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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 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)
External rotation (or extorsion or lateral rotation) is an anatomical term of motion referring to rotation away from the center of the body. The external rotator muscles include: Muscles
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
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. Circumduction of the shoulder (a combination of flexion/extension and abduction/adduction).
The muscles of internal rotation include: of arm/humerus at shoulder. Anterior part of the deltoid muscle [1] Subscapularis [1] Teres major [1] Latissimus dorsi [1] Pectoralis major [1] of thigh/femur at hip [2] Tensor fasciae latae; Gluteus generalis; Anterior fibers of Gluteus meralis; Adductor longus and Adductor brevis; of leg at knee [3 ...
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.
Shoulder anatomy, front view Shoulder anatomy, back view The rotator cuff is an anatomical term given to the group of four muscles and their tendons that act to stabilize the shoulder. [ 3 ] These muscles are the supraspinatus , infraspinatus , teres minor and subscapularis and that hold the head of the humerus in the glenoid cavity during ...