Patella Amuritica
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Patella Amuritica
The patella, also known as the kneecap, is a flat, rounded triangular bone which articulates with the femur (thigh bone) and covers and protects the anterior articular surface of the knee joint. The patella is found in many tetrapods, such as mice, cats, birds and dogs, but not in whales, or most reptiles. In humans, the patella is the largest sesamoid bone (i.e., embedded within a tendon or a muscle) in the body. Babies are born with a patella of soft cartilage which begins to ossify into bone at about four years of age. Structure The patella is a sesamoid bone roughly triangular in shape, with the apex of the patella facing downwards. The apex is the most inferior (lowest) part of the patella. It is pointed in shape, and gives attachment to the patellar ligament. The front and back surfaces are joined by a thin margin and towards centre by a thicker margin. The tendon of the quadriceps femoris muscle attaches to the base of the patella., with the vastus intermedi ...
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Bone
A bone is a Stiffness, rigid Organ (biology), organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red blood cell, red and white blood cells, store minerals, provide structure and support for the body, and enable animal locomotion, mobility. Bones come in a variety of shapes and sizes and have complex internal and external structures. They are lightweight yet strong and hard and serve multiple Function (biology), functions. Bone tissue (osseous tissue), which is also called bone in the mass noun, uncountable sense of that word, is hard tissue, a type of specialized connective tissue. It has a honeycomb-like matrix (biology), matrix internally, which helps to give the bone rigidity. Bone tissue is made up of different types of bone cells. Osteoblasts and osteocytes are involved in the formation and mineralization (biology), mineralization of bone; osteoclasts are involved in the bone resorption, resor ...
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Vastus Lateralis
The vastus lateralis (), also called the vastus externus, is the largest and most powerful part of the quadriceps femoris, a muscle in the thigh. Together with other muscles of the quadriceps group, it serves to extend the knee joint, moving the lower leg forward. It arises from a series of flat, broad tendons attached to the femur, and attaches to the outer border of the patella. It ultimately joins with the other muscles that make up the quadriceps in the quadriceps tendon, which travels over the knee to connect to the tibia. The vastus lateralis is the recommended site for intramuscular injection in infants less than 7 months old and those unable to walk, with loss of muscular tone.Mann, E. (2016). ''Injection (Intramuscular): Clinician Information.'' The Johanna Briggs Institute. Structure The vastus lateralis muscle arises from several areas of the femur, including the upper part of the intertrochanteric line; the lower, anterior borders of the greater trochanter, to the out ...
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Patellar Dislocation
A patellar dislocation is a knee injury in which the patella (kneecap) slips out of its normal position. Often the knee is partly bent, painful and swollen. The patella is also often felt and seen out of place. Complications may include a patella fracture or arthritis. A patellar dislocation typically occurs when the knee is straight and the lower leg is bent outwards when twisting. Occasionally it occurs when the knee is bent and the patella is hit. Commonly associated sports include soccer, gymnastics, and ice hockey. Dislocations nearly always occur away from the midline. Diagnosis is typically based on symptoms and supported by X-rays. Reduction is generally done by pushing the patella towards the midline while straightening the knee. After reduction the leg is generally splinted in a straight position for a few weeks. This is then followed by physical therapy. Surgery after a first dislocation is generally of unclear benefit. Surgery may be indicated in those who have bro ...
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Lateral Condyle Of Femur
The lateral condyle is one of the two projections on the lower extremity of the femur. The other one is the medial condyle. The lateral condyle is the more prominent and is broader both in its front-to-back and transverse diameters. Clinical significance The most common injury to the lateral femoral condyle is an osteochondral fracture combined with a patellar dislocation. The osteochondral fracture occurs on the weight-bearing portion of the lateral condyle. Typically, the condyle will fracture (and the patella may dislocate) as a result of severe impaction from activities such as downhill skiing and parachuting. Open reduction and internal fixation Internal fixation is an operation in orthopedics that involves the surgical implementation of implants for the purpose of repairing a bone, a concept that dates to the mid-nineteenth century and was made applicable for routine treatment in the m ... surgery is typically used to repair an osteochondral fracture. For a Type B1 parti ...
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Quadriceps Tendon
In human anatomy, the quadriceps tendon works with the quadriceps muscle to extend the leg. All four parts of the quadriceps muscle attach to the shin via the patella (knee cap), where the quadriceps tendon becomes the patellar ligament. It attaches the quadriceps to the top of the patella, which in turn is connected to the shin from its bottom by the patellar ligament. A tendon connects muscle to bone, while a ligament connects bone to bone.Saladin, Kenneth S. Anatomy & Physiology: The Unity of Form and Function. 6th ed. New York: McGraw-Hill, 2012. Print. Injuries are common to this tendon, with tears, either partial or complete, being the most common. If the quadriceps tendon is completely torn, surgery will be required to regain function of the knee."Patellar Tendon Tear." OrthoInfo - AAOS. American Academy of Orthopaedic Surgeons, Aug. 2009. Web. 07 Dec. 2014. Without the quadriceps tendon, the knee cannot extend. Often, when the tendon is completely torn, part of the kneec ...
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Lever
A lever is a simple machine consisting of a beam or rigid rod pivoted at a fixed hinge, or ''fulcrum''. A lever is a rigid body capable of rotating on a point on itself. On the basis of the locations of fulcrum, load and effort, the lever is divided into three types. Also, leverage is mechanical advantage gained in a system. It is one of the six simple machines identified by Renaissance scientists. A lever amplifies an input force to provide a greater output force, which is said to provide leverage. The ratio of the output force to the input force is the mechanical advantage of the lever. As such, the lever is a mechanical advantage device, trading off force against movement. Etymology The word "lever" entered English around 1300 from Old French, in which the word was ''levier''. This sprang from the stem of the verb ''lever'', meaning "to raise". The verb, in turn, goes back to the Latin ''levare'', itself from the adjective ''levis'', meaning "light" (as in "not heavy"). The ...
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Ossification
Ossification (also called osteogenesis or bone mineralization) in bone remodeling is the process of laying down new bone material by cells named osteoblasts. It is synonymous with bone tissue formation. There are two processes resulting in the formation of normal, healthy bone tissue: Intramembranous ossification is the direct laying down of bone into the primitive connective tissue ( mesenchyme), while endochondral ossification involves cartilage as a precursor. In fracture healing, endochondral osteogenesis is the most commonly occurring process, for example in fractures of long bones treated by plaster of Paris, whereas fractures treated by open reduction and internal fixation with metal plates, screws, pins, rods and nails may heal by intramembranous osteogenesis. Heterotopic ossification is a process resulting in the formation of bone tissue that is often atypical, at an extraskeletal location. Calcification is often confused with ossification. Calcification is sy ...
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Hypoplasia
Hypoplasia (from Ancient Greek ὑπo- ''hypo-'' 'under' + πλάσις ''plasis'' 'formation'; adjective form ''hypoplastic'') is underdevelopment or incomplete development of a tissue or organ.Definition: hypoplasia
Dictionary of Cell and Molecular Biology (11 March 2008) Although the term is not always used precisely, it properly refers to an inadequate or below-normal number of cells.Hypoplasia
Stedman's Medical Dictionary. lww.com
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Bipartite Patella
Bipartite patella is a condition where the patella, or kneecap, is composed of two separate bones. Instead of fusing together as normally occurs in early childhood, the bones of the patella remain separated. The condition occurs in approximately 12% of the population and is no more likely to occur in males than females. It is often asymptomatic and most commonly diagnosed as an incidental finding, with about 2% of cases becoming symptomatic Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showi .... Saupe introduced a classification system for Bipartite Patella back in 1921. Type 1: Fragment is located at the bottom of the kneecap (5% of cases) Type 2: Fragment is located on the lateral side of the kneecap (20% of cases) Type 3: Fragment is located on the upper lateral border of the knee ...
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Patella Bipartita
Bipartite patella is a condition where the patella, or kneecap, is composed of two separate bones. Instead of fusing together as normally occurs in early childhood, the bones of the patella remain separated. The condition occurs in approximately 12% of the population and is no more likely to occur in males than females. It is often asymptomatic and most commonly diagnosed as an incidental finding, with about 2% of cases becoming symptomatic Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showin .... Saupe introduced a classification system for Bipartite Patella back in 1921. Type 1: Fragment is located at the bottom of the kneecap (5% of cases) Type 2: Fragment is located on the lateral side of the kneecap (20% of cases) Type 3: Fragment is located on the upper lateral border of the kneec ...
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Infrapatellar Fat Pad
The infrapatellar fat pad (Hoffa's fat pad) is a cylindrical piece of fat that is situated under and behind the patella bone within the knee. Clinical significance The fat pad is a normal structure but it can sometimes become a problem: * It can become damaged and painful * It can be deliberately removed at arthroscopic surgery to make it easier for the surgeon to see what they are doing - but this can also lead to scarring and pain. * It can become hypertrophic and may become impinged between the patella and the femoral condyle, causing sharp pain when the leg is extended. This is called infrapatellar fat pad syndrome or Hoffa syndrome. * It can become involved in the process of arthrofibrosis Arthrofibrosis (from Greek: ''arthro-'' joint, ''fibrosis'' – scar tissue formation) has been described in most joints like knee, hip, ankle, foot joints, shoulder (frozen shoulder, adhesive capsulitis), elbow (stiff elbow), wrist, hand joints as ... and become scarred (fibrotic) and con ...
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Canaliculus (bone)
Bone canaliculi are microscopic canals between the lacunae of ossified bone. The radiating processes of the osteocytes (called filopodia) project into these canals. These cytoplasmic processes are joined together by gap junctions. Osteocytes do not entirely fill up the canaliculi. The remaining space is known as the periosteocytic space, which is filled with periosteocytic fluid. This fluid contains substances too large to be transported through the gap junctions that connect the osteocytes. In cartilage, the lacunae and hence, the chondrocytes, are isolated from each other. Materials picked up by osteocytes adjacent to blood vessels are distributed throughout the bone matrix via the canaliculi. Dental canaliculi The dental canaliculi (sometimes called dentinal tubules) are the blood supply of a tooth. Odontoblast process run in the canaliculi that transverse the dentin layer and are referred as dentinal tubules. The number and size of the canaliculi decrease as the tubul ...
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