przyczep mięśnia czworobocznego większego

English translation: insertion of the trapezius muscle

13:16 Apr 1, 2017
Polish to English translations [PRO]
Medical - Medical (general) / orthopedics
Polish term or phrase: przyczep mięśnia czworobocznego większego
Docięto torebkę w kształcie litery T do przodu i ku tyłowi, przy pomocy noża elektrycznego odcięta przykostnie przyczep mięśnia czworobocznego większego.

mięsień czworoboczny - trapezius muscle
ale jak będzie tutaj 'większy'?
Tak jak w krętarzu większym (greater trochanter) czy inaczej?
Małgorzata Rymsza
United Kingdom
Local time: 19:15
English translation:insertion of the trapezius muscle
Explanation:
Małgorzata, wybacz, ale znowu nie wiem o co chodzi z tym "większym". Nie ma mięśnia czworobocznego większego (przynajmniej według mojej wiedzy). Nie przyczepia się też do krętarza większego (tylko do łopatki i kręgosłupa). Cholera wie, o co im chodzi.
Selected response from:

Marcin Pustkowski
Poland
Grading comment
4 KudoZ points were awarded for this answer



Summary of answers provided
4Lateral Transtrochanteric Approach - see below
Erzsébet Czopyk
3insertion of the trapezius muscle
Marcin Pustkowski
Summary of reference entries provided
Erzsébet Czopyk

Discussion entries: 12





  

Answers


13 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5
insertion of the trapezius muscle


Explanation:
Małgorzata, wybacz, ale znowu nie wiem o co chodzi z tym "większym". Nie ma mięśnia czworobocznego większego (przynajmniej według mojej wiedzy). Nie przyczepia się też do krętarza większego (tylko do łopatki i kręgosłupa). Cholera wie, o co im chodzi.

Marcin Pustkowski
Poland
Works in field
Native speaker of: Native in PolishPolish
PRO pts in category: 1253

Peer comments on this answer (and responses from the answerer)
neutral  Erzsébet Czopyk: Marcin, I think I found it, see below - the Polish text was very. very confusing!
3 mins
  -> Erzsébet, I also don't understand this fragment. There is no muscle trapezius greater or minor (just trapezius). I'm doing my best. Thank you for "agree"!//But muscles trapezius is situated on the top, it's not related with arthroplasty...
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29 mins   confidence: Answerer confidence 4/5Answerer confidence 4/5
Lateral Transtrochanteric Approach - see below


Explanation:
Greater trochanter - Wikipedia
https://en.wikipedia.org/wiki/Greater_trochanter
The greater trochanter (great trochanter) of the femur is a large, irregular, quadrilateral ... Capsule of hip-joint (distended). Posterior aspect. The arteries of the gluteal and posterior femoral regions. Hip joint. Lateral view.Greater trochanter.

Gluteus maximus muscle - Wikipedia
https://en.wikipedia.org/wiki/Gluteus_maximus_muscle
The gluteus maximus is the main extensor muscle of the hip. It is the largest and most superficial of the three gluteal muscles and makes up a large portion of the shape and appearance of each side of the hips. Its thick fleshy mass, in a quadrilateral shape , forms the prominence of the ...

Femur | Radiology Reference Article | Radiopaedia.org
https://radiopaedia.org/articles/femur
It is for this reason that the treatment of choice is a total hip replacement rather ... The greater trochanter is a large, irregular, quadrilateral eminence attached to ...


Surgical Approaches to Total Hip Arthroplasty - Scott J. Sevinsky MSPT
www.scottsevinsky.com/pt/reference/hip/thr_surgical_approac...
The anterior approach to total hip arthroplasty (THA), described by ... nerve) and gluteus medius (superior gluteal nerve) more ...

The patient is positioned in a lateral position, and the incision is the same as in the direct lateral approach.
The tensor fascia latae is divided 2–3 cm distal to the greater trochanter and is curved proximally to parallel
the gluteus maximus. The gluteus medius and vastus lateralis can then be visualized. The anterior capsule is
then exposed and stretched by external rotation of the femur. The anterior capsule is divided with electrocautery
to expose the vastus ridge
(Fig. 3).
Next the trochanteric osteotomy is performed by passing a cholecystectomy clamp posteriorly from the anterosuperior exposed surface of the femoral neck. The capsule is
then pierced, and the cut is made with a Gigli saw after it is assured that it is located deep to the posterosuperior
surface of the trochanter. The osteotomy site then exits through the vastus ridge. This technique can be modified
by using an oscillating saw.


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Note added at 31 mins (2017-04-01 13:48:07 GMT)
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Posterolateral Approach

The incision is then made longitudinally with one-third being over the trochanter, one-third below it, and then a
curved portion above the trochanter in the direction of the fibers of the gluteus maximus. The tensor fascia latae and gluteal fascia are incised in line with the skin incision. The gluteus maximus is then bluntly divided, and the gluteal sling is divided on its superior half with electrocautery.
The posterior border of the gluteus medius is retracted using a 90° angled thin Homan retractor.


Erzsébet Czopyk
Hungary
Local time: 20:15
Specializes in field
Native speaker of: Native in HungarianHungarian
PRO pts in category: 28
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Reference comments


14 mins peer agreement (net): +1
Reference

Reference information:
https://hu.pinterest.com/pin/44613852537906083/
http://livewell.jillianmichaels.com/stretches-lower-trapeziu...
http://droualb.faculty.mjc.edu/Course Materials/Elementary A...
Trapezius
The trapezius muscles are superficial muscles of the neck and upper trunk. Taken together they form a diamond shape. Because of their broad attachments they have a number of actions that include extending the head and elevating, depressing, adducting and stabilizing the scapula.

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Note added at 18 mins (2017-04-01 13:34:37 GMT)
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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4968506/

Erzsébet Czopyk
Hungary
Specializes in field
Native speaker of: Native in HungarianHungarian
PRO pts in category: 28

Peer comments on this reference comment (and responses from the reference poster)
agree  Marcin Pustkowski
30 mins
  -> Dziękuję bardzo, Marcin!
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