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https://www.readbyqxmd.com/read/28540149/treatment-challenges-of-prosthetic-hip-infection-with-associated-iliacus-muscle-abscess-report-of-5-cases-and-literature-review
#1
Joshua M Lawrenz, Nathan W Mesko, Carlos A Higuera, Robert M Molloy, Claus Simpfendorfer, Maja Babic
Prosthetic joint infection is an unfortunate though well-recognized complication of total joint arthroplasty. An iliacus and/or iliopsoas muscle abscess is a rarely documented presentation of hip prosthetic joint infection. It is thought an unrecognized retroperitoneal nidus of infection can be a source of continual seeding of the prosthetic hip joint, prolonging attempts to eradicate infection despite aggressive debridement and explant attempts. The current study presents five cases demonstrating this clinical scenario, and discusses various treatment challenges...
2017: J Bone Jt Infect
https://www.readbyqxmd.com/read/28256498/iliacus-abscess-with-radiculopathy-mimicking-herniated-nucleus-pulposus-additional-diagnostic-value-of-magnetic-resonance-imaging
#2
D H Kim, S H Woo, W J Lee
An iliacus abscess is an extremely rare cause of low back pain. With an iliacus abscess, the classical signs seen with a psoas abscess are frequently absent. Therefore, a timely diagnosis at the initial visit is difficult and inadequate treatment usually results in high mortality. Here, we report the case of 19-year-old man who presented with acute low back pain with radiculopathy and was ultimately diagnosed with an iliacus muscle abscess.
March 2017: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/28137401/secondary-hyperalgesia-occurs-regardless-of-unilateral-or-bilateral-knee-osteoarthritis-involvement-in-individuals-with-mild-or-moderate-level
#3
Vanessa Martins Pereira Silva Moreira, Saulo Delfino Barboza, Juliana Borges Oliveira, Janser Moura Pereira, Valdeci Carlos Dionisio
BACKGROUND: Secondary hyperalgesia in individuals with less severe levels of knee osteoarthritis remains unclear. The objective of this study was to measure the pressure pain threshold of individuals with mild or moderate knee osteoarthritis and compare with no osteoarthritis. METHODS: Ten healthy controls and 30 individuals with mild or moderate knee osteoarthritis divided into two groups (unilateral and bilateral involvement) were included. Dermatomes in lumbar levels (L1, L2, L3, L4 and L5) and sacral level (S1 and S2), myotomes (vastus medialis, vastus lateralis, rectus femoris, adductor longus, tibialis anterior, peroneus longus, iliacus, quadratus lumborum, and popliteus muscles), and sclerotomes in lumbar levels (L1-L2, L2-L3, L3-L4, L4-L5 supraspinous ligaments), over the L5-S1 and S1-S2 sacral areas, pes anserinus bursae, and at the patellar tendon pressure pain threshold were assessed and compared between individuals with and without knee osteoarthritis...
January 2017: Revista Brasileira de Reumatologia
https://www.readbyqxmd.com/read/28119516/antiplatelet-therapy-and-spontaneous-retroperitoneal-hematoma-a-case-report-and-literature-review
#4
REVIEW
Walid Ibrahim, Abdelaziz Mohamed, Muhammed Sheikh, Mohamed Shokr, Abubaker Hassan, Jarrett Wienberger, Luis C Afonso
BACKGROUND Dual antiplatelet therapy has proven efficacy in primary and secondary prevention of coronary artery disease with a relatively good safety profile. Review of the literature revealed 8 cases of spontaneous retroperitoneal hematoma secondary to antiplatelet treatment. CASE REPORT We report the case of a 66-year-old male with a flare of acute gout secondary to uncontrolled chronic myeloid leukemia. The patient was started on dual antiplatelet treatment following a drug-eluted stent placement for symptomatic coronary artery disease...
January 25, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28097658/segmental-fibre-type-composition-of-the-rat-iliopsoas-muscle
#5
Hrvoje Vlahovic, Ksenija Bazdaric, Verner Marijancic, Tamara Soic-Vranic, Daniela Malnar, Juraj Arbanas
The iliopsoas of the rat is composed of two muscles - the psoas major muscle and the iliacus muscle. The psoas major muscle arises from all the lumbar vertebrae and the iliacus muscle from the fifth and sixth lumbar vertebrae and ilium. Their common insertion point is the lesser trochanter of the femur, and their common action is the lateral rotation of the femur and flexion of the hip joint. Unlike humans, the rat is a quadruped and only occasionally rises up on its hind legs. Therefore, it is expected that the fibre type composition of the rat iliopsoas muscle will be different than that of humans...
April 2017: Journal of Anatomy
https://www.readbyqxmd.com/read/27984691/-iliacus-muscle-injury-caused-by-inadequate-exercise
#6
J Magaña-Reyes, L G Domínguez-Gasca, A García-Luna, L G Domínguez-Carrillo
BACKGROUND: Traumatic iliacus muscle injury is rare; it is usually caused by trauma or intense exercise involving the pelvic girdle; it can produce a hematoma with femoral nerve neuropathy. Spontaneous muscle hematomas occur in patients with coagulation disorders. CLINICAL CASE: A 45-year-old male with 18 days of evolution, with an intense pain in the right buttock, groin and iliac fossa, with an inability for hip flexion and ambulation caused by inadequate exercise (supine double leg lifts)...
May 2016: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/27966403/-a-9-year-old-boy-with-pinpoint-pain-caused-by-pyomyositis
#7
M Schots, R Verlaak, P H Haarbrink, B A Semmekrot
BACKGROUND: Pyomyositis is a rare bacterial infection of striated muscle, usually caused by Staphylococcus aureus. CASE DESCRIPTION: A healthy 9-year-old boy was referred to us because of pain in the hip and fever. We noticed he could point to the pain with one finger; this is referred to as 'pinpoint pain'. An MRI indicated a diagnosis of pyomyositis of the iliacus muscle and piriformis. The infection was caused by S. aureus. The boy recovered completely and swiftly with antibiotic therapy...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27891579/unexpected-motor-weakness-following-quadratus-lumborum-block-for-gynaecological-laparoscopy
#8
M Wikner
Quadratus lumborum block has recently been described as an effective and long-lasting analgesic strategy for various abdominal operations, including gynaecological laparoscopy. Despite evidence that the analgesic effect is mediated by indirect paravertebral block and that local anaesthetic spreads to the lumbar paravertebral space, there have been no reports to date of lower limb motor weakness. We present a patient with unilateral hip flexion and knee extension weakness leading to unplanned overnight admission following lateral quadratus lumborum block with 20 ml levobupivacaine 0...
February 2017: Anaesthesia
https://www.readbyqxmd.com/read/27573696/age-related-differences-in-gait-kinematics-kinetics-and-muscle-function-a-principal-component-analysis
#9
Sarah A Schloemer, Julie A Thompson, Amy Silder, Darryl G Thelen, Robert A Siston
Age-related increased hip extensor recruitment during gait is a proposed compensation strategy for reduced ankle power generation and may indicate a distal-to-proximal shift in muscle function with age. Extending beyond joint level analyses, identifying age-related changes at the muscle level could capture more closely the underlying mechanisms responsible for movement. The purpose of this study was to characterize and compare muscle forces and induced accelerations during gait in healthy older adults with those of young adults...
August 29, 2016: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/27326946/fever-with-intradialytic-pelvic-pain-a-case-of-iliopsoas-abscess-complicated-with-methicillin-sensitive-staphylococcus-aureus-bacteraemia-in-an-end-stage-renal-failure-patient
#10
M T Alif Adlan, W A K Wan Mohd Rasis, M D Mohd Ramadhan
Staphylococcus Aureus is a Gram-positive cocci bacteria which had been found to be the causative organism in over 88% of patients with primary iliopsoas abscess. We report the case of a 53-year-old diabetic woman with end-stage renal failure diagnosed with left iliopsoas abscess with a catheter-related infection. Computed tomogram (CT) of abdomen and pelvis revealed hypodense lesions of left psoas, iliacus and quadratus lumborum suggestive of psoas abscesses. In addition, osteomyelitis changes at left sacroiliac and hip joint were seen...
April 2016: Medical Journal of Malaysia
https://www.readbyqxmd.com/read/27298994/case-report-of-iliac-osteomyelitis-in-a-child-presenting-as-septic-arthritis-of-the-hip
#11
Cezary Kocialkowski, William Ryan, Naomi Davis
INTRODUCTION: Osteomyelitis of the pelvis can be a difficult condition to diagnose and can present in a number of different ways. The ilium is the bone most frequently affected and staphylococcus aureus is the organism most commonly responsible. CASEREPORT: This case report describes a six year old girl, who presented with right sided hip pain, fevers and altered weight bearing. She was initially diagnosed with septic arthritis of the hip and underwent open joint washout...
October 2014: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27273684/delayed-iliacus-compartment-syndrome-following-femoral-artery-puncture-case-report-and-literature-review
#12
Bibombe P Mwipatayi, Ali Daneshmand, Haider K Bangash, Jackie Wong
Iliacus compartment syndrome is a rare retroperitoneal compartment neuropathy caused by bleeding within the iliacus muscle leading to hematoma formation and compression upon the femoral nerve, causing both sensory and motor deficits. A 75-year-old Caucasian man presented with severe right hip pain associated with motor and sensory deficit in the right lower extremity, 2 weeks post elective balloon aortic valvuloplasty for critical aortic stenosis. A non-contrast computed tomography scan revealed low-attenuation areas in keeping with an iliacus hematoma...
2016: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/27228536/ultrasound-guided-diagnosis-and-treatment-of-meralgia-paresthetica
#13
Sule Sahin Onat, Ayse Merve Ata, Levent Ozcakar
Meralgia paresthetica refers to the entrapment of the lateral femoral cutaneous nerve at the level of the inguinal ligament. The lateral femoral cutaneous nerve - a purely sensory nerve - arises from the L2 and L3 spinal nerve roots, travels downward lateral to the psoas muscle, and then crosses the iliacus muscle. Close to the anterior superior iliac spine, the nerve courses in contact with the lateral aspect of the inguinal ligament and eventually innervates the lateral thigh. The entrapment syndrome is usually idiopathic but can also ensue due to trauma/overuse, pelvic and retroperitoneal tumors, stretching of the nerve due to prolonged leg/trunk hyperextension, leg length discrepancies, prolonged standing, external compression by belts, weight gain, and tight clothing...
May 2016: Pain Physician
https://www.readbyqxmd.com/read/27162865/a-late-onset-psoas-abscess-formation-associated-with-previous-appendectomy-a-case-report
#14
Sam Moslemi, Maryam Tahamtan, Seyed Vahid Hosseini
Psoas abscesses could originate from an adjacent source of infection in the abdominopelvic cavity known as a secondary complication of acute appendicitis. However, it is considered as a very rare event when occurring late after the presentation of appendicitis. Whether it is the source or complication of acute appendicitis following appendectomy remains unclear. A 25-year-old man was admitted to our center with fever and abdominal pain. His past medical history was unremarkable except for having an acute appendicitis and complicated appendectomy 4 years before presenting illness...
January 2014: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27103353/recumbent-vs-upright-bicycles-3d-trajectory-of-body-centre-of-mass-limb-mechanical-work-and-operative-range-of-propulsive-muscles
#15
Riccardo Telli, Elena Seminati, Gaspare Pavei, Alberto Enrico Minetti
Recumbent bicycles (RB) are high performance, human-powered vehicles. In comparison to normal/upright bicycles (NB) the RB may allow individuals to reach higher speeds due to aerodynamic advantages. The purpose of this investigation was to compare the non-aerodynamic factors that may potentially influence the performance of the two bicycles. 3D body centre of mass (BCoM) trajectory, its symmetries, and the components of the total mechanical work necessary to sustain cycling were assessed through 3D kinematics and computer simulations...
March 2017: Journal of Sports Sciences
https://www.readbyqxmd.com/read/27100644/assessing-the-anatomical-variability-of-deep-circumflex-iliac-vessels-in-harvesting-of-iliac-crest-free-flap-for-mandibular-reconstruction
#16
Ali A Kheradmand, Ata Garajei, Mahyar Kiafar, Nariman Nikparto
In this study, the authors' aims were to measure the length and location of branching of the pedicle from iliac artery, to describe the anatomical variability of iliac crest free flap with deep circumflex iliac (DCI) artery pedicle. Fourteen patients with ameloblastoma, osteosarcoma, and squamous cell carcinoma underwent mandibular resection and iliac crest-free flap reconstruction in one-step surgery. During surgery and before harvesting the deep circumflex iliac artery vascular pedicle, the location, origin, and the branching pattern of the pedicles were studied...
May 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27068707/secondary-hyperalgesia-occurs-regardless-of-unilateral-or-bilateral-knee-osteoarthritis-involvement-in-individuals-with-mild-or-moderate-level
#17
Vanessa Martins Pereira Silva Moreira, Saulo Delfino Barboza, Juliana Borges Oliveira, Janser Moura Pereira, Valdeci Carlos Dionisio
BACKGROUND: Secondary hyperalgesia in individuals with less severe levels of knee osteoarthritis remains unclear. The objective of this study was to measure the pressure pain threshold (PPT) of individuals with mild or moderate knee osteoarthritis (KOA) and compare with no osteoarthritis. METHODS: Ten healthy controls and 30 individuals with mild or moderate KOA divided into two groups (unilateral and bilateral involvement) were included. Dermatomes (L1, L2, L3, L4, L5, S1, and S2), myotomes (vastus medialis, vastus lateralis, rectus femoris, adductor longus, tibialis anterior, peroneus longus, iliacus, quadratus lumborum, and popliteus muscles), and sclerotomes (L1-L2, L2-L3, L3-L4, L4-L5 supraspinous ligaments), over the L5-S1 and S1-S2 sacral areas, pes anserinus bursae, and at the patellar tendon) PPT were assessed and compared between individuals with and without KOA...
March 24, 2016: Revista Brasileira de Reumatologia
https://www.readbyqxmd.com/read/27012726/effect-of-motor-control-training-on-hip-muscles-in-elite-football-players-with-and-without-low-back-pain
#18
M Dilani Mendis, Julie A Hides
OBJECTIVES: Previous research has shown that motor control training improved size and function of trunk muscles in elite football players with and without low back pain (LBP). Imbalances in hip muscles have been found in athletes with LBP and it is not known if motor control training can change these muscles. This study investigated if a motor control intervention program affected hip muscle size in elite football players with and without LBP. DESIGN: Panel-randomised intervention design...
November 2016: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/27011863/iliopsoas-tendon-insertion-footprint-with-surgical-implications-in-lesser-trochanterplasty-for-treating-ischiofemoral-impingement-an-anatomic-study
#19
Juan Gómez-Hoyos, Ricardo Schröder, Ian J Palmer, Manoj Reddy, Anthony Khoury, Hal David Martin
The objective of this study was to describe the footprint location of the iliopsoas tendon on the lesser trochanter to clarify the surgical implications of the lesser trochanterplasty for treating ischiofemoral impingement. Ten non-matched, fresh-frozen, cadaveric hemipelvis specimens (average age, 62.4 years; range, 48-84 years; 7 male and 3 female) were included. Registered measures included bony parameters of the lesser trochanter (lesser trochanteric area, distances from the tip to the base in a coordinate system, height and area) and tendinous iliopsoas footprint descriptions (areas and detailed location)...
December 2015: Journal of Hip Preservation Surgery
https://www.readbyqxmd.com/read/26562075/primary-myositis-and-abscess-of-iliacus-muscle-due-to-brucella
#20
Faris G Bakri, Kamil M Fram, Fadi A Hadidi, Ghada M Khrais, Osama M Samara, Lina Saket, Azmy M Hadidy
No abstract text is available yet for this article.
March 2016: Muscle & Nerve
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