.JPG&w=300) In this glossary you will find an illustrative explanation of some keywords which are frequently used in research papers and, more general, in updated Orthopaedic Medicine Cyriax, as well as some summarized descriptions of certain clinical images and diagnostic procedures
General remark : sometimes I refer the reader to "Part I" and "Part II" for further information on that specific subject i.e. the two books "Orthopaedic Medicine Cyriax : updated value in daily practice, Part I and Part II "
I also refer to the interesting glossary of some other publications such as :
"Orthopaedic Medicine, a practical approach ; Kesson-Atkins, 2nd edition, Elsevier BH 2005" and
"The lumbar spine, mechanical diagnosis and therapy, volume one, McKenzie-May, Spinal publications New Zealand 2003"
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Elasticity
Elasticity is the property of a material or a structure which allows it to deform when a force is applied. The change is temporary and the original form is restored when the deforming force is removed.
Read on...
End feel
The end feel is the typical feeling that can be felt end range, on performing passive tests. An end-feel that doesn't correspond with the normal end-feel, can have an accessory diagnostic value.
Normal end feels are : elastic (e.g. shoulder rotations), hard (e.g. elbow extension), extra articular (e.g. elbow or hip flexion).
Abnormal end feels are : muscle spasm (e.g. arthritis, fracture, acute bursitis), hardened (e.g. arthrosis), springy block (e.g. bucket handle meniscal lesion)
In order to test the end feel one has to use minimal force ; when we perform the test in a to forceful way, we can't feel anything anymore.
(Part I, p10)
Read on...
Epidural injection
This epidural injection, given via the hiatus sacralis, was orginally developped as a diagnostic medium, but later it has been used for therapeutic purposes too.
The advantage is that this epidural injection can be very effective, without the need for diagnostic specificity.
If enough procaine solution is used then the exterior aspect of the dura mater and the dural sleeve around the nerve roots is anaesthesized, until approx. the L2 level.
Have a look at the epidural injection procedure.
Read on...
Expanding pain
A pattern of expanding pain in a patient with a presumable spinal problem, always calls for further examination and never is related to minor musculoskeletal problems.
This in one of the important red flags
(Part I, p6)
Read on... |
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