 Isolated Trapezoid Fractures A Case Report with Compilation of the Literature Konrad I. Gruson, M.D., Kevin M. Kaplan, M.D., and Nader Paksima, D.O., M.P.H. Abstract as an axial load5,6 or bending stress7 transmitted indirectly Isolated fractures of the trapezoid bone have been rarely to the trapezoid through the second metacarpal. We present reported in the literature, the mechanism of injury being a case of an acute, isolated trapezoid fracture that resulted an axial or bending load transmitted through the second from direct trauma to the distal carpus and that was treated metacarpal. We report a case of an isolated, nondisplaced nonoperatively. Additionally, strategies for diagnosis and trapezoid fracture that was sustained by direct trauma treatment, as well as a synthesis of the published results and subsequently treated successfully in a short-arm cast. for both isolated and concomitant trapezoid fractures, are Diagnostic and treatment strategies for isolated fractures presented. of the trapezoid bone are reviewed as well as the results of operative and nonoperative treatment. Case Report A 25-year-old right-hand dominant male presented to the ractures of the carpus most commonly involve the emergency room (ER) complaining of isolated right-wrist scaphoid,1 with typical physical examination findings pain and swelling of 1 day’s duration. The patient stated Fof “snuffbox” tenderness. This presentation is fre- that a heavy metal door at work had closed onto the back quently the result of the patient falling onto an outstretched of his wrist causing an immediate onset of swelling and hand.
    [Show full text]
  • Altered Alignment of the Shoulder Girdle and Cervical Spine in Patients with Insidious Onset Neck Pain and Whiplash- Associated Disorder
    Journal of Applied Biomechanics, 2011, 27, 181-191 © 2011 Human Kinetics, Inc. Altered Alignment of the Shoulder Girdle and Cervical Spine in Patients With Insidious Onset Neck Pain and Whiplash- Associated Disorder Harpa Helgadottir, Eythor Kristjansson, Sarah Mottram, Andrew Karduna, and Halldor Jonsson, Jr. Clinical theory suggests that altered alignment of the shoulder girdle has the potential to create or sustain symptomatic mechanical dysfunction in the cervical and thoracic spine. The alignment of the shoulder girdle is described by two clavicle rotations, i.e, elevation and retraction, and by three scapular rotations, i.e., upward rotation, internal rotation, and anterior tilt. Elevation and retraction have until now been assessed only in patients with neck pain. The aim of the study was to determine whether there is a pattern of altered alignment of the shoulder girdle and the cervical and thoracic spine in patients with neck pain. A three-dimensional device measured clavicle and scapular orientation, and cervical and thoracic alignment in patients with insidious onset neck pain (IONP) and whiplash-associated disorder (WAD). An asymptomatic control group was selected for baseline measurements. The symptomatic groups revealed a significantly reduced clavicle retraction and scapular upward rotation as well as decreased cranial angle. A difference was found between the symptomatic groups on the left side, whereas the WAD group revealed an increased scapular anterior tilt and the IONP group a decreased clavicle elevation. These changes may be an important mechanism for maintenance and recurrence or exacerbation of symptoms in patients with neck pain. Keywords: neck pain, whiplash, scapula, posture Clinical theory suggests that altered alignment of of Biomechanics.
    [Show full text]
  • Capitate Metastases in Adenocarcinoma Lung: a Rare
    Case Report Capitate Metastases in Adenocarcinoma PROVISIONAL PDF Lung: A Rare Occurrence Jaspreet KAUR1, Renu MADAN1, Maneesh Kumar VIJAY2, Pramod Kumar JULKA1, Goura Kishore RATH1 Submitted: 21 May 2014 1 Department of Radiation Oncology, DR BRA Institute Rotary Cancer Accepted: 19 Nov 2014 Hospital, All India Institute of Medical Sciences, New Delhi 110029, India 2 Department of Pathology, All India Institute of Medical Sciences, New Delhi 110029, India Abstract Metastatic carcinoma is the most common malignancy of the bone. Metastases to the upper limbs of the skeleton are extremely uncommon, with only 10–15% occurring in this region. Metastases to the hand and wrist comprise about 0.15% of all hand tumours, and only 0.1% of all metastases. Carpal bone metastases are much rarer than those to the metacarpal and phalangeal bones. They usually masquerade as more common hand pathology such as arthritis or osteomyelitis. Given the bleak prognosis of carpal metastatic disease in lung cancer, treatment of a metastasis to the hand is usually palliative. Contrary to earlier beliefs, palliative radiotherapy plays a significant role in pain relief and improving hand mobility in patients diagnosed with metastatic disease of the hand. We report a case of adenocarcinoma of the lung with metastases to the capitate bone of the carpus treated with palliative radiotherapy. Keywords: carpal bone, metastases, lung cancer, palliative, radiotherapy Introduction Case report Metastatic carcinoma is the most common A 52-year-old male presented with fever, left- malignancy of the bone. The skeleton is the sided chest pain and pain in the right wrist for two third most common site of metastases after months.
    [Show full text]
  • Osteoid Osteoma of the Trapezoid Bone
    '-DIDUL)1DMG0D]KDU Case Report Osteoid Osteoma of the Trapezoid Bone Dawood Jafari MD1)DULG1DMG0D]KDU0'1 Abstract Osteoid osteoma is a benign, bone-forming tumor that rarely involves the carpal bones. We report a case of osteoid osteoma of the trap- H]RLGFDUSDOERQHZLWKH[WHQVLRQWRWKHDGMDFHQWVHFRQGPHWDFDUSDOERQH&KURQLFZULVWSDLQDQGORFDOWHQGHUQHVVZHUHWKHPDMRUFOLQLFDO signs and symptoms. In chronic wrist pain osteoid osteoma and the possibility of extension to the adjacent bones should be considered. Keywords: &DUSDOERQHPHWDFDUSDORVWHRLGRVWHRPDWUDSH]RLG Cite the article as: Jafari D, Najd Mazhar F. Osteoid Osteoma of the Trapezoid Bone. Arch Iran Med. 2012; 15(12): 777 – 779. Introduction RSV\WKURXJKDGRUVDODSSURDFK:HXVHGDVPDOOGULOOELWDQG¿QH osteotome to remove the involved area, which included the adjacent steoid osteoma is a benign bone tumor that rarely localizes articular surface of the trapezoid. The biopsy specimen had a highly to the carpal bones.1,2 Wrist pain usually is the main com- vascular reddish nidus embedded in normal bone (Figure 5). We no- O plaint and because it rarely involves the carpal bone, diag- ticed that the articular surface of the second metacarpal was eroded nosis is often delayed. It has been reported in the scaphoid and lu- and softened (Figure 6). Following curettage, we sent the specimen nate areas; however, the trapezoid is an exceedingly rare location from the base of the second metacarpal in a separate container for for osteoid osteoma. Bifocal involvement of adjacent carpal bones pathologic analysis. The results of the histologic examinations of has been reported previously but to the best of our knowledge ex- both biopsy specimens indicated osteoid osteoma (Figure 7). Since tension of osteoid osteoma through the joint to adjacent bone has we had only one nidus at the CT scan and involvement of both trap- not been mentioned in the literature.
    [Show full text]
  • Osteoblastoma of the Trapezoid Bone and Triquetral Bone: Report of Two Cases
    CASE REPORT Acta Orthop Traumatol Turc 2013;47(5):376-378 doi:10.3944/AOTT.2013.3081 Osteoblastoma of the trapezoid bone and triquetral bone: report of two cases ‹brahim KAYA1, Burak BOYNUK2, Caner GÜNERBÜYÜK3, Ak›n U⁄RAfi4 1Department of Orthopedics and Traumatology, Haseki Training and Research Hospital, ‹stanbul, Turkey; 2Department of Orthopedics and Traumatology, Bak›rköy Ac›badem Hospital, ‹stanbul, Turkey; 3Department of Orthopedics and Traumatology, 29 May›s Hospital, ‹stanbul, Turkey; 4Department of Orthopedics and Traumatology, ‹stanbul Medipol University, School of Medicine, ‹stanbul, Turkey Osteoblastoma is a benign local aggressive tumor mostly localized in the vertebra or long bones. Carpal location and recurrence are extremely rare. Treatment options include either curettage or wide en bloc resection which causes functional disability in the hand and wrist and should be reserved only for recurrence. We present a case of recurrent trapezoid osteoblastoma previously treated with curet- tage of the trapezoid bone and a case of primary triquetral osteoblastoma. Key words: Curettage; osteoblastoma; trapezoid bone; triquetral bone. Osteoblastoma is a benign primary bone tumor first pain increased at night and had a good response to non- described as “giant osteoid osteoma” by Dahlin and steroidal analgesic drugs. Radiographs, computerized Johnson in 1954.[1] Later, in 1956, Lichtenstein and Jaffe tomography and magnetic resonance imaging (MRI) named this tumor “osteoblastoma” in two different arti- revealed findings resembling avascular necrosis of the cles.[2] It is an uncommon benign but locally aggressive trapezoid bone, periosteal reaction at the second tumor, most commonly located in the vertebral column metacarpal and generalized edema in the dorsal com- or metaphysis of long bones.
    [Show full text]
  • The Appendicular Skeleton Appendicular Skeleton
    THE SKELETAL SYSTEM: THE APPENDICULAR SKELETON APPENDICULAR SKELETON The primary function is movement It includes bones of the upper and lower limbs Girdles attach the limbs to the axial skeleton SKELETON OF THE UPPER LIMB Each upper limb has 32 bones Two separate regions 1. The pectoral (shoulder) girdle (2 bones) 2. The free part (30 bones) THE PECTORAL (OR SHOULDER) GIRDLE UPPER LIMB The pectoral girdle consists of two bones, the scapula and the clavicle The free part has 30 bones 1 humerus (arm) 1 ulna (forearm) 1 radius (forearm) 8 carpals (wrist) 19 metacarpal and phalanges (hand) PECTORAL GIRDLE - CLAVICLE The clavicle is “S” shaped The medial end articulates with the manubrium of the sternum forming the sternoclavicular joint The lateral end articulates with the acromion forming the acromioclavicular joint THE CLAVICLE PECTORAL GIRDLE - CLAVICLE The clavicle is convex in shape anteriorly near the sternal junction The clavicle is concave anteriorly on its lateral edge near the acromion CLINICAL CONNECTION - FRACTURED CLAVICLE A fall on an outstretched arm (F.O.O.S.H.) injury can lead to a fractured clavicle The clavicle is weakest at the junction of the two curves Forces are generated through the upper limb to the trunk during a fall Therefore, most breaks occur approximately in the middle of the clavicle PECTORAL GIRDLE - SCAPULA Also called the shoulder blade Triangular in shape Most notable features include the spine, acromion, coracoid process and the glenoid cavity FEATURES ON THE SCAPULA Spine -
    [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]
  • Carpal Fractures
    CURRENT CONCEPTS Carpal Fractures Nina Suh, MD, Eugene T. Ek, MBBS, PhD, Scott W. Wolfe, MD CME INFORMATION AND DISCLOSURES The Review Section of JHS will contain at least 3 clinically relevant articles selected by the Provider Information can be found at http://www.assh.org/Pages/ContactUs.aspx. editor to be offered for CME in each issue. For CME credit, the participant must read the Technical Requirements for the Online Examination can be found at http://jhandsurg. articles in print or online and correctly answer all related questions through an online org/cme/home. examination. The questions on the test are designed to make the reader think and will occasionally require the reader to go back and scrutinize the article for details. Privacy Policy can be found at http://www.assh.org/pages/ASSHPrivacyPolicy.aspx. The JHS CME Activity fee of $30.00 includes the exam questions/answers only and does not ASSH Disclosure Policy: As a provider accredited by the ACCME, the ASSH must ensure fi include access to the JHS articles referenced. balance, independence, objectivity, and scienti c rigor in all its activities. Disclosures for this Article Statement of Need: This CME activity was developed by the JHS review section editors and review article authors as a convenient education tool to help increase or affirm Editors reader’s knowledge. The overall goal of the activity is for participants to evaluate the Ghazi M. Rayan, MD, has no relevant conflicts of interest to disclose. appropriateness of clinical data and apply it to their practice and the provision of patient Authors care.
    [Show full text]
  • The Cobbler's Shoes: Techniques for the Wrist and Carpal Bones
    The Cobbler’s Shoes: Techniques for the Wrist and Carpal Bones. © 2008 Til Luchau, Advanced­Trainings.com (This article originally appeared in Massage and Bodywork magazine.) Just like the cobbler’s shoeless rists are amazing structures. They mediate the children, as hands‐on body therapists W relationship between our stable larger‐boned arms, we can tend to neglect our own hand and the highly mobile, sensitive dexterity of our hands. and wrist mobility. Since we use our Additionally, key structures pass through the wrists from hands so much in our work, we are arms to hands: tendons, nerves, and vessels. In this issue’s particularly prone to loosing article, I’ll talk about two effective techniques for working adaptability in our own carpal joints. with the wrist, drawing on the myofascial work as taught in Advanced‐Trainings.com’s “Advanced Myofascial Receiving the kind of work described Techniques” workshop and DVD series. As always, you here is great preventative can see video related to these techniques by visiting maintenance, and it can even increase Massage and Bodywork’s digital edition, which features a the quality of your work. Although lost clip from Advanced‐Trainings.com’s “Advanced mobility may or may not cause overt Myofascial Techniques for the Arm, Wrist, and Shoulder” symptoms, it will cause your touch to DVD set. Link available on ABMP.com and feel harder, more rigid, and less Massageandbodywork.com comfortable to your clients. It can also take a toll on your sensitivity and The carpus is the name of the boney structure formed by dexterity.
    [Show full text]
  • Complications Associated with Clavicular Fracture
    NOR200061.qxd 9/11/09 1:23 PM Page 217 Complications Associated With Clavicular Fracture George Mouzopoulos ▼ Emmanuil Morakis ▼ Michalis Stamatakos ▼ Mathaios Tzurbakis The objective of our literature review was to inform or- subclavian vein, due to its stable connection with the thopaedic nurses about the complications of clavicular frac- clavicle via the cervical fascia, can also be subjected to ture, which are easily misdiagnosed. For this purpose, we injuries (Casbas et al., 2005). Damage to the internal searched MEDLINE (1965–2005) using the key words clavicle, jugular vein, the suprascapular artery, the axillary, and fracture, and complications. Fractures of the clavicle are usu- carotid artery after a clavicular fracture has also been ally thought to be easily managed by symptomatic treatment reported (Katras et al., 2001). About 50% of injuries to the subclavian arteries are in a broad arm sling. However, it is well recognized that not due to fractures of the clavicle because the proximal all clavicular fractures have a good outcome. Displaced or part is dislocated superiorly by the sternocleidomas- comminuted clavicle fractures are associated with complica- toid, causing damage to the vessel (Sodhi, Arora, & tions such as subclavian vessels injury, hemopneumothorax, Khandelwal, 2007). If no injury happens during the ini- brachial plexus paresis, nonunion, malunion, posttraumatic tial displacement of the fractured part, then it is un- arthritis, refracture, and other complications related to os- likely to happen later, because the distal segment is dis- teosynthesis. Herein, we describe what the orthopaedic nurse placed downward and forward due to shoulder weight, should know about the complications of clavicular fractures.
    [Show full text]
  • Aneurysmal Bone Cyst of the Capitate: a Rare Case Report
    )1DMG0D]KDU=0RJKLPL+<DK\D]DGHKHWDO Case Report Aneurysmal Bone Cyst of the Capitate: A rare case report )DULG1DMG0D]KDU0'1, Zahra Moghimi MD2, HoomanYahyazadeh MD2, Sareh Shahverdi MD2 Abstract Primary aneurysmal bone cyst (ABC) in the hands is rare. It occurs more commonly in metacarpal bones and involvement of carpal bones is very uncommon. We report the third case of ABC in the capitate, its clinical presentation, LPDJLQJ¿QGLQJVDQGWUHDWPHQW Keywords: Aneurysmal bone cyst, capitate, carpal bone, hand Cite this article as: Najd Mazhar F, Moghimi Z, Yahyazadeh H, Shahverdi S. Aneurysmal Bone Cyst of the Capitate: A rare case report. Arch Iran Med. 2014; 17(3): 211 – 214. Introduction measuring 15x 8x 9 mm in the capitate, without soft tissue inva- sion. Signal of the lesion was high-intensity on T2-weighted and neurysmal bone cyst (ABC) known as a benign bony le- low- intensity on T1-weighted (Figure 4 a – b). VLRQ ZDV ¿UVW LQWURGXFHG E\ Jaffe and Lichtenstein in $FFRUGLQJWRWKHLPDJLQJ¿QGLQJVa cystic lesion like aneurys- A 1942.1 ABCs may affect any part of the skeleton, but most mal bone cyst was at the top of the differential diagnosis list. We commonly involve the metaphysis RIORQJERQHVÀDWERQHVDQG approached to the lesion through a dorsal longitudinal incision. vertebral column.2 The occurrence of ABC in the hand are not Dorsal cortex was very thin and the capitate was occupied by a common, accounting for nearly 3 % to 5 % of all ABCs and are EORRG¿OOHGcystic lesion (Figure 5). The lesion was completely often occurred in the metacarpal bones.3 ABC rarely involves car- evacuated by thorough curettage and specimen sent to the histo- pal bones and only 2 cases of this tumor have been reported in the logic examination (Figure :H¿OOHGDQGLPSDFWHGWKHYRLGDUHD capitate.3 We report the third case of this tumor in the capitate with cancellous bone graft which was harvested from the ipsilat- along with its FOLQLFDO SUHVHQWDWLRQ LPDJLQJ ¿QGLQJV DQG WUHDW- eral iliac crest.
    [Show full text]