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Muscle fascia

Asad Rizvi, Joe Iwanaga, Rod J Oskouian, Marios Loukas, R Shane Tubbs
The semitendinosus and gracilis muscles insert primarily onto the superior medial aspect of the tibia. These tendons can be harvested for anterior cruciate ligament reconstruction, and knowledge of their accessory attachments is important for the success of such harvesting procedures. Here, we present a case illustration and review of the attachment of these muscles into the crural fascia (deep fascia of the leg), which is often an underappreciated insertion site.
August 7, 2018: Curēus
Yue Xing, Xi Wang, Yuan Cao, Xia Ding, Ming Lin, Jin Li, Xianqun Fan
BACKGROUND: This study aims to evaluate the effect of a modified approach on severe congenital ptosis treatment. METHODS: Through anterior approach, Müller muscle was preserved, meanwhile the upper tarsus was suspended to combined fascia sheath (CFS) and levator muscle (LM) complex. The main outcome measures included marginal reflex distance1 (MRD1), palpebral fissure height (PFH), MRD1 regression, MRD1 improvement, and patient self-satisfaction. RESULTS: There were 70 patients (90 eyelids) with severe congenital ptosis received treatment of modified operation, including 20 bilateral and 50 unilateral ptosis...
October 15, 2018: Annals of Plastic Surgery
Robert E Van Demark, Matthew C Anderson, Jeb T List, Meredith Hayes, Matthew Hayes, David Woodard
A 46-year-old female presented after 3 years of steadily increasing numbness in her hands bilaterally with worse symptoms in her right hand. She reported nighttime paresthesia and exacerbation of her symptoms while writing, typing, and driving. Tinel's and carpal tunnel compression test were positive bilaterally. During the right hand carpal tunnel release, a layer of synovium was present deep to the carpal ligament with a tendinous portion running midline longitudinally along the median nerve. This layer was an anomalous palmaris profundus (PP) tendon within the carpal tunnel, which inserted distally in the palmar fascia...
August 2018: Plastic and Reconstructive Surgery. Global Open
Jacob K Dey, Jamie J Van Gompel, John I Lane, Matthew L Carlson
OBJECTIVE: Spontaneous cerebrospinal fluid (CSF) leak from the fallopian canal is extremely rare, with only fourteen cases reported in the extant literature. We present a case of spontaneous CSF otorrhea from a fallopian canal meningocele involving the geniculate fossa. We also reviewed all cases of fallopian canal CSF leak reported in the literature with discussion of their management and outcomes. PATIENT: A 53-year-old woman with history of morbid obesity and hypertension presented to a tertiary care referral center with unilateral high volume CSF otorrhea...
October 12, 2018: World Neurosurgery
David C Ackland, Mathew Denton, Anthony G Schache, Marcus G Pandy, Kay M Crossley
OBJECTIVE: The aims of this study were twofold: firstly, to compare hip abductor muscle volumes in individuals with patellofemoral joint osteoarthritis (PFJ OA) against those of healthy controls; and secondly, to determine whether hip muscle volumes and hip kinematics during walking are related in individuals with PFJ OA and healthy controls. METHODS: Fifty-one individuals with PFJ OA and thirteen asymptomatic, age-matched healthy controls ≥ 40 years were recruited...
October 12, 2018: Osteoarthritis and Cartilage
Woo Jong Kim, Hong Seop Lee, Sung Hun Won, Yong Cheol Hong, Dhong Won Lee, Ji-Hye Lee, Chang Hyun Kim
RATIONALE: The Morel-Lavallée lesion (MLL) is a closed degloving injury developing when shear force acts between the muscle fascia and the subcutaneous layer. MLLs develop principally in the trochanteric area or the pelvis; lesions in the proximal calf are rare. Acute lesions can be treated conservatively, but chronic lesions are best treated surgically because of a high rate of recurrence. To the best of our knowledge, this is a rare case of successful treatment of an MLL in the proximal calf associated with tibio-fibular shaft fracture...
October 2018: Medicine (Baltimore)
César Calvo-Lobo, Ignacio Díez-Vega, Mónica García-Mateos, Juan José Molina-Martín, Germán Díaz-Ureña, David Rodríguez-Sanz
BACKGROUND: The aim of the study was to describe and correlate the skin, subcutaneous tissue, and superficial fascia thickness assessed by ultrasonography (US) with the lumbar erector spinae muscles contractile properties evaluated by tensiomyography (TMG). METHODS: A cross-sectional descriptive study with 50 healthy participants was performed. The point of maximum lordosis in the lumbar region of the right erector spinae was evaluated by US and TMG. First, the skin, subcutaneous tissue, and superficial fascia thicknesses (cm) were assessed by US...
June 2018: Revista da Associação Médica Brasileira
Eric R Friedman, Kenneth H Butler
BACKGROUND: Compartment syndrome is often considered in patients with long-bone fractures and soft-tissue injuries, but is not as commonly associated with a period of unconsciousness. CASE REPORT: A 65-year-old man was brought to our emergency department (ED) because he had lost consciousness for an unknown amount of time after snorting heroin. He had severe pain in his upper right arm. Physical examination revealed right arm edema, paresthesia, tenderness, and firmness to palpation...
October 1, 2018: Journal of Emergency Medicine
Gaofeng Li, Wei Ding, Jun Tan, Bo Zhang, Xin Chen, Bin He
BACKGROUND: This article presents a new method using orbital septum for double-eyelid blepharoplasty. METHODS: During double-eyelid blepharoplasty, we incised the orbital septum horizontally. Using the attachment site of the levator aponeurosis as a pedicle, the lower part of the dissected orbital septum was turned downward and then sutured to the upper border of the lower orbicularis oculi muscle and posterior pretarsal fascia. We evaluated the efficacy of this double-eyelid surgical procedure in patients undergoing the procedure from December 2015 to October 2017...
October 3, 2018: Annals of Plastic Surgery
Hugo H Davila, Karisa Brown, Prajwal Dara, Lindsey Bruce, Lindsey Goodman, Taryn Gallo
This video's objective was to describe our spiral technique and surgical steps of robotic-assisted laparoscopic apical suspension (RALAS) in the treatment of patients with symptomatic apical vaginal prolapse. A 70-year-old Caucasian woman, gravida 3, para 2 had symptomatic pelvic organ prolapse (POP) apical/anterior stage III. At pelvic ultrasound evaluation, the uterus was small and normal appearing of adnexa bilaterally. She failed pessaries and is sexually active. The most relevant complaints were vaginal bulging and pressure...
October 3, 2018: Journal of Robotic Surgery
Iwaki Koichi, Sakai Toshinori, Hatayama Daisuke, Hayashi Yohei, Inoue Nanae, Matsumoto Miyuki, Hattori Yusuke, Goto Tsuyoshi, Sairyo Koichi, Tsuji Shuichiro
The purpose of this study was to evaluate the physical features of pediatric patients with lumbar spondylolysis (LS), factors that increase the load during compensatory movements at the lumbar spine, and the outcomes of rehabilitation. Twenty patients were included. Fifteen items were used:fingertip-to-floor distance (FFD), straight leg raising (SLR), heel-to-buttock distance (HBD), tightness of the rectus femoris, the lateral and medial rotator muscles, iliopsoas, tensor fascia lata, adductor muscles, soleus muscle, and latissimus dorsi, and trunk rotation, sit-ups and endurance of the abdominal and back muscles...
2018: Journal of Medical Investigation: JMI
Jennifer J Hamner, Kelley S Carrick, Denise M O Ramirez, Marlene M Corton
BACKGROUND: Knowledge of the retropubic space anatomy is essential for safe entry and surgical applications within this space. OBJECTIVES: The objectives of this study were to examine the gross and histologic anatomy of the retropubic urethra, paraurethral tissue and urethrovaginal space and to correlate findings to retropubic procedures. STUDY DESIGN: Anatomic relationships of the retropubic urethra were examined grossly in unembalmed female cadavers...
September 29, 2018: American Journal of Obstetrics and Gynecology
Marco Sciarra, Andrea Schimmenti, Tommaso Manciulli, Cristina Sarda, Marco Mussa, Laura Sacco, Bianca Mariani, Angela Maria Di Matteo, Paolo Orsolini
Necrotizing fasciitis (NF) is a soft tissue infection affecting subcutaneous tissue and the muscular fascia without involvement of the muscle and can be either monomicrobial or polymicrobial. Monomicrobial infections are usually caused by group A streptococci, while infections caused by anaerobic germs usually affect immunodepressed patients. We report a rare case of NF caused by two anaerobic bacteria in an immunocompetent patient.
2018: Case Reports in Infectious Diseases
Serkan Taş, Nezehat Özgül Ünlüer, Feza Korkusuz
PURPOSE: Many musculoskeletal disorders are associated with over-pronated foot and decreased medial longitudinal arch (MLA) height. Foot intrinsic muscles and plantar fascia (PF) are the primary structures that support MLA. An important reason for the over-pronated foot and the reduction in the MLA height may be the morphological characteristics of the foot intrinsic muscles and PF as well as changes in their mechanical properties. The aim of the present study is to investigate the morphologic structure and mechanical properties of PF, flexor hallucis brevis (FHB), flexor digitorum brevis (FDB), and abductor hallucis (AbH) muscles in individuals with flat foot and to compare the results with those of healthy individuals...
May 2018: Journal of Orthopaedic Surgery
Q Bettex, C Jaloux, M Abellan Lopez, D Casanova, B Bertrand, C Philandrianos
Breast reconstruction by abdominal flap has evolved to ensure minimal donor-site morbidity with the description of Deep Inferior Epigastric artery Perforator flap (DIEP flap). Being of the same thickness and the same surface, the Superficial Inferior Epigastric Artery flap (SIEA flap) does not require, for it harvesting, to open the abdominal fascia or to dissect through the muscles minimizing again donor-site sequelae. However, it is little used because of the variability of its vascularization and a higher failure rate than the DIEP in the literature...
September 27, 2018: Annales de Chirurgie Plastique et Esthétique
Timothy Marten, Dino Elyassnia
Traditional techniques to treat platysma bands relied on corset tightening of the anterior platysma muscle borders or rigid suspension of the lateral platysma borders to sternocleidomastoid or periauricular fascia. Although results seemed good, recurrence was common and the ultimate outcome was poor. Despite modifications, they have largely failed, and for surgeons seeking to rejuvenate the face, treating platysma bands remains a most frustrating and perplexing problem in neck surgery. However, if problems are understood and carefully defined, and logical plans are used to treat them, significant improvement in common neck problems related to the platysma muscles can be obtained...
October 2018: Clinics in Plastic Surgery
Sandeep Silawal, Karim Rayan Galal, Gundula Schulze-Tanzil
A rare unilateral variation of the first left lumbrical muscle was discovered in a female Caucasian cadaver dissected during a first year anatomy course at the Paracelsus Medical University - Nuremberg, Germany. The muscle possessed two venters with the first originating near the medial epicondyle of the humerus together with the intramuscular tendon of the superficial flexor digitorum tendon, and the second presenting as a regular first lumbrical muscle with radial palmar origin from first tendon of the deep flexor digitorum muscle...
September 25, 2018: Morphologie: Bulletin de L'Association des Anatomistes
Guenter Karl Noé, Ibrahim Alkatout, Sven Schiermeier, Stephan Soltécz, Michael Anapolski
INTRODUCTION: Traditionally, a cystocele caused by a midline defect of the pelvic fascia is treated by vaginal fascia duplication, also known as anterior colporraphy. The rectocele is managed by suturing the posterior fascia and, frequently, the levator ani muscles. We developed the approach of laparoscopic anterior and posterior fascia repair by native tissue. MATERIAL AND METHODS: The methods were based on anterior and posterior exposure of pelvic fascia similar to the preparation of an extended sacral colpopexy...
September 27, 2018: Minimally Invasive Therapy & Allied Technologies: MITAT
Kris Vermeylen, F Soetens, I Leunen, A Hadzic, S Van Boxtael, J Pomés, A Prats-Galino, M Van de Velde, A Neyrinck, X Sala-Blanch
The fascia iliaca compartment is the compartment confined by the fascia iliaca (FI) and a muscular layer formed by the iliac- and psoas muscle. This compartment creates a virtual tunnel that contains the femoral nerve (FN), the obturator nerve (ON), and the lateral femoral cutaneous nerve (LFCN) of the lumbar plexus. In this pilot study, we aimed to determine the suggested volume needed to reach the three target nerves of the lumbar plexus (FN, ON, and LFCN) with a single-injection ultrasound-guided supra-inguinal fascia iliaca compartment (S-FICB)...
September 24, 2018: Journal of Anesthesia
Yuan Tian, Ting Liu, Chuan-Qi Zhao, Ze-Yuan Lei, Dong-Li Fan, Tong-Chun Mao
BACKGROUND: Perineum necrotizing fasciitis, also known as Fournier gangrene (FG), is a rare but highly mortal infectious necrotizing fasciitis with or without involvement of the underlying muscle. Evidence exists that negative pressure wound therapy (NPWT) combined with a split thickness skin graft (STSG) can help to heal wounds with FG. However, when the wound spreads to the anal area, it can easily be contaminated by faeces, causing a more extensive wounds; thus, faecal diversion is considered...
September 24, 2018: BMC Surgery
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