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Slipped Capital Femoral Epiphysis (SCFE) Treatment | Dr Niraj Vora PowerPoint PPT Presentation
Slipped Capital Femoral Epiphysis (SCFE) Treatment | Dr Niraj Vora - Looking for Slipped Capital Femoral Epiphysis Treatment in Mumbai, contact Dr Niraj Vora, specialist in Slipped Capital Femoral Epiphysis Treatments.
Looking for Slipped Capital Femoral Epiphysis Treatment in Mumbai, contact Dr Niraj Vora, specialist in Slipped Capital Femoral Epiphysis Treatments.
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Slipped capital femoral epiphysis (SCFE)? PowerPoint PPT Presentation
Slipped capital femoral epiphysis (SCFE)? - Slipped capital femoral epiphysis (SCFE) SCFE Posterior and Medial displacement of the femoral capital epiphysis on the femoral neck through sudden or gradual ...
Slipped capital femoral epiphysis (SCFE) SCFE Posterior and Medial displacement of the femoral capital epiphysis on the femoral neck through sudden or gradual ...
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Slipped Upper Femoral Epiphysis PowerPoint PPT Presentation
Slipped Upper Femoral Epiphysis - presentation outside these ages consider endocrine or ... Limp. Externally rotated limb. Slipped Capital Femoral Epiphysis Presentation. Preslip: synovitis ...
presentation outside these ages consider endocrine or ... Limp. Externally rotated limb. Slipped Capital Femoral Epiphysis Presentation. Preslip: synovitis ...
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SLIPPED CAPITAL FEMORAL EPIPHYSIS PowerPoint PPT Presentation
SLIPPED CAPITAL FEMORAL EPIPHYSIS - SLIPPED CAPITAL FEMORAL EPIPHYSIS Joseph E. Burkhardt D.O. Garden City Hospital, 1999 DEFINITION SCFE: misnomer Femoral head held securely in acetabulum, while the ...
SLIPPED CAPITAL FEMORAL EPIPHYSIS Joseph E. Burkhardt D.O. Garden City Hospital, 1999 DEFINITION SCFE: misnomer Femoral head held securely in acetabulum, while the ...
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PARAMETRIC STUDY OF GEOMETRICAL FACTORS RELATED TO SLIPPED CAPITAL FEMORAL EPIPHYSIS PowerPoint PPT Presentation
PARAMETRIC STUDY OF GEOMETRICAL FACTORS RELATED TO SLIPPED CAPITAL FEMORAL EPIPHYSIS - Sorrento, Italy, 11-14 April 2004. SCFE consists on a slip of femoral head over the ... Cancellous bone (E=700MPa, n=0.3) Cortical Bone (E=17000MPa, n=0.2) ...
Sorrento, Italy, 11-14 April 2004. SCFE consists on a slip of femoral head over the ... Cancellous bone (E=700MPa, n=0.3) Cortical Bone (E=17000MPa, n=0.2) ...
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Axial Division PowerPoint PPT Presentation
Axial Division - spongy bone Proximal epiphysis compact bone Endosteum diaphysis epiphyseal line yellow marrow Sharpey s fibers Distal epiphysis hyaline cartilage periosteum
spongy bone Proximal epiphysis compact bone Endosteum diaphysis epiphyseal line yellow marrow Sharpey s fibers Distal epiphysis hyaline cartilage periosteum
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Axial Division PowerPoint PPT Presentation
Axial Division - spongy bone Proximal epiphysis compact bone Endosteum diaphysis epiphyseal line yellow marrow Sharpey s fibers Distal epiphysis hyaline cartilage periosteum
spongy bone Proximal epiphysis compact bone Endosteum diaphysis epiphyseal line yellow marrow Sharpey s fibers Distal epiphysis hyaline cartilage periosteum
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Hip problems PowerPoint PPT Presentation
Hip problems - Hip problems Slipped Capital Femoral Epiphysis Perthes Disease Developmental Dysplasia of Hip Slipped Capital Femoral Epiphysis Introduction The most common hip ...
Hip problems Slipped Capital Femoral Epiphysis Perthes Disease Developmental Dysplasia of Hip Slipped Capital Femoral Epiphysis Introduction The most common hip ...
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Describing Fractures Basics PowerPoint PPT Presentation
Describing Fractures Basics - Epiphysis, physis, metaphysis, diaphysis. Epiphysis. Metaphysis. Diaphysis (Shaft) Physis. Articular Surface. D: Degree of Fracture. Complete ...
Epiphysis, physis, metaphysis, diaphysis. Epiphysis. Metaphysis. Diaphysis (Shaft) Physis. Articular Surface. D: Degree of Fracture. Complete ...
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Salter Harris Fractures PowerPoint PPT Presentation
Salter Harris Fractures - Fracture of the metaphysis and epiphysis that communicate 'Through the growth plate' ... the growth plate'. 'Through the growth plate'. 'Raised epiphysis'. Quiz ...
Fracture of the metaphysis and epiphysis that communicate 'Through the growth plate' ... the growth plate'. 'Through the growth plate'. 'Raised epiphysis'. Quiz ...
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SKELETAL SYSTEM NOTES PowerPoint PPT Presentation
SKELETAL SYSTEM NOTES - SKELETAL SYSTEM NOTES 4 Major Functions Framework Protection Storage Blood cells Generic Parts Periosteum Endosteum Epiphysis Diaphysis Epiphyseal Cartilage Yellow ...
SKELETAL SYSTEM NOTES 4 Major Functions Framework Protection Storage Blood cells Generic Parts Periosteum Endosteum Epiphysis Diaphysis Epiphyseal Cartilage Yellow ...
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HB100 Level 1 Physiology PowerPoint PPT Presentation
HB100 Level 1 Physiology - w Inflammation of epiphysis. w Can lead to separation of epiphysis ... w Injury of a bone's epiphysis could cause delays in its growth. (continued) ...
w Inflammation of epiphysis. w Can lead to separation of epiphysis ... w Injury of a bone's epiphysis could cause delays in its growth. (continued) ...
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Endochondral ossification PowerPoint PPT Presentation
Endochondral ossification - Epiphysis of reptile with secondary center of ossification. Compared to epiphyses of younger reptile, the chondrocytes are aligned into ...
Epiphysis of reptile with secondary center of ossification. Compared to epiphyses of younger reptile, the chondrocytes are aligned into ...
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The Role of CTAngiography in Diagnosis and Treatment Strategy of PFFD Pappas Class II and III PowerPoint PPT Presentation
The Role of CTAngiography in Diagnosis and Treatment Strategy of PFFD Pappas Class II and III - mobility or fixation of the epiphysis in acetabulum ... fixation / mobility of epiphysis in the acetabulum. 2) CT-Angiography enables ...
mobility or fixation of the epiphysis in acetabulum ... fixation / mobility of epiphysis in the acetabulum. 2) CT-Angiography enables ...
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AP RIGHT HIP PowerPoint PPT Presentation
AP RIGHT HIP - coronal mri epiphysis rt. rt. patella fibula femur tibia intercondylar eminence lateral knee femur patella fibula ap knee ... joint cruciate ligaments ... x-ray with ...
coronal mri epiphysis rt. rt. patella fibula femur tibia intercondylar eminence lateral knee femur patella fibula ap knee ... joint cruciate ligaments ... x-ray with ...
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JOINT INFECTIONS PowerPoint PPT Presentation
JOINT INFECTIONS - JOINT INFECTIONS K. Bougoulias Septic arthritis Haematogenous spread to synovium Extension of osteomyelitis involving epiphysis or intracapsular metaphysis Direct ...
JOINT INFECTIONS K. Bougoulias Septic arthritis Haematogenous spread to synovium Extension of osteomyelitis involving epiphysis or intracapsular metaphysis Direct ...
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Chapter 1: General Anatomy, Terminology and Positioning PowerPoint PPT Presentation
Chapter 1: General Anatomy, Terminology and Positioning - 6-* Structure of a Long Bone Diaphysis Epiphysis proximal distal Metaphysis Epiphyseal line Articular cartilage Medullary cavity 6-* 12-* Appendicular Muscles ...
6-* Structure of a Long Bone Diaphysis Epiphysis proximal distal Metaphysis Epiphyseal line Articular cartilage Medullary cavity 6-* 12-* Appendicular Muscles ...
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BENIGN BONE FORMING TUMORS PowerPoint PPT Presentation
BENIGN BONE FORMING TUMORS - Benign tumor of bone tissue origin. Contains only dense compact bone ... Metaphysis, epiphysis, not diaphysis. BONE ISLAND. Radiographic: ...
Benign tumor of bone tissue origin. Contains only dense compact bone ... Metaphysis, epiphysis, not diaphysis. BONE ISLAND. Radiographic: ...
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THE SKELETAL SYSTEM PowerPoint PPT Presentation
THE SKELETAL SYSTEM - PRODUCTION OF BLOOD CELLS. RESERVOIR FOR MINERALS. AXIAL SKELETON. MAIN AXIS ... CANCELLOUS BONE (SPONGY) FULL OF MARROW. FOUND IN EPIPHYSIS. VIDEO THE SKELETON ...
PRODUCTION OF BLOOD CELLS. RESERVOIR FOR MINERALS. AXIAL SKELETON. MAIN AXIS ... CANCELLOUS BONE (SPONGY) FULL OF MARROW. FOUND IN EPIPHYSIS. VIDEO THE SKELETON ...
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Bone Formation PowerPoint PPT Presentation
Bone Formation - Bone Formation. Embryo. Made of almost entirely cartilage. ... Articular. cartilage. Epiphyseal. plate. Secondary ossification. center in epiphysis. Osteoblasts: ...
Bone Formation. Embryo. Made of almost entirely cartilage. ... Articular. cartilage. Epiphyseal. plate. Secondary ossification. center in epiphysis. Osteoblasts: ...
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Chondroblastoma PowerPoint PPT Presentation
Chondroblastoma - Usually located in the epiphyses or apophyses of long bones ... centrally located within the epiphysis (arrows) occasionally with radiographic ...
Usually located in the epiphyses or apophyses of long bones ... centrally located within the epiphysis (arrows) occasionally with radiographic ...
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Bone Models PowerPoint PPT Presentation
Bone Models - ... Models. Osteon Model. Lacunae. Canaliculi. Osteocyte. Concentric ... Lacuna. Osteocyte. Canaliculus. Anatomy of a Long Bone. Proximal Epiphysis. Diaphysis ...
... Models. Osteon Model. Lacunae. Canaliculi. Osteocyte. Concentric ... Lacuna. Osteocyte. Canaliculus. Anatomy of a Long Bone. Proximal Epiphysis. Diaphysis ...
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Chapter 5 The Skeletal System PowerPoint PPT Presentation
Chapter 5 The Skeletal System - Articular cartilage: covers epiphysis at a joint ... scapula. Arm. Hand. Pelvic girdle. Innominate (ilium, ischium, pubis) Sacrum. Leg. Foot ...
Articular cartilage: covers epiphysis at a joint ... scapula. Arm. Hand. Pelvic girdle. Innominate (ilium, ischium, pubis) Sacrum. Leg. Foot ...
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Anatomy and Physiology 2210K Lecture 4 Slide 2 Long bone PowerPoint PPT Presentation
Anatomy and Physiology 2210K Lecture 4 Slide 2 Long bone - Anatomy and Physiology 2210K Lecture 4 Slide 2 Long bone (e.g. femur) Slide 3 Long bone general structure Slide 4 - Diaphysis Slide 5 - Epiphysis Slide 6 ...
Anatomy and Physiology 2210K Lecture 4 Slide 2 Long bone (e.g. femur) Slide 3 Long bone general structure Slide 4 - Diaphysis Slide 5 - Epiphysis Slide 6 ...
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NUTRITION II DISEASES OF MALNUTRITION PowerPoint PPT Presentation
NUTRITION II DISEASES OF MALNUTRITION - NUTRITION II DISEASES OF MALNUTRITION PROF.DR. SHAHENAZ M. HUSSIEN Extremities: Broadening of epiphysis of long bone especially at wrist and ankle.
NUTRITION II DISEASES OF MALNUTRITION PROF.DR. SHAHENAZ M. HUSSIEN Extremities: Broadening of epiphysis of long bone especially at wrist and ankle.
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Bone Tissue PowerPoint PPT Presentation
Bone Tissue - Bone Tissue. Dynamic Tissue, full of cells, blessed are you among tissues and ... At the ends: spongy (cancellous bone) Shaft: daphysis. Heads: epiphysis ...
Bone Tissue. Dynamic Tissue, full of cells, blessed are you among tissues and ... At the ends: spongy (cancellous bone) Shaft: daphysis. Heads: epiphysis ...
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Bone and Joint Pathology For Second Year Dental Students Part one PowerPoint PPT Presentation
Bone and Joint Pathology For Second Year Dental Students Part one - Cancellous bone: marrow bone. Mandible, maxilla. End of long bones in the medullary canal. Epiphysis ... Area between epiphyseal plate to the area where bone ...
Cancellous bone: marrow bone. Mandible, maxilla. End of long bones in the medullary canal. Epiphysis ... Area between epiphyseal plate to the area where bone ...
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GCSE PE QUIZ PowerPoint PPT Presentation
GCSE PE QUIZ - Please fill in the gaps from the words below.The outer skin of the bone is called the . EPIPHYSIS, CARTILAGE, PERIOSTEUM, CALCIUM, MARROW, BLOOD CELLS. QUESTION 2 ...
Please fill in the gaps from the words below.The outer skin of the bone is called the . EPIPHYSIS, CARTILAGE, PERIOSTEUM, CALCIUM, MARROW, BLOOD CELLS. QUESTION 2 ...
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MUSCULOSKELETAL PowerPoint PPT Presentation
MUSCULOSKELETAL - Bones that contain red blood marrow and are primary sites for metastasis. PA chest ... presence or absence of ossification centers. configuration/fusion of epiphysis ...
Bones that contain red blood marrow and are primary sites for metastasis. PA chest ... presence or absence of ossification centers. configuration/fusion of epiphysis ...
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Chapter 6: Osseous Tissue and Bone Structure PowerPoint PPT Presentation
Chapter 6: Osseous Tissue and Bone Structure - Are thin with parallel surfaces. Are found in the skull, ... Metaphysis: where diaphysis and epiphysis meet. Flat Bones. Resembles a sandwich of spongy bone ...
Are thin with parallel surfaces. Are found in the skull, ... Metaphysis: where diaphysis and epiphysis meet. Flat Bones. Resembles a sandwich of spongy bone ...
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The Skeletal System PowerPoint PPT Presentation
The Skeletal System - Epiphysis. The ends of the bone. Spongy Bone. Found at the end of long bones. ... Creation of red blood cells, some white blood cells and platelets happens here. ...
Epiphysis. The ends of the bone. Spongy Bone. Found at the end of long bones. ... Creation of red blood cells, some white blood cells and platelets happens here. ...
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Bone Tissue PowerPoint PPT Presentation
Bone Tissue - 1. located on inner surface of compact boney collar. 2. ... 2. spongy (cancellous) bone. III. Bone Structure. B. Regions of long bone. 1. epiphysis (8.13) ...
1. located on inner surface of compact boney collar. 2. ... 2. spongy (cancellous) bone. III. Bone Structure. B. Regions of long bone. 1. epiphysis (8.13) ...
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The River of Life PowerPoint PPT Presentation
The River of Life - Capillaries close to the surface during times when we are hot to ... Proximal epiphysis of femur and humerus. Erythropoiesis. The production of red blood cells. ...
Capillaries close to the surface during times when we are hot to ... Proximal epiphysis of femur and humerus. Erythropoiesis. The production of red blood cells. ...
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TIME FOR LITERACY PowerPoint PPT Presentation
TIME FOR LITERACY - To show his support for this literacy project, Sen. Craig reads to students ... The resulting fragmentation of the epiphysial center involves an area of poorly ...
To show his support for this literacy project, Sen. Craig reads to students ... The resulting fragmentation of the epiphysial center involves an area of poorly ...
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Nuclear receptors and circadian rhythms PowerPoint PPT Presentation
Nuclear receptors and circadian rhythms - Circadian expression of Rev-erba during Zebrafish development. post-natal. mammals. zebrafish ... Expression of Rev-erba in zebrafish epiphysis and retina. 72 hpf ...
Circadian expression of Rev-erba during Zebrafish development. post-natal. mammals. zebrafish ... Expression of Rev-erba in zebrafish epiphysis and retina. 72 hpf ...
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Chapter 7 The Skeletal Sx. PowerPoint PPT Presentation
Chapter 7 The Skeletal Sx. - The Epiphysis of a bone is the distal ends which are usually wider ... The Ulna is on the pinky side of the forearm when the arm is in anatomical position. ...
The Epiphysis of a bone is the distal ends which are usually wider ... The Ulna is on the pinky side of the forearm when the arm is in anatomical position. ...
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Control of growth in humans PowerPoint PPT Presentation
Control of growth in humans - during the first two years after birth and. 3. during puberty. Growth Curve in Humans ... Growth spurt after birth. Birth. Bone Growth. 6 ...
during the first two years after birth and. 3. during puberty. Growth Curve in Humans ... Growth spurt after birth. Birth. Bone Growth. 6 ...
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Ossification = Osteogenesis PowerPoint PPT Presentation
Ossification = Osteogenesis - Ossification = Osteogenesis Ossification = Osteogenesis Parts of the fetal skeleton form during the first few weeks after conception By the end of the 8th week, the ...
Ossification = Osteogenesis Ossification = Osteogenesis Parts of the fetal skeleton form during the first few weeks after conception By the end of the 8th week, the ...
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Aresh Hashemi-Nejad FRCS(Orth) The Royal National PowerPoint PPT Presentation
Aresh Hashemi-Nejad FRCS(Orth) The Royal National - Aresh Hashemi-Nejad FRCS(Orth) The Royal National Orthopaedic Hospital Fish Cuneiform Osteotomy SCFE Prophylactic pinning of the contralateral hip if all ...
Aresh Hashemi-Nejad FRCS(Orth) The Royal National Orthopaedic Hospital Fish Cuneiform Osteotomy SCFE Prophylactic pinning of the contralateral hip if all ...
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Common Pediatric Orthopedic Injuries PowerPoint PPT Presentation
Common Pediatric Orthopedic Injuries - Radial Head Subluxation. Toddler's Fracture. What's a Growth Plate? ... Radial Head Subluxation: Diagnosis. Exam. Typical posture 'My Arm' Maybe some swelling ...
Radial Head Subluxation. Toddler's Fracture. What's a Growth Plate? ... Radial Head Subluxation: Diagnosis. Exam. Typical posture 'My Arm' Maybe some swelling ...
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Slipped epiphyses and Perthes PowerPoint PPT Presentation
Slipped epiphyses and Perthes - Slipped epiphyses and Perthe's. Mr Neeraj Garg. Royal Liverpool Children's Hospital ... Bloods FBC, ESR, CRP, Blood Culture. Radiographs. Ultrasound Scan. Bone Scan ...
Slipped epiphyses and Perthe's. Mr Neeraj Garg. Royal Liverpool Children's Hospital ... Bloods FBC, ESR, CRP, Blood Culture. Radiographs. Ultrasound Scan. Bone Scan ...
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X-Ray Rounds PowerPoint PPT Presentation
X-Ray Rounds - X-Ray Rounds Cass Djurfors Feb 20, 2003 10 y.o. boy with leg pain Obese 10-year old male presents with a two week history of right thigh and knee pain.
X-Ray Rounds Cass Djurfors Feb 20, 2003 10 y.o. boy with leg pain Obese 10-year old male presents with a two week history of right thigh and knee pain.
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SKELETAL SYSTEM FUNCTIONS PowerPoint PPT Presentation
SKELETAL SYSTEM FUNCTIONS - SKELETAL SYSTEM FUNCTIONS. SUPPORT & MOVEMENT. PROTECTION THINK RIB CAGE, SKULL, ... CANCELLOUS AKA SPONGY BONE. COMPACT HAVERSIAN BONE. CELL TYPES ...
SKELETAL SYSTEM FUNCTIONS. SUPPORT & MOVEMENT. PROTECTION THINK RIB CAGE, SKULL, ... CANCELLOUS AKA SPONGY BONE. COMPACT HAVERSIAN BONE. CELL TYPES ...
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Ossification = Osteogenesis PowerPoint PPT Presentation
Ossification = Osteogenesis - sheetlike connective hyaline cartilage. tissue with bony tissue with bony tissue ... Hyaline cartilage bones' are infiltrated with blood vessels & osteoblasts. ...
sheetlike connective hyaline cartilage. tissue with bony tissue with bony tissue ... Hyaline cartilage bones' are infiltrated with blood vessels & osteoblasts. ...
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Physiology of Bones PowerPoint PPT Presentation
Physiology of Bones - Giving rigidity and form- without no form jellyfish. Levers- muscles are attached to levers ... Osteoclastoma-giant cell tumor. Rickets- lack of vit. D synthesis ...
Giving rigidity and form- without no form jellyfish. Levers- muscles are attached to levers ... Osteoclastoma-giant cell tumor. Rickets- lack of vit. D synthesis ...
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Evaluation of the Child with a Limp PowerPoint PPT Presentation
Evaluation of the Child with a Limp - Evaluation of the Child with a Limp DD Aronsson University of Vermont Hx 2-year-old boy limps because of pain in the right thigh (antalgic) PE pain and ...
Evaluation of the Child with a Limp DD Aronsson University of Vermont Hx 2-year-old boy limps because of pain in the right thigh (antalgic) PE pain and ...
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Bone PowerPoint PPT Presentation
Bone - Title: 1 Author: zq Last modified by: acer Created Date: 5/22/2005 11:38:58 AM Document presentation format: Company: zqcb
Title: 1 Author: zq Last modified by: acer Created Date: 5/22/2005 11:38:58 AM Document presentation format: Company: zqcb
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Skeletal Tissue PowerPoint PPT Presentation
Skeletal Tissue - Skeletal Tissue Structure of Bones Parts of a Bone A typical long bone consists of: Diaphysis Epiphyses Metaphyes Articular Cartilage Periosteum Medullary Cavity ...
Skeletal Tissue Structure of Bones Parts of a Bone A typical long bone consists of: Diaphysis Epiphyses Metaphyes Articular Cartilage Periosteum Medullary Cavity ...
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The SKELETAL SYSTEM PowerPoint PPT Presentation
The SKELETAL SYSTEM - What is the skeleton? made up of bones -300 at birth 206 by adulthood -why? -some fuse over time (ex. Plates in the skull and lower parts of the vertebral column ...
What is the skeleton? made up of bones -300 at birth 206 by adulthood -why? -some fuse over time (ex. Plates in the skull and lower parts of the vertebral column ...
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The Skeletal System PowerPoint PPT Presentation
The Skeletal System - The Skeletal System - Appoquinimink High School
The Skeletal System - Appoquinimink High School
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The Skeletal System PowerPoint PPT Presentation
The Skeletal System - The Skeletal System 5 Functions Of The Skeletal System Support: Gives form to the body. Protection: Protects vital internal organs, acts as a shield.
The Skeletal System 5 Functions Of The Skeletal System Support: Gives form to the body. Protection: Protects vital internal organs, acts as a shield.
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Bone Introduction PowerPoint PPT Presentation
Bone Introduction - Fossa (broad and shallow) Pits or fovea (small) Groove or sulcus (long and shallow) ... Meatus or Canal (a tube or covered area) Bone Model Osteon. Periosteum ...
Fossa (broad and shallow) Pits or fovea (small) Groove or sulcus (long and shallow) ... Meatus or Canal (a tube or covered area) Bone Model Osteon. Periosteum ...
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Support and Movement Chapter 38 PowerPoint PPT Presentation
Support and Movement Chapter 38 - Support and Movement Chapter 38 Skeletal system Supports and protects the body Transmits mechanical forces generated by muscles Endoskeletons Chordates (Vertebrate ...
Support and Movement Chapter 38 Skeletal system Supports and protects the body Transmits mechanical forces generated by muscles Endoskeletons Chordates (Vertebrate ...
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Human Anatomical Position Terms PowerPoint PPT Presentation
Human Anatomical Position Terms - Human Anatomical Position Terms Animal Anatomical Terms Frontal Anatomy of Bone Tissue Sexing a skeleton Brainstorm some physical differences you know between males ...
Human Anatomical Position Terms Animal Anatomical Terms Frontal Anatomy of Bone Tissue Sexing a skeleton Brainstorm some physical differences you know between males ...
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Aucun titre de diapositive PowerPoint PPT Presentation
Aucun titre de diapositive - Radiological features in patients with SHOX deficiency - Comparison between idiopathic short stature (ISS) and L ri-Weill dyschondrosteosis (LWD)
Radiological features in patients with SHOX deficiency - Comparison between idiopathic short stature (ISS) and L ri-Weill dyschondrosteosis (LWD)
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Radiographic Atlas of Skeletal Development of the hand and wrist PowerPoint PPT Presentation
Radiographic Atlas of Skeletal Development of the hand and wrist - Radiographic Atlas of Skeletal Development of the hand and wrist
Radiographic Atlas of Skeletal Development of the hand and wrist
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