Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Ischium”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 181 records · Page 10Linked to original sources
PubMed1984

Congenital dislocation of the hip and computerised axial tomography.

CT scans of 18 hips with typical congenital dislocation have been studied in 16 children. These show that the common position of dislocation is lateral, superior and slightly anterior, and that a "false acetabulum" can be distinguished even in young children. A defect in the posterior ischium causing distortion of the acetabulum was also present in most cases. The cartilage and the acetabular contents were well shown. Positions of reduction and the anteversion of the acetabulum and the femoral neck were studied. Hypotheses are presented on the mode of dislocation and on the cause of the pathological changes.

Acetabulum↗
PubMed2000

Ischio-pubic index in adult black Malawians.

OBJECTIVE: To determine the ischiopubic index in adult black Malawians. DESIGN: A retrospective study on patients investigated in two hospitals and skeletal specimens from the College of Medicine, University of Malawi. SETTING: Radiographs of pelvis were collected from the archives of Queen Elizabeth Central and Seventh Day Adventist Hospitals in Blantyre city and available skeletal specimens from the Department of Anatomy, College of Medicine, University of Malawi. SUBJECTS: Antero-posterior x-ray films of pelvis of 255 adult subjects aged between 18 and 65 years were studied. MAIN OUTCOME MEASURES: The ischio-pubic index was used to determine the sex of the individuals. RESULTS: The mean ischio-pubic index of females was significantly greater than that of males (p<0.001). The mean length of female pubis was significantly longer than for males (p<0.001), and similarly the mean length of the ischium in males was significantly longer than that of females (p<0.001). Using the x-ray films, sex could be accurately assigned to 87.8% of males and 100% of females while with the skeletal bones, sex could be assigned to 92.3% males and 100% females. CONCLUSION: The ischio-pubic index was used to determine sex in adult black Malawians. We recommend this simple and less sophisticated method in medico-legal cases in Africa and other developing countries.

Adolescent↗
PubMed1992

[An ischiorectal abscess due to Actinomyces].

Actinomycosis is a chronic granulomatous inflammatory disease, with fistulization tendency, caused by Actinomyces. The clinical observation in presented of a patient with intermittent fever of three weeks duration, associated to pain and functional impotence of the right hip, observing with CT Scan an ischium-rectal abscess. After spontaneous fistulization, Actinomyces israelii was isolated in the biopsy sample by culture in anaerobic medium, confirming the diagnosis by anatomo-pathology. The patient was treated with intravenous penicillin for six weeks, followed by six months of oral treatment with which the symptoms disappeared and the radiological images normalized. Bone infection ranges between 1 and 15% of total actinomycosis.

Abscess↗
PubMed2006

The ischiatic region: normal and MRI anatomy.

AIM: The aim of this study was to describe the anatomy correlated to the normal magnetic resonance imaging (MRI) images of the proximal thigh region and the ischial tuberosity. METHODS: MRI coronal and axial sequences were obtained from 20 asymptomatic volunteers (10 male and 10 female) aged 20 to 38 years (mean age: 28 years), and then they were compared with 2 anatomical dissections and 7 cryosections of 6 cadaver thighs. RESULTS: The anatomical specimens were directly correlated with MRI scans. From the comparison it could be seen how the axial MRI sequences well outlined the sciatic nerve, usually observed oval in shape with moderate signal intensity, and thus easily detectable from other surrounding organs. Other structures were also identified by axial images: the ischial tuberosity, the proximal origin of the hamstring muscles arising from the ischium and the related bursae, the gluteus maximus and its bursa, the quadratus femoris and its inconstant bursa, a triangular adipose body and vessels. Coronal scans also showed well the hamstring muscles, both in length and thickness. CONCLUSIONS: Both MRI images and cadaver dissections showed the ischial tuberosity as an interesting intersection area that could be delimited as follows: on the dorsal border the gluteus maximus and its bursa, on the dorso-medial side the hamstring muscle origin, and on the antero-lateral side the quadratus femoris muscle with its inconstant bursa and the ischial tuberosity. These anatomical and MRI descriptions are very useful to give a contribution to the right explanation of sciatic symptoms caused by those sports specifically overloading the hamstring muscles. Frequently, in fact, in these athletes a sciatic syndrome arise drawing the physician's attention to the lumbosacral joint or to the sciatic nerve course near the piriformis muscle. Another very important site where the sciatic symptoms can rise, indeed, could also be found in the hamstring muscle region, where the nerve run under the gluteus maximus beside the ischiatic bone. Athletes who manifest notorious muscle overload in this anatomical region usually show sciatic pain symptoms that are not to be related with pathologies of the lumbosacral junction nor to relationships of the sciatic nerve with the piriformis muscle but rather to relationships that this nerve acquires with either gluteal muscles as well as with muscles of the underneath ischiatic region.

Adult↗
PubMed1991

Roentgenographic assessment of skeletal ages of Asian junior youth football players.

Skeletal age of 50 football players participating in the Asian Junior Youth Tournament was assessed in an attempt to verify their stated chronological age to have a fair competition. Roentgenograms of hand and wrist (Greulich - Pyle standards), ilium and ischium were used for evaluation. More than half of the players had a bone age over the 16 year age limit of the Tournament and 30 percent of them had reached the maximum skeletal maturity of 19 years of age or over. Skeletal age is a reliable and dependable guide for assessing the physical maturity in this age group provided that proper local or international standards are set up.

Adolescent↗
PubMedDate not supplied

[Surgical treatment of bedsores, trophic ulcers and osteomyelitis in patients with injuries of the spine and spinal cord].

Bedsores, trophic ulcers, and osteomyelitis in 250 patients with injury of the spine and spinal cord were treated by surgery. Surgical treatment of bedsores in the sacral region with a skin graft in which all the layer and the subcutaneous fat are preserved and which has independent circulation proved most effective. The graft was formed from the lumbar or gluteal region and transposed to the skin defect formed after removal of the nonviable skin areas and scars. In the region of the greater trochanters the grafts were formed from the adjacent to the bedsore tissues of the gluteal region or thigh and the greater trochanters involved in the osteomyelitic process were resected. The surgical management of bedsores in the region of the ischial tuberosities consisted in excision of the skin margins of the bedsore together with the infectious granulomas, bursae, and the cicatrico-granulomatous tissue. In osteomyelitis of the ischium and bedsores in the gluteal region, the bone was resected. A total of 54 resections of the ischial in 47 patients were carried out.

Adult↗
PubMed1983

Determination of sex with a discriminant analysis of new pelvic bone measurements: Part I.

The pelves of 100 black skeletons were measured on both sides for the following: (1) length from the superiormost aspect of the pubic symphysis to the nearest rim of the acetabulum (PS-A), (2) length from the highest point of the pubic tubercle to the nearest rim of the acetabulum (PT-A), (3) acetabular diameter (AD), (4) the vertical distance from the anterior aspect of the ischial tuberosity to the farthest rim of the acetabulum (IT-A), and (5) greatest femur head diameter. From these, three indices were derived: AD/PS-A (acetabulum/pubis index), AD/PT-A (acetabular diameter/pubic tubercle-acetabular rim index), and IT-A/PS-A (ischium-acetabulum height/pubic symphysis-acetabular rim index). The left AD/PS-A ratio and left IT-A height proved statistically to be of greatest discriminating value. Using these two variables, a discriminant function was derived which, followed by sorting with femur head diameter, accurately classified 97% of our sample. The acetabulum/pubis index alone with subsequent sorting by femur head diameter correctly assigned 96% of our sample. While this does not represent an improvement of predicatability over similar methods using the ischium/pubis index, measurements required for the acetabulum/pubis index are more easily defined and should, therefore, reduce the chance of observer error.

Acetabulum↗
PubMed1982

[Serous ischial bursa].

The ischial bursa (Bursa ischiatica) lies on the posterior aspect of the tuberosity of the ischium at the level of the origin of the hamstring muscles. Its relations with the inferior fibers of the musculus gluteus maximus vary with the degree of the hip's flexion. Its role in the sitting position explains the specific bursitis when medullar lesions disturb the normal physiology of this posture.

Hip Joint↗
PubMed1994

Total innominatectomy for chondrosarcoma innominate.

Internal hemipelvectomy or innominatectomy is a preferred alternative to hindquarter amputation for malignant tumours of the pelvis. Various segments of the pelvis have been removed surgically leaving the lower limb with residual segments of the pelvis in treatment of such tumours. We herewith present a case of total innominatectomy, i.e. dis-articulation at the pubic symphysis and sacroiliac joint for surgical clearance and treatment of a chondrosarcoma of the Innominate bone. The tumour extended from just in front of the sacroiliac joint to the ischium and warranted such a complete resection.

Adult↗
PubMed1998

Osteosarcoma of the pelvis. Oncologic results of 40 patients.

The cases of 40 patients with osteosarcoma of the pelvis treated between 1977 and 1994 were reviewed. The location of the tumor was ilium in 30 patients, ischium in four, pubis in one, and sacrum in five. Most (58%) of the tumors were of the chondroblastic subtype. Thirty patients had surgical excision of the tumors: 10 with hemipelvectomies and 20 with limb sparing procedures. A wide margin was achieved in 16 of 30 (53%) patients, including 12 of 14 who had no sacral tumor involvement. Positive margins occurred at the sacrum in 11 patients, lumbar vertebra in one, perirectal space in one, and contralateral pubic body in one. Macroscopic tumor emboli within the regional large vessels were found in seven patients. The incidence of local recurrence was 32%: 13% in wide excisions, 38% in marginal excisions, and 80% in intralesional excisions. The 1- and 5-year overall patient survivals were 73% and 34%, respectively. Patients who had a surgical excision of the primary tumor had a significantly better survival than did those treated without surgery (5-year survival; 41% and 10%, respectively). Tumor size, surgical excision of the primary tumor, surgical margin, and type of surgical procedure were the prognostic factors for patients with Stage IIB tumors.

Adolescent↗
PubMed1998

[Giant-cell tumor of bone].

Giant-cell bone tumors are a rare entity. Only 7.5 to 15% are malignant tumors and correspond to 0.5% of all primary malignant bone tumors. This case report has an unusual localization (ischium) for this kind of tumor (+/- 0.6%). The patient was treated with radiotherapy alone, because local extension of the disease would require very aggressive surgery with functional implications. Ten years after treatment, the patient is alive without clinical evidence of disease, and without functional impairments.

Bone Neoplasms↗
PubMed1987

Composite pelvic resection. An approach to advanced pelvic cancer.

The definition of resectability has changed in the management of advanced pelvic malignancy. Most tumors previously considered unresectable can be removed by a function-preserving composite resection of the pelvis. We have performed resection in 55 such patients. Most had posterior pelvic tumors (47 patients), had previously undergone irradiation, and required a combined sacral resection. Included were patients with recurrent or locally advanced rectal cancer (32 patients), epidermoid cancer of the anorectum (seven patients), and primary pelvic malignancies (eight patients). Most had good functional recovery. The five-year actuarial survival rate was 23% (five of 25 patients survived longer than 51 months) in the patients with resected rectal cancer and 14% (one of seven patients) in the patients with resected anorectal carcinoma. Five of eight patients with primary tumors survived longer than 48 months. Lateral pelvic resections were done for five tumors that involved the ileum or ischium, and anterior resection was done in three patients for malignancy that involved the symphysis and rami. Four of these patients were living three to six years after surgery. The overall mortality rate was 7% (four of 55 patients). Composite pelvic resections can provide good local control with preservation of limb function in most patients with primary or secondary tumors of the bony pelvis.

Adult↗
PubMed1996

Sex differences in the sciatic notch of great apes and modern humans.

The sciatic notch has been widely used as a sexing criterion in modern humans. In order to better understand the sex differences of this feature in modern humans and great apes, four measurements of the sciatic notch were taken on samples of modern humans and great apes of known sex. Univariate (ANOVA) analysis and discriminant function analysis were performed on the extant taxa to determine: (1) the discriminating power of each variable in these samples of known group membership; and (2) which of these extant taxa shows the best discrimination between the sexes for the sciatic notch. Of the four extant taxa, the sciatic notch of Homo sapiens is the most sexually dimorphic, followed by Gorilla gorilla, and more weakly by Pongo pygmaeus, while Pan troglodytes is the least dimorphic of these taxa. Since the presence of a well defined sciatic notch is a hominid trait resulting from the dorsal extension of the posterior ilium, the close approximation of the sacrum to the acetabulum, the shortened ischium, and the accentuation of the ischial spine as part of the bipedal adaptation, it seems likely that the configuration of the sciatic notch in hominids was initially related to bipedalism, not reproduction. The development of sex differences in the sciatic notch of modern humans is more likely to have occurred after the transition to bipedality.

Analysis of Variance↗
PubMed1998

Sonographic findings in aneurysmal bone cyst in children: correlation with computed tomography findings.

PURPOSE: This study compares the value of sonography and computed tomography (CT) in assessing fluid-fluid levels (FFLs) in aneurysmal bone cysts (ABCs) in children. METHODS: Five children 4-13 years old with ABC in pubis, humerus, fibula, calcaneus, and ilium-ischium were studied between January 1995 and December 1996. Plain radiography, sonography, and CT were performed. RESULTS: FFLs were visualized equally or better with sonography than with CT. CONCLUSIONS: We propose that sonography be used to complement plain radiography in the prebiopsy assessment of expansile bone lesions with cortical bone thinning because the presence of FFLs is characteristic of ABC. CT and/or magnetic resonance imaging could be used in indeterminate cases and in complex anatomic locations. Such an approach would save time and reduce costs and discomfort to children.

Adolescent↗
PubMed1999

Expression of the paired-box genes Pax-1 and Pax-9 in limb skeleton development.

Vertebrate Pax genes encode a family of transcription factors that play important roles in embryonic patterning and morphogenesis. Two closely related Pax genes, Pax-1 and Pax-9, are associated with early axial and limb skeleton development. To investigate the role of these genes in cartilage formation we have examined the expression profiles of Pax-1 and Pax-9 in developing chick limb mesenchyme in vivo and in vitro. Both transcripts are detected by reverse transcription polymerase chain reaction and Northern blotting throughout chick limb development, from the early bud stages (Hamburger-Hamilton 20-23) to fully patterned appendages (stage 30). Whole-mount in situ hybridization reveals complex, nonoverlapping expression domains of these two genes. Pax-1 transcripts first appear at the anterior proximal margin of the limb buds, while Pax-9 is expressed more distally at what will be the junction of the autopod and the zeugopod. In situ hybridization to serial sections of the girdles reveals that in the pectoral region Pax-1 is expressed proximally in condensed mesenchyme surrounding the junction of the developing scapula, humerus, and coracoid. In the pelvis, Pax-1 is expressed between the femur and the developing acetabulum and along the ventral edge of the ischium; this transcript was also found in the distal hindlimb along the posterior edge of the fibula. Pax-9 transcripts were not detected in the pectoral girdle at any stage, and only weakly in the pelvis along the ventral ischial margin. In the distal parts of both wings and legs, however, Pax-9 is strongly expressed between the anterior embryonic cartilages (e.g., distal radius or tibia) and the anterior ectodermal ridge. The expression of both genes was strongest in undifferentiated cells of precartilage condensations or at the margins of differentiated cartilages, and was absent from cartilage itself. In micromass cultures of chondrifying limb bud mesenchyme expression of Pax-1 and Pax-9 is maintained for up to 3 days in vitro, most strongly at the end of the culture period during chondrogenic differentiation. As seen in vivo, transcripts are found in loose mesenchyme cells at the outer margins of developing cartilage nodules, and are absent from differentiated chondrocytes at the nodule center. Taken together, these investigations extend previous studies of Pax-1 and Pax-9 expression in embryonic limb development while validating limb bud mesenchyme culture as an accessible experimental system for the study of Pax gene function and regulation. Our in vivo and in vitro observations are discussed with reference to 1) the relationship between somitic and limb expression of these two Pax genes, 2) what regulates this expression in different regions of the embryo, and 3) the putative cellular functions of Pax-1 and Pax-9 in embryonic skeletogenesis.

Animals↗
PubMed1997

Chondroblastoma of bone: use of fine-needle aspiration biopsy and potential diagnostic pitfalls.

Chondroblastoma of bone is a well-characterized entity. When the radiographic features are classic and the lesion is present in typical locations (i.e., epiphysis of a long bone), the diagnosis is often easily established by fine-needle aspiration biopsy and/or surgical curettage. Tumors in unusual locations, in older patients, or when complicated by aneurysmal bone cysts may pose more diagnostic difficulty. We report four examples (three primary and one-recurrent) of chondroblastoma of bone diagnosed by fine-needle aspiration biopsy. All patients were men, ranging from 18 to 28 yr of age. Sites of involvement included the acromion process of the scapula, left humerus, right ischium, and left distal femur. Three of the tumors were diagnosed as chondroblastoma on fine-needle aspiration cytology; the fourth case, involving the scapula, consisted mostly of a large aneurysmal bone cyst and remained unrecognized until surgical curettage was performed. Typical-appearing chondroblasts were present in three of the cases; osteoclast-type giant cells were observed in all four cases. Matrix material consistent with chondroid was also identified in all cases. We believe that in the absence of inflammatory cells, the presence of classic-appearing chondroblasts, even without chondroid matrix, is sufficient for a diagnosis of chondroblastoma of bone.

Adolescent↗
PubMed1997

Osteology and skeletal development of Discoglossus sardus (Anura:Discoglossidae).

Although frogs in the archaeobatrachian family Discoglossidae are reasonably well known, descriptions of their larval skeletons and osteogenesis are almost nonexistent. Skeletogenesis, chondrocranial development, and the adult skeleton of Discoglossus sardus are described on the basis of cleared and stained, dry, and radiographed specimens. In D. sardus, the first elements to ossify are the parasphenoid, frontoparietals, exoccipitals, neural arches, ischium, long bones, and dermal elements of the pectoral girdle (Gosner Stage 36). Major reconstruction of the chondrocranium begins at the onset of metamorphosis (Stage 41), contemporaneous with the ossification of the premaxillae, maxillae, vomers, and septomaxillae. Several cranial (e.g, pterygoid, mentomeckelian, sphenethmoid) and postcranial (e.g., carpals, hyoid) elements do not commence ossification until metamorphosis (Stage 46). Discoglossids are characterized by the presence of a facial foramen in the lateral wall of the chondrocranium, a rod-like epipubis developing from two primordia, and the lack of a neopalatine bone. Adult male Discoglossus possess an enlarged, crested metacarpal II and a broad prepollical element. This detailed description serves as a model to compare the development of other discoglossid frogs and provides detailed descriptions of several enigmatic structures.

Anatomy, Artistic↗