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Darren Winter Darren Winter

Myofascial Related Structures of the TMJ

Superficial layer: zygomatic bone and zygomatic arch --> mandibular ramus.

Middle layer: zygomatic arch --> mandibular ramus.

Deep layer: zygomatic arch --> mandibular ramus and coronoid process of the mandible. There is debate as to whether the masseter attaches to the articular disc of the TMJ.

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Darren Winter Darren Winter

Movement of Spinal CSF

Movement of CSF contained within the dural (thecal) sac in the subarachnoid space is determined by…

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Darren Winter Darren Winter

Diploic Veins

Diploic veins are valveless channels traveling intraosseously in the diploic space between the inner and outer tables of the calvaria (diploë). 

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Darren Winter Darren Winter

g-Lymphatic System

There is increasing insight into the role of the production and absorption of CSF and interstitial fluids into the lymphatic system.

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Darren Winter Darren Winter

Complex Region Pain Syndrome

The following is based on the work: Complex regional pain syndrome: a recent update (2017). En Lin Goh, Swathikan Chidambaram, and Daqing Ma.

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Darren Winter Darren Winter

Surface Anatomy of the Abdomen

Standring (2015) found the surface anatomy of the diaphragm to be at end-tidal inspiration to extend down to the right 5th intercostal space and left r6 both in the midlclavicular line. It can range from the 4th intercostal space to below the costal margin.

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Darren Winter Darren Winter

Endoabdominal Fascia

At the pelvic brim the urogenital fascia accompanied the ureters and the hypogastric nn. into the pelvis…

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Darren Winter Darren Winter

Myofascial Relations of the Femoral & Lateral Femoral Cutaneous Nerves

Femoral and lateral femoral cutaneous nerve symptoms are a common presentation in osteopathic practise.

These symptoms are not always caused by an entrapment neuropathy. However, cases that are and amenable to osteopathic treatment can be greater understood by appreciating the relation of the femoral nerve and lateral femoral cutaneous nerve to the psoas, iliacus, fascia iliaca and inguinal ligament.

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Darren Winter Darren Winter

Lateral Femoral Cutaneous Nerve Entrapment

Fine architecture of the fascial planes around the lateral femoral cutaneous nerve at its pelvic exit: an epoxy sheet plastination and confocal microscopy study (2018). Xu Z, Tu L, Zheng Y, Ma X, Zhang H, Zhang M. 

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Darren Winter Darren Winter

Cranial Tightness: Myofascial & Neurological Causes

Cranial tension is associated with various different conditions from headaches and migraines to temperomandibular joint dysfunction. Myofascial and neurological reflexes can provide an interesting insight into the pathology of these type of disorders. The main clinical points listed in this article are:

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Darren Winter Darren Winter

Hip & Anterior Thigh Pain

The relations of the gluteus minimus and tensor fascia lata to the rectus femoris can have important clinical applications to patients with hip and anterior thigh pain.

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Crural Fascia

Stecco et al (2009) found the crural fascia composed of three layers of parallel, collagen fibre bundles separated by a thin layer of loose connective tissue. Only a few elastic fibres were found…

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