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https://www.readbyqxmd.com/read/29651852/current-treatment-options-of-dupuytren%C3%A2-s-disease
#1
J Kníže, J Miletín, A Nejedlý, M Chorvát, K Novotná, P Tichá, A Fibír, A Sukop, A Knížetová
Dupuytren's disease (fibromatosis of the palmar fascia, benign neoplastic fibromatosis, Dupuytren's contracture) is a disease characterized by growth and successive contracture of single parts of the palmar aponeurosis. This condition is known and has been treated for several centuries. In the advanced stages of the disease, it leads to significant limitation of hand function, resulting in reduced quality of life of the patient. Dupuytren's disease (DD) is a life-long disease with a variable course and a heterogeneous clinical presentation...
2018: Acta Chirurgiae Plasticae
https://www.readbyqxmd.com/read/29643962/ethnicity-related-differences-in-inguinal-canal-dimensions-between-african-and-caucasian-populations-and-their-potential-impact-on-the-mesh-size-for-open-and-laparoscopic-groin-hernia-repair-in-low-resource-countries-in-africa
#2
Kryspin Mitura, Sławomir Kozieł, Michał Pasierbek
Introduction: Access to surgery in Africa is significantly limited. Treatment outcomes in Africa differ significantly compared to those achieved in Europe or the US. Therefore, to popularise tension-free repair, it is essential to determine the economically justified mesh size for the African population. Aim: To conduct anthropometric evaluation of the inguinal canal in African and European patients to determine its potential consequences for the mesh size for open and laparoscopic hernia repair...
March 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/29589417/blocking-around-the-transversalis-fascia-behind-the-scene
#3
Francesco Vasques, Carla Stecco, Raffaele Mitri, Raffaele DE Caro, Pierfrancesco Fusco, Astrid U Behr
BACKGROUND: The transversalis fascia plane and the quadratus lomborum blocks target the branches of T12-L1 nerves and provide analgesia in patients undergoing surgery involving the corresponding dermatomes. The transversalis fascia is believed to contribute to determine the spread of local anesthetic in such blocks. Nonetheless, the anatomy of this fascia and its possible role in these blocks still have to be precisely defined. METHODS: We conducted a series of 10 dissections and full-thickness specimens were obtained from one side for the microscopic analysis...
March 27, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/29575188/hand-fasciae-innervation-the-palmar-aponeurosis
#4
Carla Stecco, Veronica Macchi, Alessandro Barbieri, Cesare Tiengo, Andrea Porzionato, Raffaele De Caro
INTRODUCTION: There are few data in the scientific literature about the innervation of fasciae of the hand. The present study first elucidates the density and location of nervous structures in the palmar aponeurosis and, for comparison, in the flexor retinaculum (both can be considered specializations of the deep fascia of the upper limbs). Second, it compares non-pathological with pathological palmar aponeurosis. MATERIALS AND METHODS: Samples of non-pathological fascia were taken from the flexor retinaculum and palmar aponeurosis of 16 upper limbs of unembalmed cadavers...
March 25, 2018: Clinical Anatomy
https://www.readbyqxmd.com/read/29568271/end-of-fiber-signals-strongly-influence-the-first-and-second-phases-of-the-m-wave-in-the-vastus-lateralis-implications-for-the-study-of-muscle-excitability
#5
Javier Rodriguez-Falces, Nicolas Place
It has been recurrently observed that, for compound muscle action potentials (M wave) recorded over the innervation zone of the vastus lateralis , the descending portion of the first phase generally shows an "inflection" or "shoulder." We sought to clarify the electrical origin of this shoulder-like feature and examine its implications. M waves evoked by maximal single shocks to the femoral nerve were recorded in monopolar and bipolar configurations from 126 individuals using classical (10-mm recording diameter, 20-mm inter-electrode distance) electrodes and from eight individuals using small electrodes arranged in a linear array...
2018: Frontiers in Physiology
https://www.readbyqxmd.com/read/29558469/intrinsic-ankle-stiffness-during-standing-increases-with-ankle-torque-and-passive-stretch-of-the-achilles-tendon
#6
Tania E Sakanaka, Jaspret Gill, Martin D Lakie, Raymond F Reynolds
Individuals may stand with a range of ankle angles. Furthermore, shoes or floor surfaces may elevate or depress their heels. Here we ask how these situations impact ankle stiffness and balance. We performed two studies (each with 10 participants) in which the triceps surae, Achilles tendon and aponeurosis were stretched either passively, by rotating the support surface, or actively by leaning forward. Participants stood freely on footplates which could rotate around the ankle joint axis. Brief, small stiffness-measuring perturbations (<0...
2018: PloS One
https://www.readbyqxmd.com/read/29555756/muscle-tendon-length-and-force-affect-human-tibialis-anterior-central-aponeurosis-stiffness-in-vivo
#7
Brent James Raiteri, Andrew Graham Cresswell, Glen Anthony Lichtwark
The factors that drive variable aponeurosis behaviors in active versus passive muscle may alter the longitudinal stiffness of the aponeurosis during contraction, which may change the fascicle strains for a given muscle force. However, it remains unknown whether these factors can drive variable aponeurosis behaviors across different muscle-tendon unit (MTU) lengths and influence the subsequent fascicle strains during contraction. Here, we used ultrasound and elastography techniques to examine in vivo muscle fascicle behavior and central aponeurosis deformations of human tibialis anterior (TA) during force-matched voluntary isometric dorsiflexion contractions at three MTU lengths...
March 19, 2018: Proceedings of the National Academy of Sciences of the United States of America
https://www.readbyqxmd.com/read/29543536/a-new-refined-technique-for-myogenic-ptosis-correction-with-resection-of-myotarsal-flap-by-conjunctival-approach
#8
Hemant K Mehta
The purpose is to present a new refined surgical technique for mild-to-severe acquired myogenic ptosis correction under local anaesthesia (LA) as day cases with resection of myotarsal (MT) flap and demonstrate the safety and efficacy of the technique. MT flap consists of 2 mm tarsal strip with attached levator complex - levator muscle, its aponeurosis, and Müller muscle. This is a retrospective personal series of 400+ patients, who underwent surgical correction with MT flap resection of 8-24 mm under LA mostly as day cases...
March 15, 2018: Orbit
https://www.readbyqxmd.com/read/29486944/-greater-omentum-flap-treatment-of-chronic-wounds-and-seroma-about-a-case
#9
D Boccara, K Serror, M Mimoun, M Chaouat
INTRODUCTION: Cicatricial complications after abdominal or pelvic surgery are more frequent in obese patients. In this case, infection, seroma and delays in scarring can be extremely difficult to treat. The objective of this technical note is to present an original case of an obese patient operated nine years ago of a hysterectomy by laparotomy and chronically presenting a non-resolving septic seroma despite multiple surgical procedures whose healing could be obtained by a flap of greater omentum...
February 24, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29481406/reliability-of-color-doppler-ultrasound-imaging-for-the-assessment-of-anterolateral-thigh-flap-perforators-a-prospective-study-of-30-perforators
#10
Alexandre Debelmas, Olivier Camuzard, Paola Aguilar, Quentin Qassemyar
Despite numerous advantages, the anterolateral thigh perforator flap suffers from the variable position and nature of its perforators. The aim of the authors' study was to assess the reliability of preoperative color Doppler ultrasound imaging for the exploration of perforator location and course of anterolateral thigh perforator flaps. A prospective cohort study involving patients for whom head and neck reconstruction was planned with thin anterolateral thigh perforator flaps was conducted. Each patient underwent a color Doppler ultrasound exploration of the thighs, in the operating room, immediately before surgery...
March 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29451317/ultrasound-guided-microinvasive-carpal-tunnel-release-using-a-novel-retractable-needle-mounted-blade-a-cadaveric-study
#11
Peter D Hebbard, Andrew I T Hebbard, Janos Tomka, Richard Appleyard
Ultrasound (US)-guided microinvasive procedures are defined as those performed via needles without notable scarring. Ten cadaver hands underwent US-guided microinvasive carpal tunnel release using a novel needle-based tool, the micro i-Blade (Summit Medical Products, Inc, Sandy, UT). A US-imaged landmark, the inflexion point of the ligaments distal to the hook of the hamate, was used to position the distal extent of the cut. The transverse carpal ligament was successfully released in all hands without damage to nerves or arteries...
February 16, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29438201/location-of-the-septoaponeurosis-junction-relative-to-the-tarsal-plate-in-upper-eyelids
#12
Kun Hwang, Seong Kyung Yoo, Dae Joong Kim
The aim of this study was to measure the location of the septoaponeurosis junction relative to the tarsal plate in the upper eyelids of Koreans through a histologic study.Thirty-four upper eyelids from 34 Korean adult cadavers (mean age, 77.8 years) were used. Sagittal sections on the midpupillary line were made, and 10-μm-thick sections were prepared and stained with hematoxylin-eosin and Masson trichrome. Under a magnifying loupe with a scale, the height of the tarsal plate (HTP), thickness of the tarsal plate (TTP), distance from the lid margin to the septoaponeurosis junction (MJD), and distance from the upper border of the tarsal plate to the septoaponeurosis junction (TJD) were measured...
February 12, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29417208/novel-pathomorphologic-classification-of-capsulo-articular-lesions-of-the-pubic-symphysis-in-athletes-to-predict-treatment-and-outcome
#13
Sascha Hopp, Ishaq Ojodu, Atul Jain, Tobias Fritz, Tim Pohlemann, Jens Kelm
INTRODUCTION: Radiographic abnormalities of the symphysis as well as the formation of accessory clefts, indicating injury at the rectus-adductor aponeurosis, reportedly relate to longstanding groin pain in athletes. However, yet, no systematic classification for clinical and scientific purposes exists. We aimed to (1) create a radiographic classification based on symphysography; (2) test intra- and interobserver reliability; (3) characterise clinical significance of the morphologic patterns by evaluating success of injection therapy...
February 7, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29395587/intramuscular-tendon-of-the-adductor-pollicis-and-underlying-capsule-of-the-metacarpophalangeal-joint-an-anatomical-study-with-possible-implications-for-the-stener-lesion
#14
Tetsuya Sato, Akimoto Nimura, Reiko Yamaguchi, Koji Fujita, Atsushi Okawa, Keiichi Akita
PURPOSE: To identify the layered relationship anatomically between the musculotendinous structures of the adductor pollicis, the ulnar collateral ligament, and the capsule of the metacarpophalangeal joint in terms of understanding the pathomechanism of a Stener lesion. METHODS: We macroscopically analyzed 37 cadaveric thumbs to identify the intramuscular tendon of the adductor pollicis and bony attachments of the joint capsule including the ulnar collateral ligament...
January 23, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29390490/ptosis-induced-by-topical-steroid-eye-drops-two-cases-reports
#15
Yanan Zhu, Chaohui Sun, Xin Zhang, Xingchao Shentu
RATIONALE: Ptosis is a rare complication of periocular steroid use. Studies report that local injections of steroids produce ptosis. We describe the first 2 cases of ptosis because of long-term treatment with topical steroid eye drops. PATIENT CONCERNS: Two cases admitted to our hospital because of ptosis of their right eye after long-term treatment with topical steroid eye drops. Both of them had uncontrolled Posner-Schlossman syndrome. DIAGNOSIS: Two cases were diagnosed as steroid-related ptosis...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29387510/accessory-ossicles-of-the-foot-and-ankle-disorders-and-a-review-of-the-literature
#16
REVIEW
Nigar Keles-Celik, Ozkan Kose, Rahime Sekerci, Gunes Aytac, Adil Turan, Ferhat Güler
Accessory ossicles of the foot and ankle are normal variants of bone development that usually remain asymptomatic. However, they may be involved in various disorders and become a source of pain such as in fractures, dislocations, degenerative changes, osteonecrosis, osteoarthritis, osteochondral lesions, avascular necrosis, and irritation or impingement of adjacent soft tissues. Hence, during the assessment of the situations above, knowledge about these little-known ossicles could be very important to reach the correct diagnosis...
November 26, 2017: Curēus
https://www.readbyqxmd.com/read/29367910/bicipital-aponeurosis-anatomical-study-and-clinical-implications
#17
Edie Benedito Caetano, Luiz Angelo Vieira, Tyago Araújo Almeida, Luis Andres Montero Gonzales, José Eduardo de Bona, Thais Mayor Simonatto
Objective: The aim of this study was to analyze the anatomic variations of the bicipital aponeurosis (BA) (lacertus fibrosus) and its implications for the compression of the median nerve, which is positioned medially to the brachial artery, passing under the bicipital aponeurosis. Methods: Sixty upper limbs of 30 cadavers were dissected, 26 of which were male and four, female; of the total, 15 had been previously preserved in formalin and glycerine and 15 were dissected fresh in the Laboratory of Anatomy...
January 2018: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29361325/the-dorsal-aponeurosis-of-the-thumb
#18
Tanay J Amin, Russell Hendrick, David T Netscher
PURPOSE: To evaluate the thumb dorsal aponeurosis anatomy. Consideration of structural differences between the fingers and thumb will provide an improved clinical understanding of the thumb dorsal aponeurosis anatomy. METHODS: Ten fresh cadaver hands from 5 patients with an average age of 31.6 (range, 22-41) years were dissected. The thenar muscles were identified and insertion sites were documented. The fibers of the dorsal aponeurosis and contributions were identified...
January 17, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29344785/laparoscopic-intracorporeal-rectus-aponeuroplasty-lira-technique-a-step-forward-in-minimally-invasive-abdominal-wall-reconstruction-for-ventral-hernia-repair-lvhr
#19
Julio Gómez-Menchero, Juan Francisco Guadalajara Jurado, Juan Manuel Suárez Grau, Juan Antonio Bellido Luque, Joaquin Luis García Moreno, Isaías Alarcón Del Agua, Salvador Morales-Conde
BACKGROUND: Closing the defect (CD) during laparoscopic ventral hernia repair began to be performed in order to decrease seroma, to improve the functionality of the abdominal wall, and to decrease the bulging effect. However, tension at the incision after CD in large defects is related to an increased rate of pain and recurrence. We present the preliminary results of a new technique for medium midline hernias as an alternative to conventional CD. METHODS: A prospective controlled study was conducted from January 2015 to January 2017 to evaluate an elective new procedure (LIRA) performed on patients with midline ventral hernias (4-10 cm width)...
January 17, 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29319641/significance-of-early-postoperative-eyelid-position-on-late-postoperative-result-in-mueller-s-muscle-conjunctival-resection-and-external-levator-advancement-surgery
#20
Jennifer Danesh, Shoaib Ugradar, Robert Goldberg, Naresh Joshi, Daniel B Rootman
PURPOSE: The purpose of this study was to determine whether advancement of the levator aponeurosis in external levator resection surgery or Mueller's muscle and conjunctiva in Mueller's muscle conjunctival resection (MMCR) surgery has a differential effect on variation in eyelid position during the postoperative period. METHODS: In this retrospective observational cohort study, 2 groups of patients were defined. The first underwent MMCR surgery without tarsectomy by surgeon 1...
January 9, 2018: Ophthalmic Plastic and Reconstructive Surgery
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