Updated: Jan 1 2022

Psoas

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Summary

Psoas
Origin	Anterior surfaces and lower borders of transverse processes of L1 - L5 and bodies and discs of T12 - L5
Insertion	Lesser trochanter
Action	Flex the torso and thigh with respect to each other
Innervation	Direct fibers of L1 - L3 of lumbar plexus (L1, L2, L3)
Arterial Supply	Lumbar branch of iliopsoas branch of internal iliac artery

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Tibial Shaft Fractures Complications Nonunion (no healing at 9 months) QID: 219463 (OBQ23.36)

QID 219463 (Type "219463" in App Search)

A 21-year-old male with a past medical history of intravenous drug use presents to the emergency department for evaluation of right leg pain following a motor vehicle accident. Radiographs are obtained (Figures 1 & 2), demonstrating his injury. He subsequently undergoes definitive treatment the following day (Figures 3 & 4) without complication. At ten months following the surgery, the patient begins to report increasing pain at the fracture site. He denies any fever or chills. Radiographs are obtained (Figures 5 & 6). What is the most appropriate next step in management?