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https://www.readbyqxmd.com/read/29438201/location-of-the-septoaponeurosis-junction-relative-to-the-tarsal-plate-in-upper-eyelids
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
https://www.readbyqxmd.com/read/29258498/anatomical-variations-of-the-palmaris-longus-muscle-including-its-relation-to-the-median-nerve-a-proposal-for-a-new-classification
#10
Łukasz Olewnik, Grzegorz Wysiadecki, Michał Polguj, Michał Podgórski, Hubert Jezierski, Mirosław Topol
BACKGROUND: The palmaris longus (PL) muscle is characterised by high morphological diversity, and its tendon crosses the median nerve (MN) at different levels. Due to the fact that the palmaris longus tendon is routinely harvested for reconstruction of other tendons, knowledge of its morphological variations is clinically important. Therefore, the purpose of the study was to suggest a new morphological classification of the PL muscle and characterise the relationship of its tendon to the median nerve...
December 19, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29249736/the-palatomaxillary-suture-revisited-a-histological-and-immunohistochemical-study-using-human-fetuses
#11
Ji Hyun Kim, Masahito Yamamoto, Hiroshi Abe, Gen Murakami, Shunichi Shibata, Jose Francisco Rodríguez-Vázquez, Shin-Ichi Abe
In human fetuses, the palatine process of the maxilla is attached to the inferior aspect of the horizontal plate of the palatine bone (HPPB). The fetal palatomaxillary suture is so long that it extends along the anteroposterior axis rather than along the transverse axis. The double layered bony palate disappears in childhood and the transverse suture is formed. To better understand the development of the double layered bone palate, we examined histological sections obtained from 25 fetuses of gestational age 9-11, 16-18 and 30 weeks...
2017: Okajimas Folia Anatomica Japonica
https://www.readbyqxmd.com/read/29233691/enthesopathy-in-rheumatoid-arthritis-and-spondyloarthritis-an-ultrasound-study
#12
Esther Ebstein, Baptiste Coustet, Vanina Masson-Behar, Marine Forien, Elisabeth Palazzo, Philippe Dieudé, Sébastien Ottaviani
OBJECTIVE: We aimed to compare the prevalence of enthesopathy seen on ultrasonography (US) in spondyloarthritis (SpA) and rheumatoid arthritis (RA) and compared it to healthy controls. METHODS: All included patients with RA (2010 ACR/EULAR criteria) and SpA (ASAS criteria) and healthy controls underwent clinical and US evaluation of enthesis at seven sites (quadriceps, proximal and distal patellar, Achilles and triceps tendons, plantar aponeurosis and lateral epicondyle enthesis)...
December 9, 2017: Joint, Bone, Spine: Revue du Rhumatisme
https://www.readbyqxmd.com/read/29215440/the-aesthetic-analyzing-of-midface-ratio-after-folding-aponeurosis-of-levator-palpebrae-superioris-muscle-in-the-ptosis-correction
#13
Chenyang Ji, Ruiting Li, Wei He, Jinming Zhang
BACKGROUND: Some fordless-eyelid patients with moderate upper lid ptosis characterize in a higher eyebrow position which leads to an increased midfacial ratio. Apart from performing blepharoplasty to create dynamic folds, additional procedures such as folding aponeurosis of levator palpebrae superioris muscle were effective to revise the enlarged ratio of midface through lowering eyebrow, which gains good aesthetic results. However, the specific changes in the proportion of facial aesthetics and the importance of these change were serious lack in the literature as far as the authors know...
December 6, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29213017/topographical-anatomy-of-the-pronator-teres-muscle-and-median-nerve-a-study-using-histological-sections-of-human-fetuses
#14
Shinichi Abe, Naomitsu Tomita, Masahito Yamamoto, Minako Sato, Hiroshi Abe, Gen Murakami, Jose Francisco Rodríguez-Vázquez
The median nerve passes through the humeral and ulnar heads of the pronator teres muscle (PT), although variations such as absence of the ulnar head may exist. We observed histological sections of the upper extremity from 24 embryos and fetuses. In the early stage, the PT extended between the radius and the medial epicondyle of the humerus, but no candidate for the ulnar head was found. In mid-term fetuses, the ulnar margin of the PT was attached to the elbow joint capsule. Moreover, in late-stage fetuses, a small deep part of the PT arose from the thick joint capsule of the humero-ulnar joint near the coronoid process of the ulna...
2017: Okajimas Folia Anatomica Japonica
https://www.readbyqxmd.com/read/29204225/-in-vivo-gastrocnemius-muscle-tendon-ratio-in-patients-with-cerebral-palsy
#15
Muhammad Naghman Choudhry, Haris Naseem, Ihsan Mahmood, Adeel Aqil, Tahir Khan
Background: The position of the gastrocnemius tendon in relation to the leg length may be different in children with cerebral palsy as compared to normal children. The palpation of muscle bellies or previous experience of the operating surgeon is employed to place the surgical incision for lengthening of the gastrocnemius aponeurosis. Inaccurate localisation may cause incorrect incisions and a risk of iatrogenic damage to the vital structures (i.e. sural nerve). Objectives: The aim of our study is to compare gastrocnemius length in-vivo between paretic and unaffected children and create a formula to localise the muscle-tendon junction accurately...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29194523/modified-levator-muscle-resection-using-putterman-muller-s-muscle-conjunctival-resection-ptosis-clamp
#16
Ju-Wen Yang
Background: The traditional technique for levator muscle resection includes a time-consuming dissection procedure that causes tissue trauma and swelling. The Putterman ptosis clamp has been popularly used in recent years for conjunctival müllerectomy. In this paper, we describe a modified surgical technique for ptosis treatment using the Putterman ptosis clamp. The modified technique improves the surgical results of levator muscle resection. Objectives: We performed a retrospective case-series study to determine the outcomes and complications associated with the use of the Putterman ptosis clamp in levator muscle resection...
November 28, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29177172/outcome-of-long-standing-ulno-humeral-dislocation-managed-by-open-reduction-and-stabilization-with-v-y-plasty-our-experience
#17
Vikram Khanna, Ashish Gupta, Sanjeev Kumar
Objective: To assess the outcome of long standing ulno-humeral dislocation managed by open reduction and stabilization with V-Y plasty. Methods: This cross sectional study included 14 patients with elbow dislocation that was more than 3 months without joint ankylosis, myositis ossificans or nerve injury. The surgical management not only included open reduction of the elbow joint, but also elongation of the triceps aponeurosis, collateral ligament repair along with the stabilization of the elbow joint...
October 2017: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29117826/an-anatomic-variant-of-persistent-median-artery-in-association-with-carpal-tunnel-syndrome-case-report-and-review-of-the-literature
#18
Adam M Feintisch, Haripriya S Ayyala, Ramazi Datiashvili
The persistent median artery can be a rare cause of carpal tunnel syndrome. We present an anatomic variant of this artery. A 47-year-old female patient with bilateral carpal tunnel syndrome was found to have bilateral patent, functional persistent median arteries (PMA) upon operative exploration. Unlike previous reports, the PMAs were not located dorsal to the flexor retinaculum (FR). Rather, the PMAs were interposed between the palmar aponeurosis and the FR. Accompanied by two venae comitantes, the aberrant arteries were positioned directly in line with our carpal tunnel incisions on both hands...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29099696/treatment-of-duodenal-injuries-and-complications-after-surgery-case-reports
#19
Z Beriashvili, M Gurgenidze
A 28-year-old male patient came to Surgical Department 15.07.2003 after a gunshot wound. An emergency operation was performed. Among the other damages of different part of intestinum damage of the anterior wall of the second anatomical part of the duodenum was diagnosed intraoperatively. The size of the damaged area was 3×1 sm. The doudenal wound was sutured with two layers after updating the edges. On the fifth postoperative day the wound leakage was detected. Later the giant sizes of duodenal fistula was formed...
October 2017: Georgian Medical News
https://www.readbyqxmd.com/read/29072181/primary-clear-cell-sarcoma-of-the-dermis-mimicking-malignant-melanoma
#20
Ifeyinwa E Obiorah, Pauline Brenholz, Metin Özdemirli
BACKGROUND: Clear cell sarcoma is a rare malignant soft tissue neoplasm that typically involves tendons and aponeurosis. Clear cell sarcoma occurring in the dermis is an extremely rare occurrence. It is difficult to differentiate between this neoplasm and dermal malignant melanoma because they both have similar morphologic and immunohistochemical features. Although rare, clear cell sarcoma of the skin typically occur in the extremities. To our knowledge, there are no reported cases of primary clear cell sarcoma of the skin occurring in the neck...
October 26, 2017: Balkan Medical Journal
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