• Home

  • Documents

  • Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made...
72
Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution– Noncommercial–Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/ We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material. Copyright holders of content included in this material should contact [email protected] with any questions, corrections, or clarification regarding the use of content. For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use. Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition. Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Tags:

Embed Size (px)

Citation preview

Page 1: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Author(s): Clifford Craig, M.D., 2009

License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/

We have reviewed this material in accordance with U.S. Copyright Law and have tried to maximize your ability to use, share, and adapt it. The citation key on the following slide provides information about how you may share and adapt this material.

Copyright holders of content included in this material should contact [email protected] with any questions, corrections, or clarification regarding the use of content.

For more information about how to cite these materials visit http://open.umich.edu/education/about/terms-of-use.

Any medical information in this material is intended to inform and educate and is not a tool for self-diagnosis or a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional. Please speak to your physician if you have questions about your medical condition.

Viewer discretion is advised: Some medical content is graphic and may not be suitable for all viewers.

Page 2: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Citation Keyfor more information see: http://open.umich.edu/wiki/CitationPolicy

Use + Share + Adapt

Make Your Own Assessment

Creative Commons – Attribution License

Creative Commons – Attribution Share Alike License

Creative Commons – Attribution Noncommercial License

Creative Commons – Attribution Noncommercial Share Alike License

GNU – Free Documentation License

Creative Commons – Zero Waiver

Public Domain – Ineligible: Works that are ineligible for copyright protection in the U.S. (17 USC § 102(b)) *laws in your jurisdiction may differ

Public Domain – Expired: Works that are no longer protected due to an expired copyright term.

Public Domain – Government: Works that are produced by the U.S. Government. (17 USC § 105)

Public Domain – Self Dedicated: Works that a copyright holder has dedicated to the public domain.

Fair Use: Use of works that is determined to be Fair consistent with the U.S. Copyright Act. (17 USC § 107) *laws in your jurisdiction may differ

Our determination DOES NOT mean that all uses of this 3rd-party content are Fair Uses and we DO NOT guarantee that your use of the content is Fair.

To use this content you should do your own independent analysis to determine whether or not your use will be Fair.

{ Content the copyright holder, author, or law permits you to use, share and adapt. }

{ Content Open.Michigan believes can be used, shared, and adapted because it is ineligible for copyright. }

{ Content Open.Michigan has used under a Fair Use determination. }

Page 3: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

COMMON MUSCULOSKELETAL

PROBLEMS

C. CRAIGM2 - MUSCULOSKELETAL

Fall 2008

Page 4: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

ANGULAR and TORSIONAL DEFORMITIES of the

LOWER EXTREMITIES

Page 5: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

TERMS

Valgus - deviation away from midline

Varus - deviation toward midline

Torsion (rotation)

Internal

External

Version (rotation)

Anteversion/retroversion

Page 6: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

EXAMINATION

Relaxed

Supine/sitting/walking

Each individual joint

Beware any asymmetry

Page 7: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

IN - TOEING

Metatarsus adductus

Newborn – 18 months

Limited to forefoot

80 % improve spontaneously

Casting

Surgery - rare

Page 8: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Allison Gilmore, MD, ET AL

http://www.consultantlive.com/display/article/10162/33387
Page 9: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

IN - TOEING

Internal tibial torsion

6 – 18 months

85 % improve spontaneously

Defined by transmalleolar axis

Infant +5 /adult + 22 degrees

Page 10: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Image of tibial torsion removed

Page 11: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

FEMORAL ANTEVERSION

3 – 9 years

Not “hip problem”

Improves spontaneously until age 12

Page 12: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

The Internet Journal of Biological Anthropology 2009 : Volume 3 Number 1

http://www.ispub.com/journal/the_internet_journal_of_biological_anthropology/volume_3_number_1_63/article_printable/femoral-anteversion-comparison-by-two-methods.html
Page 13: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 14: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 15: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

DIFFERENTIAL DIAGNOSIS

Equinovarus (clubfoot)

Neurologic problems

Cerebral palsy

Myelodysplasia

Page 16: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 17: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 18: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 19: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 20: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

OUT-TOEING

Calcaneovalgus foot

Usually improves spontaneously

External tibial torsion

Uncommon – neurologic problems

Myelodysplasia

Cerebral palsy

Page 21: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 22: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 23: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

OUT - TOEING

External rotation contractures hips

Seen in newborn

Improve spontaneously first year

Page 24: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Drawing of newborn out- toeing removed

Please see: http://www.cssd.us/body.cfm?id=1218

Page 25: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

BOWLEGS / KNOCK KNEES

Page 26: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

EVALUATION

Clinical

Knee joint laxity

Range of motion

Location of angulation – femur/joint/tibia

Assess alignment – AP/lateral/rotation

Page 27: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

EVALUATION

Radiographic

Long films – standing

Neutral alignment

Page 28: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 29: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

EVALUATION

Laboratory

Renal function studies – BUN/creatinine

Calcium/Phosphorus/Alk.phos.

Page 30: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

BOWLEGS (GENU VARUM)

Page 31: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Differential diagnosis

Physiologic (most common)

Blount’s Disease

Rickets

Skeletal dysplasia

Page 32: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

PHYSIOLOGIC BOWLEGS

Normal in infants (15 degrees)

Neutral by 18-24 months

X-rays normal except for bowing

Page 33: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Dr. C. Robert Dushack

Page 34: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 35: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

INFANTILE BLOUNT’S DISEASE

Growth retardation proximal tibial epiphysis

Medial / posterior

Abnormal weightbearing stresses

Early walkers

Obesity

Racial

Bilateral 75 %

Page 36: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

IMAGING

Medial “beaking” initial sign

Progressive depression medial tibial plateau

Langenskiold stages I-V

Page 37: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 38: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 39: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

GENU VALGUM

Developmental most common

Differential diagnosis

Metabolic bone disease

Renal osteodystrophy

Trauma – proximal tibial fx.

Tumor – fibrous dysplasia

Page 40: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 41: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

DEVELOPMENTAL HIP DYSPLASIA

Etiology

Multifactorial

Not always congenital or dislocated

“continuum of dysplasia”

Page 42: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

DDH - ETIOLOGY

Mechanical factors

First born (small space)

Breech presentation (60%)

Left hip (60%)

Torticollis (20%)

Metatarsus adductus/calcaneovalgus

Page 43: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

DDH – ETIOLOGY

Physiologic factors

Female (6:1)

Hormones – estrogen

Environment

Cradle boards

Page 44: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

HIP AT RISK

Major

Abnormal clinical exam

Breech presentation

First born female

Family history DDH

Page 45: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

HIP AT RISK

Minor

Limitation of abduction

Sacral dimple

Foot deformity

Torticollis

Scoliosis

Page 46: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

NEWBORN TO TWO MONTHS

Ortolani and Barlow tests most reliable

X-rays unreliable (false neg. 50%)

Ultrasound – non-invasive

Age limited

Operator dependent

May be too sensitive (immaturity)

Helpful for brace follow up

Page 47: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 48: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

DDH - EXAM

Infant relaxed/supine

Stabilize pelvis

Flex hip 90 degrees

Adduct past midline / gentle outward pressure

Gentle abduction – lift toward socket

Feel dislocation/relocation

Not just abduction test

Page 49: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Sketch of DDH exam removed

Refer to: http://static.howstuffworks.com/gif/hip-dysplasia-screening.jpg

Page 50: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Sketch of DDH exam removed

Page 51: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

NEWBORN TO SIX MONTHS

Ortolani positive – reducible

Reduce femoral head

Maintain abducted and flexed

100 degrees flexion/60 degrees abduction

Document reduction (x-ray/ultrasound)

Page 52: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

PAVLIK HARNESS

Maintains flexed/abducted posture

Free motion within limited range

Safe zone of Ramsey

Flexion above 90 degrees

Avoid excessive abduction

Avascular necrosis

Page 53: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 54: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

TWO MONTHS TO TWO YEARS

Radiographic findings

Shenton’s line broken

Proximal/lateral migration femoral head

False acetabulum (acetabular dysplasia)

Page 55: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 56: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

DDH EXAM

EVERY WELL BABY EXAMINATION

Page 57: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

IDIOPATHIC SCOLIOSIS

Incidence - 22/1000

4/22 require treatment

Sorting

Discovery – school screening

Initial exam – family MD/pediatrician

Disposition - orthopaedist

Page 58: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

SCOLIOSIS ETIOLOGY - GENETIC

80% Positive family history

Variable expression

High degree penetrance

Equal sex distribution

Page 59: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

SCOLIOSISCLINICAL EVALUATION

A-P alignment

Curve types

Right thoracic/left lumbar most common

Double major/thoracolumbar

Trunk alignment

Rib hump (forward bending test)

Page 60: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Sketch of scoliosis exam removed

Page 61: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Sketch of scoliosis vertebrae removed

Page 62: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 63: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

SCOLIOSISCLINICAL EVALUATION

Sagittal alignment

Thoracic lordosis

Kyphosis

Lumbar lordosis

Page 64: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 65: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 66: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

SCOLIOSISRADIOLOGIC EVALUATIONStanding PA and lateral films (initial)

Entire spine

Cobb measurement method

Minimize follow up films

Risser grading – skeletal maturity

Page 67: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Radiology at the University of Washington

Zorkun at Wikidoc.org

Page 68: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Xray2000

Page 69: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Source Undetermined

Page 70: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

SCOLIOSIS

BEWARE

Painful scoliosis/neurologic findings

Progressive curve in males

Unusual pattern (left thoracic)

Rapid progression (> 1 degree/month)

INTRADURAL ABNORMALITY

Tumor/syrinx/ruptured disc

Page 71: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

SUMMARY

Most angular deformities resolve with growth

Exam best screen for DDH in newborn

Caution “hip at risk”

Majority of scoliosis non-progressive

Beware “unusual scoliosis”

Page 72: Author(s): Clifford Craig, M.D., 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution–Noncommercial–Share

Additional Source Informationfor more information see: http://open.umich.edu/wiki/CitationPolicy

Slide 8: Allison Gilmore, MD, ET AL, http://www.consultantlive.com/display/article/10162/33387

Slide 12: The Internet Journal of Biological Anthropology 2009 : Volume 3 Number 1, http://www.ispub.com/journal/the_internet_journal_of_biological_anthropology/volume_3_number_1_63/article_printable/femoral-anteversion-comparison-by-two-methods.html

Slide 13: Source Undetermined

Slide 14: Source Undetermined

Slide 16: Source Undetermined

Slide 17: Source Undetermined

Slide 18: Source Undetermined

Slide 19: Source Undetermined

Slide 21: Source Undetermined

Slide 22: Source Undetermined

Slide 28: Source Undetermined

Slide 33: Dr. C. Robert Dushack, http://www.pffcpc.com/flatfoot.shtml; Source Undetermined

Slide 34: Source Undetermined

Slide 37: Source Undetermined

Slide 38: Source Undetermined

Slide 40: Source Undetermined

Slide 47: Source Undetermined

Slide 49: Refer to http://static.howstuffworks.com/gif/hip-dysplasia-screening.jpg

Slide 53: Source Undetermined

Slide 55: Source Undetermined

Slide 62: Source Undetermined

Slide 64: Source Undetermined

Slide 65: Source Undetermined

Slide 67: Zorkun at Wikidoc.org, http://www.wikidoc.org/index.php/Image:Scoliosis_cobb.gif

Slide 68: Xray2000, http://www.e-radiography.net/radpath/r/risser-sign.htm#TOP

Slide 69: Source Undetermined


Attribution-NonCommercial-ShareAlike 4.0 International (CC

Attribution-NonCommercial-ShareAlike 4.0 International (CC

Documents
Photo by supershaggy - Creative Commons Attribution ...eventipa.formez.it/sites/default/files/allegati_eventi/Dar_voce_al_web... · Photo by -Reji - Creative Commons Attribution-NonCommercial-ShareAlike

Photo by supershaggy - Creative Commons Attribution ...eventipa.formez.it/sites/default/files/allegati_eventi/Dar_voce_al_web... · Photo by -Reji - Creative Commons Attribution-NonCommercial-ShareAlike

Documents
Adapted from: FatMax 2007. Licensed under a Creative Commons Attribution-NonCommercial- ShareAlike 2.5 LicenseCreative Commons Attribution-NonCommercial-

Adapted from: FatMax 2007. Licensed under a Creative Commons Attribution-NonCommercial- ShareAlike 2.5 LicenseCreative Commons Attribution-NonCommercial-

Documents
FatMax 2007. Licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 2.5 LicenseCreative Commons Attribution-NonCommercial-ShareAlike 2.5

FatMax 2007. Licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 2.5 LicenseCreative Commons Attribution-NonCommercial-ShareAlike 2.5

Documents
Home computers digital deck Attribution-NonCommercial

Home computers digital deck Attribution-NonCommercial

Documents
Author(s): Paul Conway, PhD, 2010 Unless otherwise noted ... · Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License

Author(s): Paul Conway, PhD, 2010 Unless otherwise noted ... · Creative Commons – Attribution Noncommercial License Creative Commons – Attribution Noncommercial Share Alike License

Documents
ChemComm Creative Commons Attribution-NonCommercial 3.0

ChemComm Creative Commons Attribution-NonCommercial 3.0

Documents
Attribution-NonCommercial 3.0 Unported The World Is Flat Isriya Paireepairit markpeak@gmail.com

Attribution-NonCommercial 3.0 Unported The World Is Flat Isriya Paireepairit [email protected]

Documents
Slides and images (except background) copyright Michael Bader Under Creative Commons Attribution-NonCommercial-NoDerivs 3.0 LicenseAttribution-NonCommercial-NoDerivs

Slides and images (except background) copyright Michael Bader Under Creative Commons Attribution-NonCommercial-NoDerivs 3.0 LicenseAttribution-NonCommercial-NoDerivs

Documents
Green Chemistry Creative Commons Attribution-NonCommercial

Green Chemistry Creative Commons Attribution-NonCommercial

Documents
Developed by Toby @ IMUS Laboratory, 2016 … · Developed by Toby @ IMUS Laboratory, 2016 Attribution-NonCommercial-NoDerivs 3 ... IMUS Laboratory, 2016 Attribution-NonCommercial

Developed by Toby @ IMUS Laboratory, 2016 … · Developed by Toby @ IMUS Laboratory, 2016 Attribution-NonCommercial-NoDerivs 3 ... IMUS Laboratory, 2016 Attribution-NonCommercial

Documents
Graph Partitioning Dr. Frank McCown Intro to Web Science Harding University This work is licensed under Creative Commons Attribution-NonCommercial 3.0Attribution-NonCommercial

Graph Partitioning Dr. Frank McCown Intro to Web Science Harding University This work is licensed under Creative Commons Attribution-NonCommercial 3.0Attribution-NonCommercial

Documents
Nanoscale Creative Commons Attribution-NonCommercial 3.0

Nanoscale Creative Commons Attribution-NonCommercial 3.0

Documents
Photo by basair - Creative Commons Attribution-NonCommercial License with Haiku Deck

Photo by basair - Creative Commons Attribution-NonCommercial License with Haiku Deck

Documents
Creative Commons Attribution-NonCommercial-ShareAlike ... › texts › Moebius-Noodles.pdf · Creative Commons Attribution-NonCommercial-ShareAlike license by Moebius Noodles. Others

Creative Commons Attribution-NonCommercial-ShareAlike ... › texts › Moebius-Noodles.pdf · Creative Commons Attribution-NonCommercial-ShareAlike license by Moebius Noodles. Others

Documents
Photo by samsungtomorrow - Creative Commons Attribution-NonCommercial-ShareAlike License N06Created with Haiku Deck

Photo by samsungtomorrow - Creative Commons Attribution-NonCommercial-ShareAlike License N06Created with Haiku Deck

Documents
ZOO405 by Rania Baleela is licensed under a Creative Commons Attribution- NonCommercial-ShareAlike 3.0 Unported LicenseRania BaleelaCreative Commons Attribution-

ZOO405 by Rania Baleela is licensed under a Creative Commons Attribution- NonCommercial-ShareAlike 3.0 Unported LicenseRania BaleelaCreative Commons Attribution-

Documents
Tag: 2007CSUweb2.0 1 Creative Commons Attribution-NonCommercial-ShareAlike 2.5 Australia License Creative

Tag: 2007CSUweb2.0 1 Creative Commons Attribution-NonCommercial-ShareAlike 2.5 Australia License Creative

Documents
Photo by GraemeThickins - Creative Commons Attribution ... › images › educational › IT-Trends-Nikki-DiFilippo.pdfPhoto by kugel - Creative Commons Attribution-NonCommercial-ShareAlike

Photo by GraemeThickins - Creative Commons Attribution ... › images › educational › IT-Trends-Nikki-DiFilippo.pdfPhoto by kugel - Creative Commons Attribution-NonCommercial-ShareAlike

Documents
CS10 Final Review by Glenn Sugden is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.Glenn Sugdenmons Attribution-NonCommercial-ShareAlike

CS10 Final Review by Glenn Sugden is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.Glenn Sugdenmons Attribution-NonCommercial-ShareAlike

Documents
Nanoscale Creative Commons Attribution-NonCommercial …

Nanoscale Creative Commons Attribution-NonCommercial …

Documents
Scientific Taiwan Unless noted, the course materials are licensed under Creative Commons Attribution-NonCommercial-ShareAlike 2.5 Taiwan (CC BY-NC-SA 2.5)Attribution-NonCommercial-ShareAlike

Scientific Taiwan Unless noted, the course materials are licensed under Creative Commons Attribution-NonCommercial-ShareAlike 2.5 Taiwan (CC BY-NC-SA 2.5)Attribution-NonCommercial-ShareAlike

Documents
Photo by Transaction Fraud - Creative Commons Attribution ......Photo by jev55 - Creative Commons Attribution-NonCommercial License N06 Created with Haiku Deck

Photo by Transaction Fraud - Creative Commons Attribution ......Photo by jev55 - Creative Commons Attribution-NonCommercial License N06 Created with Haiku Deck

Documents
Creative Commons Attribution-NonCommercial-NoDerivatives 4

Creative Commons Attribution-NonCommercial-NoDerivatives 4

Documents
By:.com This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.Creative Commons Attribution-NonCommercial-ShareAlike

By:.com This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.Creative Commons Attribution-NonCommercial-ShareAlike

Documents
Photo by hernandezfisher - Creative Commons Attribution-NonCommercial-ShareAlike License N01Created with Haiku

Photo by hernandezfisher - Creative Commons Attribution-NonCommercial-ShareAlike License N01Created with Haiku

Documents
Attribution-NonCommercial-NoDerivs 3.0 Unported CC BY-NC

Attribution-NonCommercial-NoDerivs 3.0 Unported CC BY-NC

Documents
Made by me Make mums matterMake mums matter by Attribution-NonCommercial LicenseAttribution-NonCommercial License

Made by me Make mums matterMake mums matter by Attribution-NonCommercial LicenseAttribution-NonCommercial License

Documents
This work is licensed under a Creative Commons Attribution ...ocw.jhsph.edu/courses/BiostatMedicalProductRegulation/biomed_lec… · Creative Commons Attribution-NonCommercial-ShareAlike

This work is licensed under a Creative Commons Attribution ...ocw.jhsph.edu/courses/BiostatMedicalProductRegulation/biomed_lec… · Creative Commons Attribution-NonCommercial-ShareAlike

Documents
This work is by Kendra Little and is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported LicenseCreative Commons Attribution-NonCommercial-NoDerivs

This work is by Kendra Little and is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported LicenseCreative Commons Attribution-NonCommercial-NoDerivs

Documents