11/1/2023 0 Comments High point university student life
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11/1/2023 0 Comments Second metatarsal fractureThe ankle passively inverts at the same time the peroneus brevis tendon exerts an eversion force on the metatarsal which is rigidly held by the plantar fascia. ![]() This injury, commonly termed a “Dancer’s fracture” (or a pseudo-Jones fracture, a name that should be avoided), can happen after landing awkwardly from a jump or twisting the ankle while running. These fractures occur during forced inversion of the foot and ankle while plantar flexed. The lateral view is important for judging sagittal plane displacement of the metatarsal heads, and the oblique view can help detect minimally displaced fractures.ĭancer’s Fractures (Avulsion fracture of the base of the 5th metatarsal)Īvulsion fractures occur at the base of the fifth metatarsal, in Zone 1 where the peroneus brevis and plantar fascia insert (Figure 4). The films should include the entire foot to rule out associated injuries that may require treatment. Radiographs in the anteroposterior (AP), oblique, and lateral planes should be obtained (Figure 3). A neurovascular examination should be performed to assess for any loss or altered sensation and review the vascularity of the foot and the toes. Gently applying an axial load to the metatarsal head will create pain if that metatarsal is fractured and this may help differentiate a fracture from a soft-tissue injury on clinical exam. The relative position of the metatarsal heads should be assessed to rule out malposition and other deformities. Except with major trauma gross deformities are rarely seen.Ī history of direct impact suggests a transverse or comminuted fracture of the shaft, while a twisting-type injury typically causes an oblique or spiral fracture pattern.Ī physical exam should be performed with specific attention paid to the main areas of pain, which usually correlates to the site of injury. Patients with an acute metatarsal fracture present with pain, swelling, ecchymosis, and tenderness to palpation in the forefoot - along with difficulty bearing weight. Most metatarsal fractures result from an acute injury, although chronic stress fractures and neuropathic related metatarsal fractures do occur. Zone 3 is the diaphysis and fractures are most commonly trauma or rotational injuries leading to spiral fractures. Many of these Jones-type fractures are stress-type fractures caused directly or indirectly by repetitive loading to this area. Fractures involving Zone 2, called Jones fractures, are particularly susceptible to nonunion and malunion because this region of the bone has a tenuous blood supply. Zone 2 is at the metaphyseal-diaphyseal junction, distal to the cancellous (styloid) tuberosity. Avulsion fractures from the pull of this tendon and attached ligaments are characteristic of zone 1. Zone 1 is the base of the metatarsal where the peroneus brevis inserts. The fifth metatarsal is divided into 3 zones (as shown), numbered 1 to 3 from proximal to distal (Figure 2). The second, third and fourth metatarsals are slender and may be sites of stress fracture or acute fractures from twisting mechanisms or a direct blow. There are no interconnecting ligaments between the 1st and 2nd metatarsals, allowing for independent motion. ![]() The first metatarsal is larger than the others and most important for weight-bearing and balance therefore, malunion or malalignment at this location is especially poorly tolerated. The medial three rays act as a rigid lever to aid in propulsion while the lateral two rays provide some mobility in the sagittal plane to permit accommodation to uneven ground. As a unit, the five metatarsals serve as the major weight-bearing complex of the forefoot. The bases of each metatarsal also articulate with each other at the intermetatarsal joints. The base of each metatarsal articulates with one or more of the tarsal bones and the head articulates with the proximal phalanges. ![]() They are numbered from 1 to 5, medial to lateral or largest to smallest (Figure 1). ![]() The metatarsals are dorsally convex tubular bones of the forefoot consisting of a head, neck, shaft, and base. This seemingly arbitrary division is clinically important: fractures in each zone have distinct prognoses and treatment needs. 11/1/2023 0 Comments Crop image tool![]() Press and hold the Shift key to constrain the trim to the same aspect ratio as the frame.ĭrag other corners or edges to further trim the image. NOTE: Press and hold the Option key while dragging to drag opposite edges or corners. I generally grab a corner, but any blue dot will do. Grab one of the blue dots and drag to hide portions of the frame. I'll cover the Ken Burns effect in a future article.) This displays the cropping tools in the Viewer.Ĭlick the Trim button to turn on Trim mode. The easiest way to do this is to click the icon in the lower left corner of the Viewer and choose "Crop." This retains the highest amount of image quality.įor instance, here an image - courtesy of Pond5 (Let's say that we want to emphasize the barn and not the sky. Trimming is the process of removing portions of a video clip without changing the size of the clip. You get to pick which one works the best for you. I'll show you two ways to crop a video clip in this article, one that maintains a high image quality but reduces the size of the frame (called "trimming") and the other that fills the frame with the image but reduces image quality (called "cropping"). Crop too much and your video clip will look blurry, blocky, and edges will look stair-stepped. This means that if you crop a video clip, to remove something you don't like, the remaining pixels are often enlarged to fill the frame. Unlike still images which can be thousands of pixels on a side, video clips are locked into one of these two sizes. You May Also Like: How to Crop GIF Images > However, before I show how this is done, I need to explain one really important fact about video: all video uses what's called "fixed resolution." Fixed resolution means that high-definition video is always displayed at one of two sizes: 11/1/2023 0 Comments Gerard butler phantom![]() He was not an experienced singer before shooting this film. Christine takes her word and vows to sing for him again before leaving him alone.However, none of this is Butler's fault, and he tried his absolute best. Christine promises to never tell Gustave that Raoul isn’t his real father, according to the Phantom. Is Gustave The Phantoms a son of Gustave The Phantoms?Ĭhristine confesses to Gustave as his son (“The Phantom Confronts Christine”) when pressed by the Phantom. She is Raoul’s wife in the sequel Love Never Dies, secretly being Erik’s lover and carrying a son named Gustave with him. In every adaptation of The Phantom of the Opera, Christine Daae plays the love interest of Erik (the Phantom), as well as Raoul. When the publisher’s assistant throws etching acid in his face, he is disfigured in Universal’s 1943 adaptation. What’s wrong with The Phantom of the Opera? Michael Crawford left The Phantom of the Opera in 1991, after 1,300 performances and three and a half years.įans of the musical will always remember him as the musical’s original and best Phantom. In 1988, Michael Crawford Crawford resurrected his Broadway role, winning a Tony Award for his performance. Is Emmy Rossum capable of singing? She is, after all, a classically trained singer.Įmmy has been performing at the Metropolitan Opera with Plácido Domingo and Luciano Pavarotti since she was seven years old, and her perfect singing voice was relatively unaffected during the editing process of The Phantom of the Opera. She even has the Phantom’s child in the sequel. Is Christine and the Phantom a couple who slept together? On Friday afternoon (July 23), the 51-year-old Angel Has Fallen actor wrapped his arm around his girlfriend while they went to a restaurant for lunch in Malibu, California. Morgan Brown and Gerard Butler are both in love! ![]() Gerard Butler is a character in the film Gerard Butler. The actor and his girlfriend Morgan Brown were photographed in Malibu, California, on Thursday having a beach day with friends. This summer, Gerard Butler and his long-time love are making headlines. “Brandi Glanville says you’re great in bed,” the 43-year-old actor said after hearing about her remarks from a paparazzo. Gerard Butler admits to sleeping with Brandi Glanville, but he forgot her name: ‘She is wild.’ Glanville boasted about having “a little week of fun” with her, and she gave him an 11 out of ten as a lover. Is it true that Brandi Glanville slept with Gerard Butler? As a result, he lets her and Raoul leave before the mob can arrive. What is the purpose of Christine’s Kiss Phantom? Christine kisses the Phantom in the Andrew Lloyd Webber musical, both to show him that she has compassion for him and all of his suffering in life, and that she is willing to do whatever it takes to save Raoul. What is the purpose of Christine’s kisses with the Phantom? Why does Christine have a child with the Phantom?īecause Andrew Lloyd Webber decided to adapt Phantom of Manhattan, a schlock pulp “sequel” in which Christine had to have the Phantom’s baby after being shot in the groin so that he could still feel desire but not have children. When their relationship was tested by quarantine limits in early 2020, the two reportedly took a break. What caused Gerard Butler to break up with his girlfriend?īutler and Brown were reunited in 2019 and stayed together for a long time. He has never married, and he continues to be an eligible bachelor with high-profile relationships on occasion. The actor has been known to make romantic picks from the spotlight over the years. Gerald Butler’s showbiz and celebrity life is as well-known as his dating life. Is Gerard Butler planning a wedding in 2020? Is it true that Gerard Butler sang Galway Girl? ![]() Rossum, who has been performing with the Metropolitan Opera since he was seven years old, is already an acclaimed opera singer. Rossum will be playing opera singer Christine Daae, whose voice is inspired by the Phantom, as announced by Really Useful Films on June 13. In The Phantom of the Opera, who sings for the Phantom? Who has gerard butler dated? Is it true that Gerard Butler acted in Phantom of the Opera?Īnne Hathaway, a former top-ranking New York soprano, was said to be the front-runner for the role of “Christine.” The first to sign was Patrick Wilson (Raoul), followed by Gerard Butler (The Phantom) and Emmy Rossum (Christine). |
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