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Pubic symphysis

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https://www.readbyqxmd.com/read/27909738/prostate-bed-target-interfractional-motion-using-rtog-consensus-definitions-and-daily-ct-on-rails-does-target-motion-differ-between-superior-and-inferior-portions-of-the-clinical-target-volume
#1
Vivek Verma, Shifeng Chen, Sumin Zhou, Charles A Enke, Andrew O Wahl
PURPOSE: Using high-quality CT-on-rails imaging, the daily motion of the prostate bed clinical target volume (PB-CTV) based on consensus Radiation Therapy Oncology Group (RTOG) definitions (instead of surgical clips/fiducials) was studied. It was assessed whether PB motion in the superior portion of PB-CTV (SUP-CTV) differed from the inferior PB-CTV (INF-CTV). PATIENTS AND METHODS: Eight pT2-3bN0-1M0 patients underwent postprostatectomy intensity-modulated radiotherapy, totaling 300 fractions...
December 1, 2016: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
https://www.readbyqxmd.com/read/27882767/-traumatic-symphyseal-rupture-by-vaginal-delivery-report-of-a-rare-case
#2
J Hofierková
OBJECTIVE: This case report draw attention symphysis pubic dysfunction and injury pelvic girdle by vaginal delivary (in our case compliated by dystokia shoulders), mainly its diagnostic, prediction and treatment. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology. Hospital Česká Lípa. CASE REPORT: We report a case of a 31 years old woman, who gave birth for the second time with rupture of symphysis after delivery...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27871095/investigation-of-pelvic-injuries-on-eighteen-post-mortem-human-subjects-submitted-to-oblique-lateral-impacts
#3
Matthieu Lebarbé, Pascal Baudrit, Pascal Potier, Philippe Petit, Xavier Trosseille, Sabine Compigne, Mitsutoshi Masuda, Takumi Fujii, Richard Douard
The aim of this study was to investigate the sacroiliac joint injury mechanism. Two test configurations were selected from full scale car crashes conducted with the WorldSID 50(th) dummy resulting in high sacroiliac joint loads and low pubic symphysis force, i.e. severe conditions for the sacroiliac joint. The two test conditions were reproduced in laboratory using a 150-155 kg guided probe propelled respectively at 8 m/s and 7.5 m/s and with different shapes and orientations for the plate impacting the pelvis...
November 2016: Stapp Car Crash Journal
https://www.readbyqxmd.com/read/27803516/rent-in-the-vent-a-rare-event-parturition-induced-rupture-of-pubic-symphysis-and-dislocation-of-sacroiliac-joint-after-spontaneous-vaginal-delivery
#4
Kiran S Coelho, Hemant Shintre, Ashish Shyamkul, Bindu Rani
No abstract text is available yet for this article.
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27792221/successful-treatment-of-groin-pain-syndrome-in-a-pole-vault-athlete-with-core-stability-exercise-a-case-report
#5
Antonio Dello Iacono, Nicola Maffulli, Lior Laver, Johnny Padulo
CONTEXT: The purpose of this case report is to present a case of groin pain in a pole vault athlete describing the biomechanical features of the injury`s mechanism, acute medical management, and its successful rehabilitation. CASE REPORT: A 22 years old professional pole-vaulter sustained an injury during a regular training session. The athlete reported significant left lower abdominal and left proximal adductor discomfort in all activities, including basic trunk motion when moving in bed, sit to stand, and walking, and was unable to return to the regular training...
October 28, 2016: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/27790413/variations-in-the-origin-and-course-of-right-hepatic-artery-and-its-surgical-significance
#6
Narayanaperumal Mugunthan, Rajendran Kannan, Christilda Felicia Jebakani, Jayaram Anbalagan
INTRODUCTION: Variations in the Right Hepatic Artery (RHA) are exceedingly common and these variations are of great importance to surgeons and interventional radiologists. A thorough knowledge of the right hepatic arterial anatomy is mandatory while performing hepatic surgery and hepatic arteriography. AIM: To find out the variations in the origin and course of the RHA and its surgical significance. MATERIALS AND METHODS: This study was conducted in 60 embalmed adult cadavers of both sexes of age group between 50 to 80 years...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27769098/expression-of-noggin-and-gremlin1-and-its-implications-in-fine-tuning-bmp-activities-in-mouse-cartilage-tissues
#7
Xiaodan Yu, Hiroko Kawakami, Naoyuki Tahara, Merissa Olmer, Shinichi Hayashi, Ryutaro Akiyama, Anindya Bagchi, Martin Lotz, Yasuhiko Kawakami
Increasing evidence supports the idea that bone morphogenetic proteins (BMPs) regulate cartilage maintenance in the adult skeleton. The aim of this study is to obtain insight into the regulation of BMP activities in the adult skeletal system. We analyzed expression of Noggin and Gremlin1, BMP antagonists that are known to regulate embryonic skeletal development, in the adult skeletal system by Noggin-LacZ and Gremlin1-LacZ knockin reporter mouse lines. Both reporters are expressed in the adult skeleton in a largely overlapping manner with some distinct patterns...
October 21, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27759592/application-for-medpor-surgical-implant-in-modified-penile-elongation-review-of-19-cases
#8
Yuhong Chen, Chenyang Ji, Biying Wu, Weiqiang Liang, Jinming Zhang
OBJECTIVE: To investigate the application of MEDPOR surgical implant in modified penile elongation. METHODS: The suspensory ligaments were divided, and cavernous bodies of crus were partially mobilized, so as to release part of the cavernous bodies from inferior ramus of pubis. Then, the penis was elongated sufficiently. MEDPOR surgical implants (MEDPOR; high-density porous polyethylene, Howmedica Osteonics Corp. Newnan, Ga) were inserted between the cavernous bodies and pubic symphysis...
October 17, 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27734825/a-novel-approach-for-treatment-of-acetabular-fractures
#9
Zichao Xue, Hui Qin, Haoliang Ding, Zhiquan An
BACKGROUND There is no single approach that provides adequate exposure for treatment of all types of acetabular fractures. We describe our experience with an easier, relatively less invasive pubic symphysis approach (PSA) for the treatment of acetabular fractures. MATERIAL AND METHODS Between March 2011 and March 2012, fifteen patients with acetabular fracture underwent surgery using the PSA technique. Fracture reduction and treatment outcomes were assessed by clinical and radiological examination. Operation time, intraoperative blood loss and postoperative complications were documented...
October 13, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27718438/urological-injuries-associated-with-pelvic-fractures-a-case-report-of-a-detached-bone-segment-inside-the-bladder
#10
Saud M Alfayez, Khalid Allimmia, Ahmad Alshammri, Firas Serro, Rakan Almogbel, Abdullah Bin Dous, Raed Almannie, Jesús Palencia
INTRODUCTION: Urological injuries in pelvic fractures are noticed in 6-15% of the cases. The bladder, due to its anatomical position, is prone to rupture in pelvic fractures. The majority of urinary bladder injuries are either extraperitoneal or intraperitoneal. Nonetheless, both types can occur simultaneously in 6% of the cases. PRESENTATION OF THE CASE: A 45-year-old male was brought to our emergency department after being struck by an automobile. In the absence of signs of urethral injury, a Foley's catheter was inserted revealing gross hematuria...
October 3, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27705734/wire-in-the-hole-a-case-series-of-eroded-intrapubic-wire-sutures-causing-genitourinary-complications-in-the-bladder-exstrophy-complex
#11
Joan S Ko, Angela D Gupta, Heather N Di Carlo, Kathy Lue, John P Gearhart
Bladder exstrophy and cloacal exstrophy are rare congenital defects of the genitourinary tract that require complex surgical reconstruction. Malrotation of the bony pelvis causes a characteristic diastasis of the pubic symphysis, which is surgically reduced at the time of initial bladder closure. For a successful primary closure without tension such that the bladder can be placed deep within the pelvis, pelvic osteotomy is often used. However, alternative techniques have been utilized to bring the pubic rami into apposition...
October 2016: Canadian Journal of Urology
https://www.readbyqxmd.com/read/27703831/spontaneous-septic-arthritis-of-pubic-symphysis-in-an-elite-athlete
#12
F Jasmijn Smits, Herman Frima, Christoph Schaeffeler, Christoph Sommer
Septic arthritis of the pubic symphysis is a potentially severe disease. Athletes are at risk of this form of spontaneous arthritis, as inflammation of the pubic bone due to muscular stress is relatively common. Oedema due to inflammation might predispose to infection through bacteraemia or local bacterial translocation. Suspicion should be raised when an athlete complains of groin pain and has signs of infection (i.e., fever, elevated white blood cell count, and elevated C-reactive protein). Diagnosis is made by imaging showing signs of inflammation combined with positive (blood) cultures...
2016: Case Reports in Surgery
https://www.readbyqxmd.com/read/27692112/is-cannulated-screw-fixation-an-alternative-to-plate-osteosynthesis-in-open-book-fractures-a-biomechanical-analysis
#13
Ángel Lázaro Gonzálvez, Javier Martínez Reina, Pedro Cano Luis, Juan Jiménez Baquero, José Sueiro Fernández, Miguel Ángel Giráldez Sánchez
OBJECTIVES: The current biomechanical work compares the symphyseal and sacroiliac stability obtained with two systems of bone osteosynthesis. The two methods of fixation compared were the 6-hole suprapubic non-locked plate and pubic fixation with two cannulated screws, a novel technique that can be applied percutaneously in the clinical practice. The aim of this study was to examine the validity of the use of two-cannulated-screws osteosynthesis in order to minimize the secondary effects of open fixation, especially in patients in whom an open reduction is contraindicated...
September 2016: Injury
https://www.readbyqxmd.com/read/27681662/postoperative-cystographic-findings-as-an-independent-predictor-of-urinary-incontinence-three-months-after-radical-prostatectomy
#14
Yun S Ha, Dong J Bak, Jae W Chung, Jun N Lee, Se Y Kwon, Seock H Choi, Tae G Kwon, Tae H Kim
BACKGROUND: Postoperative cystogram has been used to identify clinically significant leaks before catheter removal after radical prostatectomy (RP). The aim of the present study was to investigate the relationship between cystogram findings after RP and early urinary incontinence. METHODS: From January 2011 to February 2015, 417 patients who had undergone a cystography after RP at our hospital were retrospectively analyzed. The ratio dividing the length from the upper part of the pubic symphysis to the neck of the bladder with the length of the total pubic symphysis height [bladder neck pubic symphysis ratio (BNPSR)] was measured and urinary incontinence was assessed by the subjects' use of a pad...
September 29, 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/27680196/can-mdct-unmask-instability-in-binder-stabilized-pelvic-ring-disruptions
#15
David Dreizin, Jason Nascone, Derik L Davis, Daniel Mascarenhas, Nikki Tirada, Haoxing Chen, Uttam K Bodanapally
OBJECTIVE: Pelvic binders may hinder radiologic assessment of pelvic instability after trauma, and avulsive injuries can potentially unmask instability in this setting. We compare the performance of MDCT for the detection of pelvic disruptions in patients with binders to a matched cohort without binders, and we assess the utility of avulsive injuries as signs of pelvic instability. MATERIALS AND METHODS: MDCT examinations of 56 patients with binders were compared with MDCT examinations of 54 patients without binders...
December 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27644580/complete-spontaneous-regression-of-a-subpubic-cartilaginous-cyst-a-case-report
#16
Toshihiko Nishisho, Shoichiro Takao, Ryo Miyagi, Shunichi Toki, Akihiro Nagamachi, Koichi Sairyo
Subpubic cartilaginous cyst was recently reported as a rare degenerative mass on the pubic symphysis. We report here a 59-year-old woman who presented with a vulvar mass that showed complete spontaneous regression 48 months after the initial visit. Treatment was only wearing brace. This is the first report of complete spontaneous regression of a subpubic cartilaginous cyst. In the case of small subpubic cyst, observation and follow-up alone may be sufficient. J. Med. Invest. 63: 319-322, August, 2016.
2016: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/27634942/rapid-sequence-mri-for-long-term-surveillance-for-paraganglioma-and-phaeochromocytoma-in-patients-with-succinate-dehydrogenase-sdhx-mutations
#17
Eleni Daniel, Robert Jones, Matthew Bull, John Newell-Price
INTRODUCTION: Patients with SDHx mutations need long-term radiological surveillance for the development of paragangliomas and phaeochromocytomas, but no longitudinal data exist. We assessed the performance of rapid-sequence non-contrast magnetic resonance imaging (MRI) in the long-term monitoring of patients with SDHx mutations. METHODS: Retrospective study between 2005-2015 at a University Hospital and regional endocrine genetics referral center. Clinical and imaging data of forty-seven patients with SDHx mutations [SDHB (36), SDHC (6), SDHD (5)] who had surveillance for detection of paragangliomas by rapid-sequence non-contrast MRI (base of skull to pubic symphysis) were collected...
September 15, 2016: European Journal of Endocrinology
https://www.readbyqxmd.com/read/27628459/computed-tomography-based-three-dimensional-visualisation-of-bone-corridors-and-trajectories-for-screws-in-open-reduction-and-internal-fixation-of-symphysis-diastasis-a-retrospective-radiological-study
#18
Christian Michelitsch, Thi Dan Linh Nguyen-Kim, Thorsten Jentzsch, Hans-Peter Simmen, Clément M L Werner
INTRODUCTION: Typical stabilisation of pelvic open book injuries consists of plate fixation of the symphysis. No previous literature has been published about the evaluation of screw placement and their trajectory with four oblique 4.5 mm screws using a four-hole plate in symphysis diastasis. The aim of this study was to define insertion points and angles of trajectory for crossed screw placement regardless of any plate design based on an analysis of three-dimensional computed tomography data sets...
September 14, 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/27596700/female-genital-mutilation-and-cutting-an-anatomical-review-and-alternative-rites
#19
Vincenzo Puppo
The World Health Organization reports that more than 200 million women currently alive have been subjected to female genital mutilation/cutting (FGM/C) worldwide, and three million girls continue to be at risk each year. FGM/C today is women's business. The vulva is formed by the labia majora and the vestibule, with its erectile apparatus. These structures are located under the urogenital diaphragm, behind the pubic symphysis in the anterior perineal region. The clitoris is entirely an external genital organ: the glans and body covered by the prepuce are visible/free while the roots are hidden...
September 6, 2016: Clinical Anatomy
https://www.readbyqxmd.com/read/27592216/automated-measurement-of-the-angle-of-progression-in-labor-a-feasibility-and-reliability-study
#20
Aly Youssef, Ginevra Salsi, Elisa Montaguti, Federica Bellussi, Giuseppina Pacella, Carlotta Azzarone, Antonio Farina, Nicola Rizzo, Gianluigi Pilu
OBJECTIVES: The aim of this paper was to assess the feasibility and reliability of a new automated method for the measurement of the angle of progression (AoP) in labor. METHODS: AoP was assessed using two-dimensional transperineal ultrasound by two operators in 52 women in active labor to evaluate intra- and interobserver reproducibility. The intermethod agreement between automated and manual techniques was analyzed by means of the intraclass correlation coefficient and Bland-Altman method...
September 3, 2016: Fetal Diagnosis and Therapy
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