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Aponeurosis

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https://www.readbyqxmd.com/read/28418368/-differentiated-approach-to-the-treatment-of-large-hernial-defects-of-the-anterior-abdominal-wall-in-children-clinical-observations
#1
A Yu Razumovskiy, A N Smirnov, A F Dronov, M A Chundokova, I S Chirkov
AIM: To present an experience of treatment of children with large hernial defects of the anterior abdominal wall. MATERIAL AND METHODS: This article describes management of 43 children with large (n=31) and giant (n=12) ventral hernia who were at N.F. Filatov Children´s City Hospital #13 for the period 2005-2015. All patients underwent surgical correction using local tissues in 'edge to edge' fashion (n=23), aponeurosis dublication of 'coat floors' type (n=14) and biological implant 'Permacol' (n=6)...
2017: Khirurgiia
https://www.readbyqxmd.com/read/28417053/pacinian-corpuscle-like-structure-in-the-digital-tendon-sheath-and-nail-bed-a-study-using-late-stage-human-fetuses
#2
Ji Hyun Kim, Koichiro Sakanaka, Naomitsu Tomita, Gen Murakami, Hiroshi Abe, Shinichi Abe
Pacinian corpuscle-like structures were identified in the digital tendon sheaths and nail beds of hands obtained from eight of 12 human fetuses of gestational age 20-34 weeks (crown-rump length, 150-290 mm). The aberrant corpuscles were present in tight fibrous tissue connecting the flexor tendon sheath to the dorsal aponeurosis (138 corpuscles in the thumbs and all fingers of eight fetuses); loose fibrous tissue inside the sheath on the dorsal side of the tendon (37 corpuscles in the thumbs and all fingers of four fetuses); and the nail bed (10 clusters in the thumbs and second fingers of four smaller fetuses)...
March 2017: Anatomy & Cell Biology
https://www.readbyqxmd.com/read/28417049/morphometric-study-of-tensor-of-vastus-intermedius-in-south-indian-population
#3
Raveendranath Veeramani, Dhivyalakshmi Gnanasekaran
Tensor of vastus intermedius is a newly discovered muscle located between vastus lateralis and vastus intermedius. The purpose of this study was to investigate the detailed morphology of tensor of vastus intermedius, specifically to provide data pertaining to the attachments, innervations, variation in the types and its morphometry in South Indian population. The tensor of vastus intermedius was studied in thirty six cadaveric lower limbs using macrodissection techniques. The origin of the muscle was from upper part of intertrochanteric line and anterior part of greater trochanter of femur inserted to medial aspect of upper border of patella...
March 2017: Anatomy & Cell Biology
https://www.readbyqxmd.com/read/28417037/additional-muscle-slip-of-bicipital-aponeurosis-and-its-anomalous-relationship-with-the-median-cubital-vein
#4
Nandini Bhat, Kumar M R Bhat, Antony S D'Souza, Sushma R Kotian
The cubital region of the arm is a common site for recording blood pressure, taking blood for analysis and administering intravenous therapy and blood transfusions. During the routine dissection of a 70-year-old male cadaver at the Kasturba Medical College, Manipal, Karnataka, India, in 2015, it was observed that the aponeurotic insertion of the biceps brachii muscle divided into two slips. The medial slip fused normally with the deep fascia of the forearm, while flexor carpi radialis muscle fibres originated from the lateral slip...
February 2017: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/28409098/endoscopic-rectus-abdominis-and-prepubic-aponeurosis-repairs-for-treatment-of-athletic-pubalgia
#5
Dean K Matsuda, Nicole A Matsuda, Rachel Head, Tanya Tivorsak
Review of the English orthopaedic literature reveals no prior report of endoscopic repair of rectus abdominis tears and/or prepubic aponeurosis detachment. This technical report describes endoscopic reattachment of an avulsed prepubic aponeurosis and endoscopic repair of a vertical rectus abdominis tear immediately after endoscopic pubic symphysectomy for coexistent recalcitrant osteitis pubis as a single-stage outpatient surgery. Endoscopic rectus abdominis repair and prepubic aponeurosis repair are feasible surgeries that complement endoscopic pubic symphysectomy for patients with concurrent osteitis pubis and expand the less invasive options for patients with athletic pubalgia...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28408955/masticatory-muscle-tendon-aponeurosis-hyperplasia-a-new-clinical-entity-of-limited-mouth-opening
#6
REVIEW
Tsuyoshi Sato, Tetsuya Yoda
Limited mouth opening is a common health problem that interferes with eating, makes examination of the oral cavity difficult, and may increase the mortality rate during emergency intubation. Here we introduce a disease designated as masticatory muscle tendon-aponeurosis hyperplasia, which is a new clinical condition of limited mouth opening. Most oral surgeons and dentists are still unaware of this disease condition, thus increasing the risk of incorrect diagnosis as some other disease, such as temporomandibular joint disorder...
May 2016: Japanese Dental Science Review
https://www.readbyqxmd.com/read/28389820/cortical-desmoid-of-the-humerus-radiographic-and-mri-correlation
#7
Matthew Kay, Peter Counsel, David Wood, William Breidahl
Cortical desmoids are self-limiting fibro-osseous lesions commonly occurring at the medial supracondylar femur in active adolescents, at either the origin of the medial head of the gastrocnemius or at the insertion of the adductor magnus aponeurosis. Less commonly, in a similar demographic, cortical desmoids may occur in the proximal humerus medially at the insertion of the pectoralis major muscle or laterally at the insertion of the deltoid. The radiographic appearance of the proximal humerus cortical desmoid has been described previously, but not the MRI appearance...
April 7, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28361190/-the-fibrous-skeleton-of-the-hand-changes-with-dupuytren-s-contracture
#8
M F Langer, J Grünert, F Unglaub, B Wieskötter, S Oeckenpöhler
The exact knowledge of the anatomy of the fibrous skeleton of the hand is an absolute prerequisite for any treatment of Dupuytren's disease. The fibrous skeleton does not only include the palmar aponeurosis, but also numerous retinacula cutis, which are not found in current anatomy books. Here, eponyms facilitate the otherwise difficult and over-pronounced names of the fiber systems. Skoog, Legueu and Juvara, Gosset, Grapow, Grayson, Cleland, Thomine, and Barton are the most important. This systematic review of the fibers and strands is designed to help reduce iatrogenic complications...
March 30, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/28345147/nerve-conduction-velocity-and-cross-sectional-area-in-ulnar-neuropathy-at-the-elbow
#9
Simon Podnar, Gregor Omejec, Marko Bodor
INTRODUCTION: In the precise localization of ulnar neuropathy at the elbow (UNE) we have noted discrepancies between electrodiagnostic (EDx) and ultrasonographic (US) findings. We aimed to explore the relationship between the 2 methods. METHODS: Four study-blind examiners took a history and performed neurologic, EDx, and US examinations of a group of prospectively recruited patients with UNE. They assessed the relationship between ulnar nerve cross-sectional area (CSA) and motor nerve conduction velocity (MNCV)...
March 27, 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28342367/optimization-of-surface-electrodes-location-for-h-reflex-recordings-in-soleus-muscle
#10
Alberto Botter, Taian M Vieira
The Hoffmann reflex (H reflex) is extensively used to investigate the spinal motor neuron excitability in healthy and pathological subjects. Obtaining a representative and robust amplitude estimation of the H reflex is of marked relevance in clinical as well as in research applications. As for the motor responses, this issue is strictly related to the electrode positioning, especially for large, pinnate muscles such as the triceps surae. In this study we investigated the effect of electrode position on soleus H-reflex amplitude...
March 16, 2017: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/28333252/single-layer-plication-for-repair-of-diastasis-recti-the-most-rapid-and-efficient-technique
#11
Luiz José Muaccad Gama, Marcus Vinicius Jardini Barbosa, Adriano Czapkowski, Sergio Ajzen, Lydia Masako Ferreira, Fábio Xerfan Nahas
Background: Plication of the anterior rectus sheath is the most commonly used technique for repair of diastasis recti, but is also a time-consuming procedure. Objectives: The aim of this study was to compare the efficacy and time required to repair diastasis recti using different plication techniques. Methods: Thirty women with similar abdominal deformities, who had had at least one pregnancy, were randomized into three groups to undergo abdominoplasty...
March 3, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28325429/stener-like-lesions-due-to-radial-collateral-ligament-rupture-in-the-metacarpophalangeal-joints-of-two-adjacent-fingers-a-case-report-and-review-of-literature
#12
A Toffoli, M Chammas
Rupture of the collateral ligaments in the metacarpophalangeal (MCP) joint of a finger is less common than in the thumb. Literature about these lesions is sparse but the number of chronic injuries reported underlies the number of cases overlooked by physicians at the first visit. A Stener-like lesion is characterized by interposition of the extensor hood or the sagittal band between the torn collateral ligament of the MCP joint of a finger and its insertion. It was originally described as interposition of the adductor aponeurosis of the thumb...
April 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28293508/repair-of-large-abdominal-wall-defects-using-total-anterior-aponeurotic-flap-anatomical-feasibility-study-and-comparison-with-ramirez-s-technique
#13
Wojciech Staszewicz, Michela Assalino, Philippe Morel, Jean H D Fasel, Bojan V Stimec, Mickael Tobalem
In this cadaveric study, we explored the feasibility of a maximal mobilization of the superficial abdominal fascia, in a continuous flap, to achieve a tension-free covering of midline defects. The aponeurosis of the external oblique muscle was incised along the anterior axillary line and then detached up to the anterior rectus sheath. The latter was opened between the external and the internal oblique aponeurosis while keeping the continuity with the external oblique fascia. The obtained flap was solid and uninterrupted...
December 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28293449/subclinical-enthesopathy-in-patients-with-psoriasis-and-its-association-with-other-disease-parameters-a-power-doppler-ultrasonographic-study
#14
Abdelhafeez Moshrif, Ahmed Mosallam, Essam Elden M Mohamed, Wesam Gouda, Mostafa Doma
OBJECTIVE: This study aimed to determine the prevalence of subclinical enthesopathy in patients with psoriasis using power Doppler ultrasonography (PDUS) and its association with other disease parameters. MATERIAL AND METHODS: A total of 50 patients with psoriasis (31 females) aged 19-70 years underwent a thorough clinical examination that included assessment of body mass index (BMI) and psoriasis area and severity index (PASI) score. Measurements of inflammatory markers, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), serum uric acid, and plain radiography of the heels, knees, and sacroiliac joints were performed for all patients...
March 2017: European Journal of Rheumatology
https://www.readbyqxmd.com/read/28282537/a-large-solitary-fibroma-of-the-deep-compartment-of-the-sole
#15
T H Lui
A 50-year-old lady presented with a right foot mass and pain for 1year. Magnetic resonance imaging showed a 3.9×3.2×5cm mass on plantar side of the forefoot deep to the major flexor tendons and plantar aponeurosis and inferior to 1st-4th metatarsals. The mass extended dorsally through the intermetatarsal space to the foot dorsum. Ultrasound guided biopsy was performed, which confirmed it was a fibroma. This case was further complicated by pathological fracture of the 3rd metatarsal. It was resected through a dorsal incision and surgical dislocation of the 2nd and 3rd tarsometatarsal joints...
December 7, 2016: Foot
https://www.readbyqxmd.com/read/28259643/preoperative-asymmetry-is-a-risk-factor-for-reoperation-in-involutional-blepharoptosis
#16
Hirotaka Suga, Mine Ozaki, Keigo Narita, Tomohiro Shiraishi, Akihiko Takushima, Kiyonori Harii
BACKGROUND: Patients with involutional blepharoptosis sometimes require reoperation because of functional or esthetic reasons after the primary operation. Few studies have analyzed the risk factors for reoperation in such cases. METHODS: We retrospectively analyzed the cases of 274 patients who underwent levator aponeurosis surgery for bilateral involutional blepharoptosis. We examined the risk factors for reoperation using univariate and multivariate analyses. RESULTS: Reoperation was performed for 89 of the 274 patients (32...
February 17, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28257673/midsubstance-tendinopathy-surgical-management
#17
REVIEW
William T DeCarbo, Mark J Bullock
Noninsertional Achilles tendinopathy often responds to nonoperative treatment. When nonoperative treatment fails, the clinician must distinguish between paratendinopathy and noninsertional tendinopathy. In paratendinopathy, myofibroblasts synthesize collagen, causing adhesions, and the paratenon may be released or excised. If a core area of tendinopathy is identified on MRI, the area is excised longitudinally and repaired with a side-to-side suture. If greater than 50% of the tendon diameter is excised, the authors recommend a short flexor hallucis longus tendon transfer with an interference screw...
April 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28255618/absent-external-oblique-musculo-aponeurotic-complex-during-inguinal-hernioplasty-a-case-report-and-review-of-literature
#18
Royson Dsouza, Nachiket Shankar, Rohin Gurubatham, Wesley Rajaleelan, Nandakumar Menon
The external oblique musculo-aponeurotic complex is an important contributor to the strength of the inguinal canal. The present case report describes the bilateral absence of the external oblique muscle in a patient. A 40-year-old male patient presented with a history of intermittent lower abdominal pain for 15 years which had increased over the past 2 years. Abdominal examination revealed bilateral reducible, incomplete, direct inguinal hernia. Elective bilateral Lichtenstein's mesh hernioplasty was planned for the patient...
March 3, 2017: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/28220619/the-palatal-interpterygoid-vacuities-of-temnospondyls-and-the-implications-for-the-associated-eye-and-jaw-musculature
#19
Florian Witzmann, Ingmar Werneburg
A diagnostic feature of temnospondyls is the presence of an open palate with large interpterygoid vacuities, unlike the closed palate of most other early tetrapods, in which the vacuities are either slit-like or completely absent. Attachment sites on neurocranium and palatal bones in temnospondyls allow the reconstruction of a powerful m. retractor bulbi and a large, sheet-like m. levator bulbi that formed the elastic floor of the orbit. This muscle arrangement indicates that temnospondyls were able to retract the eyeballs through the interpterygoid vacuities into the buccal cavity, like extant frogs and salamanders...
February 21, 2017: Anatomical Record: Advances in Integrative Anatomy and Evolutionary Biology
https://www.readbyqxmd.com/read/28210184/surgical-treatment-of-a-rare-case-of-bilateral-ptosis-due-to-localized-ocular-amyloidosis
#20
Gianluca Scuderi, Solmaz Abdolrahimzadeh, Antonietta Troccola, Marco Mazzocchi, Santi Maria Recupero
We describe a rare case of a 31-year old woman with bilateral ptosis due to localized amyloidosis. She referred a nine-year history of ptosis and surgical treatment with frontalis suspension three years previously. Following complete ophthalmological examination and evaluation of the ptosis we carried out tarsal and fornix biopsy, which revealed accumulation of a weakly eosinophilic amyloid positive substance. We performed surgical correction using the levator aponeurosis-Müller's muscle complex re-adaptation technique and amyloid substance debulking in all the palpebral layers in the left eye...
July 2016: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
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