Informed the patient is a non-occupational issue and not an occupational issue; follow up with PCP, TM verbalized the understanding. O: inspection of right wrist, noted ganglion cyst, increased pain with extension of the right wrist, full ROM, Radial and ulnar pulses 3+. A: Right Wrist Ganglion Cyst P: Follow up with PCP Disposition: Full Duty
The goal of fracture treatment is to obtain union of the fracture in the most compatible anatomical position which allows maximal and full restoration of the extremity. Distal tibia fractures are primarily located within a square based on the width of the distal tibia1.On the basis of the fracture location in the bone, distal tibia fractures have the second highest incidence of all tibia fractures after the middle fracture of tibia2. The management of these fractures is often more complex than the diaphyseal fractures because of its unique anatomical characteristics of subcutaneous location with precarious blood supply and proximity to the ankle joint, leading to the potential for postoperative complications and poor outcome3. Considering its anatomy, it is
Acupuncture: The practice is the insertion of fine needles into acupuncture points (a.k.a. acupoints) just beneath the body surface. Needles varies in length between 13 to 130 mm (0.51 to 5.12 in), shorter needles for face and eyes, and longer needles for more fleshy areas; the diameters vary from 0.16 mm (0.006 in) to 0.46 mm (0.018 in), thicker needles for more robust patients. Acupuncture points are very precise locations and lie on channels of energy. The practice of acupuncture is based on the fact that the stimulation of specific areas on the skin affects the function of certain organs of the body and that health results from a balanced flow of Qi (a.k.a.
The periosteum consists of an outer fibroblast layer and an inner osteogenetic layer (cambium layer). There are blood and lymph vessels and nerves in the periosteum and it plays a critical role in bone healing. In children, periosteum has greater osteogenic potential than in adults (), which allows children’s fractures to be treated more conservatively than adults’ fractures (). In children, the periosteum separates from the bone more easily than in adults (). The periosteum initiates fracture healing, producing new bone rapidly.
If a treatment is working correctly, then the quality of life of a patient should increase (Ratchford et al., 122). The study conducted by Manigandan et al (2014) describes how patients who underwent electrical stimulation on their shoulder reported a sense of well-being after the muscle contraction and movement of the arm. One scientific test used to diagnose quality of life is the SF-36 test. After undergoing functional electrical stimulation, Ratchford et al (2010) conducted the SF-36 test on patients. The physical health score improved by 20%, the mental health sub score improved by 12%, and the overall SF-36 score improved by 13%” (Ratchford et al., 124).
Anatomically, the patella is of a disproportionate oval-shaped sesamoid bone which articulates with the femoral sulcus. Its proximal attachment is the quadriceps tendon which envelopes the structure and distally at the apex, the patellar tendon attaches. Both the tendons are functional as to stabilise the patella bone in the knee joint during movements or even when the joint is static. Also, the patellar retinacula are attached to both the medial and lateral sides of the patella. When the tendon is overused chronically without given adequate time to heal, tendinosis known as Jumper’s Knee can occur in response to the damage.
The hip is a true ball and socket joint and the arrangement gives the hip the large amount of motion needed for daily activities like walking, squatting and stair climbing. The bones that form the hips are the femur or far bone and pelvis. The top of the femur shape like a ball called femoral head that fits into a round socket on the side of the pelvis. This socket is named as acetabulum. The femoral head is attached to the rest of the femur by a short section of a bone called femoral neck.
The menisci improve congruency between the femoral and condyles of tibia during this movement.27 Figure 8: Articular surfaces of knee joint (A- In extension, B- In flexion). EXTRACAPSULAR LIGAMENTS The ligamentum patellae is attached to the lower border of the patella superiorly and to the tibia tuberosity inferiorly. It is continuation of the central portion of the quadriceps femoris tendon.28 The cordlike lateral collateral ligament is attached superiorly to the lateral condyle of the femur and inferiorly to the head of the fibula.
Collagen makes up 70% of the weight of the dermis, primarily Type I (85% of the total collagen) and Type III (15% of the total collagen). Elastic fibers constitute less than 1% of the weight of the dermis, but they play an tremendous functional role by resist deformational forces and returning the skin to its resting stage. Dermoepidermal Junction The dermoepidermal
Unfortunately, I have experienced the most common form of back pain, sciatic nerve pain. OUCH! The sciatic nerve is the longest nerve in the body (1) and is comprised of two nerves, “tibial and common fibular—bound together by a common sheath of connective tissue. It splits into its two divisions, usually at the knee. Injury to the sciatic nerve results in sciatica, pain that may extend from the buttock down the posterior and lateral aspect of the leg and the lateral aspect of the foot” (1).
Prolidase enzyme activity is required for collagen biosynthesis. Collagen is key for the support of connective tissue. This study called attention to the part of serum prolidase action and its relationship with oxidative-antioxidant status in patients with clubfoot. Collection of blood samples, oxidative stress index, and statistical analysis along with the measurements of serum prolidase activity, total free sulfhydryl groups, total antioxidant capacity and
Genu Recurvatum can happen in many ways, the most common being genetic (Speck, 2014). There are three types of genu recurvatum; internal rotary deformity recurvatum, external rotary deformity recurvatum, and non-rotatory deformity recurvatum. Each type could lead
Synergist muscles also help to create the movement. In the bicep curl the synergist muscles are the brachioradialis and brachialis which assist the biceps to create the movement and stabilise the elbow joint Type of contraction Concentric Contraction From the Sport and PE book by Kevin Wesson, Nesta Wiggins-James, Graham Thompson and Sue Hartigan I have gained some extra information on concentric contraction. Within the book it explains that this type of contraction involves the muscle shortening while contracting.
An articulation is the weakest point on the skeleton however the structure is capable of resisting strong forces that may threaten its normal alignment . A normal structure of a joint includes a coated layer of tough, slippery tissue that coats the ends of each bone known as an articular cartilage. A cartilage acts as a shock absorber and keeps the end of the bones from being crushed. For instance the knee, also known as the biggest and most complex joint in our body has an extra cartilage known as a semi-circular cartilages, these cartilages or menisci helps with the prevention of the femur to rock side to side on the tibia as well as acting as a shock absorber .