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| | II. Osteology. 6c. 3. The Femur. Gray, Henry. 1918. Anatomy of the Human Body. |
 | | —As the compact bone of the outer portion of the shaft approaches the greater trochanter it gradually decreases in thickness. | | | Although the action of the muscles exerts an appreciable effect on the stresses in the femur, it is relatively small and very complex to analyze and has not been considered in the above analysis. | | | The femur, like other long bones, is divisible into a body and two extremities. |
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http://www.bartleby.com/107/59.html
(5194 words)
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| | New York School Of Regional Anesthesia - Sciatic Nerve Block: Posterior Approach |
| | A line passing through the midpoint of the line between the greater trochanter and posterior-superior iliac spine and perpendicular to it is extended 4-cm caudal and marked as the needle insertion point. | | | It is important that the structure of the greater trochanter is approached from its posterior aspect. | | | Labeling of the "inner" aspects of greater trochanter and posterior-superior iliac spine results in a shorter line connecting the two and more precise estimation of the position of the sciatic nerve. |
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http://www.nysora.com/techniques/intermediate/sciatic_post/sciatic_post.html
(2630 words)
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| | Select a Medical Service Orthopaedic Surgery Updates |
| | The pain is usually lateral and/or posterior to the greater trochanter and is exacerbated with external rotation of the hip. | | | A careful history of previous surgery over the involved trochanter is important as surgical scars, previous trauma or prosthetic implants may indicate the cause of the trochanteric bursitis. | | | With the patient lying on his or her side or back, pressure is placed over the vastus ridge of the greater trochanter. |
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http://www.lahey.org/Medical/Ortho/Updates/trochanteric.asp
(1015 words)
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| | Nerve Blocks for Anaesthesia and Analgesia of the Lower Limb (page 4) |
| | For the anterior approach, the landmarks are the anterior superior iliac spine and the pubic symphysis on the pelvis and the greater trochanter on the femur. | | | A line is drawn between the greater trochanter and the posterior superior iliac spine (the line lies approximately over the upper border of the piriformis muscle). | | | The important bony landmarks that one needs to be able to identify for blocking the sciatic nerve via the two posterior approaches described are the greater trochanter, posterior superior iliac spine, the ischial tuberosity and the sacral hiatus. |
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http://www.nda.ox.ac.uk/wfsa/html/u11/u1112_04.htm
(1923 words)
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| | Trochanteric basket - Patent 4473068 |
| | The surgical problem encountered is fixation of the greater trochanter to the proximal femur until the bone has had time to fully heal. | | | To help retain the greater trochanter in position, the implant preferably includes means, such as one or more prongs of sufficient rigidity to penetrate the abductor muscle-tendon. | | | Perhaps the most common prior art method is to wire the greater trochanter in position using various techniques. |
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http://www.freepatentsonline.com/4473068.html
(3055 words)
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| | [No title] |
| | Residual deformities have been managed by a distal transfer of the greater trochanter using its base as a graft with extensive internal fixation,11 and by a distal and lateral transfer of the greater trochanter. | | | Numerous surgical techniques have been proposed to manage the femoral neck shortening and greater trochanter overgrowth secondary to avascular necrosis of the capital femoral epiphysis with little success. | | | The present report describes an operative technique that provides elongation of the femoral neck, biomechanical improvement of the joint, congruity of the femoral head, and equalization of the leg lenhth discrepancy. |
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http://www.diavlos.gr/orto96/nov97/kirkos3.htm
(1800 words)
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| | The Physician and Sportsmedicine: Symptomatic Snapping Hip |
| | The goal of surgery is either to alter the anatomy and mechanics of the ITB so that it remains anterior to the greater trochanter or to lessen the tension of the ITB so that it does not snap over the greater trochanter. | | | The greater trochanteric bursa may also become inflamed and painful. | | | Snapping may be prevented if the examiner's hand places enough force on the greater trochanter or if the patient walks with the limb externally rotated. |
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http://www.physsportsmed.com/issues/2004/0104/meislin.htm
(2950 words)
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| | Hip pad for protecting greater trochanter from impact - Patent 5717997 |
| | The energy from the forces against the pad are absorbed in the remaining region away from the greater trochanter area, thereby reducing fracture injuries of the greater trochanter region. | | | The hip pad may be constructed with a plurality of slots that allows for a certain amount of shifting of the garment without compromising the effectiveness of the hip pad, and without creating a stress point in the pad directly over and/or surrounding the area of the greater trochanter. | | | 2, the pockets are positioned on the garment so that when the hip protector garment is worn by a human subject, the cross-slit 34 extending through the hip pad 30 is created with its apex aligned with the greater trochanter 40 of the human skeletal system 50 of the wearer. |
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http://www.freepatentsonline.com/5717997.html
(2305 words)
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| | Joel Matta, MD - THR Through Anterior Approach - Article |
| | The distal portion exposes the lateral shoulder of the femoral neck at its junction with the anterior greater trochanter. | | | Keep in mind that the obturator internis and piriformis tendons insert on the anterior superior greater trochanter and not in what is commonly called the "piriformis fossa". | | | This technique introduces some danger of continuing the cut into the greater trochanter. |
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http://www.hipandpelvis.com/physicians_corner/thr.htm
(5600 words)
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| | The Increasingly Common Trochanteric Bursitis John Palo, BS, DC, CCSP, DABCO |
| | However, the bursitis pain is usually directly on the greater trochanter. | | | Digital pressure at the greater trochanters elicits much greater pain at the involved side. | | | Pointed pain at the greater trochanter and a negative Patrick test should provide a good "working" diagnosis of greater trochanteric bursitis. |
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http://www.chiroweb.com/archives/14/18/14.html
(541 words)
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| | Anatomy Tables - Hip & Posterior Thigh & Leg |
| | The pain from an inflamed trochanteric bursa, usually localized just posterior to the greater trochanter, is usually elicited by manually resisting abduction and lateral rotation of the thigh while the person is lying on the unaffected side. | | | This type of friction bursitis is characterized by point tenderness over the greater trochanter. | | | These movements involve the gluteus maximus and move the superior tendinous fibers repeatedly back and forth over the bursa of the greater trochanter. |
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http://www.med.umich.edu/lrc/coursepages/m1/anatomy/html/musculoskeletal_system/gluteal_tables.html
(2926 words)
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| | The Hip |
| | Lying underneath the piriformis, the obturator internus muscle arises at the medial surface of the pubis, and passes the lesser sciatic notch to insert onto the greater trochanter laterally. | | | The quadratus femoris lies inferior to the gemellus muscles arises from the ischial turberosity and inserts onto the posterior aspect of the greater trochanter. | | | Many of these muscles attach around the greater trochanter (the bony prominence of the lateral part of femur). |
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http://topcondition.com/members/hip.htm
(2184 words)
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| | Focused Investigation on Risks of Osteoporosis Polio Survivors & Age-Matched Controls |
| | Continuous ERT usage may also be helpful for women who have experienced the long term effects of polio in retaining their trabecular bone during the postmenopausal period, but this relationship needs to be pursued further in future research. | | | Whereas, for the stroke sample, the effects of age of onset varied significantly by laterality of CVA and gender, but contrary to expectations, the early-onset group was not consistently more vulnerable to psychosocial problems compared to those with later onset strokes, after age 60. | | | Somewhat surprisingly, the percentage of women with surgically versus naturally terminated menses was greater for polio survivors (57.1% vs. 42.9% than it was for non-disabled controls (36.6% surgical vs. 63.4% natural). |
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http://www.skally.net/ppsc/ert.html
(7330 words)
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| | Chapter 14: The gluteal region |
| | 14-2 and 14-3) passes posteriorward through the greater sciatic foramen immediately superior to the piriformis muscle. | | | In terms of surface anatomy, the sciatic nerve leaves the pelvis a little more than a third of the way along a line from the posterior superior iliac spine to the ischial tuberosity (fig. | | | An alternative site is over the gluteus medius in a triangular area bounded by the anterior superior iliac spine, the tubercle of the iliac crest, and the greater trochanter (fig. |
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http://www.dartmouth.edu/~humananatomy/part_3/chapter_14.html
(1273 words)
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| | Tibia Nail |
| | We looked at the antegrade approach going through the tip of the greater trochanter in the posterior portion and found that the bend was necessary to place this nail through the femur using this approach. | | | The Vietnamese surgeons' experience shows that the nail should be placed through the tip of the greater trochanter, not in the more lateral part of the greater trochanter. | | | We have considered allowing the nail to be used in the Recon mode, but the technique suggested by Dr. Han Khoi Quang in Vietnam whereby interlocking is done through the greater trochanter from anterior to posterior seems to hold the nail very well. |
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http://www.sign-post.org/Discussion/Topics/tibia_nail.htm
(2231 words)
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| | [No title] |
| | More specifically, the pads are typically positioned such that they overlie the greater trochanter, or, in the case of certain types of force or energy shunting pads, surround the greater trochanter without actually covering it. | | | Soft foam pads require greater thickness to absorb impact forces; the greater thickness results in a bulkier, less comfortable pad, and increased heat build up under the pad. | | | However, our consumer research has taught us that, in addition to reducing the impact force exerted on the greater trochanter during a fall, pads must also provide other benefits to reinforce wearer compliance. |
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http://www.wipo.int/cgi-pct/guest/getbykey5?KEY=98/41118.980924&ELEMENT_SET=DECL
(7632 words)
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| | New Page 3 |
| | The needle is inserted almost perpendicularly to the skin toward the medial edge of the femur (supposedly the lesser trochanter of the femur) until twitches are elicited in the foot. | | | The anterior approach to the sciatic nerve has been described for use in patients who can not be positioned in the lateral decubitus position [49,50]. | | | This technique is consistently more difficult than the posterior approach, can result in inadvertent puncture of the femoral vessels and should be reserved for patients in whom that posterior approach can not be used. |
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http://www.nysora.com/guest_contributors/dalens_tech8.htm
(157 words)
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| | The lower limb |
| | 1/4 of the muscle fibers attaches to the gluteal tuberosity, between the greater trochanter and the linea aspera. | | | The muscle fibers also run from the posterior superior iliac spine to the greater trochanter. | | | The greater trochanter serves as attachment point for 5 muscles. |
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http://www.indstate.edu/thcme/duong/lower.html
(6340 words)
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| | Dissector Answers - Hip & Posterior Thigh |
| | It passes through the greater sciatic foramen above the piriformis muscle, then passes between the gluteus medius and minimus muscles to innervate them and the tensor fascia latae muscle. | | | greater trochanter, medial surface above the trochanteric fossa | | | through the greater sciatic foramen superior to the piriformis muscle |
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http://anatomy.med.umich.edu/limbs/gluteal_ans.html
(1631 words)
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| | Significant Decision Richard W. Thrush 30899 |
| | The Department, on the other hand, contends that the operative procedures on the claimant's hip were not causally related to his industrial injury, but, rather, were the natural result of the diagnosis of tuberculosis in the greater trochanter. | | | On July 19, 1967, the Department entered an order segregating a pre-existing condition described as "asseoris tuberculosis, involving the greater trochanter," and denying responsibility for this as unrelated to the injury. | | | We also conclude that had it not been for the industrial injury of February 13, 1967, and the temporary aggravation caused thereby, he may not have required surgical treatment. |
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http://www.biia.wa.gov/30899.htm
(2409 words)
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| | Bigfoot Forums -> Bigfoot trochanters |
| | Just increasing the muscle would not help, as it would still be relying on the greater trochanter as the anchor point. | | | I believe what you're seeing is the bulge of the gluteus medius contracting to stabilize the hip as she places weight on the leg (which is it's primary function). | | | Whether one of these is actually the trochanter or a muscle, I acknowledge, is beyond my expertise. |
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http://www.bigfootforums.com/index.php?showtopic=10229
(2082 words)
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| | Fractures of the Proximal Fumur (hip) |
| | Furthermore, there may be pain or crepitation with palpation of the lateral femur and trochanter. | | | The evaluation of a patient who definitely or potentially has a hip fracture involves reviewing the patient’s medical history, performing a physical examination, and carrying out radiographic studies. | | | Radiograph (anteroposterior view) of a sub-trochanteric fracture treated by way of internal fixation with a blade plate. |
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http://www.orthoassociates.com/hipfx.htm
(4432 words)
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| | PT Central - Muscles of the Leg |
| | Insertion: medial aspect of greater trochanter via lower tendon of obturator internus | | | Insertion: medial aspect of greater trochanter via upper tendon of obturator internus | | | Insertion: medial surface of greater trochanter (through greater sciatic foramen) |
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http://www.ptcentral.com/muscles/musclelegs.html
(881 words)
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| | eMedicine - Trochanteric Bursitis : Article by Patrick M Foye, MD |
| | The needle is advanced to the greater trochanter (making contact with the bone as confirmation of depth and appropriate placement) and then withdrawn slightly so that it is located within the bursa. | | | The most classic finding is point tenderness over the greater trochanter, which reproduces the presenting symptoms. | | | Background: Trochanteric bursitis is characterized by painful inflammation of the bursa located just superficial to the greater trochanter of the femur. |
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http://www.emedicine.com/pmr/topic141.htm
(3311 words)
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| | XII. Surface Anatomy and Surface Markings. 14. Surface Markings of the Lower Extremity. Gray, Henry. 1918. Anatomy of ... |
| | The surface markings of the posterior inferior iliac spine and the ischial spine are both situated in a line which joins the posterior superior iliac spine to the outer part of the ischial tuberosity; the posterior inferior spine is 5 cm. | | | The upper margin of the greater sciatic notch is opposite the spinous process of the third sacral vertebra, and slightly below this level is the posterior inferior iliac spine. | | | The continuation of this line vertically through the center of the popliteal fossa represents the position of the tibial nerve, while the common peroneal nerve follows the line of the tendon of Biceps femoris. |
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http://www.bartleby.com/107/292.html
(1281 words)
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| | [No title] |
| | anterior and posterior guteal linesLateral surface of greater trochanter of femurSuperior gluteal nerve (L5 and S1)Abducts and medially rotates thigh, keeps pelvis level when opposite leg is raisedGluteus minimusExternal surface of the ilium bet. |
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http://www.med.unc.edu/wms/firstaid/ga3-session22a-02.doc
(389 words)
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| | Fractures of the Pelvis (hip) |
| | Physical examination must include an evaluation of any ecchymoses and of the condition of the soft tissues, palpation of the anterior and posterior pelvis and greater trochanter, determination of range of motion of the hip and lumbosacral spine, and neurovascular examination. | | | Radiographic examination should include an anteroposterior view of the pelvis and a lateral view of the affected hip. |
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http://www.orthoassociates.com/pelvisfx.htm
(3265 words)
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| | Journal of Bone and Joint Surgery: Evaluation of accuracy and precision of bone markers for the measurement of ... |
| | The precision of measurements between the greater trochanter and the shoulder of the prosthesis was slightly worse (sigma = 0.93). | | | We attempted to determine whether the choice of a certain reference point (bone-greater trochanter, tantalum markers in the lesser and greater throchanter) could influence the accuracy of the measurement of migration. | | | Measurements were made by one observer between the shoulder of the stem and the greater trochanter as well as between the stem and all tantalum markers which were within the bone and showed no sign of loosening (109). |
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http://www.findarticles.com/p/articles/mi_qa3767/is_200107/ai_n8975615
(1290 words)
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| | Jeopardy |
| | Insert the needle horizontally in a direction parallel to the floor at the midpoint of this line. | | | Sciatic N courses between greater trochanter and posterior superior iliac spine (PSIS) | | | -Advantages: don’t need to ID greater troch, which can be difficult in obese patients or painful if femur fx |
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http://www.unc.edu/~rvp/Jeopardy/LE_Blocks/JeopDta2.html
(1780 words)
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| | A BIPLANE "V" OSTEOTOMY OF THE TROCHANTER IMPROVES STABILITY |
| | Stabilization techniques that result in a stiffer repair are likely to improve clinical results. | | | Many have been suggested and some have been evaluated mechanically (Markolf et al 1979, Dall, et al, 1983) Clinical studies of osteotomy techniques suggest advantages of the "chevron", biplane "V" and dihedral configurations over a single planar cut (Berry and Muller, 1993, Weber, 1989). | | | Delayed or nonunion of the greater trochanter can complicate the recovery of a patient from total hip arthroplasty. |
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http://www.asb-biomech.org/onlineabs/abstracts99/152
(584 words)
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| | greater trochanter bursitis, equine veterinary arthritis pain control, bursitis anserina |
| | Such conditions as sprains and strains, arthritis, and osteoporosis can rob your bones and joints of their full potential. | | | greater trochanter bursitis, equine veterinary arthritis pain control, bursitis anserina | | | Strictly vegetarian diets that are also very low in fat have been reported to reduce RA symptoms In the 1950s through the 1970s, Max Warmbrand, a naturopathic doctor, used a very low-fat diet to treat people with RA. |
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http://www.advancesinhealth.com/greater-trochanter-bursitis.html
(518 words)
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| | Forces on the Leg |
| | Thus, when walking most people will experience forces on the trochanter and epiphysis of roughly the same magnitude and direction as our analysis of a person standing motionless on one leg. | | | If we stop in mid-stride, to avoid falling over we must shift our body weight by just a couple of centimeters to correspond to our previous analysis. | | | The abductor muscles are attached to the outside greater trochanter of the femur, and experimentally Inman found that the force F exerted on the trochanter acts at an angle of 70 degrees to the horizontal. |
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http://www.upscale.utoronto.ca/GeneralInterest/Harrison/HipForces/HipForces.html
(991 words)
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| | Arthritis II |
| | On the side of the hip,right where we experience the maximum pressure when we lie on our side in bed,is a bony bump called the "greater trochanter" (pain from irritation of the trochanteric bursa). | | | This is a pressure point,like the elbow,there is a bursa over this bump,and it can become very tender. | | | True hip pain is very rarely felt on the side of the hip or deep in the buttock. |
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http://pages.ivillage.com/shysky/socksrheumatoidarthritispage1/id15.html
(3752 words)
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| | Kentucky Physical Therapy Association Research |
| | Another important prognostic factor is any preexisting physical condition that the patient may have. | | | Author: Michael Cetta, MD eMedicine Editor: Rick Kulkarni, MD, Attending Physician, Department of Emergency Medicine, Olive View - UCLA Medical Center, Assistant Professor of Medicine, David Geffen School of Medicine at UCLA | | | This fracture may be due to direct injury or indirect injury as a result of the activity of the gluteus medius and gluteus minimus muscles (ie, avulsion fracture). |
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http://www.kpta.org/members/case.cfm
(623 words)
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| | bursitis of head of greater trochanter muscle |
| | Diagnosed in the past as bursitis of head of the greater trochanter muscle. | | | Keeps coming back no matter what I do and it is interfering with walking, expecially going up the stairs. |
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http://www.orthopedicquestions.com/mes-pt2/7495.html
(197 words)
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| | Prosthetic hip joint - Patent 4153953 |
| | The prosthesis of claim 10, wherein said trochanter clamping means comprises trochanter clamps located one on each limb of said U-bolt, said trochanter clamps each having a plurality of claw means to be forced into a greater trochanter for locating said trochanter clamps positively with respect to a greater trochanter. | | | The prosthesis may include a U-bolt for passing through the hole and trochanter clamping means to be forced against a greater trochanter to locate the greater trochanter in place. | | | The clamping means may comprise trochanter clamps located on the limbs of the U-bolt. |
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http://www.freepatentsonline.com/4153953.html
(2380 words)
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| | Trochanter |
| | The greater trochanter may undergo avulsion injury related to contraction of the gluteal muscles. | | | Ankylosing spondylitis may be associated with hyperostosis as well as enthesopathy of the greater trochanter. | | | Two trochanters, the greater and the lesser, are present and may be involved in several abnormal conditions. |
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http://www.amershamhealth.com/medcyclopaedia/Volume%20III%201/trochanter.html
(137 words)
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| | Orthopaedic - Classifications of Trochanteric Fracture Patterns |
| | Two factors must be considered in the assessment of stability: loss of medial support, as a result of a separation of the lesser trochanter in association with a fracture of the medial arch; and comminution of the posterior cortex, which is frequently associated with a separation of the greater trochanter. | | | The greater trochanter is not, or only marginally, involved. | | | As a result, the Ender grading system has been applied only in conjunction with Ender's condylocephalic nailing system. |
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http://www.maitrise-orthop.com/corpusmaitri/orthopaedic/mo65_trochanteric_fracture/index.shtml
(2692 words)
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| | Instruction - Hip Joint |
| | The joint is formed by the articulation of the head of the femur and the acetabulum of the pelvic bone. | | | The landmark used to approximate the center of rotation for the hip joint is the greater trochanter of the femur. | | | The hip joint center is located approximately 3 cm above the most lateral bony prominence of the greater trochanter. |
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http://userwww.sfsu.edu/~amayo/itec845/Final/instruct1.htm
(77 words)
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| | Femur page |
| | Capitulum is derived from caput and is applied to anything having the shape or position of a head. | | | is an excavation that is medial and caudal to the greater | | | TROCHANTER: Trochanter is from the Greek word trokhanter which was orginally used in anatomy as a name for the globular head of the femur. |
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http://www.vet.purdue.edu/courses/bms/Osteology1/Canine/Femur/Femur.htm
(533 words)
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| | Coventry Pain Clinic - Joint Pain - Hip |
| | Greater Trochanter - the attachment point for many of the buttock muscles (hip abduction and external rotation) | | | The two muscles then insert via their tendons onto the lesser trochanter of the femur. | | | Gluteus Medius is the main hip abductor, and its tendon attaches to the lateral aspect of the greater trochanter. |
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http://www.coventrypainclinic.org.uk/jointpain-hip.htm
(1505 words)
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| | Lab 1 |
| | One of the keys is to look at what aspect of the greater trochanter the muscle insert on. | | | The gluteus minimus has an insertion on the anterior aspect of the greater trochanter. | | | The psoas major and the iliacus have a common insertion (femur on and below the lesser trochanter) and are often referred to as the same muscle (the iliopsoas). |
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http://edschool.csuhayward.edu/departments/kpe/individualsites/syllabi/lab3.html
(1763 words)
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| | eMedicine - Snapping Hip Syndrome : Article by Joseph P Garry |
| | These findings suggest that skeletal or biomechanical conditions may predispose an individual to the development of a snapping hip. | | | The psoas and iliacus muscles originate from the lumbar spine and pelvis, respectively, and are innervated by the L1, L2, and L3 nerve roots. | | | This may be associated with trochanteric bursitis or with increased varus of the hip. |
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http://www.emedicine.com/sports/topic123.htm
(1298 words)
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