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Tensor fascia lata

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https://www.readbyqxmd.com/read/29928077/reconstruction-of-type-ii-abdominal-wall-defects-anterolateral-thigh-or-tensor-fascia-lata-myocutaneous-flaps
#1
Jammula S Srinivas, Prakash Panagatla, Mukunda Reddy Damalacheru
Introduction: Reconstruction of complex abdominal wall defects is both challenging and technically demanding for plastic surgeon. Objectives in abdominal wall reconstruction are consistent and include restoration of abdominal wall integrity, protection of intra abdominal viscera and prevention of herniation. Materials: We conducted a retrospective study on five patients in whom lateral thigh flaps such as anterolateral thigh (ALT) flaps and tensor fascia lata (TFL) myocutaneous flaps as pedicled or free flaps were used for complex abdominal wall Type II defects over a 5- years period between 2007 and 2012...
January 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/29927670/how-weakness-of-the-tensor-fascia-lata-and-gluteus-maximus-may-contribute-to-acl-injury-a-new-theory
#2
Michael T Cibulka, Jack Bennett
Anterior cruciate ligament (ACL) injuries are common in sports including a significant failure rate following reconstruction. The iliotibial band (ITB) is an important stabilizer of the lateral portion of the knee and also an important lateral rotator of the tibia. Both the tensor fascia lata (TFL) and gluteus maximus (Gmax) muscles insert into the ITB proximally. This paper describes a theory that implicates weakened TFL and Gmax muscles as possible contributors to anterolateral rotatory instability. If the TFL and Gmax are important contributors to anterolateral rotatory instability, physical therapists can emphasize assessing for their weakness and developing a rehabilitation program to restore their strength...
June 21, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29909357/abdominal-muscle-recruitment-and-its-effect-on-the-activity-level-of-the-hip-and-posterior-thigh-muscles-during-therapeutic-exercises-of-the-hip-joint
#3
Sharon M H Tsang, Amanda H M Lam, Melody H L Ng, Kiki W K Ng, Cherry O H Tsui, Benjamin Yiu
Abdominal exercise has been advocated to improve the protection of the spine and neuromuscular efficiency of the limb movements. The purpose of this study was to examine the effect of enhanced contraction of internal oblique and transversus abdominis (IO/TrA) on the activity level of the hip and posterior thigh muscles during therapeutic hip exercises. Twenty healthy females were required to perform eight hip exercises under two conditions, natural versus enhanced IO/TrA contraction conditions. Muscle activity of gluteus maximus, gluteus medius, tensor fasciae latae and biceps femoris of the exercising leg was measured by surface electromyography during hip exercises, and expressed in percentage normalized to the maximal voluntary isometric contraction (%MVIC)...
June 12, 2018: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29851785/a-case-report-of-recessive-myotonia-congenita-and-early-onset-cognitive-impairment-is-it-a-causal-or-casual-link
#4
Simona Portaro, Alberto Cacciola, Antonino Naro, Demetrio Milardi, Rosa Morabito, Francesco Corallo, Silvia Marino, Alessia Bramanti, Emanuela Mazzon, Rocco Salvatore Calabrò
RATIONALE: Myotonia congenita (MC) is a non-dystrophic myotonia inherited either in dominant (Thomsen) or recessive (Becker) form. MC is due to an abnormal functioning of skeletal muscle voltage-gated chloride channel (CLCN1), but the genotype/phenotype correlation remains unclear. PATIENT CONCERNS: A 48-year-old man, from consanguineous parents, presented with a fixed muscle weakness, muscle atrophy, and a cognitive impairment. Notably, his brother presented the same mutation but with a different phenotype, mainly involving cognitive function...
June 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29805826/clear-cell-adenocarcinoma-arising-from-endometriosis-in-the-groin-wide-resection-and-reconstruction-with-a-fascia-lata-tensor-muscle-skin-flap
#5
Shozo Yoshida, Akira Onogi, Masamitsu Kuwahara, Tomoko Uchiyama, Hiroshi Kobayashi
We herein report a case of clear cell carcinoma arising from endometriosis in the groin in a 53-year-old woman. The findings of MRI and FDG/PET-CT indicated a malignant tumor, and surgical biopsy confirmed adenocarcinoma of the female genital tract. The tumor including a part of the abdominal rectus muscle and rectus sheath, subcutaneous fat, skin, and the right inguinal ligament was resected en bloc . The defect in the abdominal wall was reconstructed with a fascia lata tensor muscle skin flap. The tumor was composed of clear cell adenocarcinoma arising from extrapelvic endometriosis...
2018: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29802423/direct-anterior-approach-to-the-hip-joint-in-the-lateral-decubitus-position-for-joint-replacement
#6
REVIEW
R S Camenzind, K Stoffel, N J Lash, M Beck
SURGICAL PRINCIPLE AND OBJECTIVE: The direct anterior approach for total hip arthroplasty is associated with higher complication rates and difficult femoral component positioning. Performing a modified technique in the lateral position allows secure component positioning. INDICATIONS: Primary hip replacement (including femoral neck fracture) and cup revision without bone deficiency. CONTRAINDICATIONS: Destruction/deformities of proximal femur or acetabulum, bone deficiency or malignancy...
May 25, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29768093/alterations-in-kinematics-and-muscle-activation-patterns-with-the-addition-of-a-kipping-action-during-a-pull-up-activity
#7
Christopher Dinunzio, Nathaniel Porter, John Van Scoy, Derrick Cordice, Ryan S McCulloch
Recently, addition of a gymnastics glide kip to a standard pull-up (SPU) has resulted in the kipping pull-up (KPU). Changes in muscle activation and kinematics were evaluated with eleven athletes performing sets of 5 SPU and 5 KPU. Surface electromyography of upper body and lower body muscles was recorded along with movement kinematics obtained via markers and motion tracking software. Most kinematic variables were significantly higher in the KPU including (KPU minus SPU deg): Max hip angle (48.8° ± 6.8°, p < 0...
May 16, 2018: Sports Biomechanics
https://www.readbyqxmd.com/read/29756497/relationship-between-muscular-and-bony-anatomy-in-native-hips-a-theoretical-background-for-approach-specific-implant-positioning
#8
Doruk Akgün, Philipp von Roth, Tobias Winkler, Carsten Perka, Adam Trepczynski, Bernd Preininger
INTRODUCTION: The aim of this study was to analyse the relationship between bony joint orientation and the distribution of hip musculature. METHODS: The bone anatomy of the hip (femoral antetorsion (AT), acetabular anteversion (AV), and combined anteversion (AV/AT)) and the muscle volume of the gluteal muscles and the tensor fasciae latae were analysed bilaterally using computed tomography data of 49 patients. Muscle force direction (MFD) was determined for each muscle...
May 1, 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29753876/electromyographic-study-of-hip-muscles-involved-in-total-hip-arthroplasty-surprising-results-using-the-direct-anterior-minimally-invasive-approach
#9
Jules Bernard, Fredson Razanabola, Julien Beldame, Stéphane Van Driessche, Helena Brunel, Thomas Poirier, Jean Matsoukis, Fabien Billuart
BACKGROUND: The functional and clinical benefit of minimally invasive total hip arthroplasty (THA) is well-known, but the literature reports impaired gait and posture parameters as compared to the general population, especially following use of the anterior minimally invasive approach, which has more severe impact on posture than the posterior approach. The reasons for this impairment, however, remain unexplained. We therefore conducted a surface electromyography (sEMG) study of the hip muscles liable to be affected by arthroplasty surgery: gluteus maximus (GMax), gluteus medius (GMed, tensor fasciae latae (TFL), and sartorius (S)...
May 10, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29705166/differences-in-knee-and-hip-adduction-and-hip-muscle-activation-in-runners-with-and-without-iliotibial-band-syndrome
#10
Robert L Baker, Richard B Souza, Mitchell J Rauh, Michael Fredericson, Michael D Rosenthal
BACKGROUND: Iliotibial band syndrome has been associated with altered hip and knee kinematics in runners. Previous studies have recommended further research on neuromuscular factors at the hip. The frontal plane hip muscles have been a strong focus in strength comparison but not for electromyography investigation. OBJECTIVE: To compare hip surface electromyography, and frontal plane hip and knee kinematics, in runners with and without iliotibial band syndrome. DESIGN: Observational cross-sectional study...
April 26, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29698292/does-the-watson-jones-or-modified-smith-petersen-approach-provide-superior-exposure-for-femoral-neck-fracture-fixation
#11
Paul M Lichstein, John P Kleimeyer, Michael Githens, John S Vorhies, Michael J Gardner, Michael Bellino, Julius Bishop
BACKGROUND: A well-reduced femoral neck fracture is more likely to heal than a poorly reduced one, and increasing the quality of the surgical exposure makes it easier to achieve anatomic fracture reduction. Two open approaches are in common use for femoral neck fractures, the modified Smith-Petersen and Watson-Jones; however, to our knowledge, the quality of exposure of the femoral neck exposure provided by each approach has not been investigated. QUESTIONS/PURPOSES: (1) What is the respective area of exposed femoral neck afforded by the Watson-Jones and modified Smith-Petersen approaches? (2) Is there a difference in the ability to visualize and/or palpate important anatomic landmarks provided by the Watson-Jones and modified Smith-Petersen approaches? METHODS: Ten fresh-frozen human pelvi underwent both modified Smith-Petersen (utilizing the caudal extent of the standard Smith-Petersen interval distal to the anterosuperior iliac spine and parallel to the palpable interval between the tensor fascia lata and the sartorius) and Watson-Jones approaches...
July 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29668509/a-description-of-the-vascular-anatomy-of-the-tensor-fascia-lata-perforator-flap-using-computed-tomography-angiography
#12
Jeremy M Powers, Mariana Martinez, Shuhao Zhang, Santosh S Kale
BACKGROUND: The perforator anatomy of the tensor fascia lata (TFL) flap has been studied using cadaver dissection; however, exact descriptions of location, size, and origin of perforator vessels using preoperative imaging modalities remain limited. The aims of this study are to describe TFL perforator anatomy using high-resolution computed tomography angiography (CTA) and to correlate these findings with landmarks for the anterolateral thigh flap to facilitate flap planning. METHODS: We identified 33 patients who previously underwent bilateral lower extremity CTAs for preoperative planning of free-flap reconstruction...
June 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29668508/ultrasound-and-plastic-surgery-clinical-applications-of-the-newest-technology
#13
John P Miller, Martin J Carney, Soobin Lim, John T Lindsey
BACKGROUND: Color Doppler ultrasound (CDUS) has not been routinely used in plastic and reconstructive surgery. Barriers to use have included large, cumbersome equipment, low-definition images, cost, and availability. In addition, programs in plastic surgery have not included training with ultrasound (US); thus, many current-day practitioners are unfamiliar with and reluctant to use this technology. Nevertheless, recent studies have demonstrated the utility of US in surgical planning. With the miniaturization, clearer imaging, and decreased costs of the latest US technology, previous barriers to use have largely been eliminated...
June 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29605956/alternative-choices-for-anterolateral-thigh-flaps-lacking-suitable-perforators-a-systematic-review
#14
Sik Namgoong, Young Don Yoon, Ki Hyun Yoo, Seung Kyu Han, Woo Kyung Kim, Eun Sang Dhong
BACKGROUND:  The anterolateral thigh (ALT) flap has become a predominant option in the field of reconstruction. However, some difficulties in harvesting flap exist due to the anatomical variability of the perforators. Reports have provided solutions for unreliable perforators. Although numerous cases that showed successful conversion to tensor fasciae latae (TFL) flap or anteromedial thigh (AMT) flap have been reported in the literature, none fully addresses the reliability of the perforators that have been described to date...
April 1, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29599693/functional-analysis-of-lower-limbs-in-individuals-infected-with-the-human-immunodeficiency-virus
#15
Gabriel Pádua da Silva, Bruno Ferreira, Selma Siéssere, Isabela Hallak Regalo, Danilo Stefani Esposto, Camila Roza Gonçalves, Veridiana Wanshi Arnoni, Edson Donizetti Verri, Paulo Batista Vasconcelos, Maria Aparecida Carneiro Vasconcelos, Alcyone Artioli Machado, Simone Cecilio Hallak Regalo
Objectives: The objective of this research was to analyze the functional changes of lower limbs by means of surface electromyography in patients with acquired immunodeficiency syndrome. Methods: A total of 60 men and women (age mean of 36.77 ± 9.33 years) were divided into two groups: 30 individuals with human immunodeficiency virus group (HIVG) Subtype 1 and 30 healthy individuals control group. Muscle activity was evaluated using surface electromyography (sEMG)...
March 2018: International Journal of Health Sciences
https://www.readbyqxmd.com/read/29561673/effects-of-thickness-of-muscle-and-subcutaneous-fat-on-efficacy-of-gluteal-intramuscular-injection-sites
#16
Asmahan Elgellaie, Elfriede Ashcroft, Theresa A Larkin
Intramuscular injections given at the dorsogluteal and ventrogluteal sites are intended for the gluteus maximus and gluteus medius muscles, respectively. However, little research has confirmed the reliability of these sites for the presence and thickness of the target and other muscles, and subcutaneous fat. This study characterised and compared these at the V-method and G-method ventrogluteal sites and dorsogluteal site (n=60). Gluteus maximus, medius and minimus were identified at each site, plus tensor fascia latae at ventrogluteal sites...
March 22, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29537997/autologous-breast-reconstruction-using-a-tensor-fascia-lata-anterior-lateral-thigh-freestyle-flap-after-extensive-electric-burn-a-case-report
#17
Dorothee Boehm, Konstantin Bergmeister, Emre Gazyakan, Thomas Kremer, Ulrich Kneser, Volker J Schmidt
AIMS: Reconstruction of breasts and chest wall deformities in female patients after severe burn injury is a challenge for reconstructive surgeons. In these patients, neither implant-based procedures nor standard free flaps are sometimes applicable because of limited skin quality and unavailability of donor sites at the abdomen, back, buttock, or medial thigh. METHODS: We present a case of a young female patient with a history of 80 % total body surface area burn after electric high-voltage injury...
May 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29500891/tensor-fasciae-latae-muscle-in-human-embryos-and-fetuses-with-special-reference-to-its-contribution-to-the-development-of-the-iliotibial-tract
#18
Kwang Ho Cho, Zhe Wu Jin, Hiroshi Abe, Jőrg Wilting, Gen Murakami, José Francisco Rodríguez-Vázquez
The human fasciae latae muscle (TFL) is inserted into the iliotibial tract and plays a critical role in lateral stabilization of the hip joint. We previously described a candidate of the initial iliotibial tract that originated from the gluteus maximus muscle and extended distally. This study extended our observations by examining 30 human embryos and fetuses of gestational age (GA) 7-14 (crown-to-rump length [CR:] 24-108 mm). At GA 7 weeks, the TFL appeared as a small muscle mass floating in the subcutaneous tissue near the origins of the gluteus medius and rectus femoris muscles...
March 3, 2018: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/29497374/are-hypometric-anticipatory-postural-adjustments-contributing-to-freezing-of-gait-in-parkinson-s-disease
#19
Christian Schlenstedt, Martina Mancini, Jay Nutt, Amie P Hiller, Walter Maetzler, Günther Deuschl, Fay Horak
Introduction: This study aims at investigating whether impaired anticipatory postural adjustments (APA) during gait initiation contribute to the occurrence of freezing of gait (FOG) or whether altered APAs compensate for FOG in Parkinson's disease (PD). Methods: Gait initiation after 30 s quiet stance was analyzed without and with a cognitive dual task (DT) in 33 PD subjects with FOG (PD+FOG), 30 PD subjects without FOG (PD-FOG), and 32 healthy controls (HC). APAs were characterized with inertial sensors and muscle activity of the tensor fasciae latae (TFL), gastrocnemius, and tibialis anterior was captured with electromyography recordings...
2018: Frontiers in Aging Neuroscience
https://www.readbyqxmd.com/read/29463320/medialisation-thyroplasty-with-tensor-fascia-lata-a-novel-approach-for-reducing-post-thyroplasty-complications
#20
T N Chao, A Mahmoud, K Rajasekaran, N Mirza
BACKGROUND: Medialisation thyroplasty is considered the 'gold standard' treatment for unilateral vocal fold paralysis, enabling improvement of voice and swallowing function, and preventing life-threatening aspiration events. The most commonly used laryngeal implants induce some degree of local tissue inflammatory response, and carry the risk of immediate or delayed implant extrusion. METHODS: This paper describes a novel approach for medialisation thyroplasty. Specifically, it utilises a ribbon of autologous tensor fascia lata harvested at the time of surgery...
April 2018: Journal of Laryngology and Otology
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