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Pelvic Compression

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https://www.readbyqxmd.com/read/29154265/analysis-of-correlation-between-degeneration-of-lower-lumbar-paraspinal-muscles-and-spinopelvic-alignment-in-patients-with-osteoporotic-vertebral-compression-fracture
#1
Qiguang Li, Jianmin Sun, Xingang Cui, Zhensong Jiang, Tao Li
BACKGROUND: A few studies have pointed that trunk extensors may affect the spinopelvic alignment; however, little is known about the exact association between degeneration of lower lumbar paraspinal muscles and spinopelvic parameters. OBJECTIVE: The study aimed to analyze the relationship between degeneration of lower lumbar paraspinal muscles and spinopelvic alignment in patients with osteoporotic vertebral compression fracture (OVCF). METHODS: Thirty-nine OVCF patients were involved in this study...
November 6, 2017: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/29153632/a-2-to-16-year-clinical-follow-up-of-revision-total-hip-arthroplasty-using-a-new-acetabular-implant-combined-with-impacted-bone-allografts-and-a-cemented-cup
#2
Hampus Stigbrand, Oscar Gustafsson, Gösta Ullmark
BACKGROUND: Treatment of acetabular bone loss with impaction bone grafting (IBG) at revision total hip arthroplasty is highly dependent on mechanical stability and graft compression for clinical success. Here, we describe a new technique to further compress and stabilize the acetabular graft bed with a thin, perforated titanium shell. METHODS: We retrospectively analyzed 170 cases of acetabular revision arthroplasty 7 years (standard deviation 2.8) after IBG combined with a graft-compressing titanium shell implant...
October 10, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29143222/quantitative-analysis-of-the-level-of-readability-of-online-emergency-radiology-based-patient-education-resources
#3
David R Hansberry, Michael D'Angelo, Michael D White, Arpan V Prabhu, Mougnyan Cox, Nitin Agarwal, Sandeep Deshmukh
PURPOSE: The vast amount of information found on the internet, combined with its accessibility, makes it a widely utilized resource for Americans to find information pertaining to medical information. The field of radiology is no exception. In this paper, we assess the readability level of websites pertaining specifically to emergency radiology. METHODS: Using Google, 23 terms were searched, and the top 10 results were recorded. Each link was evaluated for its readability level using a set of ten reputable readability scales...
November 15, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/29135610/meralgia-paresthetica-after-spine-surgery-on-the-jackson-table
#4
Nitin Agarwal, Jaydev B Mistry, Preeya V Khandge, David R Hansberry, Ira M Goldstein
Meralgia paresthetica is a non-life-threatening neurological disorder characterized by numbness, tingling, and burning pain over the anterolateral thigh due to impingement of the lateral femoral cutaneous nerve. This disorder has been seen in patients with diabetes mellitus and obesity, but has also been observed in patients after procedures such as posterior spine surgery, iliac crest bone grafts, lumbar disk surgery, hernia repair, appendectomies, and pelvic osteotomies that ultimately lead to compression or damage to the lateral femoral cutaneous nerve...
November 10, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29132575/acute-management-of-the-traumatically-injured-pelvis
#5
REVIEW
Steven Skitch, Paul T Engels
Severe pelvic trauma is a challenging condition. The pelvis can create multifocal hemorrhage that is not easily compressible nor managed by traditional surgical methods such as tying off a blood vessel or removing an organ. Its treatment often requires reapproximation of bony structures, damage control resuscitation, assessment for associated injuries, and triage of investigations, as well as multimodality hemorrhage control (external fixation, preperitoneal packing, angioembolization, REBOA [resuscitative endovascular balloon occlusion of the aorta]) by multidisciplinary trauma specialists (general surgeons, orthopedic surgeons, endovascular surgeons/interventional radiologists)...
February 2018: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/29124339/accuracy-of-screw-fixation-using-the-o-arm-%C3%A2-and-stealthstation-%C3%A2-navigation-system-for-unstable-pelvic-ring-fractures
#6
Jun Takeba, Kensuke Umakoshi, Satoshi Kikuchi, Hironori Matsumoto, Suguru Annen, Naoki Moriyama, Yuki Nakabayashi, Norio Sato, Mayuki Aibiki
PURPOSE: Screw fixation for unstable pelvic ring fractures is generally performed using the C-arm. However, some studies reported erroneous piercing with screws, nerve injuries, and vessel injuries. Recent studies have reported the efficacy of screw fixations using navigation systems. The purpose of this retrospective study was to investigate the accuracy of screw fixation using the O-arm(®) imaging system and StealthStation(®) navigation system for unstable pelvic ring fractures. METHODS: The participants were 10 patients with unstable pelvic ring fractures, who underwent screw fixations using the O-arm StealthStation navigation system (nine cases with iliosacral screw and one case with lateral compression screw)...
November 9, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29106756/biomechanical-investigation-of-four-different-fixation-techniques-in-sacrum-denis-type-ii-fracture-with-low-bone-mineral-density
#7
Yves P Acklin, Ivan Zderic, R Geoff Richards, Paul Schmitz, Boyko Gueorguiev, Stephan Grechenig
With increasing life expectancy, fragility fractures of the pelvic ring are seen more frequently. Although their osteosynthesis can be very challenging, specific biomechanical studies for investigation of the fixation stability are still lacking. The aim of this study was to biomechanically evaluate four different fixation methods for sacrum Denis type II fractures in osteoporotic bone. Unstable Denis type II vertical sacrum fractures were created in 16 human pelves. Their osteosynthesis was performed with one sacro-iliac screw, posterior sacral plating, triangular fixation, or spino-pelvic fixation...
November 6, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/29091519/a-pilot-rct-investigating-the-effects-of-targeted-compression-on-athletes-with-pelvic-groin-pain
#8
Leanne Sawle, Jennifer Freeman, Jonathan Marsden
CONTEXT: Athletic pelvic/groin pain is a common yet often challenging problem to both diagnose and manage. A new tool has been developed based on the clinical effects of applied force on the pelvis. Early findings indicate that this customised compression orthosis may have a positive effect upon pelvic/groin pain and performance measures. OBJECTIVES: To: Inform the design and test the practicality of procedures for a future definitively powered randomized controlled trial; Provide an estimate of the effect size of this orthosis on selected clinical and performance measures...
November 1, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29067951/radiological-analysis-of-thoracolumbar-junctional-degenerative-kyphosis-in-patients-with-lumbar-degenerative-kyphosis
#9
Chen-Jun Liu, Zhen-Qi Zhu, Kai-Feng Wang, Shuo Duan, Shuai Xu, Hai-Ying Liu
BACKGROUND: Thoracolumbar junction (TLJ) is the transitional area between the lower thoracic spine and the upper lumbar spine. Vertebral compression fractures and proximal junctional kyphosis following spine surgery often occur in this area. Therefore, the study of development and mechanisms of thoracolumbar junctional degeneration is important for planning surgical management. This study aimed to review radiological parameters of thoracolumbar junctional degenerative kyphosis (TLJDK) in patients with lumbar degenerative kyphosis and to analyze compensatory mechanisms of sagittal balance...
November 5, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/29023791/application-of-computed-tomography-and-stereolithography-to-correct-a-complex-angular-and-torsional-limb-deformity-in-a-donkey
#10
Alexandra Radtke, Samantha Morello, Peter Muir, Courtney Arnoldy, Jason Bleedorn
OBJECTIVE: To report the evaluation, surgical planning, and outcome for correction of a complex limb deformity in the tibia of a donkey using computed tomographic (CT) imaging and a 3D bone model. STUDY DESIGN: Case report. ANIMALS: A 1.5-year-old, 110 kg donkey colt with an angular and torsional deformity of the right pelvic limb. METHODS: Findings on physical examimation included a severe, complex deformity of the right pelvic limb that substantially impeded ambulation...
November 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/29019904/imaging-findings-of-inflammatory-myofibroblastic-tumor-from-the-greater-omentum-one-case-report
#11
Wenjie Liang, Shengzhang Lin, Zhihua Chen
RATIONALE: Inflammatory myofibroblastic tumors (IMTs) are rare neoplastic lesions with benign tendency. Even more rare are IMTs from the greater omentum (GO-IMT). A GO-IMT is easily misdiagnosed as other malignant tumors before operation; thus, clinicians need to be familiar with its imaging findings. Here, we report the imaging findings of a GO-IMT patient presenting with a pelvic mass. PATIENT CONCERNS: Ultrasound of the IMT in the pelvic cavity showed a hypoechoic mass...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29016429/is-routine-spine-mri-necessary-in-skeletally-immature-patients-with-mhe-identifying-patients-at-risk-for-spinal-osteochondromas
#12
Taylor J Jackson, Apurva S Shah, Alexandre Arkader
BACKGROUND: Multiple hereditary exostoses (MHE) is an autosomal dominant condition leading to development of osteochondromas throughout the body. Although long bones are most often affected, spine involvement may occur and usually requires advanced imaging for diagnosis. However, the high cost of detection, infrequent occurrence, and very low likelihood of spinal cord compression and neurological injury, create a management conundrum. The purpose of our investigation is to identify patients at greatest risk for spinal lesions and refine indications for advanced imaging...
October 9, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28989920/nomogram-predicting-risk-of-lymphocele-in-gynecologic-cancer-patients-undergoing-pelvic-lymph-node-dissection
#13
Baraem Yoo, Hyojeong Ahn, Miseon Kim, Dong Hoon Suh, Kidong Kim, Jae Hong No, Yong Beom Kim
OBJECTIVE: The purpose of this study is to estimate the risk of postoperative lymphocele development after lymphadenectomy in gynecologic cancer patients through establishing a nomogram. METHODS: We retrospectively reviewed 371 consecutive gynecologic cancer patients undergoing lymphadenectomy between 2009 and 2014. Association of the development of postoperative lymphocele with clinical characteristics was evaluated in univariate and multivariate regression analyses...
September 2017: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/28969196/unusual-presentation-of-gonadal-vein-aneurysm-thrombosis-and-hydronephrosis-a-rare-case-report
#14
Shivraj Bharath Kumar, Velmurugan Palaniyandi, Sriram Krishnamoorthy, Kumaresan Natarajan, Venkat Ramanan
Gonadal vein aneurysm is a very rare anomaly and the aetiology is often unknown. Many factors have been said as contributory such as multiple pregnancies, multiple pelvic surgeries, pelvic tumours or pelvic congestion, but none of them have been strongly or closely associated with the lesion. Here, we present a case of left gonadal vein aneurysm in a female with its management. A 72-year-old, diabetic and hypertensive female presented with complaints of left loin pain. She is multiparous with four normal vaginal deliveries...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28930856/the-role-of-ultrasonography-in-examination-of-the-stability-of-tile-b2-pelvic-fractures-7-case-reports-and-a-literature-review
#15
REVIEW
Bin-Fei Zhang, Hong Zhang, Peng-Fei Wang, Hu Wang, Jin-Lai Lei, Ya-Hui Fu, Yu-Xuan Cong, Hai Huang, Xiao-Ming Huo, Yan Zhuang, Kun Zhang
BACKGROUND: Determining whether a Tile-B2 pelvic fracture is stable is very challenging. We sought to identify the role of ultrasonography in determining the stability of Tile-B2 pelvic fractures. METHODS: We collected the clinical data of patients with Tile-B2 pelvic fractures who presented at Xi'an Hong-Hui Hospital between June 1, 2016, and August 5, 2016. The treatment strategy of each patient was determined by a team of senior surgeons in the department. A single sinologist observed the movement of the fracture sites in patients during rest, under compression, and during separation to determine fracture stability...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28925767/anterior-abdominal-wall-parasitic-leiomyoma-case-report
#16
María Fernanda Garrido Oyarzún, Adela Saco, Camil Castelo-Branco
The leiomyomas are a common gynecologic entity that may present unusual growth patterns or unusual locations. Its atypical presentations creates a diagnostic challenge. This is a case report of a parasitic leiomyoma located in the anterior abdominal wall in a 53 years old woman with pelvic compressive and urinary symptoms, with no history of any gynecological surgery. This case illustrates the diagnostic difficulties and describes the complementary images used in the preoperative evaluation.
September 19, 2017: Gynecological Endocrinology
https://www.readbyqxmd.com/read/28923589/an-investigation-into-the-immediate-effects-of-pelvic-taping-on-hamstring-eccentric-force-in-an-elite-male-sprinter-a-case-report
#17
Ben Macdonald
BACKGROUND: Hamstring Injuries commonly cause missed training and competition time in elite sports. Injury surveillance studies have demonstrated high injury and re-injury rates, which have not improved across sports despite screening and prevention programmes being commonplace. The most commonly suggested intervention for hamstring prevention and rehabilitation is eccentric strength assessment and training. CASE DESCRIPTION: This case study describes the management of an elite sprinter with a history of hamstring injury...
November 2017: Physical Therapy in Sport
https://www.readbyqxmd.com/read/28889364/open-complete-anterior-dislocation-of-the-sacro-iliac-joint-in-a-4-year-old-boy-a-case-report-of-a-rare-injury-with-5-year-follow-up
#18
Walid A Elnahal, Mahmoud Fahmy, Mehool Acharya
Pelvic fractures are uncommon in children and account for between 0.3 and 7.5% of all pediatric injuries. Open pelvic fractures only account for up to 12.9% of all pediatric pelvic fractures. An unusual case of open complete anterior sacro-iliac joint dislocation in a 4-year-old boy is presented with a long-term follow-up. The multidisciplinary approach is reported with review of the current literature. A 4-year-old male presented to our institution in January 2012 after having been run over by a tractor. He presented with gross hemodynamical instability, MISS of 25, and an unstable lateral compression type III pelvic fracture with complete anterior dislocation of the left hemipelvis and a groin wound extending into the left thigh...
September 9, 2017: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/28886790/hemodynamic-deterioration-in-lateral-compression-pelvic-fracture%C3%A2-after-prehospital-pelvic-circumferential-compression%C3%A2-device%C3%A2-application
#19
Alan A Garner, Jeremy Hsu, Anne McShane, Adam Sroor
Increased fracture displacement has previously been described with the application of pelvic circumferential compression devices (PCCDs) in patients with lateral compression-type pelvic fracture. We describe the first reported case of hemodynamic deterioration temporally associated with the prehospital application of a PCCD in a patient with a complex acetabular fracture with medial displacement of the femoral head. Active hemorrhage from a site adjacent to the acetabular fracture was subsequently demonstrated on angiography...
September 2017: Air Medical Journal
https://www.readbyqxmd.com/read/28885726/achieving-interfragmentary-compression-without-special-drilling-technique-or-screw-design
#20
Jonathan Eastman, Bradley Deafenbaugh, Blaine Christiansen, Tanya Garcia-Nolen, Mark Lee
Traditional fracture fixation teaching suggests that fully threaded screws do not provide interfragmentary compression unless placed through a glide hole. Based on this assumption, pelvic surgeons typically use fully threaded screws in the treatment of comminuted transforaminal sacral fractures to limit iatrogenic neuroforaminal stenosis. Clinical experience with fully threaded screws suggests that interfragmentary compression actually does occur. We hypothesized that the use of a fully threaded screw does not produce any interfragmentary compression and that there is no difference in insertional torque between partially threaded and fully threaded screws...
September 8, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
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