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pelvic injury and imbalance

Yasaman Safarpour, Bahman Jabbari
This review evaluates the existing level of evidence for efficacy of BoNTs in different pain syndromes using the recommended efficacy criteria from the Assessment and Therapeutic Subcommittee of the American Academy of Neurology. There is a level A evidence (effective) for BoNT therapy in post-herpetic neuralgia, trigeminal neuralgia, and posttraumatic neuralgia. There is a level B evidence (probably effective) for diabetic neuropathy, plantar fasciitis, piriformis syndrome, pain associated with total knee arthroplasty, male pelvic pain syndrome, chronic low back pain, male pelvic pain, and neuropathic pain secondary to traumatic spinal cord injury...
June 1, 2018: Toxicon: Official Journal of the International Society on Toxinology
L Boyoud-Garnier, M Boudissa, S Ruatti, G Kerschbaumer, P Grobost, J Tonetti
PROBLEM AND HYPOTHESIS: Over time, some patients with unilateral or bilateral lumbosacral injuries experience chronic low back pain. We studied the sagittal and frontal balance in a population with these injuries to determine whether mismatch in the pelvic and lumbar angles are associated with chronic low back pain. PATIENTS AND METHODS: Patients with posterior pelvic ring fractures (Tile C1, C2, C3 and A3.3) that had healed were included. Foreign patients and those with an associated spinal or acetabular fracture or nonunion were excluded...
June 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
Han-Dong Lee, Chang-Hoon Jeon, Suk-Hyeong Won, Nam-Su Chung
OBJECTIVES: To examine how spinopelvic morphology changes after traumatic spinopelvic dissociation and whether these changes affect the sagittal balance of the spine. DESIGN: Retrospective analysis. SETTING: Level I trauma center. PATIENTS: Thirty-nine consecutive patients who were diagnosed with traumatic spinopelvic dissociation and had a minimum 2-year radiological follow-up were included. INTERVENTION: Nineteen patients underwent spinopelvic pedicle screw fixation, 11 patients underwent percutaneous iliosacral screw fixation, and 9 patients were treated conservatively...
July 2017: Journal of Orthopaedic Trauma
Chang-guo Fu
OBJECTIVE: To discuss the clinical effects of damage control resuscitation (DCR) in treating severe multiple trauma in the pelvic fractures. METHODS: From March 2009 to September 2013, a restrospective analysis was conducted on the clinical data of 28 patients with multiple trauma in the pelvic fractures, including 19 males and 9 females, ranging in age from 21 to 51 years old with an average of 32.5 years old. According to Tile classification of pelvic fractures, 16 cases were type B and 12 cases were type C...
May 2015: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Sedat Dalbayrak, Murat Ayten, Fahir Özer, Onur Yaman
Sacral fractures are generally accompanied by pelvic ring fractures. They rarely develop in an isolated form. Sacroiliac dislocation without sacral fracture is extremely rare. We report a case with a sacroiliac dislocation without sacral fracture, which was treated surgically. Lumbopelvic stabilization was applied using iliac wing plates. The case was evaluated according to his clinical condition and visual analogue score (VAS), American Spinal Injury Association (ASIA) and Oswestry scales. Considering the role of the sacrum, which transmits the load of the entire spine to the pelvis, meticulous care must be given to ensure the mechanic stability of the spine when evaluating patients with sacral and pelvic fractures...
July 2014: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
Simon N Evetts, Nick Caplan, Dorothée Debuse, Gunda Lambrecht, Volker Damann, Nora Petersen, Julie Hides
Long-duration exposure to the space environment causes physical adaptations that are deleterious to optimal functioning on Earth. Post-mission rehabilitation traditionally concentrates on regaining general muscle strength, neuromuscular control, and lumbo-pelvic stability. A particular problem is muscle imbalance caused by the hypertrophy of the flexor and atrophy of the extensor and local lumbo-pelvic muscles, increasing the risk of post-mission injury. A method currently used in European human spaceflight to aid post-mission recovery involves a motor control approach, focusing initially on teaching voluntary contraction of specific lumbo-pelvic muscles and optimizing spinal position, progressing to functional retraining in weight bearing positions...
July 2014: Aviation, Space, and Environmental Medicine
P Troy Henning
CONTEXT: Pelvic stress fractures, osteitis pubis, and snapping hip syndrome account for a portion of the overuse injuries that can occur in the running athlete. EVIDENCE ACQUISITION: PUBMED SEARCHES WERE PERFORMED FOR EACH ENTITY USING THE FOLLOWING KEYWORDS: snapping hip syndrome, coxa sultans, pelvic stress fracture, and osteitis pubis from 2008 to 2013. Topic reviews, case reports, case series, and randomized trials were included for review. STUDY DESIGN: Clinical review...
March 2014: Sports Health
M C Geraci
The runner who presents with pain in the hip and pelvis, all too often is approached from a one-joint or soft tissue injury concept. Since most injuries to this region are related to overuse and, in particular, overload injury, a biomechanical approach to identify significant muscle imbalances and joint dysfunctions must be sought. In addition, their relationship as predisposing factors to soft tissue injury will be emphasized in this article. A thorough understanding of the relationship between the lumbar spine, pelvis, hip and thigh, and, in particular, dysfunctions and imbalances in the lumbo-pelvic movements, are the most essential...
January 1, 1996: Journal of Back and Musculoskeletal Rehabilitation
Marta Cavalli, Grazia Bombini, Giampiero Campanelli
The "sportsman's hernia" commonly presents as a painful groin in those sports that involve kicking and twisting movements while running, particularly in rugby, football, soccer, and ice hockey players. Moreover, sportsman's hernia can be encountered even in normally physically active people. The pain experienced is recognized at the common point of origin of the rectus abdominis muscle and the adductor longus tendon on the pubic bone and the insertion of the inguinal ligament on the pubic bone. It is accepted that this chronic pain caused by abdominal wall weakness or injury occurs without a palpable hernia...
March 2014: Surgical Technology International
Behrooz A Akbarnia, Gregory M Mundis, Payam Moazzaz, Nima Kabirian, Ramin Bagheri, Robert K Eastlack, Jeff B Pawelek
STUDY DESIGN: Retrospective case series. OBJECTIVES: Introduce and evaluate the safety of a new technique of anterior column realignment (ACR) using a lateral transpsoas approach with release of anterior longitudinal ligament and annulus for correction of focal kyphotic deformity. SUMMARY OF BACKGROUND DATA: Spinal sagittal imbalance can adversely affect the long-term outcomes of patients with spinal deformity. METHODS: Clinical and radiographic review of patients who underwent ACR...
February 2014: Journal of Spinal Disorders & Techniques
Erik A Yuill, Jason A Pajaczkowski, Scott D Howitt
OBJECTIVE: To detail the progress of 2 high-level soccer players and 1 recreational soccer player with chronic groin pain that was exacerbated by participation in sports and relieved by rest. The patients under went a conservative treatment plan featuring manual therapy, therapeutic modalities, and plyometric training. CLINICAL FEATURES: The most important examination findings were palpable tenderness over the internal oblique fascia and anterior pubic tubercle, pain with resisted hip adduction, and pain with a resisted abdominal curl-up...
October 2012: Journal of Bodywork and Movement Therapies
Ken R Mautner, Mandy J Huggins
In summary, LBP is a common problem for the young adult athlete, with discogenic pain being the most common of all etiologies. Although rare, more serious etiologies such as tumor or infection should be included in the differential diagnosis until effectively ruled out. Regardless of the cause, nonoperative and conservative strategies should be the cornerstone of treatment, owing to the favorable natural history of most LBP etiologies. Short-term non-narcotic medications are helpful, and avoidance of bed rest is critical for the athletic population...
July 2012: Clinics in Sports Medicine
David A Opar, Morgan D Williams, Anthony J Shield
Hamstring strain injuries (HSIs) are common in a number of sports and incidence rates have not declined in recent times. Additionally, the high rate of recurrent injuries suggests that our current understanding of HSI and re-injury risk is incomplete. Whilst the multifactoral nature of HSIs is agreed upon by many, often individual risk factors and/or causes of injury are examined in isolation. This review aims to bring together the causes, risk factors and interventions associated with HSIs to better understand why HSIs are so prevalent...
March 1, 2012: Sports Medicine
Juan Gilabert-Estelles, Remedios Castello, Juan Gilabert, Luis Andres Ramon, Francisco Espana, Alberto Romeu, Amparo Estelles
Endometriosis is one of the most frequent benign gynecological diseases that affect women. Little is known about the pathogenesis and etiology of endometriosis, despite the numerous studies performed in this field. Although endometriosis is a benign disease, the endometrial tissue, after attachment to the peritoneum, has the ability to grow and invade the surrounding tissues. Similar to neoplastic growth, local extracellular proteolysis might take place, and therefore, the fibrinolytic system may be involved...
2005: Frontiers in Bioscience: a Journal and Virtual Library
A Blanco Díez, E Fernández Rosado, L Alvarez Castelo, J Sánchez Rodríguez-Losada, V Chantada Abal, S Novás Castro, A Barbagelata López, J Serrano Barrientos, M González Martín
We analyse our experience in performing the wet colostomy, also called urocolostomy and present seven cases treated at our hospital in which this was used. We present: a) three women, one underwent an urocolostomy as a result of a myelomeningocele with urinary and fecal incontinence, another because of a pelvic malignancy, and the third after developing a post radiotherapy cysto-proctitis; b) four men, one underwent this surgical procedure as a result of a traumatic paraplegia with multiple urinary fistulae and neurogenic bladder, the other three were secondary to pelvic malignancies (two bladder and one sigmoid malignacies)...
September 2003: Actas Urologicas Españolas
K A Sinnott, P Milburn, H McNaughton
BACKGROUND: The study was concerned with the secondary functional compromise persons with long-term paraplegia contend with, that has been shown to be associated with wheelchair use. Of particular interest was the relationship between the level of thoracic spinal cord injury (SCI) and factors predisposing to rotator cuff disorders (RCD), one of the most common upper extremity musculoskeletal complications linked with long-term SCI. Disorders of these peri-articular structures have previously been associated with impaired trunk postural control and abnormal muscle strength ratios in both able-bodied groups and in paraplegic athletes...
December 2000: Spinal Cord
M H Meissner
Despite improvements in trauma care and thromboembolism prophylaxis over the past 50 years, deep venous thrombosis (DVT) remains a source of morbidity and mortality in the injured patient. Pulmonary embolism may complicate the course of up to 6% of such patients, although the morbidity associated with late development of the postthrombotic syndrome remains poorly defined and perhaps underemphasized. Prolonged immobilization and venous injury contribute to the risk of venous thrombosis, and accumulating evidence suggests underlying imbalances between activated coagulation and fibrinolysis...
December 1998: Seminars in Vascular Surgery
J Classen, C Belka, F Paulsen, W Budach, W Hoffmann, M Bamberg
BACKGROUND: Gastrointestinal toxicity is frequently observed during radiotherapy of malignancies in the abdomen and pelvis. The proposed pathophysiology of radiation enteritis is complex and a variety of different treatment strategies have been suggested for the management of acute radiation-induced diarrhea. MATERIAL AND METHODS: Data are presented from an extensive review of the current literature. RESULTS: Radiation-induced diarrhea results from a variety of different pathophysiological mechanisms including malabsorption of bile salts and lactose, imbalances in local bacterial flora and changes in the intestinal patterns of motility...
November 1998: Strahlentherapie und Onkologie: Organ der Deutschen Röntgengesellschaft ... [et Al]
C Waydhas, D Nast-Kolb, M Kick, A Trupka, R Zettl, H Wiesholler, S Schmidbauer, M Jochum, L Schweiberer
The objective of this study was to evaluate and compare the derangement of body homeostatis and the inflammatory response after different types of traumatological operations in patients with multiple injuries. These were determined in a total of 60 operations. The procedures comprised osteosynthesis of the femur (n = 28), the pelvic girdle (n = 11) the spine (n = 8), and facial and basal skull reconstructions (n = 13). Specific and unspecific parameters of the inflammatory response were determined on the morning of the operation, immediately after the procedure, every 6 h on the 1st day and 48 h after the end of surgery...
September 1995: Der Unfallchirurg
E A Klein, J E Montie, D K Montague, R Kay, R A Straffon
The clinical course of 14 patients undergoing jejunal conduit urinary diversion between 1971 and 1985 is reviewed. Indications for use of jejunum rather than ileum or colon for diversion included radiation changes of the ileum, concurrent colonic neoplasms or injury, concerns about collateral blood supply of the colon and multiple adhesions. There were 2 operative deaths. Followup in the remaining 12 patients was 1 to 116 months (mean 34 months). All of the patients had satisfactory postoperative renal function...
February 1986: Journal of Urology
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