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Alan Graham Apley FRCS (10 November 1914, London – 20 December 1996) was a British orthopaedic surgeon and educator known for his textbook, Apley's System of Orthopaedics and Fractures, and for the Apley grind test in meniscal injury.
The carpometacarpal (CMC) joints are five joints in the wrist that articulate the distal row of carpal bones and the proximal bases of the five metacarpal bones.. The CMC joint of the thumb or the first CMC joint, also known as the trapeziometacarpal (TMC) joint, differs significantly from the other four CMC joints and is therefore described separately.
The CMC joint of the thumb allows a wide range of motion while maintaining stability for grasp and pinch. [ citation needed ] With this in mind, failure to properly recognize and treat the Bennett fracture will not only result in an unstable, painful, arthritic CMC joint with diminished range of motion: it will also result in a hand with ...
Trapeziometacarpal osteoarthritis (TMC OA) is, also known as osteoarthritis at the base of the thumb, thumb carpometacarpal osteoarthritis, basilar (or basal) joint arthritis, or as rhizarthrosis. [ 3 ] [ 1 ] [ 2 ] This joint is formed by the trapezium bone of the wrist and the metacarpal bone of the thumb.
In order to perform the test, the patient lies prone (face-down) on an examination table and flexes their knee to a ninety degree angle. The examiner then places his or her own knee across the posterior aspect of the patient's thigh. The tibia is then compressed onto the knee joint while being externally rotated. If this maneuver produces pain ...
Determining the fineness of a paint's grind is important, because too coarse a grind may reduce the paint's color uniformity, gloss, and opacity. [7] The Hegman gauge is widely used for this purpose because it requires minimal skill and only a few seconds' work.
The first CMM was developed by the Ferranti Company of Scotland in the 1950s [1] as the result of a direct need to measure precision components in their military products, although this machine only had 2 axes. The first 3-axis models began appearing in the 1960s (made by DEA of Italy and LK of the UK), and computer control debuted in the early ...
Those with meniscal injuries may report symptoms such as clicking, catching, or locking of knees. Apart from joint line tenderness, there are three other methods of accessing meniscus tear: the McMurray test, the Thessaly test, and the Apley grind test. In McMurray test, the person should lie down in supine position with the knee should in 90 ...