Hip 2 Flashcards
Conjoined Hamstrins vs Semimembranosus what is different
common function of medial ration of flexed knee but not share a common attachement
What muscles form the conjoined hamstring and what is their function
Semiten and Becips fem hip extender and knee flex
Where do you place the probe to view the conjoined hamstring?
LAX inferior and medial
Where do you place the probe to image the semimembranosus
LAX superior and lateral
Image of semimembranosus
moving probe inferior translation for Ischial attachment
Image of prosthetic hip
Note effusion
Image of femoral nerve sonograph
Not nerve to FA
What is the average value of the femoral nerve?
9.8 mm medi lateral diameter and cross section 21.7 mm
The LCFM is visualized between 2 hyperechoic fascial layers
Fascia lata superficial sheath of thigh and fascia liaca covering iliacus and psoas
LFCN will require what for a nerve injection
proximity to the ASIS and medial to lateral in plane apporach
What is a normal alpha angle for a pediatric patient?
Greater than 60 degrees
What is a normal Beta angle for a pediatric patient?
Less than 77 deg
Name the four DDH hip classifications
Equate the alpha angle to all the categories
What is the stability of a pediatric hip on stress views?
Based on height of femoral head above ishium and femoral metaphysis
What is the difference between pediatric hip toxic synovitis and septic arthritis?
toxic causes are viral allergic and trauma
Image of Ped Hip effusion
Note hip effusion
How is a hernia defined?
A protrusion of an organ or tissue outside its normal compartment
Name the 3 quadrants for the orientation of a hernia
right and left inginal
Where are the various points of weakness for a hernia
4 sites of weakness
What is a landmark for hernia classification and where is it located
Inferior epigastric artery a landmark for hernia classification
What is an indirect inguinal hernia
from deep inguinal ring
How do I define a direct inguinal hernia?
Males 10x greater defect in posterior abdominal wall
How would I define a Spigelian Hernia?
Rare and no sub Q swelling or bulge
How can you identify the Spigelian hernia or lateral ventral hernia?
Doing the valsalva manuver
Describe a femoral hernia
Orginates through the femoral canal and located distal to inguinal ligment
Describe a epigastric hernia
defect in the linia alba and is herniated peritoneal fat
Describe a Hiatal Hernia
Stomach is herniating or bulging through the hiatus or opening of the diaphragm
Describe an umbilical hernia
Usually closes first year and painless
Describe an incisional hernia
post surgical weakness of abdominal wall
