The patient has been suffering from diabetes for a long time and it may have caused diabetic neuropathy and the nerve that could be affected is the superior gluteal nerve that supports the gluteal medius and minimus and they are important muscles for the stability of the pelvis while walking.
ربي يوفقك دكتور و يرزقك الجنه و ينطيك الصحه و العافيه و يجبر بخاطرك و يبارك باهلك شكراً لامك الطاهره التي انجبت افضل دكتور بالدنيا كلها ربي يكون معك و ينصرك 🇮🇶
Answer for Q2 :- The patient has a weakness in the superior gluteal nerve on both sides because of his pathological condition ( old diabetes), so there will be a weak contraction in the gluteus, medius and gluteus minimus muscles that are responsible for the stability of pelvis during walking. I hope that’s right😅 Thank you very much, Dr for the excellent lectures❤❤
Interactive question : This old diabetic patient has been suffering from diabetes since a long time and diabetes ( metabolic disease ) is one of the most common cause of neuropathy, With time, this patient became suffering from neuropathy and the most affected nerve was superior gluteal nerve ( in each side ) which supplies gluteus medius and gluteus minimus and their contraction is important for stability of the pelvis while the person walking or standing on one side.. Thanks a lot doctor...
q: Since diabetes is a metabolic disease and affect the nerve efficiency (neuropathy), it would seem likely to have affected both superior gluteal nerve, causing paralysis to the gluteus medius and gluteus mininus. These are the muscles responsible for stabilising our pelvis when walking
@@Dr.Ayman_khanfour لا يادكتور لسى الكورس الثاني مابدا عندنا بس حبيت اقرا الماده قبل فتره حتى تسهل علينا ,بس انا شفت اختلاف بين شرح حضرتك ومصدر جامعتي الي هو السنيل 🥺اعتمد على ايه؟
Interactive qus: Waddling gait is due to generalized metabolic disease (diabetes), it affects superior gluteal nerve on both sides of body causing bilateral paralysis of gluteus medius and minimus muscles.
Q 1 ...The nerve which is affected is the superior gluteal nerve on the both sides due to generalized metabolic effect of D.M. This will lead to atrophy of gluteus medius and gluteus minimus on both sides leading to pelvis drop on both sides during walking , waddling gait.
دكتور بارك الله فيك.. فيديو عظمة ❤️ بس في عندي اقتراح. وانا عارف انك هتستجيب ان شاء الله.. احنا بس بنعاني من مشكلة انه صوت حضرتك شوية واطي.. ف يا ريت لو تشتري مايكروفون سلكي.. ف اطار التطور المستمر لقناتك.. لنقل المعلومة بشكل افضل للطلبة.. وشكرا لك... اتمنى لك يوما سعيدا ♥️
I know that the sup. gluteal n. has been affected, but why we can not say that the inf. gluteal n. has been affected , because its main action “extension” so it’s also important for walking. Yours sincerely Hassan 🇮🇶❤️
The patients had his right and left superior gluteal nerve affeced by his chronic metabolic disorder, the muscles innervated by this nerve on both sides are responsible for the stability of the pelvis during walking so as a result of their disturbance we will notice waddling gait walking
وفق الله سعيك دكتور ممكن نقول انو ؟ L4,5.S1 defective or certain damage which produced paralysis gluteal minimums and medius which lead to waddling gait???? تحياتي لك
Interactive question the patient has been suffering from diabetes which caused damage to the superior gluteal nerve which resulted in bilateral paralysis which explains the Waddling Gait that was discovered upon examination
Q2Because he suffers from diabetes for a long time, it affects the nerves So affactes the superior gluteal nerve that is supply the gluteal medius and minimus which maintaince the stabilaty of the hip joint during the walking.
Interactive Q Old age with diabetes affect efficacy of superior gluteal nerve bilaterally leading to paralysis of gluteus mediums, minimus (which are responsible for preventing sagging of the pelvis during walking ) ,then loss of hip stability occurs ,thus ،،waddling gait ،،
بعد اذنك ي دكتور....فى حاجات كتير انت بتقولها مش موجوده في الكتاب ....هوا المفروض نذاكر الحاجات دى ولا نذاكر اللى فى الكتاب بس؟؟ وهل الحاجات دى ممكن تيجي ف الامتحان ولا ايه؟
Waddling gait is because paralysis in medius and minimus gluteus muscles so the affected nerve is superior gluteal nerve. and you are amazind my doctor💚
Injury of Superior gluteal nerve of both sides so Paralysis of Gluteus Medius and minimus which cause waddling sign If the in injury occurred in one side ( Unilateral ) the result is trendlenberg sign Ramadan Kareem Dr Ayman ❤❤❤❤❤❤❤😍😍😍😍😍😍😍
He is a Old diabetic >> may be have neurotophy >> it may be affect all nerves in body >> superior glutius nerve >> it supply the gluteus medius and minemus >>stability of the pelvic during walking 🚶♀️ + thank you alot doctor 🤍
![Skull Anatomy | اسهل طريقة لفهم تشريح الجمجمة Part [ 1/2 ]](/img/1.gif)
The patient has been suffering from diabetes for a long time and it may have caused diabetic neuropathy and the nerve that could be affected is the superior gluteal nerve that supports the gluteal medius and minimus and they are important muscles for the stability of the pelvis while walking.
صرنا ناخذ ايجابيه مرتين مرا من شرحك الاكثرر من رائع والجزء الثاني في اخر المحاضرة نيالنا والله
ربي يوفقك دكتور و يرزقك الجنه و ينطيك الصحه و العافيه و يجبر بخاطرك و يبارك باهلك
شكراً لامك الطاهره التي انجبت افضل دكتور بالدنيا كلها
ربي يكون معك و ينصرك 🇮🇶
كل سنه وانت طيب
عيد سعيد ان شاءالله
Answer for Q2 :-
The patient has a weakness in the superior gluteal nerve on both sides because of his pathological condition ( old diabetes), so there will be a weak contraction in the gluteus, medius and gluteus minimus muscles that are responsible for the stability of pelvis during walking.
I hope that’s right😅
Thank you very much, Dr for the excellent lectures❤❤
صح
يا دكتور بتمني تكمل شرح ال bones of the lower limp مشروح ال femur and hip بس ومشكور كتير جدا علي اتعابك ❤
دكتور انا بدخل على المحاضرات اسمع اخر جزء لما عرفت ان حضرتك بتعمل فقرة طاقة ايجابية ف الاخر 🙈❤️
@@Dr.Ayman_khanfour ايوا يا دكتور منا فرقة تانية 😂♥️ بس اى حاجه من حضرتك تحلى ال cns بقا 😥
😂😂😂😂
Interactive question :
This old diabetic patient has been suffering from diabetes since a long time and diabetes ( metabolic disease ) is one of the most common cause of neuropathy, With time, this patient became suffering from neuropathy and the most affected nerve was superior gluteal nerve ( in each side ) which supplies gluteus medius and gluteus minimus and their contraction is important for stability of the pelvis while the person walking or standing on one side..
Thanks a lot doctor...
q: Since diabetes is a metabolic disease and affect the nerve efficiency (neuropathy), it would seem likely to have affected both superior gluteal nerve, causing paralysis to the gluteus medius and gluteus mininus. These are the muscles responsible for stabilising our pelvis when walking
مش عارف اشكرك ازاي والله دلوقتي مخلص الرابعة وهدخل دلوقتي على ده على طول ربنا يكرمك يااااارب
ربي يحفظك ويخليك كنت تايه ومااعرف شنو ادرس بس من شفت شرحك هيج كلش فهمت .
متابعتك من العراق 💓💓
@@Dr.Ayman_khanfour
لا يادكتور لسى الكورس الثاني مابدا عندنا بس حبيت اقرا الماده قبل فتره حتى تسهل علينا ,بس انا شفت اختلاف بين شرح حضرتك ومصدر جامعتي الي هو السنيل 🥺اعتمد على ايه؟
دكتور ممكن تشرحلنا العظم بتاع اللور
جزاك الله عنا كل خير ♥️ حقيقى شرح حضرتك متعه لا توصف🥰🥰
Interactive qus:
Waddling gait is due to generalized metabolic disease (diabetes), it affects superior gluteal nerve on both sides of body causing bilateral paralysis of gluteus medius and minimus muscles.
Q 1 ...The nerve which is affected is the superior gluteal nerve on the both sides due to generalized metabolic effect of D.M. This will lead to atrophy of gluteus medius and gluteus minimus on both sides leading to pelvis drop on both sides during walking , waddling gait.
دكتور بارك الله فيك..
فيديو عظمة ❤️
بس في عندي اقتراح.
وانا عارف انك هتستجيب ان شاء الله..
احنا بس بنعاني من مشكلة انه صوت حضرتك شوية واطي..
ف يا ريت لو تشتري مايكروفون سلكي.. ف اطار التطور المستمر لقناتك.. لنقل المعلومة بشكل افضل للطلبة.. وشكرا لك...
اتمنى لك يوما سعيدا ♥️
@@Dr.Ayman_khanfour
انا بشوفه ع لاب توب 🙂
الله يسعدك ويعطيك العافية 🤍مره شكراً
بارك الله فيك يادكتور وفي علمك ربي يسهل عليك كل عسير 🤲
اللهم آمين الف شكر
I know that the sup. gluteal n. has been affected, but why we can not say that the inf. gluteal n. has been affected , because its main action “extension” so it’s also important for walking.
Yours sincerely Hassan 🇮🇶❤️
انا في فقرة الطاقة الايجابية ركزت على الجزء المليان لاني كنت عطشان وبدي اشربو 😂
شكراً جزيلاً على الشرح الابداعي يا دكتور❣️
There is no doubt that you are a wonderful creator, Doctor💓❤️💓❤️💓❤️💓❤️💓❤️💓❤️💓❤️💓❤️💓💔💕
يحبك يادكتور والله العظيم انت تعنيلي الكثير وانت منقذي مع الماده هذي مستحيل افهمها مع حد زي مابفهمها معك ياحظ طلابك اللي بالكليه معك 😢😢
تشرفينا فى مصر و الله
@@Dr.Ayman_khanfour انا بالقصر العيني ☺️☺️☺️
injury of superior gluteal nerve (in both side) which supply gluteus medius and gluteus minimus (lead to paralysis of these muscles)
+Lead to waddling sign
متشكرين يداكتر اوي
The patients had his right and left superior gluteal nerve affeced by his chronic metabolic disorder, the muscles innervated by this nerve on both sides are responsible for the stability of the pelvis during walking so as a result of their disturbance we will notice waddling gait walking
perfect
شكراً دكتور
الله يوفقك يارب ممتن جدا جدا
وفق الله سعيك
دكتور ممكن نقول انو ؟
L4,5.S1 defective or certain damage which produced paralysis gluteal minimums and medius which lead to waddling gait????
تحياتي لك
Cruciate anastmosis
بالشرح عن رسم يختلف
Ascending
مش لازم يبقى فوك بس هوه بالرسمه تحت
Desending
مش لازم تحت بس بالرسمه فوك
جزاك الله خيرا....ليبيا.
دكتور يعطيك العافية
الposterior cutaneous nerve of the thigh مش مشروح بمحاضرات gluteal region ..
بأي محاضرة مشروح هو
دكتور فين اقدر القى اطلس ليك فيه الصور دي ؟ ؟؟
موجوده كلها فى كتابى
احبكككك والله
Interactive question
the patient has been suffering from diabetes which caused damage to the superior gluteal nerve which resulted in bilateral paralysis which explains the Waddling Gait that was discovered upon examination
الله يرزقك اللي تتمناه ويفرج همك ويرزقك الفردوس يارب❤
شكرا على الدعوه الجميله دى
جزاك الله عنا خيرًا دكتور
Q2Because he suffers from diabetes for a long time, it affects the nerves
So affactes the superior gluteal nerve that is supply the gluteal medius and minimus which maintaince the stabilaty of the hip joint during the walking.
Answer:there is injury in the superior gluteal nerve which supply the guteus minimus and medius and result waddling gait
دكتور ما معنى collateral artery
he has an infection of his both superior gluteal nerve leading him to bilateral paralysis called(Trendelenburg )
Waddling gait results from paralysis of gluteus medius and minimus in both lower limbs due to injury in superior gluteal nerve
the diabetes for a long time causes a problem in the superior gluteal nerve that supply gluteal medius and minimus so that caused a waddling gait
الشرح كلش واضح شُكراً كلش دكتور 💗
ربنا يطول عمر حضرتك فى الخير دايما ❤
thank you doctor you are the best🤍🤍🤍🤍
the positive energy section is so beautiful
رائع🤝💕💕
جزاك الله خيرا يا دكتور
عايز اقول بس ان الشرح رااااائع
ربنا يكرمك ويعزك يا دكتور 🥰🥰
Thanks for everything, Doctor
الله يوفقك دكتور
اللهم آمين يارب
شرح جميل جدا ، كل الحب والاحترام والتقدير إلك دكتور 🙏🏻🤍.
The affected muscles are the gluteus medius and minimus, due to the influence of the superior gluteal nerve
Interactive Q
Old age with diabetes affect efficacy of superior gluteal nerve bilaterally leading to paralysis of gluteus mediums, minimus (which are responsible for preventing sagging of the pelvis during walking ) ,then loss of hip stability occurs ,thus ،،waddling gait ،،
@@Dr.Ayman_khanfour دكتور لو سمحت هو لو حصل fracture at mid shaft of humerusأي nerve يلى هيحصل فيه injury
بعد اذنك ي دكتور....فى حاجات كتير انت بتقولها مش موجوده في الكتاب ....هوا المفروض نذاكر الحاجات دى ولا نذاكر اللى فى الكتاب بس؟؟
وهل الحاجات دى ممكن تيجي ف الامتحان ولا ايه؟
@@Dr.Ayman_khanfour اكيد طبعا ي دكتور.....انا كنت بسأل بس علشان ابقى عارف اركز على ايه في المذاكرة
lower limp is 12 lectures only?
شكرآ
عفوا عفوا
شكرًا جزيلًا لك دكتور
دكتور لو سمحت الsciatic notch صفحه كام
@@Dr.Ayman_khanfour شكرا يادكتور موجود بصفحه 7 بكتابك
Waddling gait is because paralysis in medius and minimus gluteus muscles so the affected nerve is superior gluteal nerve.
and you are amazind my doctor💚
@@Dr.Ayman_khanfour how diabetes affect the nerve
جزاك الله خيرا ❤
جزاك الله خيرا
Sir please add subtitles so that we can understand
present in the description of the videos
posterior nerve of the gluteal region ما شرحته دكتور؟
@@Dr.Ayman_khanfour yes
??
اجه بل امتحان وماعرفته 😃
@@Dr.Ayman_khanfour cruciate anastomosis
رائع
Positive energy radiates from this lecture and brightens by optimization
Really positive energy radiates from this video
شعب المصري اللهم بارك مبدعين في كل شي
وقمة في العطاء و نفسيه الحلوة و طيبه القلب 💯
فين شرح bones of lower limb
Injury of Superior gluteal nerve of both sides so Paralysis of Gluteus Medius and minimus which cause waddling sign
If the in injury occurred in one side ( Unilateral ) the result is trendlenberg sign
Ramadan Kareem Dr Ayman ❤❤❤❤❤❤❤😍😍😍😍😍😍😍
He is a Old diabetic >> may be have neurotophy >> it may be affect all nerves in body >> superior glutius nerve >> it supply the gluteus medius and minemus >>stability of the pelvic during walking 🚶♀️
+ thank you alot doctor 🤍