Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “THIGH”

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 559 records · Page 31Linked to original sources
PubMedDate not supplied

[Giant atypical muscle-involving lipoma of the right thigh: a case report and review of the literature].

The clinical case reported here concerns a giant lipoma (22 x 12 x 10 cm; 2740 g) located in the distal region of the right thigh, in a subfascial zone. The patient was referred to our department for a relapse of thrombophlebitis of the right lower limb (occurring about two years earlier) and presented a large tumefaction of the mid third of thigh at objective examination, the presumed onset of which dated back about ten years after a traumatic accident. Ultrasonography confirmed the presence of the tumefaction but did not allow us to identify its origin with certainty. Musculoskeletal magnetic resonance imaging, however, revealed a gross expansive lesion closely connected to the distal part of the femur, suggesting its probable benign nature. The mass was totally resected without either muscle section or the sacrifice of periosteum. The histological findings indicated an atypical lipomatous tumour. The therapy of giant lipomas is invariably surgical excision. Nevertheless, the high risk of relapse (which is typical of this kind of neoplastic proliferation) despite radical resection, makes a systematic postoperative follow-up necessary.

Humans↗
PubMed2005

The pudendal thigh fasciocutaneous flap for vaginal atresia reconstruction.

Vaginal defects can either be congenital or acquired due to tumor or trauma. The reconstructions are aimed in producing a good physical and functional result with the least donor site morbidity. The pudendal thigh flap is a sensate fasciocutaneous flap based on the terminal branch of the superficial perineal artery, the continuation of the internal pudendal artery. Although various flaps have been described for vaginal reconstruction, the pudendal thigh flap offers a very attractive alternative.

Adolescent↗
PubMed2006

[Clinical application of the anterolateral thigh flap in 112 patients].

OBJECTIVE: To investigate the anatomic variations of the perforator vessels of anterolateral thigh (ALT) flap and the clinical indications. METHODS: From March 1985 to August 2004, the anterolateral thigh flap graft was performed in 112 patients. The clinical data were analyzed. There were 67 males and 45 females, aging from 5 to 65 years with an average of 38. 5 years. According to recipient site condition, four methods of flap harvesting were as follows: (1) 78 received free fasciocutaneous flaps; (2) 22 received free adipofascial flaps; (3) 5 received pedicled island fasciocutaneous flaps; (4) 7 received pedicled reverse-flow island fasciocutaneous flaps. Facial, neck, breast, extremity joint, plantar, and perineum defects were repaired and the effectiveness and donor site morbidity were evaluated. RESULTS: The blood supply of ALT flap came from the descending branch or transverse branch of the lateral circumflex femoral artery. The skin vessels were found to be septocutaneous perforators in 33% of flaps and to be musculocutaneous perforators in 77% of flaps. Of 112 flaps, 107 survived completely, the survival rate was 95.6% with little donor site morbidity. CONCLUSION: ALT flap is a versatile soft-tissue flap. If refined to perforator flap, it can achieve better results in reconstructing defect and minimizing donor-site morbidity.

Adolescent↗
PubMed1991

[Compartment syndrome of the thigh].

Compartment syndrome in the thigh is an uncommon condition. Most of the patients have multiple injuries. The main etiological factors are ipsilateral fractures of the femur and isolated severe soft-tissue injuries following blunt trauma. If the diagnosis is made clinically, compartment syndrome is treated by lateral incision of the thigh with incision of the fascia lata and the lateral intermuscular septum. Dermatofasciotomy does not lead to severe complications. In the follow-up there is no functional loss or neurological deficit. The indications for decompressive fasciotomy should be broad.

Adolescent↗
PubMed1991

Compartment syndrome of the thigh with osteogenesis imperfecta. A case report.

Compartment syndrome of the thigh has been sporadically reported in the orthopedic literature. A 27-year-old man with osteogenesis imperfecta sustained a femoral fracture with relatively minor trauma and subsequently developed compartment syndrome of the thigh. Fat embolism syndrome and hyperplastic callus developed postoperatively.

Adult↗
PubMed1990

[Status of the musculo-venous pump of the thigh in varicose veins].

By means of the ultrasound flowmetry, phlebography, rheovasography and phlebotonometry, 51 patients with varicose disease was examined. It was established, that musculo-venous++ "pump" of a thigh played the leading part in the venous return. In stages I and II of varicose disease, the function of musculo-venous++ "pump" of a thigh was impaired moderately, its sharp disfunction was noted in stage III of the disease.

Adult↗
PubMed1990

Energy consumption in paraplegic ambulation using the reciprocating gait orthosis and electric stimulation of the thigh muscles.

The energy consumption of six thoracic paraplegic persons ambulating in the reciprocating gait orthosis (RGO) with and without functional electric stimulation (FES) of their thigh muscles was determined as a function of walking speed. Plots of Kcal/kg-min and Kcal/kg-m vs walking speed in the RGO and RGO & FES were experimentally determined in this study and compared with the energy cost of walking in the long leg brace (LLB), the hip guidance orthosis (HGO), and an FES walking aid from data available in the literature. The RGO powered with electric stimulation of the thigh muscles required the lowest energy expenditure in Kcal/kg-m across the full range of walking speeds. The RGO, HGO, LLB, and FES walking orthoses ranked second, third, fourth, and fifth respectively. The lowest energy costs in Kcal/kg-min were associated with the RGO & FES, followed by the RGO, HGO, LLB, and FES for walking speeds below .28m/sec. At walking speeds higher than .28m/sec the HGO demonstrates lower energy cost followed by the RGO & FES, RGO, FES, and LLB. At the end of a 30-m walk, patients using the RGO & FES had a mean heart rate (HR) which was 12 beats/min less than the mean HR when using the RGO without FES, 31 beats/min less than the HR when using the LLB, and 42 beats/min less than the HR when using FES only. It was concluded that the FES-powered RGO combines the advantages of a passive mechanical orthosis with those of FES to provide substantial improvements in energy cost which may provide paraplegic persons with a mode of independent ambulation superior to the wheelchair.

Adult↗
PubMed1989

Sarcomere length changes in muscles of the human thigh during walking.

In a previous investigation (Cutts, 1988a) sarcomere lengths were determined for muscles of the thigh in the anatomical position, and a method devised for the prediction of sarcomere lengths at other positions. In the present investigation, this information was used to predict the sarcomere length changes in the muscles of the thigh during walking, in conjunction with ciné film and bone models of experimental subjects. When compared with the length tension curve for human muscle (Walker & Schrodt, 1973), the results indicate that during walking the muscles operate at sarcomere lengths near the plateau of the curve, where maximum tension can be realised.

Adult↗
PubMed1989

[2-stage reconstruction in large loss of substance of the thigh using a fasciocutaneous flap and later on massive bone allograft].

The authors are reporting an observation in a 60 years old patient, of a serious gaping after a traumatism of the thigh with a massive loss of skin and muscles on the lateral aspect and a comminuted fracture the femoral diaphysis over 14 cm. There was no major vascular nervous lesion and after some time of paring and monitoring a fascio-cutaneous fore-inner flap of the thigh was realized. In the second stage, after the closing-up, a frozen-kept femoral allo-transplant was fitted and kept in by means of a bolted nailing. 36 months after the traumatism the transplant was assimilated and the patient was able to walk without any stick. The lack of any serious nervous vascular lesion in this particular case led to realize a rarely employed flap which enabled to solve the problem of the loss of the skin and muscles quickly and to realize the reconstruction by means of a massive bone allo-transplant, the only alternative to obtain a functional member.

Bone Transplantation↗
PubMed1989

Rehabilitation of the pelvis, hip, and thigh.

Low back pain, hip pain, and muscle strain of the thigh are common in athletes. Proper rehabilitation requires proper identification. Once identified, rehabilitation must include restoration of function as well as prevention of recurrence. This article discusses methods of identifying, rehabilitating, and preventing injuries to the pelvis, hip, and thigh.

Athletic Injuries↗
PubMed1989

[Sciatica. Neurofibrosarcoma of the thigh].

A 61-year-old patient had complained of sciatica in the left lower limb for three years. The pain was located in the posterior area of the thigh and leg and radiated to the first toe. Examination showed a tumor of the middle part of the thigh. A sciatic nerve tumor was confirmed at operation. Pathological examination revealed a neurofibrosarcoma. The patient died from pulmonary metastasis 17 months later.

Female↗
PubMed1989

Thigh circumference at birth as the best predictor of low birth weight babies.

The present study was undertaken to find out the best simple anthropometric parameter for identifying low birth weight babies (LBW). A total of 1000 newborn babies were subjected to anthropometry within 48 hours of life. Birth weight was significantly correlated (p less than 0.001) with thigh circumference (TC), mid-arm circumference (MAC), chest circumference (CC), length (L) and head circumference (HC). However, the correlation was maximum for TC (r = 0.9201). All anthropometric indicators had a statistically significant sensitivity, specificity and predictive value (p less than 0.001) for identifying less than or equal to 2500 g birth weight babies. However, thigh circumference of less than or equal to 14.5 cm and less than or equal to 13.5 cm had the best sensitivity, specificity and predictive value for identifying babies with birth weight of less than or equal to 2500 g and less than or equal to 2000 g, respectively. TC at birth is a cheap, simple, quick and reliable indicator for predicting LBW babies. It may be used whenever weighing at birth is not feasible.

Anthropometry↗
PubMedDate not supplied

Steal syndrome after kidney transplantation caused by A-V fistula at the thigh.

The cases of two low-weight children are reported, who became dialysis patients at the age of 2.5 and 5.5 years, respectively, and were hemodialyzed by way of a bovine artgraft A-V fistula at the thigh. One year later, both patients were successfully transplanted with a cadaveric kidney. Immunosuppression was carried out in the first 3 weeks with prednisone, azathioprine and ciclosporin, later on with prednisone and ciclosporin. The first patient (A-V fistula at the right thigh) was transplanted on the right fossa iliaca. After an acute rejection episode 11 days after kidney transplantation, successfully treated by prednisolone pulse therapy, there was another episode similar to rejection after 5 weeks. This episode was complicated by a hypertensive crisis with convulsion. Again bolus injections of prednisolone were performed, but kidney function declined rapidly. Diagnostics (perfusion scintigraphy with Tc-DTPA, digital substraction angiography) demonstrated hypoperfusion of the graft, caused by a steal syndrome due to the A-V fistula in the groin. Ligation of the fistula resulted in rapid improvement of renal function and decrease in blood pressure occurred. The second patient was transplanted on the fossa iliaca contralaterally of the A-V fistula in the groin. Twenty-one days after kidney transplantation we saw a rejection episode accompanied by cytomegalovirus (CMV) infection. After bolus injection of prednisolone and CMV-antibody treatment in the beginning, stabilization of kidney function was seen. But the following week we experienced an unexplainable deterioration of graft function followed by progressive acute renal failure. Again, a steal syndrome due to the contralateral A-V fistula could be demonstrated. After ligation of the A-V fistula renal function normalized within 14 days. Currently graft function is satisfactory in both patients.

Arteriovenous Shunt, Surgical↗
PubMed1988

An evaluation of expanded polytetrafluoroethylene (PTFE) loop grafts in the thigh as vascular access for haemodialysis in patients with access problems.

A total of 21 patients with vascular access problems received 22 PTFE loop grafts in the thigh as vascular access for haemodialysis. Eighteen of 22 grafts supported haemodialysis during the patients' lifetime. Actuarial patient survival was 50% at 2 years with a cumulative graft patency in the survivors of 80.5%. Although early thrombosis has been a problem, no graft has been lost from infection. We feel that these results are encouraging enough to recommend the use of PTFE grafts in the thigh of patients with vascular access problems.

Adolescent↗
PubMedDate not supplied

[Tumors of the soft parts of the radix of the thigh].

A case of complex structured mesenchymal neoplasia of the root of the thigh is reported. After a review of the literature and discussion of the anatomo-clinical aspects of the case in point, a common identity between tumours of the root of the thigh and mesenchymal tumours of the retroperitoneum is suggested, on the basis of anatomo-histogenetics.

Adult↗
PubMedDate not supplied

Hemodynamic assessment of the iliac disease by proximal thigh pressure and Doppler femoral flow velocity.

In 22 normal and 51 limbs with arterial occlusive disease, upper thigh blood pressure at rest and after the knee exercise, Doppler flow velocity tracing at the common femoral artery, and the mean femoral velocity tracing during the postischemic reactive hyperemia were investigated. These results were compared with angiographic findings, and the diagnostic value for assessing the iliac disease was discussed. Measurement of the upper thigh pressure after the knee exercise enables prediction of the significant stenosis of the iliac artery. The pressure index of 0.55 or less after exercise indicates a significant disease in the iliac artery, which should be corrected prior to distal vessel reconstruction or percutaneous vascular recanalization.

Arterial Occlusive Diseases↗