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At least 505 records · Page 28Linked to original sources
PubMed2000

Mechanical effects of continuous passive motion on the lumbar spine in seating.

The aim of this study was to develop a model which describes the mechanical spinal response to small alternating pelvic stimulation induced by an active rotational movement of a normal chair. The rotary continuous passive motion (RCPM) of the seat about a vertical axis of only 0.6 degrees resulted in an increased in spinal length as opposed to the normal daily shrinkage, and back patients experienced pain relief. Passive and active exercies have been broadly applied for treating and healing spinal disorders. A rigid body package (ADAMS Android) was used to translate the stimulation of the ischial tubersoity in caudo-cranial handing-over visualisation. The parameters of the model were set so that the values of the global stiffness and geometry of the intervertebral discs could be changed. In vivo validation of the model was based on force and moment measurements using an internal AO fixator. The predicitons of the model concerning natural frequency (4.5Hz) in vertical direction and the axial torsion response on small pelvic torsion are comparable with experimental data.

Algorithms↗
PubMed1996

Minimally united ischiopagus twins: infraumbilical union with cloacal anomalies.

In researching the embryology and pathological anatomy of conjoined twins, more than 1,200 cases were reviewed from the literature of the past 100 years; a few additional cases were obtained by personal communications. One hundred twenty-eight were classified as ischiopagus, the typical cases having union in the perineum, the pelvis, and the lower abdominal wall. Eighteen atypical ischiopagus cases, however, were conjoined only in the infraumbilical abdominal wall, none with union in the perineum or the bony pelvis but all with anomalies of the cloaca. Twelve infants survived surgery in nine of the ten cases separated since 1964. The malformations of the cloaca were not immediately life-threatening, but the death of one twin or an associated gastroschisis or ruptured omphalocele in some cases required prompt attention. The invariable involvement of the urachus and/or bladder and the shared distal ileum and colon led to the conclusion that the anomalies in these twins arose from union of the allantois and the caudal portion of the yolk sac.

Allantois↗
PubMed1988

Perineal urethrocutaneous fistula complicating ischiectomy.

The role of ischiectomy for the repair and/or prevention of ischial ulcers is controversial. We report a rare complication of a perineal urethrocutaneous fistula following ischiectomy and flap closure to repair an ischial ulcer. This complication and its management are reviewed.

Adult↗
PubMed1987

Urethral complications following ischiectomy in spinal cord injury patients: a urethral pressure study.

Ischial ulcers are the most common pressure sores in spinal cord injury patients and ischiectomy often is used in the over-all management. Because a high percentage of spinal cord injury patients with total ischiectomy had complications of the membranous and proximal bulbous urethra, we evaluated urodynamically 15 ischiectomy patients in the supine and sitting positions to determine if pressure usually borne by the ischial tuberosities was transmitted to the membranous and proximal bulbous urethra. Of the 8 patients with a complete ischiectomy at least on 1 side 5 had problems of the membranous and proximal bulbous urethra, and the average urethral pressure increase from the reclining to the sitting position was 111 cm. water. The increase in urethral pressure was not related to any change in bladder or abdominal pressure. The average urethral pressure increase in the nonischiectomy patients was only 16 cm. water and none had any problems of the membranous and proximal bulbous urethra. Some retrospective clinical studies have implicated ischiectomy in the development of these urethral complications. Our urodynamic data lend some direct evidence that a more complete ischiectomy results in excessive urethral pressure with the patient in the sitting position, thereby predisposing the membranous and proximal bulbous urethra to problems related to ischemia. Five of the 8 patients with more complete ischiectomy and 1 with bilateral partial ischiectomy had high urethral pressures and complications, such as pseudodiverticulum, diverticulum and dilatation. More incomplete ischiectomy should be used to obviate this urethral damage.

Humans↗
PubMed1953

Pericystitis.

Explore the source record for details and available documents.

Cystitis↗
PubMed1999

Fatal Clostridium sordellii ischio-rectal abscess with septicaemia complicating ultrasound-guided transrectal prostate biopsy.

Clostridium sordellii is a Gram-positive spore-forming anaerobic bacillus rarely encountered in human infection. A case of C. sordellii ischio-rectal abscess with rapidly fatal septicaemia is described which complicated ultrasound-guided transrectal biopsy of the prostate, despite ciprofloxacin prophylaxis. Neither C. sordellii ischio-rectal abscess nor ischio-rectal abscess complicating transrectal biopsy have been reported previously. Judging from our experience and the reviewed literature, the addition of prophylactic anti-anaerobe drugs should be strongly considered until an optimal prophylactic regimen will be defined by randomized controlled trials.

Abscess↗
PubMed2000

MR imaging of the ischiopubic synchondrosis.

The ischiopubic synchondrosis (IPS) is a temporary joint, occurring in childhood prior to fusion of the ischial and pubic bones. On conventional radiographs this tumor-like appearance is a well known normal anatomic variant, however, there are no reports in the literature of the appearance of IPS on MRI. Therefore the purpose of this study was to evaluate typical magnetic resonance features of the IPS. All pelvic MRIs from 1/1992 to 4/1998 of children ranging in age from 4 to 16 years, who were scanned for reasons other than bone disorders, were retrospectively investigated. Twenty-eight children were included and the morphologic appearance of IPS on MRI was evaluated. Seventeen (61%) of these 28 children had the following findings of IPS on MRI. Listed in order of frequency we found signal alteration of the ischiopubic fusion zone [hyperintense on T(2) with fat-saturation (89%) or STIR (74%), hypointense on T(1) (71%)], fibrous "bridging" (68%) [hypointense band on all sequences in perpendicular orientation to the axis of the inferior pubic ramus], fusiform swelling (68%), signal alteration of the adjacent soft tissue (57%) and irregular margins (56%). In 10 children contrast enhanced scans were available for evaluation, showing contrast enhancement of the bone marrow in 83.3% and of the adjacent soft tissue in 66.7%. Fusiform swelling of the ischiopubic fusion zone, signal alteration and contrast enhancement of both the bone marrow and the adjacent soft-tissue are characteristic features of the IPS on MRI, which may be due to mechanical stress at this temporary joint. These features are nonspecific and may resemble tumor, infection or trauma. Fibrous "bridging" was the only finding on MRI, which has not been described for any other entity and thus, it seems to be a characteristic MRI-feature.

Adolescent↗
PubMed2001

[Expression of sexual dimorphism in the fetal pelvic girdle].

The objective of this study was to analyse the development of the foetal pelvis in order to define normal anatomic reference values as a function of gender and gestational age. The study population included 500 stillborn foetuses between the gestational ages of 18 and 41 weeks. Those foetuses without known demographic histories were strictly excluded. For each case studied, an AP radiograph was performed with the following parameters measured by two independent observers: pelvic width, inter-iliac width, inter-sciatic nodes, inter-pubic width and bi-ischial width. The correlation between these radiographic measurements and the gestational age as well as the gender was analysed. The result indicated that the inter-ischiatic distance is significantly greater in the female foetus after the 26-27th week of gestation (P < 0.0062). Standard growth for the female and the male foetal pelvis is proposed with potential application in the study of normal and pathological development of the foetus.

Embryonic and Fetal Development↗
PubMed1997

[Dynamic postural adjustments associated with the development of isometric forces in sitting subjects].

The present study was undertaken to determine whether dynamic postural adjustments in sitting subjects occur during the development of isometric forces and whether the performance, i.e., the maximal isometric force, is related to the surface of contact of the ischio-femoral region with the seat. The subjects were asked to exert maximal horizontal two-handed isometric pushes on a bar. External force (Fx), antero-posterior reaction force (Rx) and antero-posterior displacement of the center of pressure (Xp) were measured continuously during the development of isometric forces, the subsequent hold state lasting 5 s. Two postural conditions were studied that differed by the ischio-femoral contact with the seat (100 or 30%), the foot support being bipodal (BP). It was observed that: a) Fx and Rx increased during the development of isometric forces while Xp moved backwards; b) the instantaneous variations in Fx, in relation to Rx and Xp were linearly related; c) the maximal force reached at the end of the ramp effort and the maximal values of Rx and Xp were significantly increased when the ischio-femoral contact was reduced from 100 to 30 BP. It is concluded that isometric ramp efforts are accompanied by dynamic postural adjustments and that the greater these adjustments, the larger the maximal isometric force. These observations are interpreted as supporting the view that any variation in the external force perturbs the balance of the subject, and that the maximal value of this force depends on the intensity of the dynamic postural counter-perturbation.

Adult↗
PubMed1992

An anatomical investigation of the muscles of the pelvic outlet in iguanas (Iguanidae Iguana iguana) and varanus (Varanidae Varanus (dumerillii)) with special reference to their nerve supply.

Five pelvic halves from three male iguanas (Iguanidae Iguana iguana) and two pelvic halves from one male varanus (Varanidae Varanus (dumerillii)), were dissected in order to obtain detailed data on the relationship of the lumbosacral plexus and the muscles of the pelvic outlet. According to the positions of the passage of the metazonal nerves, the nerves can be divided into three groups: 1) the nerves passing dorsal to the caudofemoralis muscle, 2) the nerves passing between the caudofemoralis and the caudoischiadicus major, 3) the nerves passing ventral to the caudoischiadicus major. In consideration of the sites of origin from the lumbosacral plexus, a stratificational analysis can be proposed; group 1 arises craniodorsal to group 2, and group 3 caudoventral to group 2. It is suggested that the pelvic outlet muscles (caudofemoralis, quadratus caudae, obliquus cloacae, transversus cloacae profundus, retractor penis, caudoischiadicus major, and the caudoischiadicus minor) are derived from the ventral muscles of the posterior limb, and have moved caudally concomitant with the caudal migration of the cloaca.

Animals↗