Surface Anatomy and Sonoanatomy for the Occasional Regional Anesthesiologist
|
|
|
- Roger Byron Leonard
- 5 years ago
- Views:
Transcription
1 Surface Anatomy and Sonoanatomy for the Occasional Regional Anesthesiologist Edward R. Mariano, M.D., M.A.S. Professor of Anesthesiology, Perioperative & Pain Medicine Stanford University School of Medicine Chief, Anesthesiology and Perioperative Care Veterans Affairs Palo Alto Health Care
2 Financial Disclosures Halyard Health, B Braun Unrestricted educational program funding paid to my institution The contents of the following presentation are solely the responsibility of the speaker without input from any of the above companies.
3 Learning Objectives Define optimal ultrasound transducer position for cross-sectional imaging of nerves Apply surface anatomic landmark identification in ultrasound transducer application Identify sonoanatomy of common peripheral nerves and surrounding structures Discuss tips and tricks to improve ultrasound images and block techniques
4 How Hard Can It Be? NYSORA.COM -
5 Lesson #1
6 Lesson #2 Regional anesthesia is applied anatomy
7 History of Nerve Localization Anatomic landmarks Fascial clicks or pops Electrical nerve stimulation Sustained twitch at < 0.5 ma current suggests appropriate needle position Ultrasound
8 Overview Introduction to ultrasound Surface anatomic landmarks Relevant gross anatomy Traditional nerve block techniques Sonoanatomy for nerve blocks
9 Overview Introduction to ultrasound Surface anatomic landmarks Relevant gross anatomy Traditional nerve block techniques Sonoanatomy for nerve blocks
10 Basic Sonoanatomy Blood vessels: hypo-echoic (dark) Muscles: hypo- > hyper-echoic (striations) Bone and fascia: hyper-echoic (white) Nerves: hypoechoic Connective tissues are hyperechoic (epineurium, perineurium)
11 A Closer Look at the Nerve Short-Axis View
12 The A.R.T. of Target Imaging A lignment R otation T ilt
13 Alignment: Where Do We Look?
14 Optimal Rotation
15 Optimal Rotation
16 Optimal Tilt
17 Optimal Tilt
18 Overview Introduction to ultrasound Surface anatomic landmarks Relevant gross anatomy Traditional nerve block techniques Sonoanatomy for nerve blocks
19 Interscalene Block: How We Did It Needle inserted in IS groove at C6 Antero-lateral approach Needle angle 30-45º Elicit motor response (deltoid, biceps, triceps, pectoralis) Borgeat A, et al. Anesth 2003:99:436
20 Interscalene Anatomy Position: supine with head turned away SCM clavicular head Interscalene groove posterior to SCM at cricoid level (C6) External jugular vein Subclavian artery Cricoid Subclavian Art
21 Interscalene Sonoanatomy Transverse Short-Axis View SCM ASM BP MSM CTP Mariano ER, et al. JUM 2010;29:329
22 Infraclavicular Block: How We Did It Insertion 2 cm medial and 2 cm caudad to CP Needle inserted plumb-bob Avg depth 4.24±1.49 cm in men, 4.01±1.29 cm in women Wilson JL, et al. A&A 1998;87:870
23 Infraclavicular Anatomy Position: supine with arm at side or abducted 90 Palpate coracoid process below the clavicle Plexus runs under coracoid process Coracoid
24 Infraclavicular Sonoanatomy Transverse Short-Axis View PMa PMi N AA N N AV Mariano ER, et al. JUM 2009;28:1211
25 Femoral Nerve Block: How We Did It Needle insertion: lateral to artery at 45 angle aiming cephalad Feel 2 pops Proper motor response = quad contraction Ilfeld, BM, et al. Anesth 2008;108:703
26 Femoral Anatomy Position: supine with roll under hip Leg straight Inguinal crease Femoral artery Femoral nerve is lateral to femoral artery
27 Femoral Sonoanatomy Iliacus N FI FA FL Mariano ER, et al. JUM 2009;28:1453 Transverse Short-Axis View
28 Adductor Canal Anatomy Position: supine with thigh externally rotated and knee slightly flexed Subsartorial tunnel begins distal to the apex of the femoral triangle Saphenous nerve runs with superficial femoral artery Horn JL, et al. RAPM 2009;34:486 Manickam B, et al. RAPM 2009;34:578
29 Adductor Canal Ultrasound Transducer placed along medial aspect of thigh distal to inguinal crease Short-axis view Landmarks Sartorius (S) muscle Saphenous (N) Femoral artery (A) Sartorius N A Mariano ER, et al. JUM 2014;33:1653
30 Popliteal Fossa Block: How We Did It Insertion site: 8-10 cm cephalad to popliteal crease or at intertendinous junction 4 needle angled 45 cephalad Plantar flexion or inversion preferred Hadzic A, et al. A&A 2002;94:1321
31 Popliteal Anatomy Position: prone with knee slightly flexed Popliteal crease Biceps femoris laterally Semimembranosus and semitendinosus medially Intertendinous junction
32 Popliteal Sonoanatomy Transverse Short-Axis View BF N F Mariano ER, et al. RAPM 2009;34:480
33 Transversus Abdominis Plane Anatomy
34 TAP Sonoanatomy Transverse Short-Axis View EO IO TA
35 Summary We defined optimal ultrasound transducer position for cross-sectional imaging of nerves We applied surface anatomic landmark identification in ultrasound transducer application We identified sonoanatomy of common peripheral nerves and surrounding structures We discussed tips and tricks to improve ultrasound images and block techniques
Ultrasound Guided Lower Extremity Blocks
Ultrasound Guided Lower Extremity Blocks CONTENTS: 1. Femoral Nerve Block 2. Popliteal Nerve Block Updated December 2017 1 1. Femoral Nerve Block Indications Surgery involving the knee, anterior thigh,
USRA OF THE LOWER EXTREMITY
USRA OF THE LOWER EXTREMITY Christian R. Falyar, CRNA, DNAP Department of Nurse Anesthesia Virginia Commonwealth University Disclosure Statement of Financial Interest I, Christian Falyar, DO NOT have a
Lower Extremity Ultrasound-Guided Regional Anesthesia. Stephanie Duffy, CRNA Regional Anesthesia Faculty Acute Pain Service NMCSD
Lower Extremity Ultrasound-Guided Regional Anesthesia Stephanie Duffy, CRNA Regional Anesthesia Faculty Acute Pain Service NMCSD Objectives Review anatomy of lumbosacral plexus Lumbar plexus blocks Psoas
inerve Guide to Nerves 2009
inerve Guide to Nerves 2009 A guide to self learning and self assessment Context: The following guide is intended to help interpret the sono-anatomy and follow a systematic stepwise approach to the practice
Ultrasound Guided Regional Nerve Blocks
Ultrasound Guided Regional Nerve Blocks In the country of the blind the one eyed man is King -Deciderius Erasmus (1466-1536) Objectives Benefits of Regional Anesthesia Benefits of US guidance Role of ultrasound
Surgery Under Regional Anesthesia
Surgery Under Regional Anesthesia Jean Daniel Eloy, MD Assistant Professor Residency Program Director Rutgers-New Jersey Medical School Rutgers The State University of New Jersey Peripheral Nerve Block
Ultrasound-guided Sciatic Nerve Blocks: Higher and Popliteal Approaches
10.5005/jp-journals-10027-1026 K Kondov, S Fransis REVIEW ARTICLE Ultrasound-guided Sciatic Nerve Blocks: Higher and Popliteal Approaches K Kondov, S Fransis ABSTRACT Background and objective: In modern
Clinical Protocols of the Anesthesiology Department at the Dartmouth-Hitchcock Medical Center: Techniques for lower extremity nerve blocks.
Clinical Protocols of the Anesthesiology Department at the Dartmouth-Hitchcock Medical Center: Techniques for lower extremity nerve blocks. Authors from DHMC: Brian D. Sites, MD. Assistant Professor of
The thigh. Prof. Oluwadiya KS
The thigh Prof. Oluwadiya KS www.oluwadiya.com The Thigh: Boundaries The thigh is the region of the lower limb that is approximately between the hip and knee joints Anteriorly, it is separated from the
Sonoanatomy Of The Brachial Plexus With Single Broad Band-High Frequency (L17-5 Mhz) Linear Transducer
ISPUB.COM The Internet Journal of Anesthesiology Volume 11 Number 2 Sonoanatomy Of The Brachial Plexus With Single Broad Band-High Frequency (L17-5 Mhz) Linear A Thallaj Citation A Thallaj.. The Internet
Brachial plexus blockade within the interscalene groove involves local anesthetic
Interscalene Brachial Plexus Block- How I do it. Part 1 of a 2 part discussion on technique. Stuart Grant Professor of Anesthesiology Duke University Medical Center Durham NC Brachial plexus blockade within
TRAINING TOOLS THE MOST ADVANCED. ULTRASOUND
THE MOST ADVANCED ULTRASOUND TRAINING TOOLS Introducing NYSORA ULTRASOUND SIMULATORS Developed by opinion leaders and educators, NYSORA ULTRASOUND SIMULATORS are the most anatomically accurate, tissue-like
Disclaimer. Why Regional anesthesia? Peripheral Nerve Blocks: Upper/Lower Extremity & TAP BLOCKS
Peripheral Nerve Blocks: Upper/Lower Extremity & TAP BLOCKS Presented by: Nathan Merritt, MD Director of Regional Anesthesia and Acute Pain Parkhill Medical Center Fort Worth Co authored by: Mark Zimmerman,
FASCIAL PLANE BLOCKS TOM BARIBEAULT MSN, CRNA
FASCIAL PLANE BLOCKS TOM BARIBEAULT MSN, CRNA TECHNIQUES Abdominal Wall TAP Rectus Sheath Quadratus Lumborum Erector Spinae Chest PECS I & II Erector Spinae TECHNIQUES Knee Ipack/LIA Hip Fascia Iliaca
LOWER EXTREMITY VENOUS COMPRESSION ULTRASOUND. CPT Stacey Good, DO Emergency Medicine Ultrasound Fellow Madigan Army Medical Center
LOWER EXTREMITY VENOUS COMPRESSION ULTRASOUND CPT Stacey Good, DO Emergency Medicine Ultrasound Fellow Madigan Army Medical Center Learning Objectives Setup and patient positioning for optimizing success
Infraclavicular brachial plexus blocks aim at the
REGIONAL ANESTHESIA AND PAIN MEDICINE SECTION EDITOR DENISE J. WEDEL A Magnetic Resonance Imaging Study of Modifications to the Infraclavicular Brachial Plexus Block Øivind Klaastad, MD*, Finn G. Lilleås,
HUMAN BODY COURSE LOWER LIMB NERVES AND VESSELS
HUMAN BODY COURSE LOWER LIMB NERVES AND VESSELS October 22, 2010 D. LOWER LIMB MUSCLES 2. Lower limb compartments ANTERIOR THIGH COMPARTMENT General lfunction: Hip flexion, knee extension, other motions
Mohammad Ashraf. Abdulrahman Al-Hanbali. Ahmad Salman. 1 P a g e
- 7 Mohammad Ashraf Abdulrahman Al-Hanbali Ahmad Salman 1 P a g e Structures under the cover of Gluteus Maximus: 1-Bones: Ileum, Femur (Head, greater trochanter and gluteal tuberosity), Ischium (ischial
Candidate s instructions Look at this cross-section taken at the level of C5. Answer the following questions.
Section 1 Anatomy Chapter 1. Trachea 1 Candidate s instructions Look at this cross-section taken at the level of C5. Answer the following questions. Pretracheal fascia 1 2 5 3 4 Questions 1. Label the
Adductor canal (Subsartorial) or Hunter s canal
Adductor canal (Subsartorial) or Hunter s canal John Hunter described the exposure and ligation of the femoral artery in this canal for aneurysm of the popliteal artery; this method has the advantage that
Chapter 6 part 2. Skeletal Muscles of the Body
Chapter 6 part 2 Skeletal Muscles of the Body Basic Principles 600 + muscles in the human body (you are required to learn 45, lucky kids)! Skeletal Muscles pull on bones Origin of a muscle = point of attachment
The Muscular System PART C. PowerPoint Lecture Slide Presentation by Patty Bostwick-Taylor, Florence-Darlington Technical College
PowerPoint Lecture Slide Presentation by Patty Bostwick-Taylor, Florence-Darlington Technical College The Muscular System 6 PART C Five Golden Rules of Skeletal Muscle Activity Table 6.2 Muscles and Body
rotation of the hip Flexion of the knee Iliac fossa of iliac Lesser trochanter Femoral nerve Flexion of the thigh at the hip shaft of tibia
Anatomy of the lower limb Anterior & medial compartments of the thigh Dr. Hayder The fascia lata encloses the entire thigh like a sleeve/stocking. Three intramuscular fascial septa (lateral, medial, and
ANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 5- Intermediate cutaneous nerve of the thigh 1, 2 and 3 are
Interscalene brachial plexus blockade - indications, anatomy, practical performance
08RC2 Interscalene brachial plexus blockade - indications, anatomy, practical performance Urs Eichenberger Department of Anaesthesiology and Pain Therapy, University Hospital of Bern, Switzerland Saturday,
Leg. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Leg Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Skin of the Leg Cutaneous Nerves Medially: The saphenous nerve, a branch of the femoral nerve supplies the skin on the medial surface
ANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 5- Intermediate cutaneous nerve of the thigh 1, 2 and 3 are
Anterior and Medial compartments of the thigh. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Anterior and Medial compartments of the thigh Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Terms Related to Movements Movement Flexion Extension Abduction Adduction Medial (internal)
Troubleshooting Technique for Hemodialysis Catheter Insertion
Troubleshooting Technique for Hemodialysis Catheter Insertion Withoon Ungkitphaiboon Assistant Professor, Department of Surgery, Maha Chakri Sirindhorn Medical Center Srinakharinwirot University Present
REGIONAL ANESTHESIA RESIDENT HANDBOOK
REGIONAL ANESTHESIA RESIDENT HANDBOOK Stanford University Department of Anesthesia 2017-2018 Special thanks to previous fellow and attending who have contributed to this handbook: Meredith Kan, MD and
Human Anatomy Lab #7: Muscles of the Cadaver
Human Anatomy Lab #7: Muscles of the Cadaver Table of Contents: Expected Learning Outcomes.... 1 Introduction...... 1 Identifying Muscles on Yourself.... 2 Muscles of the Anterior Trunk and Arm.. 2 Muscles
The Lower Limb II. Anatomy RHS 241 Lecture 3 Dr. Einas Al-Eisa
The Lower Limb II Anatomy RHS 241 Lecture 3 Dr. Einas Al-Eisa Tibia The larger & medial bone of the leg Functions: Attachment of muscles Transfer of weight from femur to skeleton of the foot Articulations
Regional Anaesthesia
Regional Anaesthesia Lower limb anatomy and blocks Hip and Knee Joint Hip Joint: Nerve supply Lumbar plexus Femoral nerve through the nerve to the Rectus Femoris Ant division of the Obturator nerve The
Lecture 08 THIGH MUSCLES ANTERIOR COMPARTMENT. Dr Farooq Khan Aurakzai. Dated:
Lecture 08 THIGH MUSCLES ANTERIOR COMPARTMENT BY Dr Farooq Khan Aurakzai Dated: 11.02.2017 INTRODUCTION to the thigh Muscles. The musculature of the thigh can be split into three sections by intermuscular
Location Terms. Anterior and posterior. Proximal and Distal The term proximal (Latin proximus; nearest) describes where the appendage joins the body.
HUMAN ANAT OMY Location Terms Anterior and posterior In human anatomical usage, anterior refers to the front of the individual. Similarly, posterior refers to the back of the subject. In standard anatomical
Human Anatomy Biology 351
Human Anatomy Biology 351 Lower Limb Please place your name on the back of the last page of this exam. You must answer all questions on this exam. Because statistics demonstrate that, on average, between
1-Muscles: 2-Blood supply: Branches of the profunda femoris artery. 3-Nerve supply: Sciatic nerve
1-Muscles: B i c e p s f e m o r i s S e m i t e n d i n o s u s S e m i m e m b r a n o s u s a small part of the adductor magnus (h a m s t r i n g p a r t o r i s c h i a l p a r t ) 2-Blood supply:
Prime movers provide the major force for producing a specific movement Antagonists oppose or reverse a particular movement Synergists
Dr. Gary Mumaugh Prime movers provide the major force for producing a specific movement Antagonists oppose or reverse a particular movement Synergists Add force to a movement Reduce undesirable or unnecessary
Quillen College of Medicine
Ea s t T e n n e s s e e St a t e Un i v e r s i t y Quillen College of Medicine Failing to prepare is preparing to fail. John Wooden, UCL A Dr. Tom Kwasigroch Associate Dean Director, Medical Human Gross
USRA OF THE UPPER EXTREMITY
USRA OF THE UPPER EXTREMITY Christian R. Falyar, DNAP, CRNA Department of Nurse Anesthesia Virginia Commonwealth University Disclosure Statement of Financial Interest I, Christian Falyar, DO NOT have a
Posterior compartment of the thigh. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Posterior compartment of the thigh Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Posterior compartment of the thigh 1-Muscles: Biceps femoris Semitendinosus Semimembranosus Adductor magnus
TRAINING TOOLS THE MOST ADVANCED. ULTRASOUND
THE MOST ADVANCED ULTRASOUND TRAINING TOOLS Introducing NYSORA ULTRASOUND SIMULATORS -the most time efficient ultrasound TISSUE SIMULATORS on the market. Developed by opinion leaders and workshop instructors,
Muscular System. IB Sports, exercise and health science 1.2
Muscular System IB Sports, exercise and health science 1.2 Characteristics Common to Contractility-ability to shorten the muscles length Extensibility-ability to lengthen the muscles length Elasticity-muscle
Temporalis Elevates & retracts mandible. Masseter Elevates mandible. Sternocleidomastoid Neck flexion. Trapezius Elevates & depresses shoulders
Anterior Posterior Temporalis Elevates & retracts mandible Masseter Elevates mandible Sternocleidomastoid Neck flexion Trapezius Elevates & depresses shoulders Masseter Elevates mandible Temporalis Elevates
Cadaver Muscular System Practice Practical
Cadaver Muscular System Practice Practical Station 1 Station 1 1. Specific structure 1. Rectus sheath 2. Red line 2. Linea alba Station 2 Station 2 3. Red muscle 1. Rectus abdominis 4. Red muscle actions
Where should you palpate the pulse of different arteries in the lower limb?
Where should you palpate the pulse of different arteries in the lower limb? The femoral artery In the femoral triangle, its pulse is easily felt just inferior to the inguinal ligament midway between the
The Hip (Iliofemoral) Joint. Presented by: Rob, Rachel, Alina and Lisa
The Hip (Iliofemoral) Joint Presented by: Rob, Rachel, Alina and Lisa Surface Anatomy: Posterior Surface Anatomy: Anterior Bones: Os Coxae Consists of 3 Portions: Ilium Ischium Pubis Bones: Pubis Portion
Muscles of the lower extremities. Dr. Nabil khouri MD, MSc, Ph.D
Muscles of the lower extremities Dr. Nabil khouri MD, MSc, Ph.D Posterior leg Popliteal fossa Boundaries Biceps femoris (superior-lateral) Semitendinosis and semimembranosis (superior-medial) Gastrocnemius
musculoskeletal system anatomy nerves of the lower limb 1 done by: dina sawadha & mohammad abukabeer
musculoskeletal system anatomy nerves of the lower limb 1 done by: dina sawadha & mohammad abukabeer What is the importance of plexuses? plexuses provides us the advantage of a phenomenon called convergence
Year 2004 Paper one: Questions supplied by Megan
QUESTION 47 A 58yo man is noted to have a right foot drop three days following a right total hip replacement. On examination there is weakness of right ankle dorsiflexion and toe extension (grade 4/5).
Scapula Spine Lateral edge of clavicle. Medial border Scapula. Medial border of Scapula, between superior angle and root of spine. Scapula.
Muscle attachments and actions answer sheet Muscle Origins insertions Movements Joints crossed Trapezius Base of skull Spinous process of C7 Thoracic Spine Lateral edge of clavicle Elevation Retraction
Regional Anaesthesia
Regional Anaesthesia Basic Sciences Anaesthetic Course Dr Vassilis ATHANASSOGLOU FRCA Consultant Anaesthetist and Lecturer in Medicine Oxford University Hospitals NHS Trust, UK Geneva, 5th June 2017 Faculty
ANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 1, 2 and 3 are From the lumber plexus 5- Intermediate cutaneous
2º ESO - PE Workbook - IES Joan Miró Physical Education Department THE MUSCULAR SYSTEM
THE MUSCULAR SYSTEM The muscular system is one of 10 organ systems in the human body. The human body has more than 650 muscles, which make up half of a person's body weight. Without muscles, we would not
Ultrasound-guided supraclavicular block
THE JOURNAL OF NEW YORK SCHOOL J u l y 2009 V o l u m e OF REGIONAL ANESTHESIA 1 3 Ultrasound-guided supraclavicular block Arthur Atchabahian, MD Department of Anesthesiology, St. Vincent Medical Center,
Misc Anatomy. Upper Limb! 2. Lower Limb! 5. Venous Drainage! Head & neck! 8
Misc Anatomy Upper Limb! 2 Arteries!... 2 Veins!... 2 Spaces!... 4 Lower Limb! 5 Arteries!... 5 Venous Drainage!... 6 Spaces!... 7 Head & neck! 8 Artery!... 8 Ultrasound View for IJ CVL!... 8 Arteries
Contents of the Posterior Fascial Compartment of the Thigh
Contents of the Posterior Fascial Compartment of the Thigh 1-Muscles: B i c e p s f e m o r i s S e m i t e n d i n o s u s S e m i m e m b r a n o s u s a small part of the adductor magnus (h a m s t
Femoral Triangle and Adductor Canal. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Femoral Triangle and Adductor Canal Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Femoral Triangle and Adductor Canal Femoral triangle Is a triangular depressed area located in the upper
Background & Indications Probe Selection
Teresa S. Wu, MD, FACEP Director, EM Ultrasound Program & Fellowship Co-Director, Simulation Based Training Program & Fellowship Associate Program Director, EM Residency Program Maricopa Medical Center
The Arm and Cubital Fossa
The Arm and Cubital Fossa Dr. Andrew Gallagher School of Anatomical Sciences University of the Witwatersrand Introduction The ARM (BRACHIUM) is the most proximal segment of the upper limb musculoskeletal
lower limb Anterior Compartment: lecture 3 The deep fascia ( fascia lata) divides the thigh into 3 compartments:
lower limb lecture 3 The deep fascia ( fascia lata) divides the thigh into 3 compartments: 1. Anterior Extensor compartment 2. Medial Adductor compartment 3. Posterior Flexor compartment Anterior Compartment:
Chiropractic Technician Class
Chiropractic Technician Class Presentation By: Dr. Kay Miller. The Role of Exercise as it Relates to Our Musculoskeletal System Introduction to the topic and Preliminary Physical exam Musculoskeletal anatomy:
MUSCULOSKELETAL LOWER LIMB
MUSCULOSKELETAL LOWER LIMB Spinal Cord Lumbar and Sacral Regions Spinal cord Dorsal root ganglion Conus medullaris Cauda equina Dorsal root ganglion of the fifth lumbar nerve End of subarachnoid space
DISSECTION SCHEDULE. Session I - Hip (Front) & Thigh (Superficial)
DISSECTION SCHEDULE Session I - Hip (Front) & Thigh (Superficial) Surface anatomy Inguinal region Gluteal region Thigh Leg Foot bones Hip bone Femur Superficial fascia Great saphenous vein Superficial
The pectoral region. University of Babylon College of Medicine Dr.HaythemAli Alsayigh M.B.CH.B.-F.I.M.B.S. Surgical Clinical Anatomy
The pectoral region University of Babylon College of Medicine Dr.HaythemAli Alsayigh M.B.CH.B.-F.I.M.B.S. Surgical Clinical Anatomy Objective Study the Bones and Joints A. Clavicle (collarbone) B. Scapula
Identify the muscles associated with the medial compartment of the thigh. Identify the attachment points of the medial thigh muscles.
L 8 A B O R A T O R Y Thigh MEDIAL THIGH Identify the muscles associated with the medial compartment of the thigh. Identify the attachment points of the medial thigh muscles. Identify the actions of these
The Upper Limb III. The Brachial Plexus. Anatomy RHS 241 Lecture 12 Dr. Einas Al-Eisa
The Upper Limb III The Brachial Plexus Anatomy RHS 241 Lecture 12 Dr. Einas Al-Eisa Brachial plexus Network of nerves supplying the upper limb Compression of the plexus results in motor & sensory changes
Anatomy of the Shoulder Girdle. Prof Oluwadiya Kehinde FMCS (Orthop)
Anatomy of the Shoulder Girdle Prof Oluwadiya Kehinde FMCS (Orthop) www.oluwadiya.com Bony Anatomy Shoulder Complex: Sternum(manubrium) Clavicle Scapula Proximal humerus Manubrium Sterni Upper part of
Human Anatomy Biology 351
Human Anatomy Biology 351 Lower Limb Please place your name on the back of the last page of this exam. You must answer all questions on this exam. Because statistics demonstrate that, on average, between
OSCE Regional Ultrasound Review
OSCE Reginal Ultrasund Review Nick Schiavni, MD Olivia Rman, MD Department f Anesthesilgy University f Clrad Denver Each OSCE scenari will address ne f the fllwing skills: Cmmunicatins and Prfessinalism
Regional Blocks a practical guide:
Regional Blocks a practical guide: Author Fleur Roberts email: fleur_roberts@hotmail.com Please use this guide in conjunction with the previous tutorial (16/01/06) which describes the rules for performing
CHAPTER 8: THE BIOMECHANICS OF THE HUMAN LOWER EXTREMITY
CHAPTER 8: THE BIOMECHANICS OF THE HUMAN LOWER EXTREMITY _ 1. The hip joint is the articulation between the and the. A. femur, acetabulum B. femur, spine C. femur, tibia _ 2. Which of the following is
Lower Limb Nerves. Clinical Anatomy
Lower Limb Nerves Clinical Anatomy Lumbar Plexus Ventral rami L1 L4 Supplies: Abdominal wall External genitalia Anteromedial thigh Major nerves.. Lumbar Plexus Nerves relation to psoas m. : Obturator n.
Ultrasound Use in Anaesthesia
Trainee Name: 1 Ultrasound Use in Anaesthesia Assessments to accompany Workbook for anaesthetic trainees in North Queensland 2010 Authors: Mark Fairley, Emile Kurukchi, Andrew Potter 2 Trainee Name: Ultrasound
Main Menu. Joint and Pelvic Girdle click here. The Power is in Your Hands
1 Hip Joint and Pelvic Girdle click here Main Menu K.6 http://www.handsonlineeducation.com/classes//k6entry.htm[3/23/18, 2:01:12 PM] Hip Joint (acetabular femoral) Relatively stable due to : Bony architecture
Human Anatomy and Physiology I Laboratory
Human Anatomy and Physiology I Laboratory Gross Anatomy of the Muscular System (Two weeks) 1 This lab involves study of the laboratory exercise Gross Anatomy of the Muscular System. Complete the Review
Anatomy and principles of the fascia iliaca block
Anatomy and principles of the fascia iliaca block Dr Ganesh Kumar 23 rd November 2016 Courtesy Dr Fred Sage Objectives Why do peripheral nerves blocks work? Why choose FIB over FNB? How does it work? How
Muscle Testing of Knee Extensors. Yasser Moh. Aneis, PhD, MSc., PT. Lecturer of Physical Therapy Basic Sciences Department
Muscle Testing of Knee Extensors Yasser Moh. Aneis, PhD, MSc., PT. Lecturer of Physical Therapy Basic Sciences Department Muscle Testing of Knee Extensors othe Primary muscle Quadriceps Femoris -Rectus
Anatomy MCQs Week 13
Anatomy MCQs Week 13 1. Posterior to the medial malleolus of the ankle: The neurovascular bundle lies between Tibialis Posterior and Flexor Digitorum Longus The tendon of Tibialis Posterior inserts into
BLUE SKY SCHOOL OF PROFESSIONAL MASSAGE AND THERAPEUTIC BODYWORK. Musculoskeletal Anatomy & Kinesiology MUSCLES, MOVEMENTS & BIOMECHANICS
BLUE SKY SCHOOL OF PROFESSIONAL MASSAGE AND THERAPEUTIC BODYWORK Musculoskeletal Anatomy & Kinesiology MUSCLES, MOVEMENTS & BIOMECHANICS MSAK101-I Session 7 Learning Objectives: 1. List the three types
Baraa Ayed حسام أبو عوض. Ahmad Salman. 1 P a g e
4 Baraa Ayed حسام أبو عوض Ahmad Salman 1 P a g e Today we are going to cover these concepts: Iliotibial tract Anterior compartment of the thigh and the hip Medial compartment of the thigh Femoral triangle
Applications of. Kavita S Lalchandani. Associate Professor Department of Anesthesiology SSG Hospital and Medical College Vadodara, Gujarat, India
Applications of Ultrasound in Anesthesia A Handbook Kavita S Lalchandani MD DA (Anesthesiology) Fellow in Emergency Medicine Associate Professor Department of Anesthesiology SSG Hospital and Medical College
The psoas minor is medial to the psoas major. The iliacus is a fan-shaped muscle that when contracted helps bring the swinging leg forward in walking
1 p.177 2 3 The psoas minor is medial to the psoas major. The iliacus is a fan-shaped muscle that when contracted helps bring the swinging leg forward in walking and running. The iliopsoas and adductor
musculoskeletal system anatomy nerves of the lower limb 2 done by: Dina sawadha & mohammad abukabeer
musculoskeletal system anatomy nerves of the lower limb 2 done by: Dina sawadha & mohammad abukabeer #Sacral plexus : emerges from the ventral rami of the spinal segments L4 - S4 and provides motor and
Lectures of Human Anatomy
Lectures of Human Anatomy Lower Limb Gluteal Region and Hip Joint By DR. ABDEL-MONEM AWAD HEGAZY M.B. with honor 1983, Dipl."Gynecology and Obstetrics "1989, Master "Anatomy and Embryology" 1994, M.D.
Bio 113 Anatomy and Physiology The Muscles. Muscles of the Head and Neck. Masseter. Orbicularis occuli. Orbicularis oris. Sternocleidomastoid
Bio 113 Anatomy and Physiology The Muscles Muscles of the Head and Neck Masseter Orbicularis occuli Orbicularis oris Sternocleidomastoid Temporalis BIO 113 Fall 2011 Muscles Page 1 of 5 Muscles of the
The Knee. Clarification of Terms. Osteology of the Knee 7/28/2013. The knee consists of: The tibiofemoral joint Patellofemoral joint
The Knee Clarification of Terms The knee consists of: The tibiofemoral joint Patellofemoral joint Mansfield, p273 Osteology of the Knee Distal Femur Proximal tibia and fibula Patella 1 Osteology of the
Muscles of the Thigh. 6.1 Identify, describe the attachments of and deduce the actions of the muscles of the thigh: Anterior group
Muscles of the Thigh 6.1 Identify, describe the attachments of and deduce the actions of the muscles of the thigh: Anterior group Sartorius: This is a long strap like muscle with flattened tendons at each
Lab Exercise 8. BIOPAC Exercise. Muscle Tissue. Muscles. What you need to be able to do on the exam after completing this lab exercise:
Lab Exercise 8 BIOPAC Exercise Muscle Tissue Muscles Textbook Reference: See Chapters 9 & 10 What you need to be able to do on the exam after completing this lab exercise: Be able to answer questions covering
Magnetic Resonance Imaging Demonstrates Lack of Precision in Needle Placement by the Infraclavicular Brachial Plexus Block Described by Raj Et Al.
Magnetic Resonance Imaging Demonstrates Lack of Precision in Needle Placement by the Infraclavicular Brachial Plexus Block Described by Raj Et Al. Øivind Klaastad, MD*, Finn G. Lilleås, MD, Jan S. Røtnes,
The Shoulder. Systematically scanning the shoulder provides extremely useful diagnostic information. The Shoulder
1 ! The most ACCESSIBLE to sonographic exam! The most MOBILE and VULNERABLE extremity AND Systematically scanning the shoulder provides extremely useful diagnostic information! The Goal for this section
Peripheral Nervous System: Lower Body
Peripheral Nervous System: Lower Body MSTN121 - Neurophysiology Session 11 Department of Myotherapy Lumbar Plexus Iliohypogastric nerve (T12-L1) Motor: Transverse abdominis and internal obliques Sensory:
*the Arm* -the arm extends from the shoulder joint (proximal), to the elbow joint (distal) - it has one bone ; the humerus which is a long bone
*the Arm* -the arm extends from the shoulder joint (proximal), to the elbow joint (distal) - it has one bone ; the humerus which is a long bone - muscles in the arm : *brachialis muscle *Biceps brachii
Basics of US Regional Anaesthesia. November 2008
Basics of US Regional Anaesthesia November 2008 Essential Physics HIGH frequency = great resolution but poor penetration LOW frequency = poor resolution but great penetration Potential Advantages of US
Musculoskeletal Ultrasound. Technical Guidelines SHOULDER
Musculoskeletal Ultrasound Technical Guidelines SHOULDER 1 Although patient s positioning for shoulder US varies widely across different Countries and Institutions reflecting multifaceted opinions and
5.1 Identify, describe the attachments of and deduce the actions of the muscles of the thigh:
5.1 Identify, describe the attachments of and deduce the actions of the muscles of the thigh: Anterior group Proximal attachment Distal attachment Sartorius ASIS» Upper part of shaft tibia (middle surface)»
The Elbow 3/5/2015. The Elbow Scanning Sequence. * Anterior Joint (The anterior Pyramid ) * Lateral Epicondyle * Medial Epicondyle * Posterior Joint
Scanning Sequence * Anterior Joint (The anterior Pyramid ) * Lateral Epicondyle * Medial Epicondyle * Posterior Joint Anterior Elbow Pyramid Courtesy of Jay Smith, MD. Vice chair PMR Mayo Clinic Rochester,
Needle visualization with ZONARE ultrasound systems
Needle visualization with ZONARE ultrasound systems This material provides a general overview of ultrasound guided needle imaging and techniques and is not intended to replace formal training or education
Gluteal region DR. GITANJALI KHORWAL
Gluteal region DR. GITANJALI KHORWAL Gluteal region The transitional area between the trunk and the lower extremity. The gluteal region includes the rounded, posterior buttocks and the laterally placed