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Samuel Pitcairn, Bryson Lesniak, William Anderst
BACKGROUND: The patellofemoral (PF) joint is a common site for non-specific anterior knee pain. The pathophysiology of patellofemoral pain may be related to abnormal motion of the patella relative to the femur, leading to increased stress at the patellofemoral joint. Patellofemoral motion cannot be accurately measured using conventional motion capture. RESEARCH QUESTION: The aim of this study was to determine the accuracy of a biplane radiography system for measuring in vivo PF motion during walking and stair ascent...
June 18, 2018: Gait & Posture
Mark A Pacult, Fraser C Henderson, Mathew D Wooster, Abhay K Varma
The authors report the case of a 76 year-old woman presenting with leg pain, numbness and weakness mimicking a lumbosacral radiculopathy. Lumbar spine magnetic resonance imaging (MRI) demonstrated mild root compression but lumbar decompression afforded only transient symptomatic relief. Post-operative MRI of the lumbosacral plexus and sciatic nerve revealed a gluteal venous varix compressing the sciatic nerve just distal to the piriformis muscle. Neurolysis and surgical resection of the offending varix resulted in resolution of her symptoms...
June 18, 2018: World Neurosurgery
Vibhu Krishnan Viswanathan, Jeff Hatef, Sina Aghili, Amy Minnema, H Francis Farhadi
OBJECTIVE: Segmental instability is traditionally investigated with flexion and extension (F/E) X-rays. We sought to determine whether motion between upright and supine (U/S) views can serve as an alternative sensitive diagnostic tool that predicts similar outcomes. METHODS: Ambispective collection of data was performed for 222 consecutive patients that underwent transforaminal lumbar interbody fusion (TLIF). Patients were divided into either Group 1 (≥3 mm spondylolisthesis difference between F/E X-rays) or Group 2 (≥3 mm spondylolisthesis difference between U/S imaging and otherwise not meeting Group 1 criteria)...
June 18, 2018: World Neurosurgery
Ai-Min Wu, Kai Zhang, Xun-Lin Li, Xiao-Fei Cheng, Tang-Jun Zhou, Lin Du, Chen Chen, Hai-Jun Tian, Xiao-Jiang Sun, Chang-Qing Zhao, Yan Michael Li, Jie Zhao
Background: The L5 nerve root could be compressed at both L4-5 and L5-S1 regions. If L5 nerve root has confirmed compression at L4-5 level and questionable compression at L5-S1 foramina, performing both surgeries at L4-5 and L5-S1 levels may induce unnecessary extra surgery on L5-S1; however, ignoring foraminal stenosis of L5/S1 may require re-exploration. Methods: Two hundred seventeen patients with L5 nerve root compressed at L4-5 lateral access were performed with L4-5 decompression and interbody fusion...
May 2018: Quantitative Imaging in Medicine and Surgery
Nicholas Brandmeir, Russell Payne, Elias Rizk, R Shane Tubbs, Juan Luis Arsuaga, Antonis Bartsiokas
Objective King Philip II, the father of Alexander the Great, suffered a penetrating wound to the leg from a spear that left him severely handicapped. His skeletal remains represent the first and only case of an injury from ancient Greece that can be directly compared to its historical record. The objective of the study was to confirm the identity of the male occupant of Royal Tomb I in Vergina, Greece as Philip II of Macedonia by providing new evidence based on anatomical dissection and correlation with the historical description of the wounds...
April 18, 2018: Curēus
Kayo Suzuki, Taketoshi Yasuda, Toshihito Hiraiwa, Masahiko Kanamori, Tomoatsu Kimura, Yoshiharu Kawaguchi
Primary cauda equina lymphoma (CEL) is a rare malignant tumor among various neoplasms that affects the cauda equina nerve roots. The present case report described the case of a 65-year-old man who presented with cauda equina syndrome with progressive motor palsy in the legs and gait disturbance over the last 5 months. Magnetic resonance (MR) images showed enlargement of the cauda equina occupying the dural sac from the L1-S1 level with isointensity to the spinal cord signal on both T1- and T2-weighted imaging...
July 2018: Oncology Letters
Nhuan Ngo, Michiro Susa, Takahiro Nakagawa, Yo Kawahara, Chiaki Sato, Keisuke Horiuchi, Fumihisa Kumazawa, Hideyuki Shimazaki, Ukei Anazawa, Kazuhiro Chiba
Nodular hidradenoma (NH) is a benign adnexal tumor that arises from either eccrine or apocrine sweat glands. NH can originate from any cutaneous site, but the most common sites are the head and anterior surface of the trunk, with very rare cases in the extremities. Long-standing NH has been reported to undergo malignant transformation to malignant NH (MNH); however, its occurrence in the lower leg is extremely rare with only one other case reported to date. In this report, we present a rare case of MNH occurring in the lower leg which was resected with the intent to make a diagnosis...
May 2018: Case Reports in Oncology
K N Manjunath, M S Venkatesh, Ashwini Shivaprasad
Background: Reconstruction of the popliteal region has limited option in terms of muscle flaps or myocutaneous flaps. Gastrocnemius muscle or the myocutaneous flaps are the option for majority of cases. However, reach of Gastrocnemius is limited if the wound is on the distal one-third thigh or the lateral aspect of knee region. Similarly, if the wound injures the muscle, then coverage becomes all the more difficult. Although inferiorly based fasciocutaneous flaps can cover the wound in case of bony injuries, muscle flaps are beneficial as they help in fracture healing...
January 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Ravi Kumar Mahajan, Krishnan Srinivasan, Abhiskek Bhamre, Mahipal Singh, Prakash Kumar, Ankush Tambotra
Background: Many flaps have been described for reconstruction of lower extremity defects, including, Latissimus Dorsi, Rectus abdominis, Anterolateral thigh perforator flaps, each having advantages and disadvantages. The defect location, size and specific geometric pattern of defect influences the type of flap that can be used. In this case series, we describe the specific situations where the use of chimeric latissimus dorsi-serratus anterior (LD + SA) free flaps are of advantage in providing complete wound cover...
January 2018: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
Angela Gialamas, Angela Kinnell, Murthy N Mittinty, Belinda Davison, Gurmeet Singh, John Lynch
This study examined the association of anthropometric measures including height, leg length, trunk length and body mass index (BMI) at 11 and 18 years with systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol, low-density lipoprotein cholesterol (LDL-c) and high-density lipoprotein cholesterol (HDL-c) at 11 and 18 years. We analysed data from 661 participants from the Aboriginal Birth Cohort study-a longitudinal study based in the Northern Territory, Australia. Associations between anthropometric measures and cardiovascular risk factors were investigated in linear regression analyses adjusted for confounding, with imputation for missing data...
2018: PloS One
Bradley J Main, Jay Nicholson, Olivia C Winokur, Cody Steiner, Kasen K Riemersma, Jackson Stuart, Ryan Takeshita, Michelle Krasnec, Christopher M Barker, Lark L Coffey
Zika virus (ZIKV) has emerged since 2013 as a significant global human health threat following outbreaks in the Pacific Islands and rapid spread throughout South and Central America. Severe congenital and neurological sequelae have been linked to ZIKV infections. Assessing the ability of common mosquito species to transmit ZIKV and characterizing variation in mosquito transmission of different ZIKV strains is important for estimating regional outbreak potential and for prioritizing local mosquito control strategies for Aedes and Culex species...
June 2018: PLoS Neglected Tropical Diseases
Gislaine S Kogure, Rafael C Silva, Cristiana L Miranda-Furtado, Victor B Ribeiro, Daiana C C Pedroso, Anderson S Melo, Rui A Ferriani, Rosana Maria Dos Reis
Kogure, GS, Silva, RC, Miranda-Furtado, CL, Ribeiro, VB, Pedroso, DCC, Melo, AS, Ferriani, RA, and Reis, RMd. Hyperandrogenism enhances muscle strength after progressive resistance training, independent of body composition, in women with polycystic ovary syndrome. J Strength Cond Res XX(X): 000-000, 2018-The effects of resistance exercise on muscle strength, body composition, and increase in cross-sectional area of skeletal muscle (hypertrophy) were evaluated in women with polycystic ovary syndrome (PCOS). This case-control study included 45 PCOS and 52 non-PCOS women, with age between 18-37 years and body mass index of 18-39...
June 20, 2018: Journal of Strength and Conditioning Research
Győző Szolnoky, Henriette Gavallér, Anna Gönczy, Imre Bihari, Lajos Kemény, Tamás Forster, Attila Nemes
Szolnoky, G, Gavallér, H, Gönczy, A, Bihari, I, Kemény, L, Forster, T, and Nemes, A. The effects of below-knee medical compression stockings on pulse wave velocity of young healthy volunteers. J Strength Cond Res XX(X): 000-000, 2018-The effects of graduated medical compression stockings (MCS) on cardiovascular responses are poorly investigated. A simple study was undertaken to investigate whether the application of below-knee leg MCSs with different pressures could influence aortic pulse wave velocity (PWV) as the gold standard for aortic stiffness measurement evaluated by arteriography...
June 20, 2018: Journal of Strength and Conditioning Research
Moona M Myllyaho, Johanna K Ihalainen, Anthony C Hackney, Maarit Valtonen, Ari Nummela, Elina Vaara, Keijo Häkkinen, Heikki Kyröläinen, Ritva S Taipale
Myllyaho, MM, Ihalainen, JK, Hackney, AC, Valtonen, M, Nummela, A, Vaara, E, Häkkinen, K, Kyröläinen, H, and Taipale, RS. Hormonal contraceptive use does not affect strength, endurance, or body composition adaptations to combined strength and endurance training in women. J Strength Cond Res XX(X): 000-000, 2018-This study examined the effects of a 10-week period of high-intensity combined strength and endurance training on strength, endurance, body composition, and serum hormone concentrations in physically active women using hormonal contraceptives (HCs, n = 9) compared with those who had never used hormonal contraceptives (NHCs, n = 9)...
June 20, 2018: Journal of Strength and Conditioning Research
Håvard Hamarsland, Gøran Paulsen, Paul A Solberg, Ole Gunnar Slaathaug, Truls Raastad
INTRODUCTION: The aim of this study was to investigate the effect of an arduous one-week military course on measures of physical performance, body composition and blood biomarkers. METHODS: Participants were apprentices in an annual selection course for the Norwegian Special Forces. Fifteen soldiers (23±4 yrs., 1.81±0.06 m, 78±7 kg) completed a hell-week consisting of rigorous activity only interspersed by 2-3 hours of sleep per day. Testing was conducted before and 0, 1, 3, 7 and 14 days after the hell-week...
June 21, 2018: Medicine and Science in Sports and Exercise
Rajan R Murgai, Edward Compton, Akash R Patel, Deirdre Ryan, Robert M Kay
BACKGROUND: Although postoperative cast immobilization is routinely used in children, it is not without complications. Few studies have focused on interventions to decrease their frequency. The purpose of this study was to determine if foam padding in postoperative lower extremity casts decreased the rate of cast complications. METHODS: A retrospective review of patients who underwent lower extremity casting after elective surgery at a tertiary pediatric hospital from 2006 to 2013 was conducted...
June 20, 2018: Journal of Pediatric Orthopedics
Zafeiris Louvaris, Helmut Habazettl, Harrieth Wagner, Spyros G Zakynthinos, Peter D Wagner, Ioannis Vogiatzis
Reliability of Near-infrared spectroscopy (NIRS), measuring indocyanine green (ICG) for minimally invasive assessment of relative muscle blood flow during exercise has been examined in fit young individuals, but not in COPD. Here we ask whether it could be used to evaluate respiratory and locomotor muscle perfusion in COPD patients. Vastus lateralis muscle blood flow (MBF, the reference method calculated from arterial and muscle ICG concentration curves) and a blood flow index (BFI, calculated using only the (same) muscle ICG concentration curves) were compared in 10 patients (FEV1 :51{plus minus}6%predicted) at rest and during cycling at 25%, 50%, 75% and 100% of WRpeak...
June 21, 2018: Journal of Applied Physiology
Henrik Bergman, Thomas Nilsson, Peter Andiné, Alessio Degl'Innocenti, Roland Thomeé, Annelie Gutke
Research stresses the importance of physical activity in general psychiatric care. There is very little research made in the area of forensic psychiatric care. The aim of this exploratory, cross-sectional study was to assess various physical, psychological, and health variables of patients under compulsory forensic psychiatric inpatient care, and to examine correlations among these variables. Maximal oxygen uptake (VO2 max), walking ability, running speed, and explosive leg strength were examined in 28 patients...
June 21, 2018: Physiotherapy Theory and Practice
Elizabeth Wellsandt, Matthew J Failla, Michael J Axe, Lynn Snyder-Mackler
BACKGROUND: Current practice patterns for the management of anterior cruciate ligament (ACL) injury favor surgical reconstruction. However, long-term outcomes may not differ between patients completing operative and nonoperative treatment of ACL injury. Differences in outcomes between operative and nonoperative treatment of patients in the United States is largely unknown, as are outcomes in long-term strength and performance measures. PURPOSE: To determine if differences exist in 5-year functional and radiographic outcomes between patients completing operative and nonoperative treatment of ACL injury when both groups complete a progressive criterion-based rehabilitation protocol...
June 1, 2018: American Journal of Sports Medicine
M Augustin, E Conde Montero, K Hagenström, K Herberger, C Blome
BACKGROUND: Chronic lymphoedema (CLE) is a burdensome disease of multiple causes leading to significant reductions in health-related quality of life (HRQoL). A specific method to assess HRQoL is the Freiburg Life Quality Assessment for lymphedema (FLQA-L), which consists of 92 items. OBJECTIVES: To develop and validate a short form of the FLQA-L with improved psychometric properties and feasibility. METHODS: The FLQA-L validation data were re-analysed by patients and experts...
June 21, 2018: British Journal of Dermatology
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