Skeletal System. Bones & Joints

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Transcription:

Skeletal System Bones & Joints

Vertebral Column Upper Limb Lower Limb OUTLINE Clinical Related Features Arrangements Features of the Joints

Vertebral Column (Overview) Costal Element Regional Features

Uncovertebral Joint Cervical Spine Sections of Uncovertebral Joint Connections

Lumbar Spine Scotty Dog Scotty Dog Fracture/Sign Lumbar Spine

Connections of Vertebral Column Herniation of Nucleus Pulposus Anulus Fibrosus & Nucleus Pulposus Ligaments & Intervertebral Disc

Atlanto-occipital Joints (Condyloid Joint) Overview Craniovertebral Joints Median Atlanto-axial Joint (Pivot Joint) Lateral Atlanto-axial Joints atlanto-occipital joints median atlanto-axial joint lateral atlanto-axial joints Movements

anterior longitudinal ligament anterior atlanto-occipital membrane & anterior atlanto-axial membrane Craniocervical Ligaments posterior longitudinal ligament tectorial membrane ligamentum flavum posterior atlanto-occipital membrane & posterior atlanto-axial membrane Tectorial Membrane Apical Ligament Alar Ligament

Superficial Muscles Back Muscles Thoracolumbar Fascia Abdominal Flat Muscles

Deep Back Muscles intermediate intrinsic mm. deep intrinsic mm.

Subclaviain Artery Neurovasculatures Brachial ofplexus Anterior & Posterior Arm Dorsal Scapular Arterial Network Fractures of Humerus & Related Neurovasculatures Upper Limb Overview (Shoulder & Arm)

Intermuscular Septum

Coracoacromial Ligament & Coracoacromial Arch Sup. transverse Scapular Lig. & Scapular Notch Acromioclavicular Joint Acromioclavicular Lig. Coracoclavicular Acromioclavicular Lig. Coracoclavicular Lig. Injuries of Acromioclavicular Joint

Musculotendinous /Rotator Cuff Rotator Cuff Tendon Tear Extensive Rupture of Left Cuff Normal Structures Test of Partial Tear of Cuff Patrick Omoumi, et al. Radiology, 2012 (264-3)

SGHL: superior glenohumeral ligament; BT: biceps tendon; CHL: coracohumeral ligament; MCHL: medial coracohumeral ligament; LCHL: lateral coracohumeral ligament; RIC: rotator interval capsule. David Y. Ding, et al. J Bone Joint Surg Am. 2014;96:e176(1-11) Popeye Sign Biceps Brachii

Biceps Brachii Tendon (Long Head) Capsular Ligament coracohumeral ligament glenohumeral ligament - superior, middle & inferior parts Shoulder Injection Shoulder/ Glenohumeral Joint

Shoulder Arthroscopy Images Reference Webpage: http://eorif.com/shoulder-arthroscopy-images

Hueter Line & Triangle Elbow Joint 1 capsule for 3 joints Capsular Ligaments radial collateral lig. ulnar collateral lig. anular lig. of radius

Elbow Injection Dislocation of Radal Head

Fracture of Unla Radialis M. Group Bones & Muscles Forearm & Hand

Wrist Joint TFCC Injury Note: nutrient arteries only enters the distal half of scaphoid Fracture of Scaphoid TFCC

lateral intermuscular septum - attaches to the iliotibial tract posteromedial intermuscular septum - sciatic nerve inside Arteries of the Thigh Arrangement of Lower Limb Thigh Leg

Surgical Approaches

Hip Bone Bony Structures Femur Leg Bones

Arteriral Supply Network to Femoral Head Synovial Cavity Hip Joint Hip Injection

Fibrous Capsule & Capsular Ligament Fibrous Capsule Intracapsular & Extracapsular Fracture

Capsule & Ligaments Synovial Capsule & Suprapatellar Bursa Knee Joint Menisci Alar Fold & Infrapatellar Fold

Meniscal Tears Suprapatellar Bursa Centesis & Knee Injection

Pes Anserinus & Anserine Bursa Synovial Bursae around the Knee

Arthroscope Structures inside Fibrous Capsule

articular branches of popliteal a. genicular branches of femoral a. recurrent branches of ant. tibial a. recurrent branches of circumflex fibular a. descending branch of lateral circumflex femoral a. Periarticular Genicular Anastomosis - medial sup. genicular a. - lateral sup. genicular a. - middle genicular a. - medial inf. genicular a. - lateral inf. genicular a. Zoran Blagojević, et al. International Orthopaedics (SICOT) (2015) 39:2109 2115

Articulation Ankle Joint Ligaments Arterial Inferior Anaostomoses Tibiofibular Joint & & Malleolar Ankle Canal Joint Arterial Network

Accessory Soleus Muscle Rupture of Achilles Tendon usually rupture appears of the as a distal calcaneal belly tendon medial is to the calcaneal often sustained tendon. by clinically, poorly conditioned an ccessory soleus people may with be a associated history of calcaneal with pain & edema tendinitis. during prolonged exercise.

Fractures of Talar Neck Ankle Fracture (Lauge-Hansen) Hallucis Nerve Block Anterolater Apporach to Ankle

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