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Thomas Test
The Thomas test is a physical examination test, named after the Welsh orthopaedic surgeon, Hugh Owen Thomas (1834–1891), to rule out hip flexion contracture (fixed partial flexion of the hip) and psoas syndrome (injury to the psoas muscle). Description The test consists of 3 steps: * Step 1: The patient lies supine on the examination table, holding their knee to their chest. The clinician passes the palm of her/his hand beneath the patient's spine to identify lumbar lordosis. * Step 2: The "unaffected" hip is flexed until the thigh just touches the abdomen to obliterate the lumbar lordosis. The pelvis should be in neutral tilt (not tilted anteriorly or posteriorly). * Step 3: The clinician then passively ranges the affected hip into extension. Once the pelvis begins to tilt anteriorly, stop the passive range of motion, hold the affected thigh in this position, and measure the angle between the affected thigh and table to reveal the fixed flexion deformity of the hip. It i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Physical Examination
In a physical examination, medical examination, or clinical examination, a medical practitioner examines a patient for any possible medical signs or symptoms of a medical condition. It generally consists of a series of questions about the patient's medical history followed by an examination based on the reported symptoms. Together, the medical history and the physical examination help to determine a diagnosis and devise the treatment plan. These data then become part of the medical record. Types Routine The ''routine physical'', also known as ''general medical examination'', ''periodic health evaluation'', ''annual physical'', ''comprehensive medical exam'', ''general health check'', ''preventive health examination'', ''medical check-up'', or simply ''medical'', is a physical examination performed on an asymptomatic patient for medical screening purposes. These are normally performed by a pediatrician, family practice physician, physician assistant, a certified nur ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Welsh People
The Welsh ( cy, Cymry) are an ethnic group native to Wales. "Welsh people" applies to those who were born in Wales ( cy, Cymru) and to those who have Welsh ancestry, perceiving themselves or being perceived as sharing a cultural heritage and shared ancestral origins. Wales is the third-largest country of the United Kingdom of Great Britain and Northern Ireland. In the Acts of Union 1707, the Kingdom of England and the Kingdom of Scotland merged to become the Kingdom of Great Britain. The majority of people living in Wales are British citizens. In Wales, the Welsh language ( cy, Cymraeg) is protected by law. Welsh remains the predominant language in many parts of Wales, particularly in North Wales and parts of West Wales, though English is the predominant language in South Wales. The Welsh language is also taught in schools throughout Wales, and, even in regions of Wales in which Welsh people predominantly speak English on a daily basis, the Welsh language is often spoke ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Orthopedic Surgery
Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders. Etymology Nicholas Andry coined the word in French as ', derived from the Ancient Greek words ὀρθός ''orthos'' ("correct", "straight") and παιδίον ''paidion'' ("child"), and published ''Orthopedie'' (translated as ''Orthopædia: Or the Art of Correcting and Preventing Deformities in Children'') in 1741. The word was assimilated into English as ''orthopædics''; the ligature ''æ'' was common in that era for ''ae'' in Greek- and Latin-based words. As the name implies, the discipline was initially developed with attention to children, but the correction of spinal and bone deformities in all stages of life eventu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Surgeon
In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as physicians before specializing in surgery. There are also surgeons in podiatry, dentistry, and veterinary medicine. It is estimated that surgeons perform over 300 million surgical procedures globally each year. History The first person to document a surgery was the 6th century BC Indian physician-surgeon, Sushruta. He specialized in cosmetic plastic surgery and even documented an open rhinoplasty procedure.Ira D. Papel, John Frodel, ''Facial Plastic and Reconstructive Surgery'' His magnum opus ''Suśruta-saṃhitā'' is one of the most important surviving ancient treatises on medicine and is considered a foundational text of both Ayurveda and surgery. The treatise addresses all aspects of general medicine, but the translator G. D. ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Hugh Owen Thomas
Hugh Owen Thomas (23 August 1834 – 6 January 1891) was a Welsh orthopaedic surgeon. He and his nephew Robert Jones have been called "the Fathers of orthopaedic surgery". Thomas was descended from a line of Welsh bone setters and placed great importance on rest in treatment of fractures. He is responsible for a number of contributions to orthopaedic treatment and surgery, producing a number of books and methods that revolutionised orthopaedic practice. He is particularly known for the Thomas splint, which was widely used during World War I, reducing mortality from 80% to just 8% by the end of the war. His principles of practice were also spread to the USA by John Ridlon, amongst others. Family background Hugh Owen Thomas was the great-grandson of a young boy who had been shipwrecked on Ynys Môn/Anglesey between 1743 and 1745 with his brother. One of the young brothers died a few days later bur the survivor was given the name Evan Thomas by the family that adopted and raised hi ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Flexion
Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminology used describes this motion according to its direction relative to the anatomical position of the body parts involved. Anatomists and others use a unified set of terms to describe most of the movements, although other, more specialized terms are necessary for describing unique movements such as those of the hands, feet, and eyes. In general, motion is classified according to the anatomical plane it occurs in. ''Flexion'' and ''extension'' are examples of ''angular'' motions, in which two axes of a joint are brought closer together or moved further apart. ''Rotational'' motion may occur at other joints, for example the shoulder, and are described as ''internal'' or ''external''. Other terms, such as ''elevation'' and ''depression'', describe movement above or below the horizontal plane. Many anatomic ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Contracture
In pathology, a contracture is a permanent shortening of a muscle or joint. It is usually in response to prolonged hypertonic spasticity in a concentrated muscle area, such as is seen in the tightest muscles of people with conditions like spastic cerebral palsy, but can also be due to the congenital abnormal development of muscles and connective tissue in the womb. Contractures develop when normally elastic tissues such as muscles or tendons are replaced by inelastic tissues (fibrosis). This results in the shortening and hardening of these tissues, ultimately causing rigidity, joint deformities and a total loss of movement around the joint. Most of the physical therapy, occupational therapy and other exercise regimens targeted towards people with spasticity focuses on trying to prevent contractures from happening in the first place. However, research on sustained traction of connective tissue in approaches such as adaptive yoga has demonstrated that contracture can be reduce ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thomas Test
The Thomas test is a physical examination test, named after the Welsh orthopaedic surgeon, Hugh Owen Thomas (1834–1891), to rule out hip flexion contracture (fixed partial flexion of the hip) and psoas syndrome (injury to the psoas muscle). Description The test consists of 3 steps: * Step 1: The patient lies supine on the examination table, holding their knee to their chest. The clinician passes the palm of her/his hand beneath the patient's spine to identify lumbar lordosis. * Step 2: The "unaffected" hip is flexed until the thigh just touches the abdomen to obliterate the lumbar lordosis. The pelvis should be in neutral tilt (not tilted anteriorly or posteriorly). * Step 3: The clinician then passively ranges the affected hip into extension. Once the pelvis begins to tilt anteriorly, stop the passive range of motion, hold the affected thigh in this position, and measure the angle between the affected thigh and table to reveal the fixed flexion deformity of the hip. It i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Contralateral
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of anatom ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Iliopsoas
The iliopsoas muscle (; from lat, ile, lit=groin and grc, ψόᾱ, psóā, muscles of the loins) refers to the joined psoas major and the iliacus muscles. The two muscles are separate in the abdomen, but usually merge in the thigh. They are usually given the common name ''iliopsoas''. The iliopsoas muscle joins to the femur at the lesser trochanter. It acts as the strongest flexor of the hip. The iliopsoas muscle is supplied by the lumbar spinal nerves L1– L3 (psoas) and parts of the femoral nerve (iliacus). Structure The iliopsoas muscle is a composite muscle formed from the psoas major muscle, and the iliacus muscle. The psoas major originates along the outer surfaces of the vertebral bodies of T12 and L1– L3 and their associated intervertebral discs. The iliacus originates in the iliac fossa of the pelvis. The psoas major unites with the iliacus at the level of the inguinal ligament. It crosses the hip joint to insert on the lesser trochanter of the fem ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Abduction (kinesiology)
Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminology used describes this motion according to its direction relative to the anatomical position of the body parts involved. Anatomists and others use a unified set of terms to describe most of the movements, although other, more specialized terms are necessary for describing unique movements such as those of the hands, feet, and eyes. In general, motion is classified according to the anatomical plane it occurs in. ''Flexion'' and ''extension'' are examples of ''angular'' motions, in which two axes of a joint are brought closer together or moved further apart. ''Rotational'' motion may occur at other joints, for example the shoulder, and are described as ''internal'' or ''external''. Other terms, such as ''elevation'' and ''depression'', describe movement above or below the horizontal plane. Many anatom ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Tensor Fasciae Latae
The tensor fasciae latae (or tensor fasciæ latæ or, formerly, tensor vaginae femoris) is a muscle of the thigh. Together with the gluteus maximus, it acts on the iliotibial band and is continuous with the iliotibial tract, which attaches to the tibia. The muscle assists in keeping the balance of the pelvis while standing, walking, or running. Structure It arises from the anterior part of the outer lip of the iliac crest; from the outer surface of the anterior superior iliac spine, and part of the outer border of the notch below it, between the gluteus medius and sartorius; and from the deep surface of the fascia lata. It is inserted between the two layers of the iliotibial tract of the fascia lata about the junction of the middle and upper thirds of the thigh. The tensor fasciae latae tautens the iliotibial tract and braces the knee, especially when the opposite foot is lifted.Saladin, Kenneth. Anatomy and Physiology. 6th ed. Mc-Graw Hill. 2010. The terminal insertion poin ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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