.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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Lateral shift
A lateral deviation seen in the lumbar spine has an important diagnostic value. Mostly it is correlated with an internal derangement. It also has consequences for what is concerned the treatment.
The patient is fixed in e.g. right lateral shift and is unable to bring his hips back to the mid-line or assume a position of left lateral shift.
The patient may need clinician assistance or perform self-correction with repeated movements.
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Ligamentous sprain
A ligamentous sprain is frequently seen at the lateral aspect of the foot or at the medial aspect of the knee.
By interpreting the test of our clinical examination we can determine exactly which structure is at fault.
A general principle which is paramount here is that mobilization gets the better of immobilization.
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Loading strategies
Describes the applied movements, positions or loads required to stress particular structures, and may be dynamic or static.
Dynamic would be a repeated movement ; static, a sustained posture.
The significant loading strategies, postures and repeated movements are those that alter symptoms.
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Loose body in the elbow
Loose body in the elbow
One or more fragments, visible or not on medical imaging, can occasionally jam the joint in one direction only.
Position of the loose bodies
* if extension is limited :
in the triangle between capitellum humeri, basis processus coronoideus of ulna and caput radii.
* if flexion is limited :
between anterior humerus and processus coronoideus.
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Loose body in the knee
An internal derangement because of a loose body can occur in the elbow, knee, hip, ankle and subtalar joints. Most frequently it is seen in the arthrotic knee.
There is a very typical history which mostly is more important than the clinical image itself.
Loose bodies can be manipulated by means of a traction-rotation maneuver.
Read on...
Lordotic deformity
The patient is fixed in extension and is unable to flex ; probably due to an anterior derangement.
Read on... |
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