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Bone marrow biopsy and Transplantation. *Bone grafting from iliac crest |
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interspinous diameter (not less than 9.5 cm) |
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*Angle of Inclination
*Rickets and Osteomalacia
*Hip fracture due to osteoporosis in elderly (fracture causes the person to fall).
*Congenital dislocation of the hip: Common birth defect, more in female infants. Either the acetabulum fails to form completely or the ligaments of the hip joint are loose. Treatment: splint or harness of straps to hold femur in its proper position |
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Metatarsal stress fractures |
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As a result of repetitive stress on foot. 2nd and 3rd metatarsals are mostly affected Treatment: rest and wearing stiff or well cushioned shoes. |
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Sciatic nerve is the thickest nerve of body. *It is composed of Common Peroneal and Tibial nerves. *Com. Peroneal: composed of dorsal rami Tibial: composed of ventral rami |
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Innervation: superior gluteal nerve (L4-L5). Function: Abduction, medial rotation and flexion of the thigh, protects the knee joint. |
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Innervation: Inferior gluteal N. (L5- S2) Function: powerful extensor of hip joint, lateral rotator, active in rising, sitting, climbing |
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Innervation: superior gluteal N. (L5-S1) Function: Abduction, medial rotation of thigh, It keeps pelvis level when opposite leg is raised. |
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Innervation: superior gluteal N. (L5-S1) Function: Abduction, medial rotation of thigh, It keeps pelvis level when opposite leg is raised.
*Superior gluteal artery gives the blood supply of these 2 muscles while the inf. Gluteal artery gives the blood supply of gluteus maximus. |
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The Trendelenburg gait is an abnormal gait caused by weakness of the abductor muscles of the lower limb, gluteus medius and gluteus minimus. People with a lesion of superior gluteal nerve have weakness of abducting the thigh at the hip. This type of gait may also be seen in L5 radiculopathy and after poliomyelitis, but is then usually seen in combination with foot drop. During the stance phase, the weakened abductor muscles allow the pelvis to tilt down on the opposite side. To compensate, the trunk lurches to the weakened side to attempt to maintain a level pelvis throughout the gait cycle. The pelvis sags on the opposite side of the lesioned superior gluteal nerve. |
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a gait characterized by exaggerated lateral trunk movements and hip elevations. It is observed in pregnancy and in patients with osteoarthritis of the hip or progressive muscular dystrophy. |
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Innervation: nerve to piriformis (sacral plexus) S1-S2. Function: lateral rotator and abductor of the thigh, keeps femur head in acetabulum. *The muscle may partially or totally be absent |
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Innervation: N. to obturator internus (L5-S1) function: lateral rotator of the thigh when It is extended and, abductor of the thigh when flexed. |
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Function as lateral rotators, are stronger than medial rotators and control the balance***. |
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Superior gemellus, inferior gemellus |
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Definition
Innerv, Sup. Gemellus: N. to Obturator int. function: lateral rotator of the thigh when It is extended and, abductor of the thigh when flexed.
Innerv, inf. Gemellus: N. to quadratus femoris. |
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Innervation: Nerve to quadratus femoris
function: lateral rotator of the thigh when It is extended and, abductor of the thigh when flexed. |
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Definition
Posterior thigh muscles: Hamstring muscles: Long head of biceps, Semitendinous, Semimembranous, Adductor mag (ischial part).
All innervated by tibial branch of sciatic nerve.
Charactristic of hamstring muscles: 2- innervated by tibial nerve 3- Flexors (strong) of the knee joint 4- Extensors (weak) of hip joint |
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Definition
Innervation: long head: tibial N. (L5-S2) short head: common peroneal nerve (S1-S2). Function: Long head: extension at hip. It is a flexor and lateral rotator at knee joint. *Short head may be absent. |
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Definition
Function: extension at hip, flexion and medial rotation at knee. Innervation: tibial Nerve (L5-S2). |
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Innervation: tibial N., Function: hip extensor, knee flexor, medial rotator |
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Function: powerful adductor, lateral rotator (part inserted to linea aspera), medial rotator at knee joint. Extensor at hip joint,
Innervation: Tibial nerve to the part inserted to linea aspera. obturator nerve to the part inserted to adductor tubercle (puberty and conception).
*Perforating arteries (3-4) usually pierce this muscle from deep femoral artery in anterior femoral region to posterior thigh region to give blood to the dorsal muscles. Adductor hiatus may be considered as the 5th hiatus, its content: Popliteal artery and vein |
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The Triceps Surae, consisting of Soleus (1), Gastrocnemius (2) and Plantaris (3) muscles. |
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Active in hard and sustain motion (red fiber type). tibial nerve (S1-S2 |
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Active for fast movements (white fiber types) tibial nerve (S1-S2). |
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May disappear by evolution
tibial nerve (S1-S2). Function: best plantar flexors, active in Walking. |
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(calcaneal tendon) is the most powerful tendon and important in walking. |
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Innervation: tibial nerve (L4-L5).
The tendon of all 3 muscle pass beneath the Flexor retinaculum (13).
Function: all 3 are active in plantar flexion and Supination of the foot. |
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Definition
Innervation: tibial nerve (S1-S2).
The tendon of all 3 muscle pass beneath the Flexor retinaculum (13).
Function: all 3 are active in plantar flexion and Supination of the foot. |
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Definition
Innervation: Tibial nerve (S1-S3).
*The tendon of all 3 muscle pass beneath the Flexor retinaculum (13).
Function: all 3 are active in plantar flexion and Supination of the foot. |
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Definition
Function: Flexion of the knee, unlocking of the Knee joint, protection of lateral meniscus. Innervation: tibial nerve (L4- S1). |
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has a long tendon. *The tendon runs behind the lateral malleolus Passing in tendon groove of cuboid bone
Superficial peroneal nerve (L5-S1). |
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Function: they are strongest pronator of the foot.
Superficial peroneal nerve (L5-S1). |
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Inversion = Supenation; Eversion = Pronation |
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