The Carpal Joint of the Donkey (Equus Asinus): Morphological Investigation
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2019 IWIW Meeting Abstracts, Las Vegas, Wed. Sept. 4Th SESSION 1
2019 IWIW Meeting Abstracts, Las Vegas, Wed. Sept. 4th SESSION 1: Carpal Ligament 1 Stable Central Column Theory of Carpal Mechanics Michael Sandow FRACS Wakefield Orthopaedic Clinic Adelaide, Australia Background: The carpus is a complicated and functionally challenged mechanical system and advancements in the understanding have been compromised by the recognition that there is no standard carpal mechanical system and no typical wrist. This paper cover component of a larger project that seeks to develop a kinetic model of wrist mechanics to allow reverse analysis of the specific biomechanical controls or rule of a specific patient's carpus, and then use those to create a forward mathematical model to reproduce the unique individual's anatomical motion based on the extracted rules. Objectives and Methods: Based on previous observations, the carpus essentially moves with only 2 degrees of freedom - pitch (flexion / extension) and yaw (radial deviation / ulnar deviation), while largely preventing roll (pronation / supination). The object of this paper is therefore to present the background and justification to support the rules based motion (RBM) concept states that the motion of a mechanical system, such as the wrist, is the net interplay of 4 rules - morphology, constraint, interaction and load. The Stable Central Column Theory (SCCT) of wrist mechanics applies the concept of RBM to the carpus, and by using a reverse engineering computational analysis model, identified a consistent pattern of isometric constraints, creating a "Two-Gear Four-Bar" linkage. This study assessed the motion of the carpus using a 3D dynamic visualization model, and the hypothesis was that the pattern and direction of motion of the proximal row, and the distal row with respect the immediately cephalad carpal bones or radius would be very similar in all directions of wrist motion. -
Original Article Pictorial Atlas of Symptomatic Accessory Ossicles by 18F-Sodium Fluoride (Naf) PET-CT
Am J Nucl Med Mol Imaging 2017;7(6):275-282 www.ajnmmi.us /ISSN:2160-8407/ajnmmi0069278 Original Article Pictorial atlas of symptomatic accessory ossicles by 18F-Sodium Fluoride (NaF) PET-CT Sharjeel Usmani1, Cherry Sit2, Gopinath Gnanasegaran2, Tim Van den Wyngaert3, Fahad Marafi4 1Department of Nuclear Medicine & PET/CT Imaging, Kuwait Cancer Control Center, Khaitan, Kuwait; 2Royal Free Hospital NHS Trust, London, UK; 3Antwerp University Hospital, Belgium; 4Jaber Al-Ahmad Molecular Imaging Center, Kuwait Received August 7, 2017; Accepted December 15, 2017; Epub December 20, 2017; Published December 30, 2017 Abstract: Accessory ossicles are developmental variants which are often asymptomatic. When incidentally picked up on imaging, they are often inconsequential and rarely a cause for concern. However, they may cause pain or discomfort due to trauma, altered stress, and over-activity. Nuclear scintigraphy may play a role in the diagnosis and localizing pain generators. 18F-Sodium Fluoride (NaF) is a PET imaging agent used in bone imaging. Although commonly used in imaging patients with cancer imaging malignancy, 18F-NaF may be useful in the evaluation of benign bone and joint conditions. In this article, we would like to present a spectrum of clinical cases and review the potential diagnostic utility of 18F-NaF in the assessment of symptomatic accessory ossicles in patients referred for staging cancers. Keywords: 18F-NaF PET/CT, accessory ossicles, hybrid imaging Introduction Accessory ossicles are developmental variants which are often asymptomatic. When inciden- Bone and joint pain is a common presentation tally picked up on imaging, they are often incon- in both primary and secondary practice. -
Articulationes Membri Thoracici • 1. Articulatio
ARTICULATIONES MEMBRI THORACICI • 1. ARTICULATIO HUMERI-art. simplex, art. spheroidea (but functions as a hinge joint) movement: eq, Ru only flexion, extension is possible, in ca: rotation, abduction, adduction also between scapula (cavitas glenoidalis) and humerus (caput) Capsula articularis Recessus: cranial and caudal recesses Labrum glenoidale Ligg. glenohumeralia (eq, ca)- tickened part of the capsule (capsular ligament) in the med. and lat. walls in ca, and cranially in eq Lig. coracohumerale (eq, Ru)- capsular ligament between scapula (tub. supraglenoidale) and humerus (tub. majus, minus) No collateral ligaments! Instead of them: laterally m. infraspinatus (1), medially m. subscapularis (5) ca: part of the joint capsule surrounds the tendon of m. biceps brachii (9) and forms vagina synovialis intertubercularis eq, bo: bursa intertubercularis (=bursa bicipitalis) under the tendor of the m. biceps brachii (may communicate with the joint cavity of the shoulder joint in horse) • 2.ARTICULATIO CUBITI-art. composita, ginglymus (hinge joint) movement: extension and flexion between humerus (condyle), radius (caput), ulna (insisura trochlearis) Articulatio humeroulnaris Articulatio humeroradialis Capsula articularis Recessus: recessus cranialis, large recessus caudalis Lig. collaterale cubiti mediale- from epicondylus med. to radius (in ca also to ulna) Lig. collaterale cubiti laterale- from epicondylus lat. to radius (in ca, Ru also to ulna) Lig. olecrani (ca)- capsular ligament from fossa olecrani of humerus to olecranon •3. ARTICULATIO RADIOULNARIS PROXIMALIS- art. simplex, art. trochoidea movement: ca: rotational movements are possible (pronatio, supinatio) eq, Ru: no movement! between radius (circumferentia articularis radii) and ulna (incisura radialis ulnae) Lig. anulare radii (ca)- encircles the head of the radius, running under the collateral ligaments Membrana interossea antebrachii (ca) (in eq, Ru it is ossified) • 4. -
REVIEW ARTICLE Osteoarthritis of the Wrist
REVIEW ARTICLE Osteoarthritis of the Wrist Krista E. Weiss, Craig M. Rodner, MD From Harvard College, Cambridge, MA and Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, CT. Osteoarthritis of the wrist is one of the most common conditions encountered by hand surgeons. It may result from a nonunited or malunited fracture of the scaphoid or distal radius; disruption of the intercarpal, radiocarpal, radioulnar, or ulnocarpal ligaments; avascular necrosis of the carpus; or a developmental abnormality. Whatever the cause, subsequent abnormal joint loading produces a spectrum of symptoms, from mild swelling to considerable pain and limitations of motion as the involved joints degenerate. A meticulous clinical and radiographic evaluation is required so that the pain-generating articulation(s) can be identi- fied and eliminated. This article reviews common causes of wrist osteoarthritis and their surgical treatment alternatives. (J Hand Surg 2007;32A:725–746. Copyright © 2007 by the American Society for Surgery of the Hand.) Key words: Wrist, osteoarthritis, arthrodesis, carpectomy, SLAC. here are several different causes, both idio- of events is analogous to SLAC wrist and has pathic and traumatic, of wrist osteoarthritis. been termed scaphoid nonunion advanced collapse Untreated cases of idiopathic carpal avascular (SNAC). Wrist osteoarthritis can also occur second- T 1 2 necrosis, as in Kienböck’s or Preiser’s disease, may ary to an intra-articular fracture of the distal radius or result in radiocarpal arthritis. Congenital wrist abnor- ulna or from an extra-articular fracture resulting in malities, such as Madelung’s deformity,3,4 can lead malunion and abnormal joint loading. -
Carpus Volume: 7 to 10 Ml for Each Joint Degree of Difficulty: 1/3 Dorsal Approach
JOINT INJECTION needle: 1 to 1.5 in. (2.5 to 3.8 cm), 20 ga Carpus volume: 7 to 10 ml for each joint Degree of difficulty: 1/3 Dorsal approach right carpus, dorsomedial view The radiocarpal and intercarpal joints can be extensor carpi entered with ease. The carpometacarpal joint radialis tendon communicates with the intercarpal joint and, therefore, does not require separate entry. Using the dorsal approach, enter the radio- carpal (antebrachiocarpal) or the intercarpal joints with the limb held and the carpus flexed. Locate the radiocarpal joint by palpating the medial aspect of the distal edge of the radius and the proximal edge of the radial carpal bone. Insert the needle midway between these two structures and medial to the medial edge of the palpate the radiocarpal and intercarpal joints medial to palpable tendon of the extensor carpi radialis radius (distal the palpable tendon of the extensor carpi radialis muscle. medial edge) muscle. The joint capsule is penetrated at a Note: The right carpus is being palpated. depth of about 0.5 inch (1.3 cm). Locate the intercarpal joint by palpating the distal edge of the radial carpal bone and the medial aspect of the proximal edge of the third radial carpal bone (proximal carpal bone. The technique of needle insertion edge) is similar to that for the radiocarpal joint. radiocarpal joint capsule It is important to point out that Ford et al47 and Moyer et al48 showed that the palmar out- pouchings of the carpometacarpal joint capsule extend into the fibers of the proximal portion of the suspensory ligament. -
Readingsample
Color Atlas of Human Anatomy Vol. 1: Locomotor System Bearbeitet von Werner Platzer 6. durchges. Auflage 2008. Buch. ca. 480 S. ISBN 978 3 13 533306 9 Zu Inhaltsverzeichnis schnell und portofrei erhältlich bei Die Online-Fachbuchhandlung beck-shop.de ist spezialisiert auf Fachbücher, insbesondere Recht, Steuern und Wirtschaft. Im Sortiment finden Sie alle Medien (Bücher, Zeitschriften, CDs, eBooks, etc.) aller Verlage. Ergänzt wird das Programm durch Services wie Neuerscheinungsdienst oder Zusammenstellungen von Büchern zu Sonderpreisen. Der Shop führt mehr als 8 Millionen Produkte. 130 Upper Limb: Bones, Ligaments, Joints Radiocarpal and Midcarpal Joints Ligaments in the Region of the Wrist (A–E) (A–E) Four groups of ligaments can be distin- The radiocarpal or wrist joint is an ellip- guished: soid joint formed on one side by the radius (1) and the articular disk (2) and on the Ligaments which unite the forearm bones with other by the proximal row of carpal bones.Not the carpal bones (violet). These include the all the carpal bones of the proximal row are ulnar collateral ligament (8), the radial col- in continual contact with the socket- lateral ligament (9), the palmar radiocarpal shaped articular facet of the radius and the ligament (10), the dorsal radiocarpal liga- disk. The triquetrum (3), only makes close ment (11), and the palmar ulnocarpal liga- contact with the disk during ulnar abduc- ment (12). tion and loses contact on radial abduction. Ligaments which unite the carpal bones with The capsule of the wrist joint is lax, dorsally one another,orintercarpal ligaments (red). These comprise the radiate carpal ligament Upper Limb relatively thin, and is reinforced by numer- ous ligaments. -
The Skeletal System
Essentials of Human Anatomy & Physiology Seventh Edition Foundation • Physical Foundation of the Body The Skeletal System – 206 Bones • Osteology – science of the anatomy, structure, and function of bones – “Os” means Bone • With the exception of teeth, bone IS the hardest substance in the body Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings The Skeletal System • Parts of the skeletal system • Bones (skeleton) • Joints • Cartilages • Ligaments (bone to bone)(tendon=bone to muscle) • Divided into two divisions • Axial skeleton • Copyright © 2003Appendicular Pearson Education, Inc. publishing as Benjaminskeleton Cummings – limbs and girdle 1 Functions of Bones Bones of the Human Body • The skeleton has 206 bones • Support of the body • Two basic types of bone tissue • Protection of soft organs • Compact bone • Movement due to attached skeletal • Homogeneous muscles • Spongy bone • Storage of minerals and fats (K, Mg, • Small needle-like pieces of bone Na) Figure 5.2b • Many open spaces • Blood cell formation (White and Red) Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Classification of Bones Classification of Bones • Long bones • Short bones • Typically longer than wide • Generally cube-shape • Have a shaft with heads at both ends • Contain mostly spongy bone • Contain mostly compact bone •Examples: Carpals, tarsals • Examples: Femur, humerus Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings 2 Classification of Bones on the Classification of Bones Basis of Shape • Flat bones • Thin and flattened • Usually curved • Thin layers of compact bone around a layer of spongy bone •Examples: Skull, ribs, sternum Figure 5.1 Copyright © 2003 Pearson Education, Inc. -
Bones and Joints of the Upper Limb: Forearm and Hand
Unit 4: Bones and joints of the upper limb: forearm and hand Chapter 6 (Upper limb) GENERAL OBJECTIVES: - recognize, name and correctly orient forearm and hand bones - understand movements in elbow, wrist and hand joints SPECIFIC OBJECTIVES: Bones of the forearm and hand Identify the bony features on each part of the following bones: RADIUS - Upper End - Shaft - Lower End ULNA - Upper End - Shaft - Lower End Deduce (from the shape of the articular surfaces) the movements at (i) the elbow joint and (ii) the radioulnar joints. Indicate the bony attachments of the major ligaments which help to maintain the stability of these joints (while allowing their mobility). Identify the following bones CARPALS - Proximal Row - Distal Row METACARPALS PHALANGES Identify the attachments of the Flexor Retinaculum and define the "Carpal Tunnel". Deduce (from the shape of the articular surfaces) the movements at (i) the wrist joint (ii) the carpometacarpal joint of the thumb (iii) metacarpophalangeal joints (iv) interphalangeal joints Indicate the bony attachments of the major ligaments which help to maintain the stability of these joints (while allowing their mobility). Joints of the forearm and hand Elbow Joint Articular Surfaces (Humeroulnar & Humeroradial) Fibrous Capsule & Joint Cavity Synovial Membrane Collateral Ligaments ( Medial & Lateral) Special Structures: Olecranon Bursa Other Bursae, Pads of Fat Movements at the Elbow Joint: Flexion/Extension Stability Carrying Angle Radioulnar Joints Proximal Radioulnar Joint Annular Ligament Distal Radioulnar -
Skeleton of Hand Skeleton of the Hand with Bone Numbering Skeleton Of
Info 6001 Sliding joints at the shoulder allow all natural movements. 6008 Skeleton of hand True to life casting of a skeleton of the human hand. All hand bones are individual- ly mobile-mounted on wire. Ref.no. 6001 With stand Ref.no. 6001S (see image below) 6016 6021 Skeleton of the hand with bone numbering Model as 6001, but with additional numbe- Skeleton of arm with shoulder Skeleton of arm with shoulder ring of the individual hand bones. girdle girdle and muscle marking Ref.no. 6002 (not pictured) True to life casting of a skeleton of the True to life casting of a skeleton of the human arm. The rolling movements of the human arm. The rolling movements of the bones of the lower arm (pronation and bones of the lower arm (pronation and supination) and movements of the hand supination) and movements of the hand Hand with lower arm joint can be demonstrated. The hand is joint can be demonstrated. The hand is True to life casting of a skeleton of the mobilemounted on wire. mobile-mounted on wire. Including marking human hand. All hand bones are individual- Ref.no. 6016 of muscle origins and insertion points. ly mobile-mounted on wire. With radius and Ref.no. 6021 ulna. The rolling movements of the bones Skeleton of arm of the lower arm (pronation and supinati- Model as 6016, but without shoulder girdle. on) and movements of the hand joint can Ref.no. 6012 Skeleton of arm with muscle be demonstrated. marking Ref.no. 6008 Model as 6021, but without shoulder girdle Ref.no. -
Four Unusual Cases of Congenital Forelimb Malformations in Dogs
animals Article Four Unusual Cases of Congenital Forelimb Malformations in Dogs Simona Di Pietro 1 , Giuseppe Santi Rapisarda 2, Luca Cicero 3,* , Vito Angileri 4, Simona Morabito 5, Giovanni Cassata 3 and Francesco Macrì 1 1 Department of Veterinary Sciences, University of Messina, Viale Palatucci, 98168 Messina, Italy; [email protected] (S.D.P.); [email protected] (F.M.) 2 Department of Veterinary Prevention, Provincial Health Authority of Catania, 95030 Gravina di Catania, Italy; [email protected] 3 Institute Zooprofilattico Sperimentale of Sicily, Via G. Marinuzzi, 3, 90129 Palermo, Italy; [email protected] 4 Veterinary Practitioner, 91025 Marsala, Italy; [email protected] 5 Ospedale Veterinario I Portoni Rossi, Via Roma, 57/a, 40069 Zola Predosa (BO), Italy; [email protected] * Correspondence: [email protected] Simple Summary: Congenital limb defects are sporadically encountered in dogs during normal clinical practice. Literature concerning their diagnosis and management in canine species is poor. Sometimes, the diagnosis and description of congenital limb abnormalities are complicated by the concurrent presence of different malformations in the same limb and the lack of widely accepted classification schemes. In order to improve the knowledge about congenital limb anomalies in dogs, this report describes the clinical and radiographic findings in four dogs affected by unusual congenital forelimb defects, underlying also the importance of reviewing current terminology. Citation: Di Pietro, S.; Rapisarda, G.S.; Cicero, L.; Angileri, V.; Morabito, Abstract: Four dogs were presented with thoracic limb deformity. After clinical and radiographic S.; Cassata, G.; Macrì, F. Four Unusual examinations, a diagnosis of congenital malformations was performed for each of them. -
Fractures of Hamate: a Clinical Overview
MUSCULOSKELETAL SURGERY (2019) 103:15–21 https://doi.org/10.1007/s12306-018-0543-y REVIEW Fractures of hamate: a clinical overview G. Mouzopoulos1 · C. Vlachos1 · L. Karantzalis1 · K. Vlachos1 Received: 28 June 2017 / Accepted: 20 May 2018 / Published online: 29 May 2018 © Istituto Ortopedico Rizzoli 2018 Abstract Hamate fractures are exceedingly rare clinical entities. However, the diagnosis and treatment of these injuries are often delayed and can severely handicap the performance of afected laborers or athletes. This review focuses on fractures of the hamate and provides an update on the current consensus as to mechanism, diagnosis, management, and complications after such injuries. Keywords Hamate · Hook · Fracture Epidemiology the hook of the hamate [2]. If the grip is relaxed or control is lost, the fracture occurs at the end of a poor swing, as Fractures of the hamate usually occur through the hook centrifugal force is transmitted through the handle of the or body of the bone [1]. Type I fractures involve the hook racquet against the hook [7]. In golfers or baseball players, of the hamate and further are subdivided into three sub- a dubbed shot or a checked swing will fracture the hamulus types involving: base, waist, and avulsion (tip). Fractures because the butt of the club or bat will strike the hook. It has located at the base and proximal third (76%) of the hook also been described in polo and ice hockey [8]. are presented more frequently than fractures located at the Fall on an outstretched hand causing sudden forcible mid-third (13%) or the distal third (11%). -
Christy Crystal Creek"
University of Montana ScholarWorks at University of Montana Graduate Student Theses, Dissertations, & Professional Papers Graduate School 2004 Missoula County Sheriff's Department case #8509102: A comprehensive forensic case report for "Christy Crystal Creek" Sydney Wimbrow The University of Montana Follow this and additional works at: https://scholarworks.umt.edu/etd Let us know how access to this document benefits ou.y Recommended Citation Wimbrow, Sydney, "Missoula County Sheriff's Department case #8509102: A comprehensive forensic case report for "Christy Crystal Creek"" (2004). Graduate Student Theses, Dissertations, & Professional Papers. 5884. https://scholarworks.umt.edu/etd/5884 This Thesis is brought to you for free and open access by the Graduate School at ScholarWorks at University of Montana. It has been accepted for inclusion in Graduate Student Theses, Dissertations, & Professional Papers by an authorized administrator of ScholarWorks at University of Montana. For more information, please contact [email protected]. Maureen and Mike MANSFIELD LIBRARY The University of Montana Permission is granted by the author to reproduce this material in its entirety, provided that this material is used for scholarly purposes and is properly cited in published works and reports. ♦♦Please check "Yes" or "No" and provide signature** Yes, I grant permission y No, I do not grant permission_____ Author's Signature: Z) Date:_____________________________ Any copying for commercial purposes or financial gain may be undertaken only with