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A disc herniation or spinal disc herniation is an injury to the intervertebral disc between two vertebrae, usually caused by excessive strain or trauma to the spine. It may result in back pain , pain or sensation in different parts of the body, and physical disability .
The mechanism is slippage of the head of the radius under the annular ligament. The distal attachment of the annular ligament covering the radial head is weaker in children than in adults, allowing it to be more easily torn. The older child will usually point to the dorsal aspect of the proximal forearm when asked where it hurts.
The annular ligament (orbicular ligament) is a strong band of fibers that encircles the head of the radius, and retains it in contact with the radial notch of the ulna. [ 1 ] Per Terminologia Anatomica 1998 , the spelling is "anular", [ 2 ] but the spelling "annular" is frequently encountered.
Tendons and ligaments play an active role in maintain joint stability and controls the limits of joint movements, once injured tendons and ligaments detrimentally impact motor functions. [2] [8] Continuous exercise or movement of a musculoskeletal injury can result in chronic inflammation with progression to permanent damage or disability. [9]
[28] [29] This inflammatory molecule, called tumor necrosis factor-alpha (TNF), is released not only by the herniated or protruding disc, but also in cases of disc tear (annular tear), by facet joints, and in spinal stenosis. [24] [30] [31] [32] In addition to causing pain and inflammation, TNF may also contribute to disc degeneration. [33]
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distal radius fracture with ulnar dislocation and entrapment of styloid process under annular ligament: Moore's fracture at TheFreeDictionary.com: Pipkin fracture-dislocation: G. Pipkin: posterior dislocation of hip with avulsion fracture of fragment of femoral head by the ligamentum teres: impact to the knee with the hip flexed (dashboard injury)
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