By Gregory P. Grieve FCSP DipTP
Describes the genesis, pathology, medical beneficial properties, presentation, syndromes, scientific exam, research techniques, remedy, prophylaxis, and surgical procedure of universal vertebral joint difficulties.
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Extra info for Common Vertebral Joint Problems
Keep thedisc bloWg up with water. Although the molecular weight of proteoglycans is very Copyrighted Material 20 COMMON VERTEBRAL JOINT PROBLEMS high, the hydrophilic properties depend up0'UtS capacity as an 'jon exchanger', and thus its charge density. rather tban its molecular wej£bt. I n degenerative disc disease, the proteoglycans' molecular weight becomes smaller, but this does not of itself affect the hydrophilic properties to any degree, since the essential factor is the ' ion exchanger' function and not the molecular weight.
34 Medial aspect of sagittal section of pelvis. Gravitational stress lends to increase sacrovertebral angle and reduce sagittal dimensions of pelvic inlet. ligament (Fig. 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.
On studying the gross anatomy of the joint surfaces, it will also be apparent that since these comprise two and often three planes angulated to each other, whatever movement may be powerfully but indirectly imposed by the muscle mass, it cannot be rotation (see p. 280). The joint may be ljkened to the superior tibiofibular joint, disorders of which are frequently a covert cause of anterolaterallegand ankle pain. In some important respects, this litcle articula tion is a microcosm of the sacroiliac joint and, weight bearing strains apart, the comparative anatomy, function during walking and susceptibility to local and referred pains after what appear to be 'shuffling' lesions, are worth our consideration.
Common Vertebral Joint Problems by Gregory P. Grieve FCSP DipTP