.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"
|
|
|
|
|
|
|
Quadriceps muscle lesion
It can be a tenoperiostal lesion (supra-, infra-, or parapatellar) or a muscle belly lesion.
Both clinical image and treatment are different. An acute muscle belly lesion can cause muscular spasm, thus also limiting some passive movement (knee flexion).
Active treatment (e.g. deep transverse friction massage)should be combined with relative rest.
Minor rupture in the quadriceps muscle belly
Pain appearing suddenly while running or jumping. A haematoma may be present. Resisted extension is painful, or painful and weak, and passive flexion is painfully limited, particularly in prone-lying. On palpation, there is local tenderness, possibly with a palpable gap.
Quadriceps tendinitis
Resited extension is painful, passive flexion is not limited and there is local tenderness. The lesion can lie at one of four sites : supra-, infra- and parapatellar (medial or lateral), all at the tenoperiosteal junction.
Infrapatellar tendinitis is very frequently seen in jumpers.
Walking upstairs and standing after sitting a while is painful as well.
Different stages are described :
stage I : pain after activity
stage II : pain at the start of the activity, better during activity and afterwards worse again
stage III : constant pain, no activity possible
stage IV : rupture resulting in weakness.
(Part I, p135-136 ; Part II, p31-32)
Read on... |
|
|
 |
|
|
|
|
|
|
 This unique glossary is a service offered by ETGOM and is subject to regular updates. Surf on our site to find out everything about our seminars in orthopaedic medicine and publications.
If you have any suggestions, please feel free to let us know. |
|
 |
|
