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https://www.readbyqxmd.com/read/27891579/unexpected-motor-weakness-following-quadratus-lumborum-block-for-gynaecological-laparoscopy
#1
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...
November 28, 2016: Anaesthesia
https://www.readbyqxmd.com/read/27573696/age-related-differences-in-gait-kinematics-kinetics-and-muscle-function-a-principal-component-analysis
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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...
April 22, 2016: 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
#9
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
#10
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
#11
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...
March 3, 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
#12
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
#13
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
https://www.readbyqxmd.com/read/26496558/comparison-of-standardized-uptake-values-in-normal-structures-between-pet-ct-and-pet-mri-in-a-tertiary-pediatric-hospital-a-prospective-study
#14
COMPARATIVE STUDY
Karen Lyons, Victor Seghers, James I L Sorensen, Wei Zhang, Michael J Paldino, Rajesh Krishnamurthy, Eric M Rohren
OBJECTIVE: The purpose of this study was to compare standardized uptake values (SUVs) of normal tissues using MR attenuation-corrected versus CT attenuation-corrected (18)F-FDG PET in a pediatric population. SUBJECTS AND METHODS: Thirty-five patients (21 boys; mean age, 13.3 years) referred for 47 PET/CT scans were recruited to undergo PET/MRI. MR attenuation correction was performed using an automated three-segment model. ROIs were drawn over nine normal structures to estimate SUV(min), SUV(mean), and SUV(max)...
November 2015: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/26482919/first-report-of-iliacus-abscess-caused-by-salmonella-enterica-serovar-othmarschen
#15
Babita Jha, Choon-Mee Kim, Dong-Min Kim, Jong-Hoon Chung, Na-Ra Yoon, Piyush Jha, Seok Won Kim, Sook Jin Jang, Seon Gyeong Kim, Jae Keun Chung
The non-typhoidal bacterium Salmonella enterica subspecies enterica serovar Othmarschen (Salmonella Othmarschen) is a rare human pathogen. Abscess formation due to non-typhoidal Salmonella infections is a very rare complication in this antibiotic era. We report the first case of iliacus abscess after a short period of gastroenteritis which was caused by non-typhoidal Salmonella enterica belonging to group C1, serovar Othmarschen in a patient without any underlying conditions. A young female presented in our hospital complaining of pain in right hip joint area...
February 2016: Journal of Infection and Chemotherapy: Official Journal of the Japan Society of Chemotherapy
https://www.readbyqxmd.com/read/26430601/sacroiliac-coalition-first-description-and-report-of-a-successful-resection
#16
Axel Greiner, Andrea Baur-Melnyk, Sabina Berezowska, Melvin D'Anastasi, Christof Birkenmaier
Study Design Case report. Objective This report describes the first case of a sacroiliac coalition, its clinical features, the diagnostic difficulties, and the surgical treatment chosen in this case. Methods A 33-year-old man presented to our outpatient clinics complaining of severe left-sided low back pain with an intermitted nondermatomal radiation into the left thigh. The only abnormality on a pelvic radiograph was a coin-size, faint hyperdensity, which was almost overlooked. Subsequent computed tomography (CT) and magnetic resonance imaging (MRI) confirmed two bridging bone spurs on the anterior surface of the left joint with a fibrous interruption at the apex...
October 2015: Global Spine Journal
https://www.readbyqxmd.com/read/26277873/local-anesthetic-injection-deep-to-the-fascia-iliaca-at-the-level-of-the-inguinal-ligament-the-pattern-of-distribution-and-effects-on-the-obturator-nerve
#17
RANDOMIZED CONTROLLED TRIAL
Jeffrey D Swenson, Jennifer J Davis, Joshua O Stream, Julia R Crim, Robert T Burks, Patrick E Greis
STUDY OBJECTIVE: The femoral, lateral femoral cutaneous, and obturator nerves (ONs) can reportedly be blocked using a single-injection deep to the fascia iliaca (FI) at the level of the inguinal ligament. Two commonly used methods (the FI compartment and 3-in-1 blocks) have produced inconsistent results with respect to local anesthetic distribution and effect on the ON. To date, no study of either method has been performed using advanced imaging techniques to document both needle placement and local anesthetic distribution...
December 2015: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/26272966/idiopathic-septic-arthritis-of-a-lumbar-facet-joint-associated-with-paraspinal-abscess
#18
Margarita Borislavova Kitova-John, Ali Azim-Araghi, Faraz Tariq Sheikh, Borislav Dimitrov Kitov
A 48-year-old woman presented with a 1-month history of severe lower back pain on a background of 24 h of mild fever and general tiredness with an associated right-sided foot drop. Five weeks after the onset and with no improvement in symptoms in spite of analgesia and physiotherapy, the patient had a lumbar spine MRI which demonstrated a collection extending from the facet joints of L5 and L6 to the iliacus muscle on the right. A CT-guided aspiration was performed with a lengthy hospital stay for intravenous antibiotic treatment...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/26216923/iliacus-haematoma-causing-femoral-nerve-palsy-an-unusual-trampolining-injury
#19
Simon Chambers, Andrew James Berg, Andreea Lupu, Andrew Jennings
We report the case of a 15-year-old boy who presented to accident and emergency following a trampolining injury. Initially, the patient was discharged, diagnosed with a soft tissue injury, but he re-presented 48 h later with worsening low back pain and neurological symptoms in the left leg. Subsequent MRI revealed a left iliacus haematoma causing a femoral nerve palsy. The patient was managed conservatively and by 6 months post injury all symptoms had resolved. This is the first reported case of an iliacus haematoma causing a femoral nerve palsy, after a trampolining injury...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25979383/sensitivity-of-predicted-muscle-forces-during-gait-to-anatomical-variability-in-musculotendon-geometry
#20
COMPARATIVE STUDY
Lode Bosmans, Giordano Valente, Mariska Wesseling, Anke Van Campen, Friedl De Groote, Joris De Schutter, Ilse Jonkers
Scaled generic musculoskeletal models are commonly used to drive dynamic simulations of motions. It is however, acknowledged that not accounting for variability in musculoskeletal geometry and musculotendon parameters may confound the simulation results, even when analysing control subjects. This study documents the three-dimensional anatomical variability of musculotendon origins and insertions of 33 lower limb muscles determined based on magnetic resonance imaging in six subjects. This anatomical variability was compared to the musculotendon point location in a generic musculoskeletal model...
July 16, 2015: Journal of Biomechanics
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