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At least 667 records · Page 37Linked to original sources
PubMed1993

Ischial apophysis injuries in athletes.

The diagnosis and treatment of ischial tuberosity pain in athletes include several clinical entities. These injuries include apophysitis, adult tug lesion, painful unfused apophysis, and acute and old avulsions. In some avulsion injuries a bony fragment can be seen, but they can also be x-ray-negative, especially in children. An insertional tendon rupture is also possible. Conservative treatment of apophysitis includes modification of activities and anti-inflammatory medication. Avulsions, if diagnosed early, usually heal with conservative therapy, especially if the displacement is not marked. Urgent surgical treatment is recommended in cases with total or nearly total soft-tissue hamstring muscle insertion rupture. Surgery has to be considered also in cases with dislocation of the apophysis or bony avulsion of more than 2cm. Excision of the excessive mass or poorly united fragment provides relief of pain in some cases of old avulsions.

Adolescent↗
PubMed1995

The evaluation of pelvic injury in the female athlete.

The differential diagnosis of pelvic pain and possible injury in the female athlete is quite broad and must include gastrointestinal and genitourinary aetiologies, as well as musculoskeletal injuries. These considerations reflect the anatomical complexity of the female pelvis. The pelvic bones house the lower gastrointestinal and genitourinary viscera and transmit stress from the lower extremities to the upper body. The innervation of the pelvic structures also complicates evaluation and diagnosis when somatic and visceral afferent information affects the athlete's interpretation of pain. An algorithmic approach can facilitate evaluation and rehabilitation of pelvic injuries in the female athlete in the contest of previously described mechanisms of musculoskeletal injury.

Adolescent↗
PubMed1972

Obturator hernia.

Explore the source record for details and available documents.

Barium Sulfate↗
PubMed1978

Hematogenous osteomyelitis of metaphyseal-equivalent locations.

Flat and irregular bones have anatomic subdivisions comparable to long bones. This concept is useful in the radiograpic evaluation of solitary bone lesions. Areas adjacent to cartilage are metaphyseal-equivalent locations. Prior to skeletal maturation, metaphyseal-type vascular anatomy predisposes these sites to involvement by hematogenous osteomyelitis. Approximately 30% of cases of hematogenous osteomyelitis affect these metaphyseal-equivalent sites and often present difficult diagnostic challenges. Forty-nine patients with this condition are described.

Adolescent↗
PubMed1979

Computed tomography in the evaluation of osteosarcoma: experience with 25 cases.

Experience with computed tomography (CT) in 25 patients with histologically proven osteosarcoma is presented. CT was as accurate as conventional radiographic methods in determining the presence of a lesion, but it was definitely superior in defining the extent of disease, particularly intramedullary extension and soft tissue extraosseous tumor component. CT was capable of demonstrating skip metastases in one patient. CT plays a key role in the preoperative evaluation of osteosarcoma patients, particularly when less than radical surgery is planned as primary treatment and when postoperative recurrence is suspected. CT is also useful in assessing the response to therapy in nonsurgical cases. The technique involved in the performance of this examination is discussed.

Bone Neoplasms↗
PubMed2004

Asymmetric closure of ischiopubic synchondrosis in pediatric patients: correlation with foot dominance.

OBJECTIVE: The enlarged ischiopubic synchondrosis is a well-known anatomic structure; however, little is known about its physiology. In early childhood, enlargement of this synchondrosis occurs bilaterally, whereas before complete ossification, it is frequently found unilaterally. In most children, the unilateral enlarged ischiopubic synchondrosis is observed in the left hemipelvis, a finding that was hitherto unexplained. During common athletic activities, increased ground reaction forces are exerted on the weight-bearing nondominant limb, which in up to 87% of the general population is the left leg. The asymmetric exertion of these forces may explain the distinct closure sequence of this temporary joint. The purpose of this study was to correlate unilateral enlarged ischiopubic synchondrosis with foot dominance. MATERIALS AND METHODS: The study cohort comprised 32 children who had undergone unenhanced radiography, CT, or MRI for reasons other than bone disorders and who presented with enlarged ischiopubic synchondroses. In these children, the distribution of enlarged ischiopubic synchondrosis and foot dominance were evaluated either retrospectively (n = 11) or prospectively (n = 21). RESULTS: In this cohort, 78% of patients were right-footed and 22% were left-footed. Nine of the 32 children presented with unilateral enlarged ischiopubic synchondrosis (left, seven [78%] of nine; right, two [22%] of nine). All children with enlarged left ischiopubic synchondrosis were right-footed, and all children with enlarged right ischiopubic synchondrosis were left-footed. CONCLUSION: Unilateral enlarged ischiopubic synchondrosis is closely correlated with foot dominance. The asymmetric ossification pattern of the ischiopubic synchondrosis indicates delayed ossification of this anatomic structure due to asymmetrically applied mechanical forces to the nondominant limb.

Adolescent↗
PubMed1993

Retro runner with ischial tuberosity enthesopathy.

In reviewing the literature, no studies were found reporting the use of retro running on flat and hilly terrain, which elicited enthesopathy (stress reaction) at the ischial tuberosity. Therefore, this case study of an atypical enthesopathy condition warrants careful scrutiny in order to generate future research. This case study describes the clinical management of a female runner with bilateral patellofemoral pain who self-initiated a program of backward running and stationary bicycling after reading an article about retro running in a runners' magazine. She subsequently developed ischial tuberosity enthesopathy verified by scintigraphy (bone scan). Her symptoms gradually resolved with physical therapy intervention. Eventually, she was able to forward jog 2 miles on flat surfaces without complaint of pain but did not resume retro running. This case not only suggests the need for further research in retro running kinetics and kinematics but highlights the proactive role health professionals must assume in injury prevention.

Adult↗
PubMed1990

Biomechanics and shape of the above-knee socket considered in light of the ischial containment concept.

In recent years considerable interest has been generated in the United States and abroad about new style above-knee prosthetic sockets, variously referred to as Narrow M-L, NASNA, CAT-CAM and SCAT-CAM. More than a little confusion has attended the process. Moreover, the impression has been created that they are not governed by the basic biomechanical rules identified by Radcliffe as affecting the quadrilateral socket. Attention has come to be focused on the role of ischial containment and the term Ischial Containment (IC) socket is enjoying widespread use. This paper reviews many of the critical features of such sockets with the goal of first demonstrating that many of these features are dictated by the requirements of ischial containment, and second that the principles set forth by Radcliffe are fully applicable. The paper concludes with a brief discussion of the alignment principles associated with Long's Line.

Amputation Stumps↗