DEPARTMENT of ANATOMY IGMC SHIMLA Competency Based Under
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Bilateral Anomalous Muscle in the Popliteal Fossa & Its Clinical
International Journal of Anatomy and Research, Int J Anat Res 2014, Vol 2(4):614-16. ISSN 2321- 4287 Case Report DOI: 10.16965/ijar.2014.501 BILATERAL ANOMALOUS MUSCLE IN THE POPLITEAL FOSSA & ITS CLINICAL SIGNIFICANCE Sowmya S *, Meenakshi Parthasarathi, Sharmada KL, Sujana M. Department of anatomy, Bangalore Medical College & Research Institute, Bangalore, India. ABSTRACT Muscle variation may occur due to genetic or developmental causes. Some variations may compromise the vascular, muscular or nervous system in the region. Bilateral muscle variation in popliteal fossa is very rare. In present study an instance of bilateral muscle variation in popliteal fossa, arising from different muscles like gastrocnemius and from biceps femoris is recorded. There is no report of such variations. These observations are rare of its kind because of bilateral asymmetrical presence and difference in the origins in different legs. This is the first report as for the literatures available. Clinical and functional importance of such variation is discussed with the morphological aspects of this anomalous muscle. KEY WORDS: Popliteal fossa, Gastrocnemius, Biceps femoris, Popliteal Artery Entrapment Syndrome. Address for Correspondence: Dr.Sowmya S, Assistant Professor, Department of Anatomy, Bangalore Medical College & Research Institute, Bangalore-560002, India. Mobile: +919482476545. E-Mail: [email protected] Access this Article online Quick Response code Web site: International Journal of Anatomy and Research ISSN 2321-4287 www.ijmhr.org/ijar.htm Received: 08 Sep 2014 Peer Review: 08 Sep 2014 Published (O):31 Oct 2014 DOI: 10.16965/ijar.2014.501 Accepted: 22 Sep 2014 Published (P):31 Dec 2014 INTRODUCTION Insertion of muscle slips from biceps femoris into gastrocnemius and into tendocalcaneus have The popliteal fossa is a rhomboidal region been reported [3]. -
Corporate Medical Policy Surgery for Groin Pain in Athletes
Corporate Medical Policy Surgery for Groin Pain in Athletes File Name: surgery_for_groin_pain_in_athletes Origination: 8/2014 Last CAP Review: 6/2020 Next CAP Review: 6/2021 Last Review: 6/2020 Description of Procedure or Service Sports-related groin pain, commonly known as athletic pubalgia or sports hernia, is characterized by disabling activity-dependent lower abdominal and groin pain that is not attributable to any other cause. Athletic pubalgia is most frequently diagnosed in high-performance male athletes, particularly those who participate in sports that involve rapid twisting and turning such as soccer, hockey, and football. Alternative names include Gilmore’s groin, osteitis pubis, pubic inguinal pain syndrome, inguinal disruption, slap shot gut, sportsmen’s groin, footballers groin injury complex, hockey groin syndrome, athletic hernia, sports hernia and core muscle injury. For patients who fail conservative therapy, surgical repair of any defects identified in the muscles, tendons or nerves has been proposed. Groin pain in athletes is a poorly defined condition, for which there is not a consensus regarding the cause and/or treatment. Some believe the groin pain is an occult hernia process, a prehernia condition, or an incipient hernia, with the major abnormality being a defect in the transversalis fascia, which forms the posterior wall of the inguinal canal. Another theory is that injury to soft tissues that attach to or cross the pubic symphysis is the primary abnormality. The most common of these injuries is thought to be at the insertion of the rectus abdominis onto the pubis, with either primary or secondary pain arising from the adductor insertion sites onto the pubis. -
General Signs and Symptoms of Abdominal Diseases
General signs and symptoms of abdominal diseases Dr. Förhécz Zsolt Semmelweis University 3rd Department of Internal Medicine Faculty of Medicine, 3rd Year 2018/2019 1st Semester • For descriptive purposes, the abdomen is divided by imaginary lines crossing at the umbilicus, forming the right upper, right lower, left upper, and left lower quadrants. • Another system divides the abdomen into nine sections. Terms for three of them are commonly used: epigastric, umbilical, and hypogastric, or suprapubic Common or Concerning Symptoms • Indigestion or anorexia • Nausea, vomiting, or hematemesis • Abdominal pain • Dysphagia and/or odynophagia • Change in bowel function • Constipation or diarrhea • Jaundice “How is your appetite?” • Anorexia, nausea, vomiting in many gastrointestinal disorders; and – also in pregnancy, – diabetic ketoacidosis, – adrenal insufficiency, – hypercalcemia, – uremia, – liver disease, – emotional states, – adverse drug reactions – Induced but without nausea in anorexia/ bulimia. • Anorexia is a loss or lack of appetite. • Some patients may not actually vomit but raise esophageal or gastric contents in the absence of nausea or retching, called regurgitation. – in esophageal narrowing from stricture or cancer; also with incompetent gastroesophageal sphincter • Ask about any vomitus or regurgitated material and inspect it yourself if possible!!!! – What color is it? – What does the vomitus smell like? – How much has there been? – Ask specifically if it contains any blood and try to determine how much? • Fecal odor – in small bowel obstruction – or gastrocolic fistula • Gastric juice is clear or mucoid. Small amounts of yellowish or greenish bile are common and have no special significance. • Brownish or blackish vomitus with a “coffee- grounds” appearance suggests blood altered by gastric acid. -
Gross Anatomy
www.BookOfLinks.com THE BIG PICTURE GROSS ANATOMY www.BookOfLinks.com Notice Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the authors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtained from use of the information contained in this work. Readers are encouraged to confirm the infor- mation contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this work is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs. www.BookOfLinks.com THE BIG PICTURE GROSS ANATOMY David A. Morton, PhD Associate Professor Anatomy Director Department of Neurobiology and Anatomy University of Utah School of Medicine Salt Lake City, Utah K. Bo Foreman, PhD, PT Assistant Professor Anatomy Director University of Utah College of Health Salt Lake City, Utah Kurt H. -
Brachium and Cubital Fossa
Anatomy Guy Dissection Sheet 1/15/2012 Brachium and Cubital Fossa Dr. Craig Goodmurphy Anatomy Guy Major Dissection Objectives – Anterior Compartment 1. Maintain the superficial veins but work the fascia of the brachium off the anterior compartment noting the intermuscular septae 2. Clean and identify the three muscle of the anterior arm and their attachments 3. Mobilize the contents of the brachial fascia as it extends from the axillary fascia to the elbow noting the median, ulnar and medial brachial and medial antebrachial cutaneous nerves 4. Follow the musculocutaneous nerve as it passes through the coracobrachialis and between the biceps and brachialis noting motor branches and the lateral antebrachial cutaneous nerve Major Dissection Objectives – Cubital Fossa & Posterior Compartment 6. Mobilize the cubital fossa veins and review the boundaries 7. Clean the biceps tendon and reflect the aponeurosis 8. Locate the contents of the fossa including the bifurcation of the brachial artery, median nerve and floor muscles 9. Have a partner elevate the arm to dissect posteriorly and remove the skin and fascia 10. Locate the three heads of the triceps and their attachments 11. Locate the profunda brachii artery and radial nerve at the triangular interval and between the brachialis and brachioradialis muscles Eastern Virginia Medical School 1 Anatomy Guy Dissection Sheet 1/15/2012 Brachium and Cubital Fossa Pearls & Problems Don’t 1. Cut the biceps muscle just mobilize it Do 2. Follow the cords and tubes from known to unknown as you clean them Do 3. Remove the duplicated deep veins but save the unpaired superficial veins Do 4. -
A Pocket Manual of Percussion And
r — TC‘ B - •' ■ C T A POCKET MANUAL OF PERCUSSION | AUSCULTATION FOB PHYSICIANS AND STUDENTS. TRANSLATED FROM THE SECOND GERMAN EDITION J. O. HIRSCHFELDER. San Fbancisco: A. L. BANCROFT & COMPANY, PUBLISHEBS, BOOKSELLEBS & STATIONEB3. 1873. Entered according to Act of Congress, in the year 1872, By A. L. BANCROFT & COMPANY, Iii the office of the Librarian of Congress, at Washington. TRAN jLATOR’S PREFACE. However numerou- the works that have been previously published in the Fi 'lish language on the subject of Per- cussion and Auscultation, there has ever existed a lack of a complete yet concise manual, suitable for the pocket. The translation of this work, which is extensively used in the Universities of Germany, is intended to supply this want, and it is hoped will prove a valuable companion to the careful student and practitioner. J. 0. H. San Francisco, November, 1872. PERCUSSION. For the practice of percussion we employ a pleximeter, or a finger, upon which we strike with a hammer, or a finger, producing a sound, the character of which varies according to the condition of the organs lying underneath the spot percussed. In order to determine the extent of the sound produced, we may imagine the following lines to be drawr n upon the chest: (1) the mammary line, which begins at the union of the inner and middle third of the clavicle, and extends downwards through the nipple; (2) the paraster- nal line, which extends midway between the sternum and nipple ; (3) the axillary line, which extends from the centre of the axilla to the end of the 11th rib. -
Variant Origins of Arteries in the Carotid Triangle - a Case Report
Case Report 281 Variant Origins of Arteries in the Carotid Triangle - A Case Report B. V. Murlimanju, MD; Latha V. Prabhu, MS; Mangala M. Pai, MD; Dhanya Jayaprakash, MBBS; Vasudha V. Saralaya, MS The left superior laryngeal artery was observed arising from the external carotid artery instead of the superior thyroid artery in the cadaver of an approximately 70 year-old Asian man. In addition, on the same side, the superior thyroid artery arose from the common carotid artery 2 cm before the bifurcation instead of its usual origin from the external carotid artery. From the external carotid artery, the lingual and facial arteries arose from the com- mon linguofacial trunk. The nerves in the carotid triangle were normal in course. No varia- tions were observed on the right side carotid system. The multiple variations in this case have not been previously described. The embryogenesis of this combination of variations is not clear, but the anatomic consequences may have important clinical implications. As angiography has gained popularity in diagnostic approaches in recent years, it is essential to be aware of these variations so that they are not overlooked in differential diagnoses. (Chang Gung Med J 2012;35:281-4) Key words: artery, superior laryngeal, superior thyroid, common carotid, external carotid, vari- ant origin natomical variations in the carotid triangle in the STA from the left CCA is reported here. In the Athe neck are important, especially during surgi- literature, a few variations in origin have been cal and radiological intervention in the region. reported for both arteries,(1-3) but the combination of Normally, the superior laryngeal artery (SLA) is a variations reported in this case has not been previ- branch of the superior thyroid artery (STA). -
Elbow Checklist
Workbook Musculoskeletal Ultrasound September 26, 2013 Shoulder Checklist Long biceps tendon Patient position: Facing the examiner Shoulder in slight medial rotation; elbow in flexion and supination Plane/ region: Transverse (axial): from a) intraarticular portion to b) myotendinous junction (at level of the pectoralis major tendon). What you will see: Long head of the biceps tendon Supraspinatus tendon Transverse humeral ligament Subscapularis tendon Lesser tuberosity Greater tuberosity Short head of the biceps Long head of the biceps (musculotendinous junction) Humeral shaft Pectoralis major tendon Plane/ region: Logitudinal (sagittal): What you will see: Long head of biceps; fibrillar structure Lesser tuberosity Long head of the biceps tendon Notes: Subscapularis muscle and tendon Patient position: Facing the examiner Shoulder in lateral rotation; elbow in flexion/ supination Plane/ region: longitudinal (axial): full vertical width of tendon. What you will see: Subscapularis muscle, tendon, and insertion Supraspinatus tendon Coracoid process Deltoid Greater tuberosity Lesser tuberosity Notes: Do passive medial/ lateral rotation while examining Plane/ region: Transverse (sagittal): What you will see: Lesser tuberosity Fascicles of subscapularis tendon Supraspinatus tendon Patient position: Lateral to examiner Shoulder in extension and medial rotation Hand on ipsilateral buttock Plane/ region: Longitudinal (oblique sagittal) Identify the intra-articular portion of biceps LH in the transverse plane; then -
Chronic Upper Abdominal Pain
Gut, 1992, 33, 743-748 743 Chronic upper abdominal pain: site and radiation in various structural and functional disorders and the effect of various foods Gut: first published as 10.1136/gut.33.6.743 on 1 June 1992. Downloaded from J Y Kang, HH Tay, R Guan Abstract right or left hypochondrium, periumbilical, Pain site and radiation and the effect ofvarious right or left lumbar, or generalised following the foods were studied prospectively in a consecu- landmarks suggested by French.' The abdomen tive series of patients with chronic upper was divided into nine regions by the intersection abdominal pain. Patients followed for less than of two horizontal and two sagittal planes. The one year were excluded unless peptic ulcer or upper horizontal plane was at a level midway abdominal malignancy had been diagnosed or between the suprasternal notch and the symphy- laparotomy had been carried out. A total of632 sis pubis. The lower plane was at the upper patients .were eligible for the first study and 431 border ofthe iliac crests. The sagittal planes were for the second. Gastric ulcer pain was more vertical lines drawn through points midway likely to be left hypochondrial (17%) compared between the pubis and the anterior superior iliac with pain from duodenal ulcer (4%) or from all spines. Patients with suprapublic and right and other conditions (5%). It was less likely to be left iliac fossa pains were not included in the epigastric (54%) compared with duodenal ulcer present study unless there was concomittant pain (75%). Oesophageal pain was more likely upper abdominal pain. -
The Square Flap Technique for Burn Contractures: Clinical Experience and Analysis of Length Gain
Annals of Burns and Fire Disasters - vol. XXXI - n. 4 - December 2018 THE SQUARE FLAP TECHNIQUE FOR BURN CONTRACTURES: CLINICAL EXPERIENCE AND ANALYSIS OF LENGTH GAIN DOUBLE LAMBEAU RHOMBOÏDE POUR BRIDE SÉQUELLAIRE DE BRÛ- LURE: EXPÉRIENCE PRATIQUE ET ANALYSE DE LA LONGUEUR GAGNÉE Hifny M.A. Department of Plastic Surgery, Faculty of Medicine, Qena University Hospital, South Valley University, Egypt SUMMARY. Post-burn contractures, affecting the joints especially, are demanding problems. Many surgical techniques have been designated for burn contracture release. The aim of this study is to investigate the efficiency of the square flap technique to release a post-burn scar contracture, and assess the post-operative length gain that can be achieved by simple mathematical calculation. In this study, sixteen patients with linear contracture bands were treated with the square flap tech- nique. The anatomical distribution of the contractures was: axilla, cubital fossa, flank, perineum and popliteal fossa. Scar maturity ranged from 4 months - 9 years. Square flap width and contracture band length before and immediately after surgery were recorded by simple mathematical calculation. Flap complication was assessed. Patient satisfaction was also assessed during the follow-up period. All square flaps were effective in lengthening the contracture bands. The length of the contracture that was released ranged from 2 to 6 cm. The gain in length provided with this technique ranged from 212 to 350%, average 247%, and adequate contracture release was achieved in all cases postoperatively. All square flaps healed uneventfully except for one (6%), which demonstrated limited epidermolysis that healed by secondary intention. The fol- low-up interval ranged from 6 months to 1.5 years. -
Groin and Buttock Claudication Associated with Vascular Origin Due to Chronic Occlusion of Internal Iliac Artery -A Case Report
Anesth Pain Med 2015; 10: 93-96 http://dx.doi.org/10.17085/apm.2015.10.2.93 ■Case Report■ Groin and buttock claudication associated with vascular origin due to chronic occlusion of internal iliac artery -A case report- Departments of Anesthesiology and Pain Medicine, *Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of † Medicine, Seoul, Ire Pain Clinic, Incheon, Korea Hyun Mo Chung, Sang-Soo Kang, Keun-Man Shin, Sang-hoon Lee, Sung Eun Kim*, and Hong-Seong Yoo† Neurogenic and vascular claudication is sometimes difficult to When concomitant symptoms such as radiating pain are distinguish from each other due to similarities in symptoms. present, a herniated disc could be considered first [3]. We Symptoms and physical examinations may not always match the report a rare case of severe groin pain of vascular origin, severity in both diseases, and when atypical symptoms, such as groin pain, are present, diagnosis can be more challenging. Proper associated with mild pain in the buttock and lower leg, differential diagnosis of the two is important because of the without the typical vascular symptoms due to well developed invasiveness of treatment in both diseases. We report a rare case collateral flow of abdominal wall vessels. of a patient with severe groin and buttock pain due to chronic occlusion of the internal iliac artery, along with a review of the relevant literature. (Anesth Pain Med 2015; 10: 93-96) CASE REPORT Key Words: Claudication, Groin, Internal iliac artery, Pain. A 70-year-old male with persistent bilateral groin pain, more severe on the left, visited our department of pain medicine. -
HUMAN ANATOMY: a Prosection Guide
HUMAN ANATOMY: A Prosection Guide 3rd Edition Frank J. Daly Cover image www.kendallhunt.com Send all inquiries to: 4050 Westmark Drive Dubuque, IA 52004-1840 Copyright © 2010 by Frank J. Daly. ISBN 978-0-7575- All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the copyright owner. Printed in the United States of America 10 9 8 7 6 5 4 3 2 1 iii GROSS ANATOMY LABORATORY PROCEDURES 1. Appropriate laboratory attire is required: Scrubs (full-length, scrub pants), close-toed shoes (no Crocs), safety glasses, and Nitrile gloves. Scrubs are available in the campus bookstore (no specific color required). NO shorts or skirts permitted, even if made from scrub material. Safety glasses for splash protection are available in the lab. Gloves will be provided; please try to limit use to ~ 1 pair/session. Long hair must be tied back, away from the face. Long necklaces should be removed. Contact Lenses are NOT advised, as they are permeable to volatile compounds and may result in injury. Students should bring their lab manual to lab sessions. 2. No food or beverages are allowed in the laboratory - EVER. Smoking and/or chewing gum is prohibited in the laboratory. 3. No cadaveric materials (or models) are EVER to be removed from the Gross Anatomy lab. This is a State and a Federal law. You WILL be prosecuted to the fullest extent of the law.