Common Vertebral Joint Problems by Gregory P. Grieve FCSP DipTP

By Gregory P. Grieve FCSP DipTP

Describes the genesis, pathology, scientific good points, presentation, syndromes, scientific exam, research tactics, remedy, prophylaxis, and surgical procedure of universal vertebral joint difficulties.

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Example text

Anomalies are common, and deviation of a spine to one side or other is frequently palpable ; these should nOt be taken as positional evidence of rotation since comparison of the relationship of the laminae will demonstrate there is no fixed rotation. P[Qximately level with T7 spinous process, provide a rough guide only. O-t downwards from T 1 or upwards from L5. A practical method of counting is to place the tips of two adjacent fingers on the interspinous depression above and below one spinous process, and to shift the two fingertips as one when transferring to the next spinous process.

He emerging piriformis muscle, above which the superior gluteal vessels and nerve emerge from the pelvis. he inferior gluteal vessels and nerve, the internal pudendal vessels and the pudendal, sciatic and posterior femoral cutaneous nerves emerge. The joint and the mechanism of the pelvis are fully de­ scribed in many texts, and [his description concentrates on special aspects of OUf concern. The nature of the cartilage covering the opposed articu­ lar surfaces seems a matter of debate rather than agreed fact, and descriptions differ between hyaline cartilage, fibrocartilage and a reddish-grey cartilage with villous prolongations as covering one or both surfaces ; the carti­ L I GAMENTOUS ATTACHMENTS AND lage on the sacral surface is thicker than on the ilium.

1 . 'tWCen the two bones ; it also converts the sacroiliac articulation into a part synovial joint and part syndes­ mosis. Interosseous ligament fibres do not tear in the gdayer when the bones are forciblyseparatedi the fibres detach themselves fcom one hone and remain fixed to the other. 8)8. 1 082 'Bel;w and laterally, the stron sacrotuberous and sacroIg. 6) firmly attach the non­ articular lower paC[ ofthe sacrum and its apex to the ischial tuberosity and spine respectively. Thus a mechanical 'couple' is provided to resist the effect of gravity in the erect position.

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