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❤❤
@@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 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
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.
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.
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 ♥️
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💚
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
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 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
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؟
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 ،،
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 🤍
