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Adductor longus

Valera Castanov, S Ahmed Hassan, Shayan Shakeri, Maxine Vienneau, Karl Zabjek, Denyse Richardson, Nancy H McKee, Anne M R Agur
INTRODUCTION: Vastus medialis (VM) has two partitions, longus (VML) and obliquus (VMO), which have been implicated in knee pathologies. However, muscle architecture of VMO and VML has not been documented volumetrically. The aims of this study were to determine and compare the muscle architecture of VMO and VML in three-dimensional (3D) space, and to elucidate their relative functional capabilities. MATERIALS AND METHODS: Twelve embalmed specimens were used in this study...
January 30, 2019: Clinical Anatomy
Andrew David Clelland, Ourania Varsou
PURPOSE: Groin injury, sportsman's groin and inguinal disruption (ID) refer to a diffuse chronic groin pain syndrome that has significant impact on athletes and is often unresponsive to conservative management. The ID aetiology is poorly understood but may involve weakness of the inguinal ligament attachments or the posterior inguinal canal wall or the tendons of adductor longus and rectus abdominis. We discuss the literature in which the inguinal ligament was directly targeted for ID management in athletic populations...
December 20, 2018: Surgical and Radiologic Anatomy: SRA
G Pezzotta, A Pecorelli, G Querques, S Biancardi, C Morzenti, S Sironi
PURPOSE: To correctly define through Magnetic Resonance Imaging (MRI), diagnosis, staging and prognosis of the adductor longus (AL) acute lesions and to identify a correlation between Return to Play (RTP) and sport-related injury predisposing conditions and complications. MATERIALS AND METHODS: Twenty professional football players with acute groin pain and clinical suspicion of AL injury subsequent to sport's activity were evaluated. MRI examinations were performed by one and reviewed by other two radiologists with more than 10 years of experience...
November 2018: European Journal of Radiology
Abir Massaad, Ayman Assi, Ziad Bakouny, Aren Joe Bizdikian, Wafa Skalli, Ismat Ghanem
Lower limb (LL) muscle morphology and growth are altered in children with cerebral palsy (CP). Muscle alterations differ with age and with severity of motor impairment, classified according to the gross motor classification system (GMFCS). Muscle alterations differ also with orthopedic intervention, frequently performed at the level of the shank muscles since an early age, such as the gastrocnemius. The aim was to investigate the alterations of treatment-naïve pelvis and thigh muscle lengths and volumes in children with GMFCS levels I and II, of varying ages...
October 27, 2018: Journal of Biomechanics
John Cianca, Rochelle Dy, Faye Y Chiou-Tan, Joslyn John, Katherine H Taber
OBJECTIVE: The aim of the study was to determine whether there are relevant anatomical variations to the typical injection sites for antispasticity procedures in the lower limb. METHODS: Sonographic images were obtained at traditional injection locations for spasticity in the lower limb. Images were recorded in neutral and contracted postures. Doppler imaging was obtained for sites that contained vasculature. The images were analyzed, and schematics were created that highlighted relevant findings...
November 2018: Journal of Computer Assisted Tomography
Tarik Mujadzic, Charles A Gober, David B Nahabedian, Edmond F Ritter, Mirsad Mujadzic
Abdominal wall reconstruction for full-thickness defects is a challenging procedure that usually requires the use of flaps. The gracilis flap is known to be used in hernia repair in which the abdominal muscles are still intact, but there are no reports in literature describing the use of an innervated gracilis for dynamic abdominal wall reconstruction after tissue loss due to severe trauma. We present a surgical technique in which the gracilis is harvested preserving the neurovascular pedicle, then tunneled underneath the adductor longus to cover the lower abdominal defect and provide it with basal muscle tone without tension on the pedicle...
September 2018: Plastic and Reconstructive Surgery. Global Open
Andreas Serner, Andrea Britt Mosler, Johannes L Tol, Roald Bahr, Adam Weir
No abstract text is available yet for this article.
January 2019: British Journal of Sports Medicine
Olivier Rager, Marlise Picarra, Emmanouil Astrinakis, Valentina Garibotto, Gaël Amzalag
A 23-year-old African native male patient presented with fever, lumbalgia and dysuria after returning from a trip to Togo. His physical examination revealed pain over the pubic symphysis and rectal tenderness on digital exam. The C-reactive protein (CRP) level was elevated along with positive blood and urinary cultures for methicillin-resistant Staphylococcus aureus . An magnetic resonance imaging that has been performed to rule out arthritis/osteomyelitis in the pubis revealed edema of the symphysis. An 18 F-FDG positron emission tomography/computed tomography supported the diagnosis of prostate infection and showed a focal uptake of the pubic symphysis, with diffuse hyper-metabolism of the insertions of the rectus abdominis and longus adductor muscles, corresponding to athletic pubalgia...
October 9, 2018: Molecular Imaging and Radionuclide Therapy
Komeil Dashti Rostami, Aynollah Naderi, Abbey Thomas
CONTEXT: Hamstring and quadriceps activity adaptations are well known in individuals with anterior cruciate ligament deficiency (ACLD) and reconstructed (ACLR) to potentially compensate for knee joint instability. However, few studies have explored hip muscles activity patterns after ACL injury. OBJECTIVE: to examine the activation characteristics of gluteus medius (GMED) and adductor longus (AL) in ACLR and ACLD subjects compared to controls. DESIGN: case-control study...
October 9, 2018: Journal of Sport Rehabilitation
Benton A Emblom, Taylor Mathis, Kyle Aune
Background: A rectus abdominis-adductor longus (RA-AL) aponeurotic plate injury, commonly associated with athletic pubalgia, sports hernia, or a core muscle injury, causes significant dysfunction in athletes. Increased recognition of this specific injury distinct from inguinal hernia abnormalities has led to better management of this debilitating condition. Hypothesis: Surgical repair of RA-AL aponeurotic plate injuries will result in decreased symptoms and high rates of return to play...
September 2018: Orthopaedic Journal of Sports Medicine
Michel De Maeseneer, Nicolas Moyson, Leon Lenchik, Erik Cattrysse, Aldo Scafoglieri, Ruben Roose, Maryam Shahabpour
OBJECTIVE: To perform an MR imaging-anatomical correlation to elucidate the anatomy of muscles, tendons, and ligaments about the hallux as seen on MR imaging. MATERIALS AND METHODS: Four fresh and 4 embalmed cadaver specimens were used for this study. The embalmed specimens and one fresh specimen were dissected by three investigators. The fresh specimens were preserved deep frozen. They were thawed and imaged with a 3 T MR system. Proton density weighted images were obtained...
September 2018: European Journal of Radiology
Kimberly Ashayeri, Nikhil Sahasrabudhe, Vladimir Galic, Aleksandar Beric, Michael Smith
STUDY DESIGN: This is a retrospective analysis of electromyographic (EMG) stimulation thresholds of 64 cortical bone trajectory (CBT) screws. OBJECTIVE: The authors seek to determine whether recordings below stimulation threshold correlate with CBT screw pedicle breach on computed tomographic imaging, and to explore which specific nerve roots are most at risk with this new trajectory. SUMMARY OF BACKGROUND DATA: Intraoperative EMG monitoring has been utilized to verify accurate placement of pedicle screws...
October 2018: Clinical Spine Surgery
Sophelia Hoi Shan Chan, Nens van Alfen, Inger Johanne Thuestad, Janice Ip, Angel On-Kei Chan, Christopher Mak, Brian Hon-Yin Chung, Aad Verrips, Erik-Jan Kamsteeg
We describe four unrelated patients with the same de novo heterozygous missense mutation c.751C>T in the DYNC1H1 gene. We found a high phenotype-genotype correlation with all four patients having early childhood-onset predominant lower limb muscle weakness and wasting which was slowly progressing and later-onset mild upper extremities proximal weakness. All four patients presented minor cognitive dysfunction with learning difficulty and developmental behavioural comorbidities with mild abnormalities in the brain MRI...
September 2018: Neuromuscular Disorders: NMD
Kohei Watanabe, Hiroyuki Nunome, Koichiro Inoue, Takahiro Iga, Hiroshi Akima
A possible link between soccer-specific injuries, such as groin pain and the action of hip adductor muscles has been suggested. This study aimed to investigate neuromuscular activation of the adductor magnus (AM) and longus (AL) muscles during instep and side-foot soccer kicks. Eight university soccer players performed the two types of kick at 50%, 75% and 100% of the maximal ball speed. Surface electromyography (EMG) was recorded from the AM, AL, vastus lateralis (VL) and biceps femoris (BF) muscles of both kicking and supporting legs and the kicking motions were three-dimensionally captured...
August 13, 2018: Sports Biomechanics
David A Krause, Joshua J Elliott, Domenic F Fraboni, Taylor J McWilliams, Rachel L Rebhan, John H Hollman
Background: The lunge is a closed kinetic chain exercise that athletes frequently use as part of training and rehabilitative programs. While typically performed on a stable surface, modifications include the use of balance platforms to create an unstable surface and suspension equipment. Suspension training exercises are theorized to be higher demand exercises and may be considered a progression from exercises on stable surfaces. Comparison of muscle recruitment between the suspended lunge and the standard lunge has not been reported...
April 2018: International Journal of Sports Physical Therapy
Nemi M Shah, Lindsey A Jackson, John N Phelan, Marlene M Corton
BACKGROUND: Mesh resection for refractory pain after transobturator midurethral sling may require exploration of structures different than those involved in insertion. Our objective was to describe the muscular and neurovascular anatomy of the medial thigh compartment. METHODS: Dissections were performed in unembalmed female cadavers. Relationships of medial thigh structures were evaluated relative to the midpubic arch and obturator nerve. An out-to-in transobturator tape was passed in a subset of cadavers, and its relationships to the obturator nerve and adductor muscles were examined...
July 24, 2018: Female Pelvic Medicine & Reconstructive Surgery
Andreas Serner, Andrea Britt Mosler, Johannes L Tol, Roald Bahr, Adam Weir
BACKGROUND: Change of direction and kicking have been described as the main actions resulting in adductor longus injury. Video descriptions of inciting events are lacking. OBJECTIVE: Perform a standardised visual video analysis of a series of acute adductor longus injuries in football. STUDY DESIGN: Cross-sectional. METHODS: Video footage was reviewed by players, and assessed independently by five sports medicine professionals...
July 13, 2018: British Journal of Sports Medicine
Kyle Feldman, Carla Franck, Christine Schauerte
INTRODUCTION: Without a definitive single pathoanatomical origin for groin pain, management is difficult. The purpose of this case report is to describe the differential diagnosis and management of an individual with a traumatic groin strain. CASE DESCRIPTION: A 47-year-old sedentary male truck driver presented to physical therapy with a 2-month history of right medial groin pain. Pushing the gas pedal and sitting were painful activities. Pain was 3-8/10 on the Numeric Pain Rating Scale (NPRS)...
July 6, 2018: Physiotherapy Theory and Practice
Myriame Bou Antoun, Gilles Reboul, Maxime Ronot, Amandine Crombe, Nicolas Poussange, Lionel Pesquer
Inguinal canal-related groin pain is common in athletes and may involve numerous structures such as the conjoint tendon and the transversalis fascia. Ultrasound is the only dynamic tool that shows the passage of preperitoneal fat at the level of the Hesselbach triangle and allows excluding true inguinal hernias. Fascia transversalis bulging and inguinal ring dilatation may also be described. MRI assesses injuries of rectus abdominis and adductor longus enthesis and osteitis symphysis but its accuracy for the diagnosis of inguinal-related groin pain remains debated...
December 2018: British Journal of Radiology
Alessandro Vidoni, Satyanarayana T V Sankara, Venkata Ramana, Rajesh Botchu
The transverse acetabular ligament is an unusual location for ganglion cysts. Only a few cases have been reported in the literature. They can be asymptomatic and represent an incidental finding or can cause an atypical pattern of hip joint/groin pain. We report a case of ganglion cyst arising from the TAL causing entrapment of the anterior branch of the obturator nerve with associated acute denervation of the abductor longus (AL), adductor brevis (AB), and gracilis muscles.
June 6, 2018: Skeletal Radiology
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