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Tensor fascia lata

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https://www.readbyqxmd.com/read/29032422/the-deep-layer-of-the-tractus-iliotibialis-and-its-relevance-when-using-the-direct-anterior-approach-in-total-hip-arthroplasty-a-cadaver-study
#1
David Putzer, Matthias Haselbacher, Romed Hörmann, Günter Klima, Michael Nogler
INTRODUCTION: Surgical approaches through smaller incisions reveal less of the underlying anatomy, and therefore, detailed knowledge of the local anatomy and its variations is important in minimally invasive surgery. The aim of this study was to determine the location, extension, and histomorphology of the deep layer of the iliotibial band during minimally invasive hip surgery using the direct anterior approach (DAA). MATERIALS AND METHODS: The morphology of the iliotibial tract was determined in this cadaver study on 40 hips with reference to the anterior superior iliac spine and the tibia...
October 14, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29019861/the-lateral-thigh-perforator-ltp-flap-for-autologous-breast-reconstruction-a-prospective-analysis-of-138-flaps
#2
Stefania M H Tuinder, Jop Beugels, Arno Lataster, Michiel W de Haan, Andrzej Piatkowski, Michel Saint-Cyr, René R W J van der Hulst, Robert J Allen
BACKGROUND: The septocutaneous tensor fasciae latae (sc-TFL) or lateral thigh perforator (LTP) flap was previously introduced by our group as an alternative flap for autologous breast reconstruction when the abdomen is not suitable as a donor site. The aim of this study was to analyze our experience with the LTP flap and to present the surgical refinements that were introduced. METHODS: A prospective study was conducted of all LTP flap breast reconstructions performed since September 2012...
October 10, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28992772/hip-abductor-muscle-volume-and-strength-differences-between-women-with-chronic-hip-joint-pain-and-asymptomatic-controls
#3
Matthew J Mastenbrook, Paul K Commean, Travis J Hillen, Gretchen B Salsich, Gretchen A Meyer, Michael J Mueller, John C Clohisy, Marcie Harris-Hayes
Study Design Secondary analysis, cross-sectional study. Background Chronic hip joint pain (CHJP) can lead to limitations in activity participation, but the musculoskeletal factors associated with the condition are relatively unknown. Understanding the factors associated with CHJP may help develop rehabilitation strategies to improve quality of life of individuals with long-term hip pain. Objectives To compare measures of hip abductor muscle volume and hip abductor muscle strength between women with CHJP and asymptomatic controls...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28992771/reliability-and-validity-of-hip-stability-isometric-test-hipsit-a-new-method-to-assess-hip-posterolateral-muscle-strength
#4
Gabriel Peixoto Leão Almeida, Helena Larissa das Neves Rodrigues, Bruno Wesley de Freitas, Pedro Olavo de Paula Lima
Study Design Cross-sectional study. Background The Hip Stability Isometric Test (HipSIT) evaluates the strength of the hip posterolateral stabilizers in a position that favors greater activation of the gluteus maximus and gluteus medius and lower activation of the tensor fascia lata. Objectives To check the validity and reliability of the HipSIT and to evaluate the HipSIT in women with patellofemoral pain (PFP). Methods The HipSIT was evaluated with a hand-held dynamometer. During testing the participants were side-lying, with the legs positioned at 45° of hip flexion and 90° of knee flexion...
October 9, 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28967318/extended-endoscopic-endonasal-approach-for-resection-of-tuberculum-sellae-meningioma
#5
Gabriel Zada, Vance L Fredrickson, Bozena B Wrobel
Meningiomas are the most prevalent primary intracranial tumor, with 3%-10% arising from the tuberculum sellae. Optimal management consists of total microsurgical resection with preservation of surrounding structures. The authors present a 64-year-old woman with progressive bilateral vision loss, including visual acuity deficits and bitemporal hemianopsia. MRI revealed a 2-cm tuberculum sellae meningioma causing optic apparatus compression. An extended endoscopic endonasal transtuberculum approach was utilized for gross-total resection, including microdissection of tumor from the optic chiasm and infundibulum...
October 2017: Neurosurgical Focus
https://www.readbyqxmd.com/read/28934544/conjoint-tendon-release-in-direct-anterior-total-hip-arthroplasty-no-impact-on-patient-outcomes
#6
Reina Yao, James L Howard, Brent A Lanting
The direct anterior (DA) approach for total hip arthroplasty (THA) has become increasingly popular. However, femoral access can be more technically challenging in difficult cases as compared with other approaches. Conjoint tendon release can improve proximal femoral exposure, but its effect on patient function and pain has not been studied. This study evaluated the effect of conjoint tendon release on length of stay (LOS), inpatient pain medication requirements, and functional outcomes of patients undergoing DA THA...
September 21, 2017: Orthopedics
https://www.readbyqxmd.com/read/28836890/hip-abductor-fatigability-and-recovery-are-related-to-the-development-of-low-back-pain-during-prolonged-standing
#7
Daniel Viggiani, Jack P Callaghan
A prolonged standing exposure can identify asymptomatic adults who have a higher risk of developing clinical low back pain later in life. Hip abductor cocontraction differences can predict low back pain development during standing exposures. This study's purpose was to determine if hip abductor strength, fatigability, and recovery during prolonged standing were related to standing-induced low back pain. Forty young, asymptomatic adults (50% female) performed two 2-hour standing sessions, a fatiguing hip abductor exercise was performed prior to one of the two standing sessions...
August 24, 2017: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/28809625/microstructural-changes-of-tensor-fasciae-latae-and-gluteus-medius-muscles-following-total-hip-arthroplasty-a-prospective-trial
#8
M Pumberger, P VON Roth, B Preininger, M Mueller, C Perka, T Winkler
PURPOSE OF THE STUDY Although total hip arthroplasty (THA) is one of the most successful orthopedic operations, the soft tissue trauma towards the periarticular musculature during surgical approaches remains a critical concern. However, the actual microstructural proof of muscle trauma on the level of the myofiber due to the surgical approach has never been claimed. MATERIAL AND METHODS Patients undergoing THA were prospectively enrolled and either operated by a direct lateral (DL) or a anterolateral minimally invasive approach (ALMI)...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28789998/does-hip-joint-positioning-affect-maximal-voluntary-contraction-in-the-gluteus-maximus-gluteus-medius-tensor-fasciaelatae-and-sartorius-muscles
#9
J Bernard, J Beldame, S Van Driessche, H Brunel, T Poirier, P Guiffault, J Matsoukis, F Billuart
BACKGROUND: Minimally invasive total hip arthroplasty (THA) is presumed to provide functional and clinical benefits, whereas in fact the literature reveals that gait and posturographic parameters following THA do not recover values found in the general population. There is a significant disturbance of postural sway in THA patients, regardless of the surgical approach, although with some differences between approaches compared to controls: the anterior and anterolateral minimally invasive approaches seem to be more disruptive of postural parameters than the posterior approach...
August 5, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28734457/total-lower-lip-and-chin-reconstruction-with-radial-forearm-free-flap-a-novel-approach
#10
Eliza H Dewey, Ansley M Roche, Cathy L Lazarus, Mark L Urken
BACKGROUND: The management of large chin and lower lip defects is challenging due to this facial subunit's tremendous functional and aesthetic importance. Specific methods for total lower lip and mentum reconstruction are not well chronicled. Aesthetic and functional goals of this reconstruction include restoration of oral competence by maintaining lower lip height, vermilion reestablishment, color-matched skin introduction to the chin, sensation restoration, and ideally restoration of dynamic activity to the lower lip...
September 2017: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/28714757/comparative-effects-of-four-single-leg-squat-exercises-in-subjects-with-gluteus-medius-weakness
#11
Hae-Rim Han, Chung-Hwi Yi, Sung-Hyun You, Heon-Seock Cynn, One-Bin Lim, Jae-Ik Son
CONTEXT: Of the weight bearing exercises, single leg squat (SLS) represents one of the most commonly used hip strengthening exercises that require more gluteus medius (GMED) activity. To date, no studies have investigated how the four SLS exercises affects muscle imbalance of GMED, tensor fasciae latae (TFL), and adductor longus (AL), and kinematics of hip. OBJECTIVE: To investigate the hip muscle activities, onset time, and kinematics during four different SLS exercises (unilateral squat, unilateral wall-squat, lateral step-down, and front step-down) in subjects with GMED weakness...
July 17, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28675778/hip-abductor-muscle-activity-during-walking-in-individuals-with-gluteal-tendinopathy
#12
Kim Allison, Sauro E Salomoni, Kim L Bennell, Tim V Wrigley, Francois Hug, Bill Vicenzino, Alison Grimaldi, Paul W Hodges
The external hip adduction moment during walking is greater in individuals with gluteal tendinopathy (GT) than pain-free controls. Although this likely represents a greater demand on the hip abductor muscles implicated in GT, no study has investigated activation of these muscles in GT. For this purpose, fine wire electrodes were inserted into the segments of the gluteus minimus and medius muscles, and surface electrodes placed on the tensor fascia lata, upper gluteus maximus and vastus lateralis muscles of thirteen individuals with, and thirteen without, GT...
July 4, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28653302/fetal-development-of-the-human-gluteus-maximus-muscle-with-special-reference-to-its-fascial-insertion
#13
Yasuhiro Shiraishi, Zhe Wu Jin, Keisuke Mitomo, Masahito Yamamoto, Gen Murakami, Hiroshi Abe, Jőrg Wilting, Shin-Ichi Abe
The human gluteus maximus muscle (GMX) is characterized by its insertion to the iliotibial tract (a lateral thick fascia of the thigh beneath the fascia lata), which plays a critical role in lateral stabilization of the hip joint during walking. In contrast, in non-human primates, the GMX and biceps femoris muscle provide a flexor complex. According to our observations of 15 human embryos and 11 fetuses at 7-10 weeks of gestation (21-55 mm), the GMX anlage was divided into 1) a superior part that developed earlier and 2) a small inferior part that developed later...
June 27, 2017: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/28649793/characteristics-of-acute-groin-injuries-in-the-hip-flexor-muscles-a-detailed-mri-study-in-athletes
#14
A Serner, A Weir, J L Tol, K Thorborg, F Roemer, A Guermazi, E Yamashiro, P Hölmich
Hip flexor injuries account for one-third of acute groin injuries; however, little is known about specific injury characteristics. The aims of this study were to describe acute hip flexor injuries using magnetic resonance imaging (MRI) in athletes with acute groin pain and to compare specific muscle injuries with reported injury situations. Male athletes with acute groin pain were prospectively and consecutively included during three sports seasons. MRI was performed within 7 days of injury using a standardized protocol and a reliable assessment approach...
June 26, 2017: Scandinavian Journal of Medicine & Science in Sports
https://www.readbyqxmd.com/read/28605003/outcomes-of-gluteus-maximus-and-tensor-fascia-lata-transfer-for-primary-deficiency-of-the-abductors-of-the-hip
#15
Sivashankar Chandrasekaran, Nader Darwish, S Pavan Vemula, Parth Lodhia, Carlos Suarez-Ahedo, Benjamin G Domb
PURPOSE: This study aims to present 3 patients' results after undergoing gluteus maximus and tensor fascia lata (TFL) transfer for chronic abductor tears unable to be repaired primarily. METHODS: 3 patients were identified intraoperatively as having an abductor tear unable to be repaired primarily. The anterior 1/3 of the gluteus maximus and the posterior 1/3 of the TFL were mobilised and transferred to the greater trochanter in order to reproduce the normal force vector of the gluteus medius and minimus...
June 6, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/28593890/extremely-locally-advanced-ovarian-malignant-mixed-mullerian-tumor-in-37-years-old-female
#16
Gjorgji Jota, Radomir Gelevski, Zoran Karadzov, Redzep Selmani, Magdalena Genadieva-Dimitrova, Margarita Peneva, Vesna Jovanovska-Manevska
Ovarian carcinosarcomas, rare variant of ovarian carcinoma, composed of both carcinomatous and mesenchymal components, solid and/or cystic, fleshy and hemorrhagic, frequently spreading beyond the ovary, are treated with surgery and adjuvant chemotherapy according to the treatment principles of ovarian carcinomas due to the small number of reported cases and lack of randomized studies. We report a case of a 37-year-old woman with clinical signs of extremely locally advanced tumor of ovarian origin, infiltrating the lower left quadrant of the abdominal wall with necrosis of the covering skin...
March 1, 2017: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
https://www.readbyqxmd.com/read/28582456/detailed-spatial-characterization-of-superficial-hip-muscle-activation-during-walking-a-multi-electrode-surface-emg-investigation-of-the-gluteal-region-in-healthy-older-adults
#17
Christoph Anders, Steffen Patenge, Klaus Sander, Frank Layher, Uta Biedermann, Raimund W Kinne
PURPOSE: A multi-electrode array was used to generate spatially resolved Surface electromyography (SEMG) data of the hip muscles in healthy older adults. The cohort was meant to serve as an age-matched, normal control population for future surgical and rehabilitative studies in patients undergoing total hip arthroplasty, in view of the large, continuously increasing number of hip joint replacements. METHODS: Bilateral hip muscle SEMG activity, including tensor fasciae latae (TFL), gluteus medius (Gmed), and gluteus maximus (Gmax), was measured during locomotion on a walkway at self-selected slow, normal, and fast walking speeds (age-matched cohort of 29 females and 25 males)...
2017: PloS One
https://www.readbyqxmd.com/read/28551063/-superior-gluteal-nerve-a-new-block-on-the-block
#18
Miguel Sá, Rita Graça, Hugo Reis, José Miguel Cardoso, José Sampaio, Célia Pinheiro, Duarte Machado
BACKGROUND AND OBJECTIVES: The superior gluteal nerve is responsible for innervating the gluteus medius, gluteus minimus and tensor fascia latae muscles, all of which can be injured during surgical procedures. We describe an ultrasound-guided approach to block the superior gluteal nerve which allowed us to provide efficient analgesia and anesthesia for two orthopedic procedures, in a patient who had significant risk factors for neuraxial techniques and deep peripheral nerve blocks. CLINICAL REPORT: An 84-year-old female whose regular use of clopidogrel contraindicated neuraxial techniques or deep peripheral nerve blocks presented for urgent bipolar hemiarthroplasty in our hospital...
May 24, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28507848/the-marriage-of-sartorius-and-tensor-fasciae-latae-in-treating-vascular-prosthetic-graft-infections
#19
Simone N Zoepke, Louis de Weerd
BACKGROUND: Vascular prosthetic graft infection in the groin is associated with high morbidity and mortality. This article presents a case series on the use of 2 flaps in the treatment of this condition. METHODS: Five patients, mean age 65 years (range, 49-74 years), with significant comorbidity were treated for an exposed and infected vascular prosthetic graft in the groin with a combination of sartorius muscle (SM) flap and tensor fascia lata (TFL) myocutaneous flap after debridement and start of microbiologic culture-guided antibiotic treatment...
April 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28503538/effects-of-a-static-stretch-using-a-load-on-low-back-pain-patients-with-shortened-tensor-fascia-lata
#20
Hae-In Bae, Dae-Young Kim, Yun-Hee Sung
Stretch of tensor fascia lata (TFL) improves range of motion on hip and pelvis and it reported to help reduce low back pain. Accordingly, the purpose of this study was to investigate effects of static stretching using a load on TFL in patients with low back pain. Twenty three subjects were recruited according to the selection criteria. The subjects were randomly assigned to static stretching group (control, n=12), and a static stretching using a load group (experimental, n=11). All group performed stretching for 15 min (side for 50 sec per time and a rest for 30 sec) per day in the left side and the right, respectively, for 2 weeks...
April 2017: Journal of Exercise Rehabilitation
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