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At least 433 records · Page 24Linked to original sources
PubMed1977

[Pelvic fractures in children: clinic, late results, biomechanic (author's transl)].

From 1917--1976 68 pelvis fractures of children (up to 14 years) were hospitalized at the department of Surgery, University of Göttingen. About 75% were traffic accidents. The lesions prefer the iliosacral joints, symphysis and the biogenic connections. Experimental compressions confirm the clinical fractures. The controls show sufficient subjective results. Because of pelvis dislocation and scoliosis controls are necessary.

Accidents, Home↗
PubMed1979

Measuring of pressure forces in sitting.

We were able to re-examine already known facts in tests of pressure areas in seats by using a new analytic system. It was shown that only in backrest seat angles of 90 and 110 degrees pressure areas below the ischial tuberosities were clearly defined. The transition area of zones of high to medium pressure was sharply defined with these angles. In the anterior position and with large backrest seat angles high pressures were not found and the transition areas between zones of medium and low pressure became fluent. Only the pressure distribution pattern in the 90 and 110 degrees position is physiologic and corresponds to the pressure tolerance of different parts of the human body in seats. This pattern has to be maintained principally in a contoured and upholstered seat.

Adolescent↗
PubMed1994

Avulsion fractures of the pelvis in children: a report of 32 fractures and their outcome.

Avulsion injuries of the apophyses of the pelvis are mainly athletic injuries and are usually seen in adolescents. In a series of 80 pelvic fractures in children seen and managed in The Royal Liverpool Children's Hospital, Alder Hey, in the last 10 years, 32 avulsion fractures in 25 patients were diagnosed and treated. Twenty-two of these patients were followed for an average of 44 months (range 4-120 months). Eight (33%) were girls, a higher proportion than in other published series. The average age of the children was 13.8 years. These fractures, though generally regarded as trivial injuries, have left disability persisting into adult life, with limitation of sporting ability in 10 of the 22 patients and persistent symptoms in 6, mostly in those with ischial avulsion injuries. Fourteen patients with acute injuries needed hospitalisation, with an average stay of 5 days. The other 11 were suffering from chronic traction injuries sustained in sport. This distinction between acute and chronic injuries has not been emphasized in the other reviews. The radiological appearances, diagnostic problems and morbidity are discussed in order to increase awareness of these injuries.

Adolescent↗
PubMed1996

Posttraumatic gluteal epidermal cyst with ischiorectal and presacral extension.

An unusual case of rapid-growing posttraumatic gluteal epidermal cyst with ischiorectal and presacral extension is reported. Pertinent clinical history and magnetic resonance imaging allowed accurate preoperative diagnosis. Cautious complete excision was important to prevent recurrence. To our knowledge, posttraumatic gluteal epidermal cyst with this unusual clinical presentation has not been described previously.

Adult↗
PubMed1993

Spontaneous regression of aneurysmal bone cyst. A case report.

Generally, aneurysmal bone cyst is considered to be a benign lesion that occurs rarely. Its etiology and treatment vary considerably, but curettage and grafting is the widely accepted treatment. Due to the nature of the disease recurrence is always expected. It rarely regresses and we report here a case that showed an improvement spontaneously after open biopsy. Follow-up for more than 4 years has shown no progression.

Bone Cysts↗
PubMed1997

Successful separation of thoraco-omphalopagus and ischiopagus tetrapus twins in Korea.

A pair of male thoraco-omphalopagus twins with common liver, diaphragm, pericardium, and sternum was separated at the age of 59 days after a parasitic relationship had developed between them. Before separation one baby developed acute renal failure during which he had no edema and had normal serum electrolytes, urea nitrogen, and creatinine due to "autodialysis" by the other baby. The boys have now grown normally to the age of 6 years. A pair of female ischiopagus tetrapus twins who had a common terminal ileum and colon with imperforate anus was separated at the age of 20 h. The smaller baby had congenital multiple arthrogryposis of both lower extremities, a fracture at the middle of the left femur, and a double vagina with hydrocolpos due to an imperforate hymen of the right vagina and a rectovaginal fistula on the left. Posterior sagittal rectoplasties were performed at 7 months of age in both babies. They have normal bowel movements. All four children are alive and developing normally. These are the first two case reports of successfully separated conjoined twins in Korea.

Abnormalities, Multiple↗
PubMed1991

The anatomical basis and prevention of neurogenic voiding dysfunction following radical hysterectomy.

The disorder of neurogenic dysfunction is one of the most important complications of radical hysterectomy. In order to prevent this potential complication, the authors have studied the composition and layers of the pelvic paravisceral structures. The nerve branching and distribution of the pelvic plexus of 12 adult female cadavers were analyzed. From lateral to medial the pelvic paravisceral structure is made up of three layers. The lateral layer is the pelvic visceral fascia, the middle, a vascular layer, and the medial one, a nervous one which consists of the pelvic plexus and subsidiary plexuses. The pelvic plexus and subsidiary plexuses are laid closely to the lateral walls of pelvic organs. The ischial spine was taken as the central point and two perpendicular lines penetrating through the ischial spine were used as the longitudinal axis and transverse axis. According to these landmarks, the pelvic plexus could be divided into three parts: behind the longitudinal axis are the roots of the pelvic plexus, near the longitudinal axis is the uterovaginal plexus, and in front of the longitudinal axis are the branches distributed to bladder and urethra. The pelvic plexus and the uterosacral and cardinal ligaments are closely related. The pelvic and subsidiary plexuses can be damaged in radical hysterectomy and voiding dysfunction may then develop. Some anatomic bases are provided to explain and hopefully prevent this from happening.

Adult↗
PubMed1993

Anatomical observations of spurs of the tuber ischiadicum.

In a study of 101 human pelves, 8 pelves (only males) were found with ossification in the area of the ligamentum sacrotuberale. Seven of these showed a characteristic and similar morphology and could be considered to be periosteal exostoses. The term "spur of the tuber ischiadicum" is proposed for this manifestation. There was a single case of metaplastic ossification, possibly of traumatic origin. Hence, not all ossifications in the area of the ligamentum sacrotuberale can summarily be classified as a spur of the tuber ischiadicum; careful discrimination is essential in every case.

Calcinosis↗
PubMed1991

Sciatic hernia with incarcerated ileum: CT and radiographic diagnosis.

An elderly woman presented with postprandial cramps in the right lower abdomen and recurrent episodes of low back pain radiating down to the dorsal aspect of her right thigh. Computed tomography (CT) of the pelvis and barium enema with small bowel reflux demonstrated the herniation of an ileal loop through the greater sciatic foramen on the right side. The diagnosis and management of this case are herein described and previous publications on sciatic hernias are reviewed.

Aged↗
PubMed1993

Transobturator aorto-profunda femoral artery bypass using the direct medial thigh approach.

We present a novel technique for aorto-profunda femoral artery bypass using both the obturator foramen and the direct medial thigh approach to the profunda femoral artery in a patient with an infected femoral graft and limb-threatening ischemia. This patient has undergone multiple bypass grafts to salvage function of his lower extremities, but these standard anatomic and extra-anatomic bypasses had failed because of graft infections. The technique as well as the surgical anatomy are described. The combination of the transobturator aorto-profunda femoral artery bypass and the direct medial approach to the profunda femoral artery is technically feasible, provides adequate outflow for limb salvage in selected patients with good collateral arteries, offers acceptable long-term patency, and is particularly useful when the groin is hostile to dissection or graft material and the superficial femoral and popliteal arteries are occluded.

Aorta↗
PubMed1993

Vaginal occlusion induced by cancer therapy.

Two adolescent girls with acquired vaginal occlusion and resultant hematometracolpos are presented. Both are long-term survivors of childhood malignancies, who prior to multiagent chemotherapy and pelvic irradiation had normal uteri by imaging. Both were amenorrheic post therapy. Routine follow-up computed tomography (CT) scans to monitor their malignancies demonstrated unexpected cystic pelvic masses, subsequently diagnosed as hematometracolpos.

Adolescent↗
PubMed1995

Radiological features in a case of Münchausen syndrome by proxy.

Munchausen syndrome by proxy is a type of child abuse which is usually diagnosed on clinical grounds. In occasional instances, radiological diagnosis plays a role in the recognition of this disorder. We present the radiological findings in a child with an unusual osteomyelitis owing to Münchausen syndrome by proxy.

Child, Preschool↗
PubMed2000

Ischiorectal fossa block decreases posthemorrhoidectomy pain: randomized, prospective, double-blind clinical trial.

PURPOSE: Hemorrhoidectomy can be associated with severe pain in the immediate postoperative period. The aim of this study was to assess the efficacy of a preemptive local anesthetic, ischiorectal fossa block, in the reduction of pain and analgesic requirements after hemorrhoidectomy. METHODS: All patients were suitable for an established day surgery hemorrhoidectomy protocol. Immediately before surgery patients were randomly assigned either to receive (Group 1) or not receive (Group 2) the local anesthetic block. All other aspects of surgery and anesthesia were standardized. Nursing staff assessed pain at 30 minutes and 2, 4, and 24 hours postoperatively using a visual analog scale (1-10, where 1 represented no pain and 10 represented the worst pain imaginable). Analgesic requirements also were recorded at these times. Both the patients and the nursing staff were blinded to which local anesthetic protocol had been used. RESULTS: Twenty patients were enrolled in the trial. Ten patients were randomly assigned to Group I and ten to Group 2. Mean pain scores for Group 1 (anal block) at 0.5, 2, 4, and 24 hours were 1.5, 1.8, 2.1, and 2.5, respectively, compared with Group 2, with mean pain scores of 3.4, 3.4, 3.9, and 5.1. These differences were statistically significant. Patients in Group 1 used less analgesia in the first 24 hours postoperatively than those in Group 2. CONCLUSION: The use of a preemptive local anesthetic, ischiorectal fossa block, is associated with a significant decrease in pain and analgesia requirements after hemorrhoidectomy.

Adult↗
PubMed1988

The scintigraphic and radiographic appearance of the ischiopubic synchondroses in normal children and in osteomyelitis.

Five cases of hematogenous osteomyelitis of the ischiopubic synchondrosis (IPS) were encountered among 180 patients with osteomyelitis treated over a 5-year period. Symptoms were poorly localized in all these IPS osteomyelitis patients. The IPS can normally show expansion and irregular mineralization radiographically and focal hyperconcentration of radiophosphates on scintigrams. Findings are frequently asymmetrical negating comparison with the contralateral side. In the cases of osteomyelitis, radiographs were abnormal at the time of presentation in only one of these five cases. In two of the four patients who had radionuclide bone scans, activity at the IPS exceeded that seen in a normal control population, but all showed loss of definition of the IPS and regional increased uptake permitting an early diagnosis.

Adolescent↗