Comparative Anatomy of Knee Joint: Class Amphibian (Frog) Versus Class Mamalia (Human Being) Dr
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Knee Flow Chart Acute
Symptom chart for acute knee pain START HERE Did the knee pain begin Does the knee joint You may have a fracture or Stop what you are doing immediately and go to a hospital emergency room YES YES suddenly, with an injury, appear deformed, or dislocated patella. or an orthopedic surgeon specializing in knee problems. slip, fall, or collision? out of position? If possible, splint the leg to limit the movement of the knee until you reach NO the doctor. Do not put any weight on the knee. Use a wheelchair, a cane, or NO crutch to prevent putting any weight on the leg, which might cause further damage to the joint. GO TO FLOW CHART #2 Go to an orthopedic surgeon Stop what you are doing. Continuing activity despite the feeling that the knee ON CHRONIC KNEE Did you hear a “pop” YES immediately, you may have is unstable can cause additional damage to other ligaments, meniscus , and PROBLEMS THAT DEVELOP and does your knee feel torn your anterior cruciate, or cartilage. Try ice on the knee to control swelling. Take anti-in ammatories OR WORSEN OVER TIME. unstable or wobbly? other ligaments in the knee. like Advil or Nuprin until your doctor’s appointment. About a third of ligament tears get better with exercises, a third may need a brace, and a third may need sur gery. NO Use R•I•C•E for sore knees Does your knee hurt YES You may have damaged the articular Try anti-in ammatories, as directed on the bottle, for two days to reduce R: Rest as you bend it? cartilage on the bottom of the the chronic in ammation. -
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 -
June 3, 2016 Karen B. Desalvo, M.D., M.P.H., M.Sc. Acting Assistant
June 3, 2016 Karen B. DeSalvo, M.D., M.P.H., M.Sc. Acting Assistant Secretary Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: RFI Regarding Assessing Interoperability for MACRA 330 C Street, SW, Room 7025A Washington, DC 20201 Subject: Office of the National Coordinator for Health Information Technology; Medicare Access and CHIP Reauthorization Act of 2015; Request for Information Regarding Assessing Interoperability for MACRA Dear Acting Assistant Secretary DeSalvo: The American Association of Orthopaedic Surgeons (AAOS) and orthopaedic specialty societies, representing over 18,000 board-certified orthopaedic surgeons, appreciate the opportunity to provide comments on the Request for Information Regarding Assessing Interoperability for MACRA by the Office of the National Coordinator (ONC) for Health Information Technology, and published in the Federal Register on April 8, 2016. The AAOS has been committed to working with ONC in the adoption of electronic health records. As surgical specialists, we have unique Health Information Technology (HIT) needs and respectfully offer some suggestions to improve interoperability to better reflect the needs of our surgical specialists and their patients and accelerate HIT adoption in the future by orthopaedic surgeons. The AAOS thanks ONC in advance for its solicitation and consideration of the following comments and concerns. We have structured our comments in the order that ONC is soliciting public feedback in the RFI document referenced above. Scope of Measurement: Defining Interoperability and Population The focus of measurement should not be limited to “meaningful Electronic Health Records (EHR) users,” as defined (e.g., eligible professionals, eligible hospitals, and CAHs that attest to meaningful use of certified EHR technology under CMS’ Medicare and Medicaid EHR Incentive Programs), and their exchange partners. -
Bones of the Upper and Lower Limb
Bones of the Upper and Lower limb Musculoskeletal block- Anatomy-lecture 1 Editing file Objectives Color guide : important in Red ✓ Classify the bones of the three regions of the lower Doctor note in Green limb (thigh, leg and foot). Extra information in Grey ✓ Memorize the main features of the – Bones of the thigh (femur & patella) – Bones of the leg (tibia & Fibula) – Bones of the foot (tarsals, metatarsals and phalanges) ✓ Recognize the side of the bone. Note: this lecture is based on female slides since Prof abuel makarem said only things that are mentioned in the female slides will come in the exam Note : All bones picture which are described in this lecture are bones on the right side of the body Before start :Please make yourself familiar with these terms to better understand the lecture Terms Meaning Example Ridge The long and narrow upper edge, angle, or crest The supracondylar ridges (in the distal part of of something (the humerus The trochlear notch (in the proximal part of the Notch An indentation, (incision) on an edge or surface (ulna A nodule or a small rounded projection on the Tubercles (Dorsal tubercle (in the distal part of the radius bone A hollow place (The Notch is not complete but the Subscapular fossa (in the concave part of the Fossa fossa is complete and both of them act as the lock (scapula (of the joint A large prominence on a bone usually serving for Deltoid tuberosity (in the humorous) and it Tuberosity the attachment of muscles or ligaments (is a connects the deltoid muscle (bigger projection than the Tubercle -
General Introduction of Anatomy
ﺍﳌﻌﻬﺪ ﺍﻟﻄﺒﻲ ﺍﻟﺘﻘﻨﻲ / ﺑﻐﺪﺍﺩ ﻗﺴﻢ ﺍﻟﺘﺄﻫﻴﻞ ﺍﻟﻄﺒﻲ ﻭﺍﻟﻌﻼﺝ ﺍﻟﻄﺒﻴﻌﻲ ﻓﺮﻉ ﺻﻨﺎﻋﺔ ﺍﻻﻃﺮﺍﻑ ﻭﺍﳌﺴﺎﻧﺪ General introduction of Anatomy 2013 – 2014 Dr. ASHRAF Ali AL-ZUBAIDI Dr. ASHRAF Ali AL-ZUBAIDI 2013-2014 1 GENERAL INTRODUCTION Anatomy: is the science of body structures and the relationships among Structures. At first the anatomy was studied by dissection, the carful cutting apart of body structures to study their relationships, Nowadays, many imaging of anatomical (ﺗﻘﺪم) to the advancement (ﺗﺴﺎھﻢ) techniques also contribute knowledge. The Anatomy is including many of fields, which is: It is the study of different : (اﻟﻔﺤﺺ اﻟﻌﯿﻨﻲ ) Macroscopic examination 1- structures , which make up the human body . It is the study of : (اﻟﻔﺤﺺ اﻟﻤﺠﮭﺮي ) Microscopic examination 2- seen (اﻟﻜﺎﺋﻦ اﻟﺤﻲ ) microscopic different structures of an organism only by use of a microscope . It is the study of different structures as : (اﻻﺟﮭﺰة اﻟﺠﺴﻤﯿﺔ) Systemic 3- : It comprises of the followings . (ﻛﻜﯿﺎﻧﺎت ﻓﺮدﯾﺔ) individual entities .The bony system \ ( ﻋﻠﻢ اﻟﻌﻈﺎم ) Osteology • . The articular system or joint \(ﻋﻠﻢ اﻟﻤﻔﺎﺻﻞ ) Syndesmology • . The muscular system \ (ﻋﻠﻢ الﻋﻀﻼت )Myology • , Comprising the heart , blood vessels \ (ﻋﻠﻢ اﻻوﻋﯿﺔ ) Angiology • ( اﻟﻌﻘﺪ اﻟﻠﻤﻔﺎوﯾﺔ)lymph nodes & (اﻻوﻋﯿﺔ اﻟﻠﻤﻔﺎوﯾﺔ) lymph vessels .The nervous system \(ﻋﻠﻢ اﻟﺠﮭﺎز اﻟﻌﺼﺒﻲ) Neurology • , ( اﻟﻨﻈﺎم اﻟﺤﺸﻮي ) The visceral system \ (ﻋﻠﻢ اﻻﺣﺸﺎء) Splanchnology • , (ﻧﻈﺎم اﻧﺒﻮﺑﻲ – ھﻀﻤﻲ ) comprising two tubular system – digestive . (اﻟﺠﮭﺎز اﻟﺘﻨﺎﺳﻠﻲ) and genital (اﻟﺠﮭﺎز اﻟﺒﻮﻟﻲ) urinary tract The study of form and marking of those :(اﻟﺘﺸﺮﯾﺢ اﻟﺴﻄﺤﻲ) Surface 4- structures by examination through skin. .It is the study of development before birth :(ﻋﻠﻢ اﻻﺟﻨﺔ) Embryology 5- GLOSSARY OF ANATOMIC TERMINOLOGY description of location (ﯾﺴﻤﺢ) Reference position of body permitting and movements: 1- Term of Anatomical position: • Head ………. -
Knee Joint Distraction Compared with Total Knee Arthroplasty a RANDOMISED CONTROLLED TRIAL
KNEE Knee joint distraction compared with total knee arthroplasty A RANDOMISED CONTROLLED TRIAL J. A. D. van der Woude, Aims K. Wiegant, Knee joint distraction (KJD) is a relatively new, knee-joint preserving procedure with the R. J. van Heerwaarden, goal of delaying total knee arthroplasty (TKA) in young and middle-aged patients. We S. Spruijt, present a randomised controlled trial comparing the two. P. J. E m ans , Patients and Methods S. C. Mastbergen, The 60 patients ≤ 65 years with end-stage knee osteoarthritis were randomised to either F. P. J. G. Lafeber KJD (n = 20) or TKA (n = 40). Outcomes were assessed at baseline, three, six, nine, and 12 months. In the KJD group, the joint space width (JSW) was radiologically assessed, From UMC Utrecht, representing a surrogate marker of cartilage thickness. Utrecht, The Netherlands Results In total 56 patients completed their allocated treatment (TKA = 36, KJD = 20). All patient reported outcome measures improved significantly over one year (p < 0.02) in both groups. J. A. D. van der Woude, MD, At one year, the TKA group showed a greater improvement in only one of the 16 patient- PhD, Resident in Orthopaedic Surgery, Limb and Knee related outcome measures assessed (p = 0.034). Outcome Measures in Rheumatology- Reconstruction Unit, Department of Orthopaedic Osteoarthritis Research Society International clinical response was 83% after TKA and 80% Surgery after KJD. A total of 12 patients (60%) in the KJD group sustained pin track infections. In the R. J. van Heerwaarden, MD, PhD, Orthopaedic Surgeon, KJD group both mean minimum (0.9 mm, standard deviation (SD) 1.1) and mean JSW (1.2 mm, Limb and Knee Reconstruction Unit, Department of SD 1.1) increased significantly (p = 0.004 and p = 0.0003). -
Medical Terminology Abbreviations Medical Terminology Abbreviations
34 MEDICAL TERMINOLOGY ABBREVIATIONS MEDICAL TERMINOLOGY ABBREVIATIONS The following list contains some of the most common abbreviations found in medical records. Please note that in medical terminology, the capitalization of letters bears significance as to the meaning of certain terms, and is often used to distinguish terms with similar acronyms. @—at A & P—anatomy and physiology ab—abortion abd—abdominal ABG—arterial blood gas a.c.—before meals ac & cl—acetest and clinitest ACLS—advanced cardiac life support AD—right ear ADL—activities of daily living ad lib—as desired adm—admission afeb—afebrile, no fever AFB—acid-fast bacillus AKA—above the knee alb—albumin alt dieb—alternate days (every other day) am—morning AMA—against medical advice amal—amalgam amb—ambulate, walk AMI—acute myocardial infarction amt—amount ANS—automatic nervous system ant—anterior AOx3—alert and oriented to person, time, and place Ap—apical AP—apical pulse approx—approximately aq—aqueous ARDS—acute respiratory distress syndrome AS—left ear ASA—aspirin asap (ASAP)—as soon as possible as tol—as tolerated ATD—admission, transfer, discharge AU—both ears Ax—axillary BE—barium enema bid—twice a day bil, bilateral—both sides BK—below knee BKA—below the knee amputation bl—blood bl wk—blood work BLS—basic life support BM—bowel movement BOW—bag of waters B/P—blood pressure bpm—beats per minute BR—bed rest MEDICAL TERMINOLOGY ABBREVIATIONS 35 BRP—bathroom privileges BS—breath sounds BSI—body substance isolation BSO—bilateral salpingo-oophorectomy BUN—blood, urea, nitrogen -
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. -
Injuries to the Lower Extremity II
Injury to lower extremity InjuriesInjuries toto thethe lowerlower extremityextremity IIII Aree Tanavalee MD Associate Professor Department of Orthopaedics Faculty of Medicine Chulalongkorn University Injury to lower extremity TopicsTopics • Fracture of the shaft of the femur • Fractures around the knee • Knee dislocation and fracture dislocation • Fractures of tibia and fibular • Fractures around the ankle • Fracture and fracture dislocation of the foot Injury to lower extremity CommonCommon symptomssymptoms andand signssigns ofof fracturesfractures – Pain – Deformity – Shortening – Swelling – Ecchymosed – Loss of function – Open injury • Gross finding of fractures Injury to lower extremity RadiographicRadiographic evaluationevaluation forfor fracturesfractures • At least, 2 different planes of Fx site – Includes joint above and below – Some types of Fx, special views – Sometimes, 2 different times – Sometimes, calls second opinion Injury to lower extremity ComplicationsComplications ofof fracturesfractures • General – Delayed union – Nonunion – Malunion – Shortening – Infection • Severe – Neurovascular injuries – Compartment syndrome – Fat embolism – Adult respiratory distress syndrome (ARDS) Injury to lower extremity FatFat embolismembolism • Common in Fx of long bone and pelvis • Multiple Fxs >> single Fx • Respiratory insufficiency • Usually manifests within 48 hr • Clinical – Fever – Tachepnea – Tachycardia – Alters consciousness • Treatment – Respiratory support – Early Fx stabilization Injury to lower extremity CompartmentCompartment -
Muscle Length of the Hamstrings Using Ultrasonography Versus Musculoskeletal Modelling
Journal of Functional Morphology and Kinesiology Article Muscle Length of the Hamstrings Using Ultrasonography Versus Musculoskeletal Modelling Eleftherios Kellis * , Athina Konstantinidou and Athanasios Ellinoudis Laboratory of Neuromechanics, Department of Physical Education and Sport Sciences at Serres, Aristotle University of Thessaloniki, 62100 Serres, Greece; [email protected] (A.K.); [email protected] (A.E.) * Correspondence: [email protected] Abstract: Muscle morphology is an important contributor to hamstring muscle injury and malfunc- tion. The aim of this study was to examine if hamstring muscle-tendon lengths differ between various measurement methods as well as if passive length changes differ between individual hamstrings. The lengths of biceps femoris long head (BFlh), semimembranosus (SM), and semitendinosus (ST) of 12 healthy males were determined using three methods: Firstly, by identifying the muscle attach- ments using ultrasound (US) and then measuring the distance on the skin using a flexible ultrasound tape (TAPE-US). Secondly, by scanning each muscle using extended-field-of view US (EFOV-US) and, thirdly, by estimating length using modelling equations (MODEL). Measurements were performed with the participant relaxed at six combinations of hip (0◦, 90◦) and knee (0◦, 45◦, and 90◦) flexion angles. The MODEL method showed greater BFlh and SM lengths as well as changes in length than US methods. EFOV-US showed greater ST and SM lengths than TAPE-US (p < 0.05). SM length change across all joint positions was greater than BFlh and ST (p < 0.05). Hamstring length predicted using regression equations is greater compared with those measured using US-based methods. The EFOV-US method yielded greater ST and SM length than the TAPE-US method. -
Fundamentals of Biomechanics Duane Knudson
Fundamentals of Biomechanics Duane Knudson Fundamentals of Biomechanics Second Edition Duane Knudson Department of Kinesiology California State University at Chico First & Normal Street Chico, CA 95929-0330 USA [email protected] Library of Congress Control Number: 2007925371 ISBN 978-0-387-49311-4 e-ISBN 978-0-387-49312-1 Printed on acid-free paper. © 2007 Springer Science+Business Media, LLC All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. 987654321 springer.com Contents Preface ix NINE FUNDAMENTALS OF BIOMECHANICS 29 Principles and Laws 29 Acknowledgments xi Nine Principles for Application of Biomechanics 30 QUALITATIVE ANALYSIS 35 PART I SUMMARY 36 INTRODUCTION REVIEW QUESTIONS 36 CHAPTER 1 KEY TERMS 37 INTRODUCTION TO BIOMECHANICS SUGGESTED READING 37 OF UMAN OVEMENT H M WEB LINKS 37 WHAT IS BIOMECHANICS?3 PART II WHY STUDY BIOMECHANICS?5 BIOLOGICAL/STRUCTURAL BASES -
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