By Sharon R. Berry
Born out of a long time of lecture room adventure, this worthy source offers academics with a large choice of sensible lecture room administration and self-discipline techniques.
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Extra info for 100 Ideas That Work!: Discipline in the Classroom
The sartorius and the nerve are retracted medially and upwards and the tensor fascia lata downwards and laterally. It is sometimes necessary to detach the origin of the tensor fascia lata from the iliac crest. The large ascending branch of the lateral femoral circumflex artery, which lies between the two muscles, must be ligated or coagulated. The rectus femoris is detached from both its origins: the direct head, from the anterior inferior iliac spine, and the reflected head from the superior lip of the acetabulum and anterior capsule of the hip.
If the patient is unsure then it is perfectly reasonable to continue with conservative means of managing their symptoms. Delaying surgery may raise other issues, but with modern anaesthesia the age of the patient is not a significant factor, although bone loss can prove problematic with advancing osteoarthritis. The rapport between surgeon and patient is as important as the operation itself and it is worth the time involved to establish this before embarking on any elective procedure. 60 Female patients seem to be at significantly higher risk and this is probably due to their anatomy as the sciatic nerve lies a lot closer to the posterior aspect of the greater trochanter than male patients.
15 Clegg and others DO. Glucosamine, chondroitin sulfate, and the two in combination for painful knee osteoarthritis. N Engl J Med 2006; 354: 795–808. 16 Lo Grace H, LaValley Michael, McAlindon Timothy, Felson David T. Intra-articular hyaluronic acid in treatment of knee osteoarthritis: a meta-analysis. JAMA 2003; 290: 3115–3121. 17 Fufulas EL, Tsintzas D, Gabriilidis B. Treatment of hip osteoarthritis with intraarticular injections of hyaluronic acid. J Bone Joint Surg Br 2003; 85-B;SUPP(III): 216–217.