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Prerequisite basic sciences
Anatomy clinical correlates: Anterior and posterior abdominal wall
Anatomy clinical correlates: Inguinal region
Anatomy clinical correlates: Peritoneum and diaphragm
Anatomy clinical correlates: Viscera of the gastrointestinal tract
Anatomy clinical correlates: Other abdominal organs
Appendicitis: Pathology review
Complications during pregnancy: Pathology review
Diverticular disease: Pathology review
Gallbladder disorders: Pathology review
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Inflammatory bowel disease: Pathology review
Mood disorders: Pathology review
Pancreatitis: Pathology review
Anatomy clinical correlates: Female pelvis and perineum
Cervical cancer: Pathology review
Complications during pregnancy: Pathology review
Uterine disorders: Pathology review
Anatomy clinical correlates: Heart
Anatomy clinical correlates: Mediastinum
Anatomy clinical correlates: Pleura and lungs
Anatomy clinical correlates: Thoracic wall
Aortic dissections and aneurysms: Pathology review
Coronary artery disease: Pathology review
Deep vein thrombosis and pulmonary embolism: Pathology review
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Pleural effusion, pneumothorax, hemothorax and atelectasis: Pathology review
ECG cardiac infarction and ischemia
Pigmentation skin disorders: Pathology review
Skin cancer: Pathology review
Papulosquamous and inflammatory skin disorders: Pathology review
Anatomy clinical correlates: Pleura and lungs
Anatomy clinical correlates: Thoracic wall
GERD, peptic ulcers, gastritis, and stomach cancer: Pathology review
Lung cancer and mesothelioma: Pathology review
Nasal, oral and pharyngeal diseases: Pathology review
Obstructive lung diseases: Pathology review
Pneumonia: Pathology review
Tuberculosis: Pathology review
Chest X-ray interpretation: Clinical sciences
Amnesia, dissociative disorders and delirium: Pathology review
Cerebral vascular disease: Pathology review
Dementia: Pathology review
Electrolyte disturbances: Pathology review
Mood disorders: Pathology review
Hypothyroidism: Pathology review
Mood disorders: Pathology review
Anatomy clinical correlates: Facial (CN VII) and vestibulocochlear (CN VIII) nerves
Cardiomyopathies: Pathology review
Cerebral vascular disease: Pathology review
Heart blocks: Pathology review
Supraventricular arrhythmias: Pathology review
Valvular heart disease: Pathology review
Ventricular arrhythmias: Pathology review
Vertigo: Pathology review
ECG axis
ECG cardiac hypertrophy and enlargement
ECG intervals
ECG normal sinus rhythm
ECG QRS transition
ECG rate and rhythm
Kidney stones: Pathology review
Sexually transmitted infections: Vaginitis and cervicitis: Pathology review
Sexually transmitted infections: Warts and ulcers: Pathology review
Urinary tract infections: Pathology review
Central nervous system infections: Pathology review
Nasal, oral and pharyngeal diseases: Pathology review
Pneumonia: Pathology review
Shock: Pathology review
Urinary tract infections: Pathology review
Anatomy clinical correlates: Anterior blood supply to the brain
Anatomy clinical correlates: Temporal regions, oral cavity and nose
Central nervous system infections: Pathology review
Cerebral vascular disease: Pathology review
Headaches: Pathology review
Traumatic brain injury: Pathology review
Vasculitis: Pathology review
Anatomy clinical correlates: Arm, elbow and forearm
Anatomy clinical correlates: Axilla
Anatomy clinical correlates: Bones, fascia and muscles of the neck
Anatomy clinical correlates: Bones, joints and muscles of the back
Anatomy clinical correlates: Clavicle and shoulder
Anatomy clinical correlates: Foot
Anatomy clinical correlates: Hip, gluteal region and thigh
Anatomy clinical correlates: Knee
Anatomy clinical correlates: Leg and ankle
Anatomy clinical correlates: Median, ulnar and radial nerves
Anatomy clinical correlates: Wrist and hand
Seronegative and septic arthritis: Pathology review
Apnea, hypoventilation and pulmonary hypertension: Pathology review
Deep vein thrombosis and pulmonary embolism: Pathology review
Heart failure: Pathology review
Nephrotic syndromes: Pathology review
Renal failure: Pathology review
Anatomy clinical correlates: Anterior and posterior abdominal wall
Anatomy clinical correlates: Bones, joints and muscles of the back
Anatomy clinical correlates: Vertebral canal
Aortic dissections and aneurysms: Pathology review
Back pain: Pathology review
Anatomy clinical correlates: Inguinal region
Anatomy clinical correlates: Male pelvis and perineum
Penile conditions: Pathology review
Prostate disorders and cancer: Pathology review
Testicular and scrotal conditions: Pathology review
Testicular tumors: Pathology review
Anatomy clinical correlates: Pleura and lungs
Coronary artery disease: Pathology review
Obstructive lung diseases: Pathology review
Pleural effusion, pneumothorax, hemothorax and atelectasis: Pathology review
Bronchodilators: Beta 2-agonists and muscarinic antagonists
Bronchodilators: Leukotriene antagonists and methylxanthines
Pulmonary corticosteroids and mast cell inhibitors
Anatomy clinical correlates: Ear
Anatomy clinical correlates: Temporal regions, oral cavity and nose
Nasal, oral and pharyngeal diseases: Pathology review
Sexually transmitted infections: Vaginitis and cervicitis: Pathology review
Anxiety disorders, phobias and stress-related disorders: Pathology Review
Atherosclerosis and arteriosclerosis: Pathology review
Back pain: Pathology review
Bone disorders: Pathology review
Coronary artery disease: Pathology review
Diabetes mellitus: Pathology review
Drug misuse, intoxication and withdrawal: Alcohol: Pathology review
Drug misuse, intoxication and withdrawal: Hallucinogens: Pathology review
Drug misuse, intoxication and withdrawal: Other depressants: Pathology review
Drug misuse, intoxication and withdrawal: Stimulants: Pathology review
Dyslipidemias: Pathology review
Heart failure: Pathology review
Hypertension: Pathology review
Mood disorders: Pathology review
Obstructive lung diseases: Pathology review
Peripheral artery disease: Pathology review
Rheumatoid arthritis and osteoarthritis: Pathology review
At osmosis, we are not too sure where the phrase ‘break a leg’ comes from, but we are pretty sure it is not meant to be taken literally. In this video, we are going to discuss the anatomy behind the clinical conditions affecting the hip, gluteal region, and thigh, and we hope you won't even break a sweat learning these conditions, let alone a leg!
Let’s start with femoral neck fractures, often simply called hip fractures. They can be classified as intracapsular or extracapsular fractures based on their anatomic location. Intracapsular fractures occur in the region of the femoral head and neck within the joint capsule of the hip, while extracapsular fractures occur outside the fibrous joint capsule, anywhere in the intertrochanteric or subtrochanteric area of the femur.
Hip fractures are typically caused by mechanical falls or a trauma such as a car crash. And while they can affect anyone, they’re more likely to occur in the eldery, because of associated conditions such as osteoporosis, or Vitamin D and calcium deficiency. The classic presentation of a hip fracture is an individual who presents after a fall, and has an acutely shortened, externally rotated leg on physical examination compared to the contralateral side. This is due to the attachment points and pull of the iliopsoas and gluteus muscles. Other clinical features of a hip fracture include hip or back pain; joint deformity; and inability to bear weight.
Intracapsular fractures are at risk of avascular necrosis and displacement of the femoral head, whereas extracapsular fractures are less likely to undergo avascular necrosis. See, with an intracapsular hip fracture, the retinacular arteries, branching mainly from the medial circumflex femoral arteries are disrupted, resulting in potential avascular necrosis to the femoral head as the artery within the ligament to the head of the femur isn’t able to ensure adequate blood supply on its own. Conversely, with extracapsular femoral neck fractures, these arteries are not disrupted and maintain their function.
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