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Nails examination 118 great toe 281 Neck, extension injuries 35-36 Neck pain 34

acute in young adults 34 extension injuries 35-36 radiography 43 severe 36 postural 34 see also Cervical spine Neer impingement sign 63 Neer impingement test 63 Neonatal instability of hip (NIH) 166, 187 Neoplasms see Tumours Nerve(s) lateral 13.14.32 lesions 16, 17 medial 13 peripheral 11-32 lower limbs 28 posterior 13, 14-15 segmental 11-32 distribution 15 thoracic, long 65

see also Brachial plexus; individual nerves Nerve roots 13-14 Neurofibromatosis 147 Neurological assessment 11-32 bladder control 32 determination of injury type 17,18 prolapsed intervertebral disc (PID) 142 radiography 18

sensory loss 18 thoracic outlet syndrome 41 see also Brachial plexus; individual nerves; specific joints Nucleus pulposus 130,131 herniation 135 protrusion 141

Occupational infection, hand 114 O" Donoghue's triad 207 Olecranon, fracture 85 Olecranon bursitis 76, 80 Olecranon fossa 74 Ollier's disease 113, 126 Onychogryphosis 280 Ortolani's test 166.187 Os fibulare 267

Osgood-Schlatter's disease 205-206, 240. 251

tibial tenderness 250 Ossification, wrist 104

see also Myositis ossificans Osteitis cervical spine 37 pyogenic, lumbar spine 138-139 Staphylococcal infection 55 tibia ' 246, 252. 253 wrist 106 Osteoarthritis ankle 259,269 complications 141 elbow 76-77. 86, 87

palpation 81 foot 302

hand 113,118.127

knee 212.237.240,241,242

metatarsophalangeal joint 278-279

shoulder 54. 68

spine 140. 156. 157. 163

cervical see Cervical spondylosis thumb 113 wrist 91, 105 Osteochondral fracture 259 Osteochondritis ankle 259 elbow 87 metatarsal head 280 talus 266 Osteochondritis dissecans 259 ankle 268

elbow 76-77. 83, 86, 87 knee 211.222,240 palpation 81 Osteochondritis tali 267 Osteochondrosis, spine (Scheuermann's disease) 135-136. 155, 161 Osteoclastoma shoulder 69 tibia 253 Osteogenesis imperfecta 97 Osteogenic sarcoma 242 Osteoid osteoma 113.171 hand 171 hip 198

pedicle, back pain 134

Osteonecrosis see Avascular necrosis Osteophytes cervical, avulsion 36 cervical spondylosis 35 uncovertebral joints 45 Osteotomy, McMurray's 171

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