Ebook Textbook of orthopedics (4/E): Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Textbook of orthopedics (4/E): Part 2
Ebook Textbook of orthopedics (4/E): Part 2
Regional Conditions of the Neck•Torticollis (Wryneck)•Thoracic outlet syndrome•Cervical rib•Cervical disk syndromesRegional orthopedics deals with a v Ebook Textbook of orthopedics (4/E): Part 2vast array of interesting orthopedic problems Each region has its own peculiar problems depending on various factors like anatomical, physiological, occupational and others operating in that region. -An effort is made in this section to highlight the various regional orthopedic problems. However, a Ebook Textbook of orthopedics (4/E): Part 2detailed description of the regional disorders is avoided as it is outside the scope of this book. The student is requested to refer bigger books in oEbook Textbook of orthopedics (4/E): Part 2
rthopedics in case he or she desires a detailed study of the regional problems.TORTICOLLIS (WRYNECK)Torticollis is defined as the rotational deformityRegional Conditions of the Neck•Torticollis (Wryneck)•Thoracic outlet syndrome•Cervical rib•Cervical disk syndromesRegional orthopedics deals with a v Ebook Textbook of orthopedics (4/E): Part 2 for description).•Infective: Tuberculosis of cervical spine, acute respữatory tract infection, etc.•Traumata- Sprain, dislocation and fracture of the cervical spine.•Myositis or fibromyositis of sternocleidomastoid, exposure to cold causes myositis.•Spasmodic: Painful, persistent or intermittent st Ebook Textbook of orthopedics (4/E): Part 2ernomastoid muscle contraction.•Unilateral muscle paralysis, e.g. polio•Neuritis of spinal accessory nerve.•Ocular disturbances: Child turns head to oEbook Textbook of orthopedics (4/E): Part 2
ne side to compensate for detective vision.Clinical FeaturesHead of the patient is tilted towards the affected side while the chin points to the otherRegional Conditions of the Neck•Torticollis (Wryneck)•Thoracic outlet syndrome•Cervical rib•Cervical disk syndromesRegional orthopedics deals with a v Ebook Textbook of orthopedics (4/E): Part 2ye.Among the acquired causes of torticollis. spasmodic muscle contraction of the sternocleidomastoid is the most common cause.ManagementConservativeInitially’ conservative line of treatment is observed. This consists of nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants drugs, etc.Fig. Ebook Textbook of orthopedics (4/E): Part 229.1: Features of wryneck374Nontraumatic Orthopedic DisordersPhysiotherapy like ultrasound, heat, massage is advocated. In acute pain, the patient isEbook Textbook of orthopedics (4/E): Part 2
encouraged to wear a collar. Gradual neck stretching exercises are advised once the acute symptoms subside.SurgicalManagement is advised after the faiRegional Conditions of the Neck•Torticollis (Wryneck)•Thoracic outlet syndrome•Cervical rib•Cervical disk syndromesRegional orthopedics deals with a v Ebook Textbook of orthopedics (4/E): Part 2ral section of both spinal accessory’ and three cervical roots in cases of torticollis due to spasmodic or neural causes.Fig. 29.2: Anatomy of the thoracic outletTHORACIC OUTLET SYNDROMETire space at the thoracic outlet or inlet when it is less than adequate, subjects the neurovascular structures se Ebook Textbook of orthopedics (4/E): Part 2eking to gain entry into the upper limbs via this space, to undue pressure (Fig. 29.2). The blame for the neurovascular complaints should be placed atEbook Textbook of orthopedics (4/E): Part 2
the doorstep of the decreased space and not at the structures producing the problems.This syndrome results from the compression of neurovascular bundRegional Conditions of the Neck•Torticollis (Wryneck)•Thoracic outlet syndrome•Cervical rib•Cervical disk syndromesRegional orthopedics deals with a v Ebook Textbook of orthopedics (4/E): Part 2the first rib, clavicle and the scalene muscles. The above structures are liable to be compressed (Fig. 29.3) when this space gets narrowed either due to hypertrophy of the existing muscles or due to any other cause like congenital, trauma, etc.Fig. 29.3: Abnormal scalene muscle Insertion causing co Ebook Textbook of orthopedics (4/E): Part 2mpression of neurovascular structuresSites of CompressionThe sites of compression could be either supraclavicular, subclavicular or infraclavicular.SuEbook Textbook of orthopedics (4/E): Part 2
prncltiviculiir: Interscalene triangle between the anterior scalene muscles.Regional Conditions of the Neck•Torticollis (Wryneck)•Thoracic outlet syndrome•Cervical rib•Cervical disk syndromesRegional orthopedics deals with a vRegional Conditions of the Neck•Torticollis (Wryneck)•Thoracic outlet syndrome•Cervical rib•Cervical disk syndromesRegional orthopedics deals with a vGọi ngay
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