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Psoas abscess is a collection of pus in the iliopsoas muscle compartment. [ 1 ] [ 2 ] It can be classified into primary psoas abscess (caused by hematogenous or lymphatic spread of a pathogen ) and secondary psoas abscess (resulting from contiguous spread from an adjacent infectious focus).
The psoas sign, also known as Cope's sign (or Cope's psoas test [1]) or Obraztsova's sign, [2] is a medical sign that indicates irritation to the iliopsoas group of hip flexors in the abdomen, and consequently indicates that the inflamed appendix is retrocaecal in orientation (as the iliopsoas muscle is retroperitoneal).
Sometimes, with a very flexible patient, the Thomas test will be normal despite a psoas dysfunction being present. However, in the patient with a normal hip joint, a positive test is a good indicator of psoas hypertonicity. [2] Other signs from the Thomas test: opposite/ contralateral hip flexes without knee extension- tight iliopsoas
The iliopsoas is the prime mover of hip flexion, and is the strongest of the hip flexors (others are rectus femoris, sartorius, and tensor fasciae latae). [3] The iliopsoas is important for standing, walking, and running. [2] The iliacus and psoas major perform different actions when postural changes occur.
The obturator sign, also called Cope's obturator test, is an indicator of irritation to the obturator internus muscle. [1]The technique for detecting the obturator sign, called the obturator test, is carried out on each leg in succession.
The nerve of the anterior compartment of thigh is the femoral nerve. [2] Innervation for the quadriceps muscles come from the posterior division of the femoral nerve, while the anterior division (which contains cutaneous as well as muscular components) gives a lateral and a medial branch, the second being responsible for the innervation of the sartorius muscle. [4]
The battle and rivalry between the Cowboys and Eagles added another chapter after LB Shaquille Leonard chose Philadelphia over Dallas in a battle for the free agent for the post season.
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