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The angle of convergence of the femora is a major factor in determining the femoral-tibial angle. In human females the femora converge more than in males because the pelvic bone is wider in females. In the condition genu valgum the femurs converge so much that the knees touch one another. The opposite extreme is genu varum (bow-leggedness)
Bone malrotation refers to the situation that results when a bone heals out of rotational alignment from another bone, or part of bone. It often occurs as the result of a surgical complication after a fracture where intramedullary nailing (IMN) occurs, [1] especially in the femur and tibial bones, but can also occur genetically at birth.
The tibial tuberosity thus forms the terminal part of the large structure that acts as a lever to extend the knee-joint and prevents the knee from collapsing when the foot strikes the ground. [1] The two ligaments, the patella, and the tibial tuberosity are all superficial, easily palpable structures. [2]
Evaluation of passive and active range of motion: Neck range of motion should be assessed that may reveal a neck source of shoulder pain. The Apley scratch test specifically tests range of motion and in a normal exam, an individual should be able to reach C7 on external rotation, and T7 on internal rotation. Evaluation of distal pulses
The derived measures include the (mid-)upper arm muscle area ((M)UAMA), the (mid-)upper arm fat area ((M)UAFA), and the arm fat index. Although they are not directly convertible into measures of overall body fat weight and density, and research has questioned the connection between skinfold fat and deep body fat measurements, these measures are ...
On X-rays, there is generally measurement of both the femur and the tibia, as well as both combined. [4] Various measuring points for these have been suggested, but a functional method is to measure the distances between joint surfaces: [4] Femur length: The superior aspect of the femoral head and the distal portion of the medial femoral condyle.
Medial and lateral rotation of the shoulder (also known as internal and external rotation). Medial rotation is carried out by the anterior fibres of the deltoid, teres major, subscapularis, pectoralis major and the latissimus dorsi. Lateral rotation is carried out by the posterior fibres of the deltoid, infraspinatus and the teres minor.
The knee is allowed to sag into complete extension. The opposite hand grasps the lateral portion of the leg at the level of the superior tibiofibular joint, increasing the force of internal rotation. While maintaining internal rotation, a valgus force is applied to the knee while it is slowly flexed. If the tibia's position on the femur reduces ...