keyword
https://read.qxmd.com/read/38528325/functional-outcomes-following-surgery-for-spastic-hip-adductor-muscles-in-ambulatory-and-non-ambulatory-adults
#1
JOURNAL ARTICLE
Daphnée Brun, Olivier Hamel, Emmeline Montané, Marino Scandella, Evelyne Castel-Lacanal, Xavier De Boissezon, Marque Philippe, Gasq David, Camille Cormier
OBJECTIVE: To evaluate functional outcomes of surgery of spastic hip adductor muscles (obturator neurotomy with or without adductor longus tenotomy) in ambulatory and non-ambulatory patients, using preoperatively defined personalized goals. DESIGN: Retrospective observational descriptive study. PATIENTS: Twenty-three patients with adductor spasticity who underwent obturator neurotomy between May 2016 and May 2021 at the Clinique des Cèdres, Cornebarrieu, France, were included...
March 22, 2024: Journal of Rehabilitation Medicine
https://read.qxmd.com/read/38478021/arthroscopic-debridement-and-reduction-is-an-effective-procedure-for-failed-closed-reduction-in-young-children-with-developmental-dislocation-of-the-hip
#2
JOURNAL ARTICLE
Yuan Zhang, Liuqi Weng, Ge Zhang, Hai Zhou, Xing Liu, Yujiang Cao
PURPOSE: To assess the efficacy of arthroscopic debridement and reduction through two medial portals for the treatment of developmental dislocation of the hip (DDH) with failure of initial closed reduction and to explore key pathological structures obstructing reduction. METHODS: Forty-eight children with 58 irreducible dislocated hips treated by arthroscopic reduction between January 2017 and December 2020 were retrospectively evaluated. Arthroscopic reduction was performed via two medial portals located in the superior and inferior adductor longus...
March 13, 2024: International Orthopaedics
https://read.qxmd.com/read/38432813/the-effect-of-kinetic-factors-of-dynamic-knee-valgus-on-patellofemoral-pain-a-systematic-review-and-meta-analysis
#3
REVIEW
Ali Yalfani, Mohamadreza Ahmadi, Azadeh Asgarpoor
The speculation of dynamic knee valgus (DKV) correlates with kinetic changes in the frontal plane that increased loading patellofemoral joint (PFJ). Therefore, it is the purpose of this systematic review and meta-analysis study is the effect of kinetic factors DKV on patellofemoral pain (PFP). The search strategy was carried out in the electronic databases of Cochrane Library, PubMed, Springer Link, Science Direct, Scopus. Studies limited to the period 2000 to 2020 were extracted. The quality of study was assessment by modified Downs and Black checklist...
January 2024: Journal of Bodywork and Movement Therapies
https://read.qxmd.com/read/38408529/new-anatomical-concepts-regarding-pubic-related-groin-pain-a-dissection-study
#4
JOURNAL ARTICLE
Thomas Mathieu, Francis Van Glabbeek, Lenie Denteneer, Levi Van Winckel, Emile Schacht, Benjamin De Vlam, Luc Van Nassauw
OBJECTIVE: Pubis-related groin pain remains a difficult topic in orthopedic and sports medicine. A better understanding of the anatomy of the adductors and the pubic ligaments is necessary. The aim of this study is to map all the musculotendinous attachments to the pubic ligaments and to investigate in detail all the possible inter-adductor fusions. METHODS: The pubic symphyses were dissected in eight male and fourteen female embalmed cadavers (mean age 85 years), focusing on the fusion between the adductors, pubic ligaments, and musculotendinous attachments at the pubic ligaments...
February 24, 2024: Annals of Anatomy
https://read.qxmd.com/read/38284216/outcomes-and-proportions-of-subsequent-contralateral-sports-hernia-repair-following-primary-unilateral-repair
#5
JOURNAL ARTICLE
Nima Rezaie, Matthew P Ithurburn, Matthew T Powell, Eric A Mussell, Ariel L Kidwell-Chandler, Benton A Emblom
BACKGROUND: In the event that nonoperative treatment for sports hernia fails, surgical repair may be warranted. Bilateral repair can occur in up to 45% of surgically treated patients. PURPOSE: To investigate the clinical outcomes of athletes who underwent unilateral sports hernia repair and determine the proportion of patients who required contralateral sports hernia repair. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: We identified patients at our institution who underwent primary unilateral sports hernia repair (rectus abdominis-adductor longus aponeurotic plate repair and adductor lengthening) with a single surgeon between 2015 and 2020...
January 29, 2024: American Journal of Sports Medicine
https://read.qxmd.com/read/38219694/clinical-examination-tests-for-adductor-and-pubic-related-groin-pain-in-athletes-with-longstanding-groin-pain-inter-examiner-reliability-and-prevalence-of-positive-tests
#6
JOURNAL ARTICLE
Willem M P Heijboer, Adam Weir, Zarko Vuckovic, Johannes L Tol, Per Hölmich, Andreas Serner
OBJECTIVES: Evaluate the inter-examiner reliability of pain provocation tests for hip adductors (palpation, stretch and resistance) and for pubic symphysis (palpation) in athletes with longstanding groin pain, and to determine the prevalence of positive tests. DESIGN: Inter-examiner reliability. SETTING: Orthopaedic and sports medicine hospital. PARTICIPANTS: Male athletes with longstanding groin pain. MAIN OUTCOME MEASURES: Inter-examiner reliability, absolute/positive/negative agreement, and the mean prevalence of positive tests for athletes classified with adductor- and pubic-related groin pain were calculated...
January 3, 2024: Physical Therapy in Sport
https://read.qxmd.com/read/38167597/gender-affirming-clitoroplasty-and-construction-of-the-clitoro-urethral-complex-an-anatomy-guided-selection-of-two-techniques
#7
Michele Fascelli, Blair R Peters, Geolani W Dy, Daniel D Dugi
OBJECTIVE: To present 2 clitoroplasty techniques-the preputial skin and urethral flap-and describe our rationale for using each technique to construct the clitoro-urethral complex in gender-affirming vaginoplasty. METHODS: For uncircumcised patients or circumcised patients with greater than 2 cm of inner preputial skin and at least 8 cm of shaft skin proximal to the circumcision scar, we use the preputial skin clitoroplasty, a modification of the Ghent style clitoroplasty...
January 2024: Urology
https://read.qxmd.com/read/38163057/usefulness-of-perforating-branches-of-the-deep-femoral-artery-and-vein-as-recipient-vessels-during-free-flap-reconstruction-for-extensive-defects-of-the-thigh
#8
Makoto Miyamae, Ryotaro Urabe, Kunihiro Nakai
The perforating branches of the deep femoral artery and vein are considered useful recipient vessels during free-flap reconstruction for extensive defects extending from the knee to the mid-thigh or from the lateral to the posterior region of the thigh. Despite being located deep between the adductor longus and magnus muscles, they can be easily identified, allowing for a sufficient surgical field for the vascular anastomosis. Approximately four perforators from the deep femoral artery can be found on the posterior aspect of the thigh, easily identified by dissecting the semitendinosus and biceps femoris muscles...
December 2023: Journal of Surgical Case Reports
https://read.qxmd.com/read/38095338/utilization-of-multi-parametric-quantitative-magnetic-resonance-imaging-in-the-early-diagnosis-of-duchenne-muscular-dystrophy
#9
JOURNAL ARTICLE
Fei Peng, Deqiu Tang, Weipeng Qing, Wei Chen, Shuhao Li, Yingkun Guo, Guanghua Luo, Heng Zhao
BACKGROUND: It is challenging to diagnose suspected Duchenne muscular dystrophy (DMD) patients in the very early stage of the disease. More evidence is needed to demonstrate the potential of quantitative MRI (qMRI) in precisely identifying patients before substantial physical decline occurs. PURPOSE: To assess the early diagnostic performance of multi-parametric qMRI for DMD patients, and the ability to identify DMD patients with mild functional decline. STUDY TYPE: Prospective...
December 14, 2023: Journal of Magnetic Resonance Imaging: JMRI
https://read.qxmd.com/read/38093908/effects-of-loading-positions-on-the-activation-of-trunk-and-hip-muscles-during-flywheel-and-dumbbell-single-leg-romanian-deadlift-exercises
#10
JOURNAL ARTICLE
Ryan Chun Yin Mo, Derrick Chung Wang Ngai, Chapman Cheuk Man Ng, Kenson Ho Sang Sin, Jim Tze Chung Luk, Indy Man Kit Ho
Objective: The study compared the activities of the surface electromyography (sEMG) of trunk and hip muscles during single-leg Romanian deadlift (SLRDL) exercises using a flywheel and dumbbell with different loading positions (ipsilateral and contralateral). Method: Twelve active male subjects with at least 2 years of strength training experience (age: 26.7 ± 3.3 years; weight: 73.9 ± 6.2 kg) participated in this study. sEMG in the percentage of maximum voluntary isometric contraction of four SLRDL exercises (ipsilateral and contralateral loading position for dumbbell and flywheel) in a randomized order for superior gluteus maximus (SGM), inferior gluteus maximus (IGM), gluteus medius (GM), biceps femoris (BF), erector spinae (ES), external oblique (EO), and adductor longus (AL) were measured...
2023: Frontiers in Physiology
https://read.qxmd.com/read/38073395/monitoring-nusinersen-treatment-effects-in-children-with-spinal-muscular-atrophy-with-quantitative-muscle-mri
#11
JOURNAL ARTICLE
Louise A M Otto, M Froeling, Ruben P A van Eijk, Renske I Wadman, Inge Cuppen, Danny R van der Woude, Bart Bartels, Fay-Lynn Asselman, Jeroen Hendrikse, W Ludo van der Pol
BACKGROUND: Spinal muscular atrophy (SMA) is caused by deficiency of survival motor neuron (SMN) protein. Intrathecal nusinersen treatment increases SMN protein in motor neurons and has been shown to improve motor function in symptomatic children with SMA. OBJECTIVE: We used quantitative MRI to gain insight in microstructure and fat content of muscle during treatment and to explore its use as biomarker for treatment effect. METHODS: We used a quantitative MRI protocol before start of treatment and following the 4th and 6th injection of nusinersen in 8 children with SMA type 2 and 3 during the first year of treatment...
December 8, 2023: Journal of Neuromuscular Diseases
https://read.qxmd.com/read/38052666/hnrnpa2b1-myopathy-presenting-in-a-family-with-an-early-onset-oculopharyngeal-muscular-dystrophy-like-phenotype
#12
Liam S Carroll, Sarah Ennis, Nicola Foulds, Simon R Hammans
Genetic variation at HNRNPA2B1 is associated with inclusion body myopathy, Paget's disease and paediatric onset oculopharyngeal muscular dystrophy. We present a pedigree where a mother and two daughters presented with adolescent to early-adulthood onset of symptoms reminiscent of oculopharyngeal muscular dystrophy or chronic progressive external ophthalmoplegia, with a later limb-girdle pattern of weakness. Creatine Kinase was ∼1000 U/L. Myoimaging identified fatty replacement of sartorius, adductors longus and magnus, biceps femoris, semitendinosus and gastrocnemii...
November 17, 2023: Neuromuscular Disorders: NMD
https://read.qxmd.com/read/38015817/lower-extremity-muscle-volume-in-unilateral-and-bilateral-patellofemoral-pain-a-cross-sectional-exploratory-study-including-superficial-and-deep-muscles-authors
#13
JOURNAL ARTICLE
Sungwan Kim, Jihong Park, Michelle C Boling, Neal R Glaviano
CONTEXT: Existing patellofemoral pain (PFP) literature has primarily focused on quadriceps muscle volume, with limited attention given to the lower limbs deep and superficial muscle volumes in individuals with unilateral and bilateral PFP. This research aims to fill this gap. OBJECTIVE: To explore superficial and deep lower extremity muscle volume in women with unilateral and bilateral PFP compared to a normative database of pain-free women. DESIGN: Cross-sectional study...
November 28, 2023: Journal of Athletic Training
https://read.qxmd.com/read/37985575/significant-relationship-between-musculoaponeurotic-attachment-of-the-abdominal-and-thigh-adductor-muscles-to-the-pubis-implications-for-the-diagnosis-of-groin-pain
#14
JOURNAL ARTICLE
Suthasinee Tharnmanularp, Satoru Muro, Akimoto Nimura, Takuya Ibara, Keiichi Akita
Groin pain is prevalent in orthopedic and sports medicine, causing reduced mobility and limiting sports activity. To effectively manage groin pain, understanding the detailed anatomy of supporting muscles is crucial. This study aimed to investigate the musculoaponeurotic attachments on the pubis and the relationship among intramuscular aponeuroses of abdominal and thigh adductor musculatures. Macroscopic analyses were performed in 10 pelvic halves. The bone morphology of the pubis was assessed in two pelvic halves using microcomputed tomography...
November 20, 2023: Anatomical Science International
https://read.qxmd.com/read/37931748/optimised-return-to-play-high-treatment-success-rate-in-core-muscle-injury-with-surgical-release-of-the-anterior-tendon-of-the-rectus-abdominis-muscle-and-proximal-tenotomy-of-the-adductor-longus-muscle
#15
JOURNAL ARTICLE
Andre Pedrinelli, João Vitor de Castro Fernandes, Carlos Guilherme Dorilêo Leite Filho, Adriano Marques de Almeida, Tiago Lazzaretti Fernandes, Arnaldo Jose Hernandez
OBJECTIVES: Core muscle injury is a debilitating condition that causes chronic groin pain in athletes, particularly common in soccer players. The condition is characterised by pain in the inguinal region and can lead to a significant number of absences from high-intensity physical activity. It is caused by repetitive overload without proper counterbalance from the abdominal muscles, hip flexors, and adductors in susceptible athletes. Surgical indications for core muscle injury consider cases where non-surgical treatments have not provided sufficient relief...
November 4, 2023: Journal of ISAKOS
https://read.qxmd.com/read/37895477/topographical-anatomy-of-the-adductor-muscle-group-in-the-albino-rat-rattus-norvegicus
#16
JOURNAL ARTICLE
Bettina Pretterklieber, Michael L Pretterklieber, Katharina Kerschan-Schindl
In comparative anatomy, the adductor muscles are said to be quite variable and to often cause difficulty in separation. The arrangement of these muscles and the possible occurrence of the adductor minimus and obturator intermedius muscles in the albino rat has not been investigated. The aim of this study was to accurately describe the adductor muscles in the albino rat ( Rattus norvegicus ). We hypothesized that all adductor muscles are constantly present and can be separated in a constant manner, and that the adductor minimus and obturator intermedius muscles are constant structures...
October 21, 2023: Life
https://read.qxmd.com/read/37662865/medial-fascia-lata-perforator-flap-anatomical-basis-and-clinical-application-as-a-pedicled-or-free-flap
#17
JOURNAL ARTICLE
Gabriele Delia, Fabiana Battaglia, Emanuele Cigna, Leonardo Ioppolo, Michele Maruccia, Francesco Stagno d'Alcontres
Adipofascial flaps have proven to be an excellent tool for multipurpose reconstruction as free or pedicled flaps. The anatomical studies in this field are now focused on improving esthetics in reconstruction while maintaining a minimal donor site morbidity. An anatomical cadaver study has been carried out to investigate the medial thigh region as a potential donor site for adipofascial flaps. Eighteen thighs from fresh cadavers were dissected and a new territory with autonomous vascular supply was defined through vascular injection, anatomical dissection, transillumination, and angiography...
December 2023: JPRAS Open
https://read.qxmd.com/read/37637611/involvement-of-myofascial-spiral-chains-of-the-lower-limb-in-semi-unipodal-balance-a-pilot-study
#18
JOURNAL ARTICLE
Corrado Borghi, Saverio Colonna, Francesco Lombardi
Introduction Single-leg stance has been extensively studied for functional evaluation, therapeutic exercise, sports training, and fall prevention. However, the motor strategies of the supporting limb have been investigated only at the ankle level. It is not known, at the hip, how the muscular system reacts to medial and lateral imbalances. We hypothesize, based on a myofascial chain approach, that the balance is managed by the front and back spiral chains. The aim of this work was to perform a preliminary experimental analysis to verify the spiral chain hypothesis, testing a method to investigate the motor strategies underlying equilibrium...
July 2023: Curēus
https://read.qxmd.com/read/37634163/characteristics-of-the-muscle-involvement-along-the-disease-progression-in-a-large-cohort-of-oculopharyngodistal-myopathy-compared-to-oculopharyngeal-muscular-dystrophy
#19
JOURNAL ARTICLE
Nobuyuki Eura, Satoru Noguchi, Masashi Ogasawara, Theerawat Kumutpongpanich, Shinichiro Hayashi, Ichizo Nishino
BACKGROUND AND OBJECTIVES: Oculopharyngodistal myopathy (OPDM) is an autosomal dominant myopathy clinically characterized by distal muscle weakness. Even though the identification of four causative genes, LRP12, GIPC1, NOTCH2NLC and RILPL1, it is unclear whether the myopathy progressed similarly among OPDM subtypes. We aimed to establish diagnostic clues in muscle imaging of OPDM in comparison with clinicopathologically similar oculopharyngeal muscular dystrophy (OPMD). METHODS: Axial muscle CT and/or T1-weighted MRI data from 54 genetically confirmed patients with OPDM (OPDM_LRP12; n = 43, OPDM_GIPC1; n = 6, OPDM_NOTCH2NLC; n = 5) and 57 with OPMD were evaluated...
August 27, 2023: Journal of Neurology
https://read.qxmd.com/read/37606179/cycle-exercise-training-and-muscle-mass-a-preliminary-investigation-of-17-lower-limb-muscles-in-older-men
#20
JOURNAL ARTICLE
Masatoshi Naruse, Caroline S Vincenty, Adam R Konopka, Scott W Trappe, Matthew P Harber, Todd A Trappe
Cycling exercise in older individuals is beneficial for the cardiovascular system and quadriceps muscles, including partially reversing the age-related loss of quadriceps muscle mass. However, the effect of cycling exercise on the numerous other lower limb muscles is unknown. Six older men (74 ± 8 years) underwent MRI before and after 12-weeks of progressive aerobic cycle exercise training (3-4 days/week, 60-180 min/week, 60%-80% heart rate reserve, VO2 max: +13%) for upper (rectus femoris, vastii, adductor longus, adductor magnus, gracilis, sartorius, biceps femoris long head, biceps femoris short head, semimembranosus, semitendinosus) and lower (anterior tibial, posterior tibialis, peroneals, flexor digitorum longus, lateral gastrocnemius, medial gastrocnemius, soleus) leg muscle volumes...
August 2023: Physiological Reports
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