... Orthopedics & Sports Medicine Our Services Where Does it Hurt? SNAPPING SCAPULA SYNDROME PDF Icon PRINTABLE BOOKLET A PATIENT'S GUIDE TO SNAPPING SCAPULA SYNDROME INTRODUCTION The scapulothoracic joint is located where the shoulder blade (also called the scapula) glides along the chest wall (the thorax). When movement of this joint causes feelings or sounds of grating, grinding, popping, or thumping, doctors call it snapping scapula syndrome. Snapping scapula syndrome is fairly rare. When it happens, the soft tissues between the scapula and the chest wall are thick, irritated, or inflamed. Snapping scapula syndrome can also happen if the bones of the shoulder blade or rib cage grate over one another. This guide will help you understand what causes snapping scapula syndrome how doctors treat this condition ANATOMY What parts of the body are involved in this condition? The shoulder is made up of three bones: the humerus (upper arm bone), the clavicle (collarbone), and the scapula(shoulder blade). Two large muscles attach to the front part of the scapula where it rests against the chest wall. One of them, called the subscapularis muscle, attaches over the front of the scapula where it faces the chest wall. The serratus anterior muscle attaches along the edge of the scapula nearest the spine. It passes in front of the scapula, wraps around the chest wall, and connects to the ribs on the front part of the chest. A bursa is a fluid-filled sac that cushions body tissues from friction. A bursa sits between the two muscles of the scapula. There is also a bursa in the space between the serratus anterior muscle and the chest wall. When bursa sacs become inflamed, the condition is called bursitis. Scapulothoracic bursitis refers to inflammation in the bursa under the shoulder blade. This type of bursitis is most common in the upper corner of the scapula nearest the spine. It also occurs under the lower tip of the scapula. In either case, it can cause the sounds and sensations of snapping scapula syndrome. A person can have bursitis in the joint without any grinding or popping. Related Document: A Patient's Guide to Shoulder Anatomy CAUSES What causes this condition? Snapping scapula is caused by problems in the soft tissues or bones of the scapula and chest wall. It can start when the tissues between the scapula and shoulder blade thicken from inflammation. The inflammation is usually caused by repetitive movements. Certain motions of the shoulder done over and over again, such as the movements of pitching baseballs or hanging wallpaper, can cause the tissues of the joint to become inflamed. In other cases, the muscles under the scapula have shrunk (atrophied) from weakness or inactivity. The scapula bone then rides more closely to the rib cage. This means the scapula bumps or rubs on the rib bones during movement. Changes in the alignment or contour of the bones of the scapulothoracic joint can also cause snapping scapula. When a fractured rib or scapula isn't lined up just right, it can cause a bumpy ridge that produces the characteristic grind or snap as the scapula moves over the chest wall.

The lateral approach is used for insertion of fixation devices after closed reduction of a proximal femoral fracture. Reduction of a displaced fracture is usually done with a fracture table, or alternatively a large distractor spanning the hip joint. After satisfactory reduction is confirmed by image intensifier, the lateral approach can be used for insertion of a sliding hip screw or multiple screws. The approach provides limited access to the lateral surface of the femur sufficient for hardware placement. The incision can be extended proximally to accommodate a trochanteric stabilizing plate (TSP), or even anteriorly so that it becomes an anterolateral approach with direct, although limited, access to the femoral neck.

If you’re considering an epidural to help manage the pain of childbirth, you’re not alone. More than 60 percent of women delivering at hospitals elect for an epidural during labor. And with good reason: An epidural is considered one of the safest methods of pain control, with just one in 3,000 pregnancies experiencing serious complications. It’s also good for you, since you’ll remain awake and alert during the birth, as well as for your baby, since the drugs will barely reach your bloodstream (so they can’t get into hers).

When a deviated septum is severe, it can block one side of your nose and reduce airflow, causing difficulty breathing. The additional exposure of a deviated septum to the drying effect of airflow through the nose may sometimes contribute to crusting or bleeding in certain individuals. Nasal obstruction can occur from a deviated nasal septum, from swelling of the tissues lining the nose, or from both. Treatment of nasal obstruction may include medications to reduce the swelling or nasal dilators that help open the nasal passages. To correct a deviated septum, surgery is necessar

A wart is a skin growth caused by some types of the virus called the human papillomavirus (HPV). HPV infects the top layer of skin, usually entering the body in an area of broken skin. The virus causes the top layer of skin to grow rapidly, forming a wart. Most warts go away on their own within months or years.

Barrett's esophagus is a complication of chronic (long lasting) and usually severe gastrointestinal reflux disease (GERD), but occurs in only a small percentage of patients with GERD. Criteria are needed for screening patients with GERD for Barrett's esophagus. Until validated criteria are available, it seems reasonable to do screening endoscopies in GERD patients who cannot be taken off acid suppression therapy after two to three years. The diagnosis of Barrett's esophagus rests upon seeing (at endoscopy) a pink esophageal lining that extends a short distance (usually less than 2.5 inches) up the esophagus from the gastroesophageal junction and finding intestinal type cells (goblet cells) on biopsy of the lining. There is a small but definite increased risk of cancer of the esophagus (adenocarcinoma) in patients with Barrett's esophagus.

http://stop-ear-ringing.info-pro.co ------ Ringing In Ears Dizziness, Can You Get Rid Of Tinnitus, Non Stop Ringing In Ear, Reduce Tinnitus Do you suddenly get up in the middle of the night hearing strange noises? Yes it can definitely be frightening, more so when you cannot find the source. Now consider for a moment that these sounds are coming from within you. Most people would be stunned to know that. Many of us do not even know that our internal organs can make sounds. Let us try to see whether you actually heard these noises or not, and if you did, where did they come from. Now before anything, let us get this straight - yes, you actually heard those noises. No, they are not a result of a creative mind that imagined things in slumber. But having said that, it is also true that there is indeed no source of the sounds you heard. So what is it? Confused? This is a classic case of tinnitus. What is tinnitus? What you experienced last night (or did you just get up from sleep and switch on the computer) is a classic case of tinnitus. This is a medical condition wherein a person hears all kinds of strange clicking, ringing, buzzing, whistling or hissing sounds within the ear. What's so worrisome about this condition for a lot of people is that, there's actually no physical source of these sounds. What makes it even worse is that, no one else seems to hear them. Frankly, these people cannot be really blamed. Naturally, if you cannot see where the sound is coming from, and if you keep hearing it, you are bound to get worried. In tinnitus, the sounds a person hears are actually perceptions. Since there's no actual source, they are often referred to as "phantom noises". Will it help you if you knew that about 8% of all people in the US suffer from tinnitus? Perhaps not, but at least now you know that you are not alone who hears these strange noises.

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http://sin-celulitis.good-info.co/ Como Quitar La Celulitis, Celulitis En La Pierna, Drenaje Linfatico Celulitis, Reducir Celulitis. Imagina Que En Tan Solo 8 Semenas Pudieras... Usar la ropa que quisieras sin preocuparte. Mirarte al espejo con total satisfacción. Usar ese traje de baño que tanto te gusta. Tener relaciones con tu pareja y volverlo loco con tu piel suave y lisa. Sentirte llena de confianza y optimismo. Olvidarte de la celulitis para siempre. ¿Has deseado alguna vez lucir una piel bella y sin los desagradables hoyuelos causados por la celulitis? Haz Clic Aqui. http://sin-celulitis.good-info.co

Come Rimanere Incinta Subito, Probabilità Di Rimanere Incinta A 40 Anni, Primi Sintomi Gravidanza---- http://come-rimanere-incinta.info-pro.co --- Esperta in Medicina Cinese, Specializzata in Trattamenti per la Salute e in Nutrizione, Consulente per la Salute, Dopo Aver Provato in Prima Persona l'Infertilità e Averla Sconfitta ti Insegna Come: Rimanere Incinta in Modo Rapido e del Tutto Naturale in Soli 2 Mesi Dare alla Luce Bambini Sani e Forti Invertire il Problema dell'Infertilità, sia Maschile che Femminile Migliorare la Qualità della Tua Vita...Drasticamente! Scopri Come Ha Vinto la Sua Infertilità e Ha Insegnato a Migliaia di Donne in Tutto il Mondo Come Eliminare Tutti i Problemi dell'Infertilità e Come Rimanere Incinta in Modo Rapido e, Soprattutto, del Tutto Naturale Blog: http://bit.ly/2F3k8xR Se Stai Lottando con Tutte le Tue Forze per Rimanere Incinta e Nonostante Tutto Ancora Non Hai Ottenuto Risultati, Questa Sarà la Lettera Più Importante che Potrai Mai Leggere... Clicca sul link http://come-rimanere-incinta.info-pro.co

http://eliminar-celulite.plus101.com --- Exercicios Para Celulite, Redução De Celulite, O Que Da Celulite, Como Melhorar Celulite. Primeiro eu criei uma lista dos músculos da parte de trás, e aqui estão eles, começando da parte de cima (região dos quadris) e descendo até os tornozelos: Glúteo máximo Glúteo médio Glúteo mínimo Tensor da fascia lata Piriforme Semimembranoso Semitendinoso Bíceps femoral Sartorio Popliteo Soleo Gastrocnêmio Músculo Plantar Tibial Posterior São 14 aí - e eu nem listei os que estão em um nível mais profundo. Tampouco listei os músculos menores que têm um papel importante em sua biomecânica e são as camadas musculares que são estimuladas para tonificação, levantamento e suavização das camadas de pele que cobrem esses músculos. Agora que você sabe onde a causa da reversão da celulite acontece, você pode entender por que agora é possível que você se livre de problemas com a celulite em suas áreas problemáticas e pontos críticos. Então assistir ao vídeo de apresentação fará muito mais sentido agora. http://eliminar-celulite.plus101.com

http://cure-papiloma-humano.info-pro.co --- Sintomas Del Papiloma Humano, Sintomas De Papiloma Humano, Virus Papiloma Humano Cura. El Papiloma Humano Se Cura ¿El Papiloma Humano se Cura? Si te has encontrado recientemente con un diagnóstico positivo de VPH probablemente estas en busca de una solución para tratar este Virus. Seguramente tienes miedo de no encontrar una cura para las verrugas genitales, y que son muy difíciles de eliminar, amigo o amiga no te sientas avergonzado/a o preocupado el saber que estas infectado con este virus no es fácil, más aun ver cómo crecen verrugas en tu cuerpo, pero arriba los ánimos existen muchas cosas que puedes hacer para tratar este virus. Aparte de las verrugas genitales no hay otro síntoma que presente el Virus en tu cuerpo, puedes tratar las verrugas genitales con tratamientos naturales o los métodos actuales. Trata de no rascarse si sientes comezón en la zona afecta ya que puedes lastimarte o irritar más la piel, las verrugas genitales son altamente contagiosas, No debes tener relaciones sexuales con nadie hasta que hayas tenido tratamiento para el VPH. Hoy en Día existen varios tratamientos médicos diseñados para ayudarte a curar las verrugas genitales producidas por el papiloma humano, aunque debo aclararte que estos métodos son dolorosos y dejan cicatrices en la piel donde se encontraba la verruga. Crioterapia: Básicamente las verrugas genitales se congelan con nitrógeno líquido. Tratamiento a base de láser: se utilizan laser de CO2 para quemar las verrugas genitales, se aplica anestesia al área afectada para no sentir mucho dolor, aunque siempre existen molestias durante el procedimiento. Bisturí eléctrico: En esta técnica se utiliza una corriente eléctrica para destruir las verrugas, Se puede hacer en el consultorio con anestesia local, con este método se debe tener cierto cuidado ya que existe peligro de infección. La breve lista antes mencionada son los métodos médicos más comunes para eliminar las verrugas genitales, cuando se diagnostican verrugas genitales estos métodos son los primeros en que se piensan para curar las verrugas genitales. Aunque hay que decir la verdad, estos tratamientos no podrán eliminar el verdadero problema detrás de las verrugas genitales, el cual es el Virus del papiloma humano, aunque las verrugas se eliminan de la zona afectada el virus seguirá permaneciendo en el cuerpo de forma latente, ninguno de estos método puede garantizar que no volverá a haber otro brote de verrugas genitales. Descubre como mantener DESACTIVADO el VPH DE POR VIDA para permitirte una vida sin verrugas, sin frustraciones y sin molestias, ingresa ahora a: http://cure-papiloma-humano.info-pro.co

Keratosis Pilaris Treatment, What Causes Keratosis Pilaris, Cream For Keratosis Pilaris, Kp Cause---- http://banishmybumps.plus101.com/ --- Keratosis Pilaris Treatment, What Causes Keratosis Pilaris, Cream For Keratosis Pilaris, Kp Cause. Natural Treatments for Keratosis Pilaris. Keratosis Pilaris or KP is a very common skin condition, but has a quite unknown cause, and this affects more than fifty percent of adults all over the world. Most people who have this illness do not even know about it. KP causes a small red bump that normally appears on the legs, upper arms and buttocks. This skin condition can form also on your face, where it closely resembles acne. Though these red bumps are harmless, these can affect the person’s self-esteem and could lessen a person’s lifestyle quality. In order to avoid these circumstances, here are some of the natural treatments for Keratosis pilaris. If you are searching for KP treatment, bear in mind that this skin condition doesn’t need to be cured using conventional medication that may worsen the problem. Begin with the basics like proper skin care and proper diet, and this will essentially enhance your condition. In your diet, include foods rich in vitamin E and essential fatty acids like omega-3, 6 and 9 as well as GLA as these aids in regulating the abnormal production of your skin outer layers. In short, they aid stimulate a healthy process of skin exfoliation that in turn helps your skin get rid of the body toxins. Regular cleansing washes away the dead skin cells from your body. In some circumstances, you may need to help the process of exfoliation by using exfoliating cleansers or soaps or even body loofah. This skin condition usually indicates imbalance immune system and lack of moisture. You want to bring back the moisture of your skin and this can be done by increasing your water intake and using skin moisturizer. Additionally, you need to re-establish balance by means of detoxifications and proper nutrition in order to remove the toxins which affect your immune health. Urea cream is also used to treat Keratosis pilaris. But before considering this treatment, you have to know that nitrogen, a waste product of human protein metabolism, is the main ingredient of urea. Urea is transmitted into the urine and is impassive from your body. It is utilized in creams medically, supposedly to bring back moisture. There are natural substitutes for moisturizing your skin such as borage oil, Vitamin E oil, and many more, so there is really no need to use a waste product to perform the job. Some of the prescribed creams which contain urea might include other harmful components that can worsen your situation. So, instead of using urea, try to use natural skin care home remedies such as rose hip oil, Vitamin E bath oil, exfoliating soap made of Burt’s. You can try detoxification and cleansing program in order to get rid of all the toxins inside your system. Try to avoid allergens that may aggravate your skin condition such as dust mites, harsh detergents, toothpaste with fluoride and etc. It is good to know that keratosis pilaris is harmless enough and can be treated easily. With proper diet and modifying your lifestyle, you can fight this condition easily. Choose the natural cure for keratosis pilaris to prevent more toxins to get into the body that can worsen the skin condition. Proper diet and healthy lifestyle is your way of having a healthy and flawless skin. Research has shown that all-natural keratosis pilaris treatment systems, such as Banish My Bumps, are a successful way to seek relief. You can learn more at http://banishmybumps.plus101.com/

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This video cover all Medical Laboratory Departments

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Third stage nasal econstuction: Nasolabial flap thinning, caudal septoplasty

houlder examination frequently appears in OSCEs. You’ll be expected to pick up the relevant clinical signs using your examination skills. This shoulder examination OSCE guide provides a clear step by step approach to examining the shoulder, with an included video demonstration.

Like a fine whiskey barrel and wine cellar, cannabis also comes at its best when aged in a dark, cool place. Though there is no steadfast expiration date for cannabis, the method you use for preserving the cannabis makes a big difference in maintaining the buds’ freshness and potency. The question is, how do you store cannabis in a way that could extend its longevity while maintaining the vigor and freshness? Experts have described different methods. However, here are some time-proven methods that are easy and inexpensive and require very less equipment. Use air-tight glass containers to store the weed Use clean air-tight glass containers or jars to store cannabis. You can buy glass containers from any ordinary supermarket or hardware store. The tricky part is to make sure you do leave some air in the container while the air stored with cannabis isn’t in detrimental extent. Always leave 1/4 space at the top of the canister or container. Do not fill the containers to the brim with the buds. If you leave no air, then the buds will dry out. If you have too much air, the buds will get damp and moldy. Freeze your cannabis in a convenient temperature The best way to store your buds is in air-tight glass jars, in a cool and dark place under an ideal temperature between 60 and 70 degrees Fahrenheit. If you need to store a high volume of cannabis, you can freeze them after keeping them completely dry for a period of 4 weeks. On this note, you should know that you must not handle frozen buds until it becomes normal in room temperature as trichomes become brittle and can easily break off in freezing temperature. Refrigerate your cannabis (Not Recommended) Even if you use airtight jars, cannabis can grow mold in the fridge. So, you should avoid storing cannabis in the fridge. If you can’t help but doing it, make sure the weed is completely dry and put them in the back where the humidity and temperature don’t fluctuate. Plastic Baggies (Worst method!) Albeit this is very common among people who aren’t expert in handling cannabis, this is the worst of all storage methods. Cannabis gets brittle and dries out in plastic bags. It also loses its natural smell, and the potency deteriorates sharply. So, it should be avoided entirely or can be used for a short-term if there is no better alternative. Here are some things you should know while storing cannabis - Make sure cannabis has been cured for at least 4 weeks before putting them into long-term storage. Without proper curing before storage, the buds can lose their strength and smoothness. - Sunlight can stop the medicinal qualities of cannabis. Your cannabis, if stored correctly, can maintain its medicinal qualities for a few years. Exposure to Sun will turn your cannabis brown, no matter how you have stored it away. - Air-tight, nonporous glass jar are the best way for storing the buds for long term. You can use metal or plastic box/bag, but that could reduce the smell and taste after a while. - Avoid heat and middling temperature in the place where you store your buds. The ideal temperature is 60-70°F (15-21°C) or under 32°F (0°C). Extra heat, cold or middling temperature cause the cannabis potency to decrease. - Keep your cannabis away from any electronic devices or appliances that will expose the cannabis to heat. Keeping cannabis on top of a microwave, or near a laptop or mobile charge is a bad idea. Now, as you know that how to store cannabis properly and make it last for years, enjoy the best form of your weeds even it comes from the previous year. Do write to us in the comments section if you have any questions. Also, don’t forget to hit the subscribe button below. Visit OnlineMedicalCard.com now to get an MMJ recommendation online in less than 10 minutes.