Medical Terminology a Abduction: Lateral Movement of a Body Part Away from the Midline of the Body
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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. -
The Foot Angiosomes As Integrated Level of Lower Limb Arterial Perfusion
Research Article iMedPub Journals 2019 www.imedpub.com Journal of Vascular and Endovascular Therapy Vol. 4 No. 1: 7 The Foot Angiosomes as Integrated Level of Alexandrescu VA1* Pottier M1, Lower Limb Arterial Perfusion: Amendments Balthazar S2 and Azdad K3 for Chronic Limb Threatening Ischemia 1Department of Vascular and Thoracic Presentations Surgery, Princess Paola Hospital, Marche- en-Famenne, Belgium 2Department of Anesthesiology, Princess Paola Hospital, Marche-en-Famenne, Belgium Abstract 3Department of Radiology, Princess Paola Introduction: The angiosome concept was initially pioneered by Taylor and Palmer in the Hospital, Marche-en-Famenne, Belgium plastic reconstructive surgery field. The authors described a reproducible model of arterial and venous distribution in humans that follows specific three-dimensional (3D) networks *Corresponding author: Vlad Adrian of tissue. The angiosome model yet represents a specific level among other staged and Alexandrescu graduated levels of harmonious arterial irrigation in the lower extremity. Specific CLTI pathologies enhance characteristic arterial branches affectation, including the angiosomal source arteries. Evaluating main atherosclerotic lesions at peculiar Levels of arterial division [email protected] may afford useful clinical information. Department of Vascular and Thoracic Method: The present study proposes a description of six levels of degressive arterial division Surgery, Princess Paola Hospital, Marche- and collateral distribution in the inferior limb, including the angiosomal stage. Following en-Famenne, Belgium succeeding perioperative 2D angiographic observations over an eight-year period, these levels (I to VI) were analyzed (including the angiosomal Level III) and summarized in attached tables. The medical files of 323 limb-threatening ischemic foot wounds (Rutherford 4-6) in 295 patients (71% men) were retrospectively reviewed. -
Iliopsoas Tendonitis/Bursitis Exercises
ILIOPSOAS TENDONITIS / BURSITIS What is the Iliopsoas and Bursa? The iliopsoas is a muscle that runs from your lower back through the pelvis to attach to a small bump (the lesser trochanter) on the top portion of the thighbone near your groin. This muscle has the important job of helping to bend the hip—it helps you to lift your leg when going up and down stairs or to start getting out of a car. A fluid-filled sac (bursa) helps to protect and allow the tendon to glide during these movements. The iliopsoas tendon can become inflamed or overworked during repetitive activities. The tendon can also become irritated after hip replacement surgery. Signs and Symptoms Iliopsoas issues may feel like “a pulled groin muscle”. The main symptom is usually a catch during certain movements such as when trying to put on socks or rising from a seated position. You may find yourself leading with your other leg when going up the stairs to avoid lifting the painful leg. The pain may extend from the groin to the inside of the thigh area. Snapping or clicking within the front of the hip can also be experienced. Do not worry this is not your hip trying to pop out of socket but it is usually the iliopsoas tendon rubbing over the hip joint or pelvis. Treatment Conservative treatment in the form of stretching and strengthening usually helps with the majority of patients with iliopsoas bursitis. This issue is the result of soft tissue inflammation, therefore rest, ice, anti- inflammatory medications, physical therapy exercises, and/or injections are effective treatment options. -
Patellofemoral Syndrome: Evaluation & Management Scott Sevinsky MSPT
Patellofemoral Syndrome: Evaluation & Management Scott Sevinsky MSPT What is Patellofemoral Syndrome? Patellofemoral syndrome (PFS) is a term commonly used to describe a condition where the patella ‘tracks’ or glides improperly between the femoral condyles. This improper tracking causes pain in the anterior knee and may lead to degenerative changes or dislocation of the knee cap. To be more precise the term ‘anterior knee pain’ is suggested to encompass all pain-related problems of the anterior part of the knee. By excluding anterior knee pain due to intra-articular pathology, peripatellar tendinitis or bursitis, plica syndromes, Sinding Larsen’s disease, Osgood Schlatter’s disease, neuromas and other rarely occurring pathologies it is suggested that remaining patients with a clinical presentation of anterior knee pain could be diagnosed with PFPS. The term ‘patellofemoral’ is used as no distinction can be made as to which specific structure of the patella or femur is affected. The term ‘chondromalacia patellae’, defined at the beginning of the 20th century to describe pathological changes of the retropatellar cartilage,7,8 was for half a century, used as a synonym for the syndrome of patellofemoral pain. However, several studies during the last 2 decades have shown a poor correlation between articular cartilage damage and the still not well-defined pain mechanism of retropatellar pain. Review of Knee Anatomy 1. Femur – thigh bone; longest bone in the body. · Lateral femoral condyle larger than medial condyle & projects farther anteriorly. · Medial femoral condyle longer anterior to posterior · Distal surfaces are convex · Intercondylar (trochlear) notch: groove in which the patella glides or ‘tracks’ 2. -
Tibialis Posterior Tendon Transfer Corrects the Foot Drop Component
456 COPYRIGHT Ó 2014 BY THE JOURNAL OF BONE AND JOINT SURGERY,INCORPORATED Tibialis Posterior Tendon Transfer Corrects the Foot DropComponentofCavovarusFootDeformity in Charcot-Marie-Tooth Disease T. Dreher, MD, S.I. Wolf, PhD, D. Heitzmann, MSc, C. Fremd, M.C. Klotz, MD, and W. Wenz, MD Investigation performed at the Division for Paediatric Orthopaedics and Foot Surgery, Department for Orthopaedic and Trauma Surgery, Heidelberg University Clinics, Heidelberg, Germany Background: The foot drop component of cavovarus foot deformity in patients with Charcot-Marie-Tooth disease is commonly treated by tendon transfer to provide substitute foot dorsiflexion or by tenodesis to prevent the foot from dropping. Our goals were to use three-dimensional foot analysis to evaluate the outcome of tibialis posterior tendon transfer to the dorsum of the foot and to investigate whether the transfer works as an active substitution or as a tenodesis. Methods: We prospectively studied fourteen patients with Charcot-Marie-Tooth disease and cavovarus foot deformity in whom twenty-three feet were treated with tibialis posterior tendon transfer to correct the foot drop component as part of a foot deformity correction procedure. Five patients underwent unilateral treatment and nine underwent bilateral treatment; only one foot was analyzed in each of the latter patients. Standardized clinical examinations and three-dimensional gait analysis with a special foot model (Heidelberg Foot Measurement Method) were performed before and at a mean of 28.8 months after surgery. Results: The three-dimensional gait analysis revealed significant increases in tibiotalar and foot-tibia dorsiflexion during the swing phase after surgery. These increases were accompanied by a significant reduction in maximum plantar flexion at the stance-swing transition but without a reduction in active range of motion. -
Correlation Analysis of Greater Sciatic Notch Dimensions and His Index in Gender Prediction Based on Hip Bone
International Journal of Multidisciplinary and Current Educational Research (IJMCER) ISSN: 2581-7027 ||Volume|| 3 ||Issue|| 3 ||Pages 175-183 ||2021|| Correlation analysis of greater sciatic notch dimensions and his index in gender prediction based on hip bone 1,Aida Sarač – Hadžihalilović, 2,Emir Beganović, 3,Zurifa Ajanović, 4,Ilvana Hasanbegović, 5,Lejla Dervišević, 6,Senad Šljuka 1,3,4,5Department of Anatomy, Faculty of Medicine, University of Sarajevo, Bosnia and Herzegovina 2 Fachklinik fur Amputationsmedizin. Osterhofen, Bayern, Germany 6 Department of Biology, Faculty of Science, University of Sarajevo, Bosnia and Herzegovina ABSTRACT BACKGROUND/AIM: The greater sciatic notch is important because the gender of the hip bone can be determined on the basis of its appearance and dimensions. Important parameters that are taken into consideration when measuring greater sciatic notch dimensions are: the width and depth of the greater sciatic notch, the width of the upper part of greater sciatic notch. It is important to monitor the ratio of the width and depth of the notch, when assessing the appearance alone. The aim of the study was to determine correlations between the upper part of the greater sciatic notch with the values of it’s width, as well as between depth and width of the upper part of the great sciatic notch. MATERIALS AND METHODS: The study was conducted prospectively on 98 hip bone, of which 56 were single and 42 were within the pelvis. The gender and age of the bones were unknown. All bones belonged to adults in the Bosnian population. The research is based on the osteometric measurements of the width and depth of the greater sciatic notch and width of the upper part of greater sciatic notch, that was used for index calculations of the upper part of the greater sciatic notch. -
Medical Glossary
medical glossary AC Joint — Acromioclavicular joint; joint of the Bone Scan — An imaging procedure in which a Edema — Accumulation of fluid in organs and tis- shoulder where acromion process of the scapula radioactive-labeled substance is injected into the sues of the body (swelling). and the distal end of the clavicle meet; most shoul- body to determine the status of a bony injury. If the Effusion — Accumulation of fluid, in various der separations occur at this point. radioactive substance is taken up the bone at the spaces in the body, or the knee itself. Commonly, Abduct — Movement of any extremity away from injury site, the injury will show as a “hot spot” on the knee has an effusion after an injury. the midline of the body. This action is achieved by the scan image. The bone scan is particularly use- ful in the diagnosis of stress fractures. Electrical Galvanic Stimulation (EGS) — An elec- an abductor muscle. trical therapeutic modality that sends a current to Abrasion — Any injury which rubs off the surface Brachial Plexus — Network of nerves originating the body at select voltages and frequencies in of the skin. from the cervical vertebrae and running down to order to stimulate pain receptors, disperse edema, the shoulder, arm, hand, and fingers. Abscess — An infection which produces pus; can or neutralize muscle spasms among other function- be the result of a blister, callus, penetrating wound Bruise — A discoloration of the skin due to an al applications. or laceration. extravasation of blood into the underlying tissues. Electromyogran (EMG) — Test to determine nerve Adduct — Movement of an extremity toward the Bursa — A fluid-filled sac that is located in areas function. -
Applied Anatomy of the Hip RICARDO A
Applied Anatomy of the Hip RICARDO A. FERNANDEZ, MHS, PT, OCS, CSCS • Northwestern University The hip joint is more than just a ball-and- bones fuse in adults to form the easily recog- socket joint. It supports the weight of the nized “hip” bone. The pelvis, meaning bowl head, arms, and trunk, and it is the primary in Latin, is composed of three structures: the joint that distributes the forces between the innominates, the sacrum, and the coccyx pelvis and lower extremities.1 This joint is (Figure 1). formed from the articu- The ilium has a large flare, or iliac crest, Key PointsPoints lation of the proximal superiorly, with the easily palpable anterior femur with the innomi- superior iliac spine (ASIS) anterior with the The hip joint is structurally composed of nate at the acetabulum. anterior inferior iliac spine (AIIS) just inferior strong ligamentous and capsular compo- The joint is considered to it. Posteriorly, the crest of the ilium ends nents. important because it to form the posterior superior iliac spine can affect the spine and (PSIS). With respect to surface anatomy, Postural alignment of the bones and joints pelvis proximally and the PSIS is often marked as a dimple in the of the hip plays a role in determining the femur and patella skin. Clinicians attempting to identify pelvic functional gait patterns and forces associ- distally. The biomechan- or hip subluxations, leg-length discrepancies, ated with various supporting structures. ics of this joint are often or postural faults during examinations use There is a relationship between the hip misunderstood, and the these landmarks. -
Signs to Help the Deaf Included in This Packet
Signs to help the Deaf Included in this packet: Medical Signs Color Signs People Signs This is made by: Deanna Zander, I am a parent of a deaf son. Here is my email address: [email protected], if you have any questions, please email your question, Please put in the Subject box- RE: Medical Signs. For more information, or to obtain a hospital kit for Deaf or Hard of Hearing, please contact Pam Smith, Adult Outreach Coordinator @ 701-665-4401 Medical Signs (Medicine) Medical Medicine- Tip of bent middle finger rubs circle on left palm Sign- Palm-out indexes circle Signs alternately Made By: Deanna Zander Hi, Hello, Howdy Good-Bye, Yes, Yep Bye Right “S” hand & head nods (both head & hand nod) No, Nope Flat hand, Touch forehead, Just wave First two fingers close onto move forward slightly right thumb, & shake your head Appointment Schedule Fingertips of the right palm- out “5” draws down left palm; then turn palm-in & draws across palm The right “S” hand palm down, is postitioned above the left “S” hand, also palm- down. The right hand circels above the left in a clockwise manner & is brought on the back of left hand. Your Name, My Name Birthday My, Mine- Your- The right middle finger touches the chin, Palm of flat Vertical flat palm moves then moves down to touch the chest hand on chest toward person Fingerspell- The right hand, palm- out, is move left to right, fingers wiggling up & Name- Right “H” touches left “H” at right angles MM/DD/YYYY down Call, phone Left “Y” hand, thumb near ear, little finger near mouth The upturned thumbs -
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). -
Calf Stretching and Strengthening Exercises
Julie Dass Injury Clinic 108 Milton Road Phone: 01234349464 Clapham Email: [email protected] Bedford MK416as Exercise plan: Patient: Date: Calf Stretches and Strengthening Mrs Julie Dass 31st Mar 2017 Exercises Eccentric calf strengthening exercise Stand with your toes on the edge of a step or a box. Hold onto something stable for support if required. We will assume the leg you are trying to strengthen is your left leg (the injured side). Lift your left leg off the step, and go onto your toes on your right leg. Now place your left foot beside the right, and place all your weight on your left leg. Drop your heels downwards below the level of the step. Use your right leg (non-injured leg) to lift yourself back to the start position. Make sure you keep your leg straight during the exercise. This exercise can help strengthen the calf muscle and may be useful for treating Achilles tendinopathy. Full squat single leg Stand on one leg, and bend your knee to the full squat (90 degrees) position. Make sure when you squat you keep the middle of your knee cap in line with the middle toes of your foot. Do not let your knee drift off to one side. Also keep your hips and pelvis level as you squat, so you go down in a straight line. Be careful not to slump forwards as you squat, maintain good posture. Always keep your foot flat on the ground, do not let your heel raise up. Video: http://youtu.be/afJNrDNonAc Full wall squat Open your legs slightly wider than shoulder width, stand with your back resting against a wall, and bend your knees to the full squat position (90 degrees). -
Dignity on Trial RIGHTS India’S Need for Sound Standards for Conducting and Interpreting Forensic Examinations of Rape Survivors WATCH
India HUMAN Dignity on Trial RIGHTS India’s Need for Sound Standards for Conducting and Interpreting Forensic Examinations of Rape Survivors WATCH Dignity on Trial India’s Need for Sound Standards for Conducting and Interpreting Forensic Examinations of Rape Survivors Copyright © 2010 Human Rights Watch All rights reserved. Printed in the United States of America ISBN: 1-56432-681-0 Cover design by Rafael Jimenez Human Rights Watch 350 Fifth Avenue, 34th floor New York, NY 10118-3299 USA Tel: +1 212 290 4700, Fax: +1 212 736 1300 [email protected] Poststraße 4-5 10178 Berlin, Germany Tel: +49 30 2593 06-10, Fax: +49 30 2593 0629 [email protected] Avenue des Gaulois, 7 1040 Brussels, Belgium Tel: + 32 (2) 732 2009, Fax: + 32 (2) 732 0471 [email protected] 64-66 Rue de Lausanne 1202 Geneva, Switzerland Tel: +41 22 738 0481, Fax: +41 22 738 1791 [email protected] 2-12 Pentonville Road, 2nd Floor London N1 9HF, UK Tel: +44 20 7713 1995, Fax: +44 20 7713 1800 [email protected] 27 Rue de Lisbonne 75008 Paris, France Tel: +33 (1)43 59 55 35, Fax: +33 (1) 43 59 55 22 [email protected] 1630 Connecticut Avenue, N.W., Suite 500 Washington, DC 20009 USA Tel: +1 202 612 4321, Fax: +1 202 612 4333 [email protected] Web Site Address: http://www.hrw.org September 2010 1-56432-681-0 Dignity on Trial India’s Need for Sound Standards for Conducting and Interpreting Forensic Examinations of Rape Survivors I. Summary and Recommendations ..................................................................................... 1 The Finger Test ..............................................................................................................