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https://www.readbyqxmd.com/read/27908709/surgical-intervention-for-oromandibular-dystonia-related-limited-mouth-opening-long-term-follow-up
#1
Kazuya Yoshida
BACKGROUND: Oromandibular dystonia is a movement disorder that is characterized by involuntary masticatory and/or lingual muscle contracture. Jaw closing dystonia, the most common subtype of this condition, can cause trismus and is frequently misdiagnosed as temporomandibular joint disorder or masticatory muscle tendon-aponeurosis hyperplasia. MATERIALS AND METHODS: This report describes the long-term results of 18 patients with limited mouth opening (mean maximal mouth opening: 12...
October 28, 2016: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/27906949/pulsed-compared-to-thermal-radiofrequency-to-the-medial-calcaneal-nerve-for-management-of-chronic-refractory-plantar-fasciitis-a-prospective-comparative-study
#2
Ayman M Osman, Dina H El-Hammady, Mohamed M Kotb
BACKGROUND: Radiofrequency (RF) treatment is a minimally invasive procedure that has been used for more than 3 decades in treating various chronic pain syndromes. Conventional (continuous) RF treatment occasionally results in worsening or even initiating a new type of pain. The use of pulsed radiofrequency (PRF), which has a non- or minimally neurodestructive neuromodulatory effect, serves as an alternative to conventional RF therapy in many medical situations. OBJECTIVES: To evaluate the effect of applying PRF for 6 minutes vs...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27899054/an-unusual-presentation-of-an-incarcerated-spigelian-hernia
#3
Karen Peeters, Frederik Huysentruyt, Peter Delvaux
Spigelian hernias are rare hernias, occurring through a defect in the Spigelian aponeurosis. Like other hernias, they may contain abdominal contents but are more likely to be incarcerated due to the small size of the fascial defect. Multiple intra-abdominal organs have reportedly been found in Spigelian hernias. A search of the literature showed only nine reported cases in which an appendix has been found within a Spigelian hernia. We present a patient with a history of lower abdominal pain since 10 weeks with a large intra-abdominal mass in the right iliac fossa...
November 29, 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27888843/normal-variants-accessory-muscles-about-the-ankle
#4
REVIEW
Yvonne Cheung
Accessory muscles around the ankle are commonly encountered as incidental findings on cross-sectional imaging. Mostly asymptomatic, accessory muscles sometimes mimic mass lesions. They have been implicated as the cause of tarsal tunnel syndrome, impingement of surrounding structures, and chronic pain. Distinguishing these muscles can be challenging, because some travel along a similar path. This article describes these accessory muscles in detail, including their relationships to the aponeurosis of the lower leg...
February 2017: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/27826468/digital-analysis-of-eyelid-features-and-eyebrow-position-following-co2-laser-assisted-blepharoptosis-surgery
#5
Xiaodong Zheng, Hirohiko Kakizaki, Tomoko Goto, Atsushi Shiraishi
BACKGROUND: To compare the margin reflex distance of the upper (MRD-1) and lower (MRD-2) eyelids and the eyebrow height (EBH) in patients with involutional and hard contact lens wear--induced blepharoptosis before and after ptosis surgery. METHODS: Sixty patients with acquired blepharoptosis were studied. Group 1 consisted of 30 patients with involutional ptosis (age, 75.8 ± 6.4 years), and group 2 consisted of 30 patients with hard contact lens wear-induced ptosis (age, 50...
October 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27816531/visualization-of-the-plantar-aponeurosis
#6
Kimia Kani, Jack Porrino, Nirvikar Dahiya, Mihra Taljanovic, Hyojeong Mulcahy, Felix Chew
No abstract text is available yet for this article.
November 2, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27813020/new-insight-in-the-architecture-of-the-quadriceps-tendon
#7
Karl Grob, Mirjana Manestar, Luis Filgueira, Timothy Ackland, Helen Gilbey, Markus S Kuster
BACKGROUND: Published data regarding the structure of the quadriceps tendon are diverse. Dissection of the quadriceps muscle group revealed that beside the rectus femoris, vastus lateralis, vastus intermedius and vastus medialis a fifth muscle component- named the tensor vastus intermedius consistently fused into quadriceps tendon. It can be hypothesized that all these elements of the extensor apparatus of the knee joint must also be represented in the quadriceps tendon. This study investigated the multi-layered quadriceps tendon with special emphasis on all components of the quadriceps muscle group including the newly discovered tensor vastus intermedius...
December 2016: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/27811633/wingtip-flap-for-reconstruction-of-full-thickness-upper-and-lower-eyelid-defects
#8
Ivan Vrcek, Eva Chou, Sean Blaydon, John Shore
PURPOSE: Pentagonal wedge resection is a technique used to address a wide variety of eyelid pathology. This procedure frequently results in excess skin at the apex of the wound, commonly known as a "dog ear." A variety of methods have been described to address the cutaneous redundancy, the most classic of which is the Burow's triangle repair. The authors present a technique to address the anterior lamellar excess that avoids placement of a vertical scar traversing the pretarsal and preseptal portion of the affected eyelid...
November 2, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27810423/pendular-eyelid-flap-a-novel-technique-for-the-management-of-extensive-congenital-upper-lid-colobomas
#9
Nikolaos T Chalvatzis, Paraskevi Riga, Argyrios Tzamalis, Asimina Mataftsi
We present a novel technique for the surgical management of sizeable medial upper eyelid colobomas that entails advancement of an ipsilateral upper lid flap sustained by a levator aponeurosis-Müller-conjunctiva pedicle and combined with a lateral semicircular flap from the affected lid. The technique was used in 4 consecutive pediatric patients of mean age 21.2 months and mean coloboma size 12.3 mm and resulted in sufficient cornea protection, rapid rehabilitation, and satisfying cosmesis.
October 31, 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27789336/differential-plantaris-achilles-tendon-motion-a-sonographic-and-cadaveric-investigation
#10
Jay Smith, Håkan Alfredson, Lorenzo Masci, Jacob L Sellon, Charonn D Woods
OBJECTIVE: To determine whether differential, multidirectional motion exists between the plantaris tendon (PT) and Achilles tendon (AT) as documented by dynamic ultrasound (US) and post-dissection examination in an unembalmed cadaveric model. DESIGN: Prospective, cadaveric laboratory investigation. SETTING: Procedural skills laboratory in a tertiary medical center. SUBJECTS: 20 unembalmed knee-ankle-foot specimens (9 right, 11 left) obtained from 6 male and 10 female donors ages 55-96 years (mean 80 years) with BMI's of 14...
October 24, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27757008/predictive-images-of-postoperative-levator-resection-outcome-using-image-processing-software
#11
Yuki Mawatari, Mikiko Fukushima
PURPOSE: This study aims to evaluate the efficacy of processed images to predict postoperative appearance following levator resection. METHODS: Analysis involved 109 eyes from 65 patients with blepharoptosis who underwent advancement of levator aponeurosis and Müller's muscle complex (levator resection). Predictive images were prepared from preoperative photographs using the image processing software (Adobe Photoshop(®)). Images of selected eyes were digitally enlarged in an appropriate manner and shown to patients prior to surgery...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27749228/adding-ultrasound-to-clinical-examination-reduced-frequency-of-enthesitis-in-primary-care-psoriasis-patients-with-musculoskeletal-complaints
#12
Myrthe van der Ven, Maren C Karreman, Angelique E A M Weel, Ilja Tchetverikov, Marijn Vis, Tamar E C Nijsten, Johanna M W Hazes, Jolanda J Luime
OBJECTIVES: Part of the psoriasis patients with musculoskeletal complaints will have inflammation of the entheses. Entheseal inflammation is difficult to assess by clinical examination only. Therefore, we aimed to determine the frequency of clinically relevant ultrasound inflammation at the most commonly assessed entheses (MASEI; Madrid Sonographic Enthesis Index) in primary care psoriasis patients with one or more tender entheses. METHODS: Adult primary care psoriasis patients with musculoskeletal complaints (tender enthesis or arthritis at physical examination) had an ultrasound examination of seven entheses according to the MASEI...
September 8, 2016: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/27743085/secondary-blepharoplasty-correction-of-the-high-fold
#13
Kamol Wattanakrai, Nattawut Chiemchaisri, Penpun Wattanakrai
BACKGROUND: Blepharoplasty is a common aesthetic surgery performed worldwide. In Asians, too high eyelid folds after blepharoplasty cause an unsatisfactory aesthetic outcome that is difficult to correct. In this article, the authors propose surgical techniques to correct the high eyelid fold after blepharoplasty. METHODS: During a 4-year period, 213 secondary blepharoplasties were performed to correct high folds. Postoperative results were reviewed, graded, and analyzed...
December 2016: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/27740951/high-double-eyelid-fold-correction-using-wide-dual-plane-dissection
#14
Kenneth K Kim, Woo-Seok Kim, Se Kwang Oh, Hong Seok Kim
BACKGROUND: The ability to correct unnatural-appearing, high, and deep double eyelid folds has been limited by the lack of redundant upper eyelid skin and the presence of prior incision line scars in patients. METHODS: From January 2000 to September 2011, 256 patients with high and deep double eyelid folds underwent our fold-lowering procedure. The first dissection was made at the superficial layer between the orbicularis oculi muscle and orbital septum/retroorbicularis oculi fat...
October 6, 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/27683766/linea-alba-collagen-assessment-in-morbidly-obese-patients
#15
João Vicente Machado Grossi, Felipe Fernandes Nicola, Ivan Alberto Zepeda, Martina Becker, Eduardo Neubarth Trindade, Vinicius Von Diemen, Leandro Totti Cavazzola, Manoel Roberto Maciel Trindade
Background: The evaluation of collagen in the abdominal wall has been increasingly studied because of the relevance on collagen in the healing process after laparotomy. Aim: To evaluate the amount of collagen in the linea alba of patients undergoing laparotomic bariatric surgery and comparing with non-obese cadavers. Methods: Were evaluated 88 samples of aponeurosis from abdominal linea alba of 44 obese patients (obesity group) and 44 non-obese cadavers (control group)...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27663620/influence-of-intramuscular-fiber-orientation-on-the-achilles-tendon-curvature-using-three-dimensional-finite-element-modeling-of-contracting-skeletal-muscle
#16
Ryuta Kinugasa, Naoto Yamamura, Shantanu Sinha, Shu Takagi
Tendon curvature plays a key role in mechanical gain (amplifying the joint excursion relative to fiber length change) during joint motion, but the mechanism remains unresolved. A three-dimensional finite element (FE) model was used to investigate the influence of intramuscular fiber orientation upon the curvature pattern of the Achilles tendon during active muscular contraction. Two simulation models, with fiber pennation angles of θ = 25° and 47° were tested for the gastrocnemius and soleus muscles. A smaller pennation angle (25°) of the soleus muscle fibers was accompanied by a large change in curvature whereas a larger pennation angle (47°) of the soleus muscle was accompanied by small effects...
October 3, 2016: Journal of Biomechanics
https://www.readbyqxmd.com/read/27617815/postlevator-aponeurosis-fat-pad
#17
Yasuhiro Takahashi, Takashi Nakano, Hiroshi Ikeda, Hidetaka Miyazaki, Raman Malhotra, Hirohiko Kakizaki
The aim of this study was to examine the superoinferior extension of the postlevator aponeurosis fat pad in the upper eyelids of Japanese cadavers. Twenty-six upper eyelids (12 right and 14 left) from 15 Japanese cadavers (6 men and 9 women; average age at death, 82.1 years) were used in this experimental anatomical study. After an orbital exenteration, the tissues were cut sagittally through the center of the orbit, and the superoinferior extension of the postlevator aponerosis fat pad was microscopically examined on the sections...
September 9, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27593916/application-of-shear-wave-elastography-for-the-gastrocnemius-medial-head-to-tennis-leg
#18
Keiichi Yoshida, Yoshiaki Itoigawa, Yuichiro Maruyama, Yoshitomo Saita, Yuji Takazawa, Hiroshi Ikeda, Kazuo Kaneko, Tatsuo Sakai, Toru Okuwaki
INTRODUCTION: Muscle strain of the gastrocnemius medial head mainly occurs at the musculotendinous junction (MTJ), and stiffness is a risk factor. Shear wave elastography (SWE) measures elasticity by determining the propagation velocity. The aim of this study was to measure the elasticity of the normal muscle and aponeurosis in the MTJ of the gastrocnemius medial head using SWE, thus obtaining information relevant to muscle strain at this point. MATERIALS AND METHODS: Forty-one volunteers (82 legs) were recruited and the gastrocnemius medial heads were examined at four points: three on the aponeurosis, namely at the center of the MTJ (Central), 10 mm proximal to it (Proximal) and 10 mm distal to it (Distal); and at one on the muscle belly (Muscle)...
September 4, 2016: Clinical Anatomy
https://www.readbyqxmd.com/read/27562159/-classification-and-corrective-methods-of-obviously-asymmetric-palpebral-fissure-of-single-fold-eyelid
#19
F Zhao, Y J Fu, X L Yang, J N Wu, H B Li
OBJECTIVE: To discuss the classification of obviously asymmetric palpebral fissure of single-fold eyelid and their corrective methods performed with double-fold eyelid blepharoplasty simultaneously. METHODS: Forty patients with obviously asymmetric palpebral fissure of single-fold eyelid of two eyes were admitted to Linyi People's Hospital in Shandong province from January 2010 to September 2014, asking for double-fold eyelid blepharoplasty. The preoperative difference of palpebral fissure width between two eyes reached 1...
August 20, 2016: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/27554942/a-cadaveric-study-for-the-improvement-of%C3%A2-thread-carpal-tunnel-release
#20
Danqing Guo, Danzhu Guo, Joseph Guo, Daniel G Malone, Nathan Wei, Logan C McCool
PURPOSE: The thread carpal tunnel release (TCTR) technique has been improved and offers more precise control in dissecting thread placement. The purpose of this cadaveric study was to test the procedure operationally and verify the modified TCTR anatomically. METHODS: Eleven unembalmed cadaver wrists underwent the transverse carpal ligament (TCL) release by using the modified TCTR technique. An experienced observer dissected each specimen and assessed for completeness of release under direct visual assessment...
October 2016: Journal of Hand Surgery
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