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Md Abu B Siddiq
Piriformis syndrome (PS) involves the piriformis muscle and adjacent sciatic nerve, producing features similar to true sciatica of lumbar spine origin, for example, lumbar disc prolapse, thereby confusing pain physicians about the diagnosis. Synonyms that are used frequently for PS are deep gluteal syndrome, extra-spinal sciatica, wallet neuritis, etc. Commonly presenting symptoms of PS include gluteal pain which increases with affected side sitting/per-rectal manoeuvre, and improves with ambulation/intra-lesional steroid, etc...
May 10, 2018: Curēus
María Consuelo Giordano L, Alicia de la Fuente L, María Bernardita Lorca J, Daniela Kramer H
INTRODUCTION: Nail alterations in children are an important cause of parent anxiety and derive in multiple and unnecessary consultations. The onychomadesis corresponds to the complete and pain less detachment of the nail plate from the proximal fold. This self-resolving nail finding has been described as a late complication of hand-foot-mouth disease, a frequent viral exanthema in the pedia tric age. OBJECTIVE: To describe a classic pediatric case of hand-foot-mouth disease with subsequent onychomadesis...
June 2018: Revista Chilena de Pediatría
L H Gong, W F Liu, Y Ding, L Li, M Zhang, X Q Sun, X Y Huang
Objective: To study the clinicopathologic features of dedifferentiated liposarcoma of extremities. Methods: Nine cases of dedifferentiated liposarcoma of extremities diagnosed at Beijing Jishuitan Hospital from 2009 to 2017 were selected. The histological features of cases of dedifferentiated liposarcoma of extremities were evaluated by HE and immunohistochemistry, together with the clinical and radiological features. Flourescence in situ hybridization(FISH) was used to detect MDM2 amplification. Results: They were located in the thigh (6 cases), calf (2 cases) and buttock (1 case)...
July 8, 2018: Zhonghua Bing Li Xue za Zhi Chinese Journal of Pathology
Lisa Owens, Tonnie Warfield, Ryan MacDonald, Erudina Krenzischek
BACKGROUND: The identification of deep tissue pressure injury (DTPI) in the early stages of evolution presents a challenge, as skin compromise is only visually apparent when evidence of damage reaches its outer layers. CASE DESCRIPTION: We describe use of an alternative light source (ALS) to enhance visual skin assessment in 3 cases. Case 1 was a 47-year-old African American man with a hyperpigmented inner buttocks and a mixture of partial- and shallow full-thickness skin loss from incontinence-associated dermatitis and friction...
July 2018: Journal of Wound, Ostomy, and Continence Nursing
Chang Hyun Oh, Seung Bin Jang, Chang Min Kang, Jeong Su Shim
The original version of this article unfortunately contained a mistake. On page 8, in Table 2, the superscripts for the vertical and horizontal axes are incorrect. The correct information is shown below.
July 9, 2018: Aesthetic Plastic Surgery
Stephen Sprigle, Steven Pubillones
For wheelchair users who are at risk for developing pressure ulcers, cushion prescription seeks to address tissue integrity. Because many designs of wheelchair cushions exist, a need exists to estimate their performance in supporting the body. The objective of this research was to develop an approach to assess the equivalency of cushions with respect to their pressure redistribution performance. Two instrumented compliant buttock models, differing in form, were used in the evaluation. Stress and strain parameters were used to characterize load-bearing performance...
July 9, 2018: Assistive Technology: the Official Journal of RESNA
Rodrigo G Rosique, Marina J F Rosique
According to recent data, augmentation gluteoplasty continues to gain popularity in the US and globally, especially in procedures involving fat grafts. However, serious concerns about its safety have been raised over the last two years. Will this trend continue or has it already reached its peak? The answer depends on how the technique is going to be performed hereafter. In this paper, the following seven learning objectives are covered to perform gluteal augmentation safely and effectively: 1. the concept of what is a beautiful buttock and how to select the patients who will have better outcomes; 2...
July 2, 2018: Plastic and Reconstructive Surgery
Danielle T Gescheit, Stuart J Cormack, Rob Duffield, Stephanie Kovalchik, Tim O Wood, Melanie Omizzolo, Machar Reid
OBJECTIVES: To profile multi-year injury incidence and severity trends in elite junior tennis players from a national program. DESIGN: Prospective cohort. METHODS: Injury data was collated by sex, age and region for all nationally-supported Australian junior players (58m, 43f 13-18y) between 2012-2016. Injury was defined as a physical complaint from training/matchplay interrupting training/matchplay determined by presiding physiotherapists and doctors...
June 19, 2018: Journal of Science and Medicine in Sport
I Weng Lao, Meng Sun, Ming Zhao, Lin Yu, Jian Wang
We present our experience with ten cases of lipofibromatosis-like tumour (LPF-NT) to further characterise this newly described neoplasm. There were six males and four females with a mean age of 12.8 years (range 2-37 years). Tumours occurred in the neck (n = 3), buttock (n = 2), chest wall, flank, hip, hand and foot (n = 1). Histologically, they were composed of cellular fascicles of mildly to moderately atypical spindle cells displaying an infiltrative pattern reminiscent of lipofibromatosis or dermatofibrosarcoma protuberans...
June 26, 2018: Pathology
Nor Kamaliana Khamis, Baba Md Deros
[Purpose] The purpose of this study was to investigate the effects of seat pressure distribution measurements based on a specific posture to predict the pressure felt level when seated. [Subjects and Methods] To examine the relationship between body pressure data and the driver's perception, eleven subjects were selected to participate in a simulated driving experiment using a pressure mat as a direct measurement method to measure the seat pan's pressure distribution. The buttock-popliteal length was measured using an anthropometer, and the pressure felt ratings evaluated after the body pressure measurements were recorded...
June 2018: Journal of Physical Therapy Science
Aris Sterodimas, Filippo Boriani, Beatriz Nicaretta, Luiz Haroldo Pereira
INTRODUCTION: Abdominoplasty is one of the most popular body-contouring procedures. Despite its popularity, classic abdominoplasty is still associated with a significant rate of complaints from patients such as: fullness of flanks and epigastric areas, lack of a posterior lumbar curve, hanging skin over the incision line, and visible scars over the flanks and beyond underwear or swimming suit coverage. This study reviews the authors' experience in redo abdominoplasty when the patient is not or partially satisfied with the primary procedure...
June 13, 2018: Aesthetic Plastic Surgery
Jung Taek Park, Hyun Ho Jung, Kyoung Ho Choi
We report a case of atypical cerebellar infarction following accidental inhalation of toluene mixed paint. An unconscious 57-year-old housewife with hypertension arrived at our emergency department by ambulance. She had been rescued from a basement (30 m3 ) 12 h after exposure to paint containing toluene (34%). On arrival, she was comatose (E1 V1 M1 ) with a mild fever (37.4 °C). Physical examination showed chemical burns on her buttocks and rales on the left lung. Initial arterial blood gas with 15 L/min of oxygen showed a pH of 7...
June 20, 2018: American Journal of Emergency Medicine
Chao Huang, Wen-Lai Guo, Di You, Hong-Liang Xu, Hong Li, Rui Li, Zhe Zhu
No abstract text is available yet for this article.
June 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Fu-Hui Dong
The miminally-invasive techniques of traditional Chinese medicine(TCM) uses different types of acupuncture needles to treat diseased locations with special techniques. These techniques include different methods of insertion and closed incision (press cutting, sliding cutting, scrape cutting, etc.). This needling technique is based on the traditional Chinese medicine theories of Pi Bu (cutaneous), Jing Jin (sinew), Jing Luo (meridian), Wu Ti (five body structure components) and Zang Fu (organ system). Commonly used needles include: needle Dao , needle with edge, Pi needle, Shui needle, Ren needle, Gou needle, Chang Yuan needle, Bo needle and so on...
June 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Melaine Lumbers
Understanding the differential diagnosis between moisture-associated skin damage (MASD) and pressure ulcers (PU) ensures appropriate management and interventions are instigated at the earliest opportunity. Most damage occurring to the buttocks or sacrum is attributed to pressure, shear, excessive moisture or a combination of these factors. MASD caused by excessive moisture to the sacrum/buttock area is recognised as incontinence-associated dermatitis (IAD); its occurrence is an identified risk factor in the development of PUs...
June 27, 2018: British Journal of Nursing: BJN
Siyu Wang, Jianqiao Zhong, Li Li
OBJECTIVES: Currently, innovative methods to prevent photoaging are needed. Skin-derived precursors (SKP) have been shown to play a crucial role in resisting UVB-induced apoptosis in vitro. The objective of this study was to explore the effect of SKP on preventing skin photoaging in vivo. METHODS: Skin-derived precursors from neonatal BALB/c mice were isolated, identified and intradermally transplanted with a PKH26 label to track their survival. These were then injected at different concentrations into the buttock dermis of nude mice at 2-weekly intervals before UV irradiation...
June 25, 2018: Australasian Journal of Dermatology
Sarah Blue, Melissa Najarian
Penetrating gluteal wounds with retained foreign bodies are relatively uncommon and therefore there is no agreed-upon method of extraction. Retrieval of such objects can be difficult to achieve due to imperfect anatomy and a lack of clear planes across which the objects traverse, sometimes requiring novel techniques for foreign body retrieval. We saw a 37-year-old male with a 2-month history of a draining abscess on his right buttock. CT and manual probing of the wound demonstrated a 5-cm tract with a possible foreign body within...
June 2018: Journal of Surgical Case Reports
Jun Komatsu, Tomoya Muta, Nana Nagura, Masumi Iwabuchi, Hironari Fukuda, Kazuo Kaneko, Osamu Shirado
BACKGROUND: Lumbar spinal canal stenosis surgery has recently improved with the use of minimally invasive techniques. Less invasive procedures have emerged, and microendoscopic decompression through smaller incisions is frequently performed. Tubular surgery with the assistance of endoscopic surgery procedures has led to particularly remarkable changes in surgery, with reduced tissue trauma and morbidity. PURPOSE: The purpose of this study was to compare the clinical outcomes of two different minimally invasive decompressive surgical techniques (microendoscopic bilateral decompression surgery using the unilateral approach [microendoscopic laminectomy (MEL)] and microendoscopy-assisted muscle-preserving interlaminar decompression (MILD; ME-MILD)) using spinal endoscopy for lumbar spinal canal stenosis measured using a visual analog scale (VAS), the Japanese Orthopedic Association (JOA) score, and the JOA Back Pain Evaluation Questionnaire (JOABPEQ), which is based on a patient-oriented scoring system...
May 2018: Journal of Orthopaedic Surgery
Julien Gaudric, Philippe Tresson, Lucie Derycke, Sophie Tezenas Du Montcel, Thibault Couture, Jean-Michel Davaine, Mahine Kashi, James Lawton, Laurent Chiche, Fabien Koskas
OBJECTIVE: The objective of this study was to assess outcomes of a hybrid technique for treatment of abdominal aortic aneurysm (AAA) associated with iliac aneurysm without distal neck by combining an AAA endovascular repair approach with open surgery for preservation of the internal iliac artery (IIA). METHODS: The files of 51 patients operated on between 1998 and 2017 in a single vascular surgery department were retrospectively analyzed. Inclusion criteria were patients with AAA associated with uni-iliac or bi-iliac aneurysm without suitable distal sealing zone...
June 21, 2018: Journal of Vascular Surgery
Fouaz S Ayachi, Jean-Marc Drouet, Yvan Champoux, Catherine Guastavino
OBJECTIVES: In this article, we seek to determine how sensitive road cyclists are to vertical vibration transmitted while riding a road bicycle and to propose metrics for the evaluation of dynamic comfort. BACKGROUND: Road cyclists are exposed to random-type excitation due to road roughness. Vibration transmitted affects dynamic comfort. But how sensitive are cyclists to vibration level? What are the best metrics to measure the amount of vibration transmitted to cyclists? Previous studies used sinusoidal excitation with participants on rigid seats and measured acceleration...
June 1, 2018: Human Factors
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