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PubMedDate not supplied

The abdomen, thigh, and arm as sites for subcutaneous sodium heparin injections.

The purpose of this study was to evaluate three subcutaneous injection sites for low-dose heparin therapy (5,000 units). One hundred and one subjects were randomly placed in one of three groups. Group A received injections in the abdomen, Group B, in the thigh, and Group C in the arm. Each subject received three injections at the one site. Activated partial thromboplastin time (APTT) was measured prior to initiation of heparin and again four hours after the first injection. Bruising was measured at 48, 60, and 72 hours postinjection. There were no statistically significant differences among groups for either changes in APTT or bruising at 60 and 72 hours postinjection. Thus the clinical practice of utilizing the abdomen as the only or preferred site for subcutaneous heparin injections was not supported.

Abdomen↗
PubMed1991

Effect of training on VO2max, thigh strength, and muscle morphology in septuagenarian women.

The purpose of this study was to determine the effects of a long-term (50 wk) combined aerobic-resistance training program on maximal oxygen consumption (VO2max, thigh strength, and vastus lateralis fiber morphology in healthy septuagenarian women (mean age = 72 +/- 6 yr). Subjects volunteered to be in either an exercise (Ex; N = 17) or control (Con; N = 10) group. Con subjects were 34% less active in winter than in summer, Ex subjects maintained their summer activity level on exercise days in winter. Initial, intermediate (20 wk), and final (50 wk) measurements were made for isokinetic knee extension/flexion strength; VO2max and morphological measurements from a muscle biopsy were made at the initial and final times only. Both groups gained in leg strength (Ex = +6.5%; Con = +7.8%; P less than or equal to 0.05) during the summer; in the winter the Ex group maintained leg strength and the Con group declined 12.2% (P less than or equal to 0.05). The fast-twitch muscle fiber area (Type IIb) increased 29% (P less than or equal to 0.001) in the Ex group and declined 26% (P = 0.014) in the Con group. VO2max increased only in the Ex group (16%; P less than 0.001). We conclude that healthy septuagenarian women can increase aerobic capacity, leg strength, and Type IIb muscle fiber area with a long-duration, combined aerobic-resistance exercise program.

Aged↗
PubMed1991

Measurement of tibial torsion and thigh-foot angle using goniometry and computed tomography.

Three therapists measured tibiofibular torsion and thigh-foot angle (TFA) goniometrically in 17 normal subjects, aged three to 24 years. Tibiofibular torsion was also measured using computed tomography (CT). Differences between testers for the goniometric measures were analyzed using a nonparametric analysis of variance. Wilcoxon's rank sum test was used to determine differences between goniometric and CT measures for tibiofibular torsion. No significant difference for goniometric measures was found between testers for tibiofibular torsion or TFA. A significant difference averaging 5 degrees between goniometric and CT torsion measures was found between testers. Although a significant difference was found between the two measurement methods, the degree of difference may not represent a significant clinical difference, as a range at 5 degrees is commonly reported as the margin of error for goniometric measurements.

Adolescent↗
PubMed1991

Thigh muscle function after partial tear of the medial ligament compartment of the knee.

The purpose of the study was to assess the isokinetic and isometric strength and power profile of the knees of 48 patients who had a previous second-degree sprain (partial tear) of the medial ligament compartment, the most common knee ligament injury in sports. The CYBEX II isokinetic dynamometer was used in the measurements. On an average of 8 yr after the injury, the mean strength deficit of the injured knees was minimal: 4 +/- 5% (range 0-28%) in extension and 2 +/- 4% (0-20%) in flexion. The average strength score (max. 100 points) was 90 +/- 11 (56-100), representing an excellent classification. In hamstrings, the relative strength deficit increased significantly with a higher speed of isokinetic movement (P less than 0.05). Compared with the strength parameters (peak torques), the other functional parameters of the injured knees (total work, average power, and peak torque acceleration energy) showed some but not significantly greater deficits (hamstrings 9-11%, quadriceps 6-8%). In conclusion, the general thigh muscle function in knees with old second-degree sprain of the medial ligament compartment appears good and acceptable, but the strength deficits are systematically greater in higher speeds of isokinetic movement. Therefore, rehabilitation utilizing high speed extension and flexion exercises is recommended.

Adolescent↗
PubMed1989

Ossifying lipoma of the thigh (a case report).

The term ossifying lipoma is used to describe a rare case of lipoma when its mature adipose tissue shows foci of chondrification and ossification. We are presenting here, a case report of a large sized ossifying lipoma in the anteromedial compartment of the left thigh of a 55 year old farmer.

Diagnosis, Differential↗
PubMed1989

Intra-uterine growth curves for midarm and thigh circumferences.

Use of birth weight as a measure of intrauterine growth is hampered by several logistic problems. Both mid-arm (MAC) and thigh circumferences (TC) have been proved to be efficient alternative measurements. In this study MAC and TC were recorded on 2925 consecutive live births to derive intrauterine growth curves and provide normative data for an indigenous population.

Anthropometry↗
PubMed1989

Histochemical fiber types in the thigh muscles of 4 chicken inbred lines.

Distribution, frequency and diameter of fiber types were ascertained in the thigh muscles of I, C, W and M chicken inbred lines. The iliotibialis posterior muscle is composed of FOG and FG types uniformly distributed over the whole muscle cross-section. Three fiber types are demonstrated in the sartorius and semimembranosus muscles. In the superficial regions, the FOG and FG types are present only. Avian SO type appears down into the depth of the muscles. The frequency of this type and FOG type gradually increases in this direction whereas the proportion of FG type decreases. Semimembranosus muscle shows generally higher percentage of FOG fibers and lower frequency of remaining two types. Differences between inbred lines in fiber type frequencies are mostly insignificant. However, the M line with the highest live and muscle weights shows larger fiber diameter of FG and FOG types than I, C and W lines.

Animals↗
PubMed1989

[Desmoid fibroma of soft tissues of extra-abdominal sites: review of the literature apropos of a case located at the posterior face of the thigh].

The authors report a case of desmoid fibroma on the posterior surface of the thigh in a woman during the post-partum period. This is a rare site for this tumour. CT scan combined with MRI appears to be useful for diagnosis. Treatment is strictly surgical, but depends on the histological benign nature and the local malignancy. Surgery is generally conservative with risks of recurrence and occasionally amputation is necessary.

Adult↗
PubMed1989

Prediction of torque acceleration energy and power of thigh muscles from peak torque.

The purpose of this study was to assess the relationship between the isometric and isokinetic peak torque (PT) (speed of movement 0, 60, and 180 degrees.s-1) and the peak torque acceleration energy (PTAE) and average power (AP) of multiple contractions (180 degrees.s-1) of the quadriceps and hamstrings in 38 patients having a chronic, complete anterior cruciate ligament (ACL) insufficiency in the knee. At every test speed the Pearson product moment (r) and the Spearman rank (rs) correlation coefficients between the PT and PTAE were highly significant for both muscle groups in the uninjured (r = 0.79-0.94, rs = 0.78-0.94) as well as in the ACL-insufficient (r = 0.87-0.95, rs = 0.83-0.94) knees. The results were the same between the PT and AP (uninjured: r = 0.70-0.90, rs = 0.68-0.90; ACL insufficient: r = 0.86-0.93, rs = 0.82-0.93). In both knees and in both muscle groups the correlation coefficients increased simultaneously with the speed of movement, obviously since the PTAE and AP were registered at the highest test speed (180 degrees.s-1). In conclusion, concerning ACL-insufficient or uninjured knees, the PTAE or AP analysis may offer little additional information about thigh muscle function to that attained by more simple measurement, the PT analysis.

Acceleration↗
PubMed1989

Torque acceleration energy, power and peak torque in thigh muscles after a previous knee sprain.

This investigation assessed the relationship between the isometric and isokinetic peak torque (PT) (speed of movement 0, 60, and 180 degrees(s) and (I) the peak torque acceleration energy (PTAE), and (2) average power (AP) of multiple contractions (180 degrees/s) of the quadriceps and hamstrings in subjects with a past history of a grade I knee injury. At every test speed the Pearson product moment (r) and the Spearman rank (rs) correlation coefficients between the PT and PTAE were significant (p less than .001) for both muscle groups in the uninjured (r = .83-.97, rs = .84-.97) as well as in the injured (r = .86-.95, rs = .86-.95) Knees. The results were similar in comparison of PT and AP (uninjured: r = .81-.97, rs = .81 -.97; injured: r = .82-.98, rs = .83-.98). The PTAE and AP analyses offer little additional information about thigh muscle function to that obtained through more simple measurements, the PT analysis.

Adult↗
PubMedDate not supplied

Coordination of the thigh muscles in static leg extension.

Activation patterns of the four thigh muscles (rectus femoris, vastus medialis, vastus lateralis and semimembranosus) were investigated in static leg extension through the entire range of extension movement in three testing postures: sitting, recumbent and supine. Special interest was focused on the role of the two-joint muscles. Five male students performed both maximal and submaximal efforts. The highest force values were observed when the knee was almost extended (150 degrees), while the agonists were the most active in flexed positions. Maximum peak activity of all the agonist muscles occurred throughout a rather wide movement range of the knee joint (80 degrees-150 degrees) in the sitting posture, but the more extended postures tended by lengthening the two-joint muscle of rectus femoris to reduce the range of peak activity of the agonists. During the latter half of the knee extension the activity of the agonists was greatly reduced (p less than .01) and a fully extended knee joint always resulted in silence on the part of the rectus femoris. In that position the vasti muscles together with the semimembranosus formed a force couple for stabilizing the knee joint. The semimembranosus, the two-joint muscle on the antagonistic side, increased activation toward the end of knee extension. This exceptional activation of the antagonist muscle during static agonist effort is likely to be due to the different role of the semimembranosus which tried as an agonist to extend the hip joint in the sitting posture. This phenomenon is supported by the low maximum peak activity of the rectus femoris.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1985

Anterior thigh pain or tenderness. A diagnostically useful manifestation of bacteremia.

In four patients with putative infectious process, anterior, bilateral proximal thigh pain and tenderness unaccompanied by generalized myalgias developed. This unusual manifestation, observed in these and other patients, was associated with demonstrable bacteremia. Aside from tenderness, no local abnormalities were found and the pain and tenderness disappeared after appropriate therapy. Creatine kinase levels, measured in three of the four patients, were elevated in only one. This manifestation is useful clinically as it strongly suggests bacteremia; attention to this finding can be lifesaving.

Abdomen↗
PubMed1987

Fentanyl and bupivacaine mixture for extradural blockade in orthopaedic surgery: effects on haemodynamic responses and pain related to the use of thigh tourniquet.

Analgesic and haemodynamic changes due to tourniquet application were investigated in a prospective double-blind study on orthopaedic patients submitted to extradural lumbar blockade with a bupivacaine and fentanyl mixture. The study was carried out in 161 healthy patients undergoing limb surgery with a thigh tourniquet. Patients were randomly assigned to two groups: each group received treatment with bupivacaine 0.5% containing 1:200,000 adrenaline. Normal saline (B:F o group) or 200 micrograms fentanyl (B:F 200 group) was added to this solution. An immediate increase in systolic and diastolic blood pressure (SBP and DBP) was provoked by tourniquet application in all patients, whilst heart rate (HR) showed no modification and the rate-pressure product (RPP) was hardly influenced in the B:F 200 group. A dramatic reduction in intra-operative supplemental analgesic needs was observed in the B:F 200 group. This group of patients also complained less of tourniquet pain than their counterparts, for the first 30 min of application. Our study underlines the value of fentanyl addition to bupivacaine in extradural blockade in orthopaedic surgery.

Adult↗
PubMed1978

Temperatures in human thighs after hot pack treatment followed by ultrasound.

Temperature distributions were measured in the anterior thigh of human volunteers after preheating with a hot pack followed by ultrasound, a frequently used therapeutic procedure. The skin surface temperature is elevated by this procedure but the highest temperature is still produced at the bone-muscle interface at the end of the treatment session.

Adult↗
PubMedDate not supplied

[The anterior saphenous veins of the thigh].

The authors base their argument on a homogeneous series of 75 patients who, in the course of crossectomies and the stripping of the long saphenousvein carried out by the authors, were given a puncture-phlebectomy of the accessory anterior saphenous vein or veins. Firstly they analyse the clinical characteristics of the incompetence of these veins in the 75 patients. Then, in the discussion, they carry out a closer study of the anterior saphenous veins in the thigh, which have their own anatomical, physiopathological, clinical, and therapeutic characteristics. Without mistaking the role of complementary sclerosis in these cases, they affirm that reliable results are more difficult to obtain with this sort of vein and they suggest peroperative puncture phlebectomy as the results of this seem very encouraging.

Adult↗
PubMed1985

Myositis ossificans of the thigh following manipulation of the knee. A case report.

Myositis ossificans of the thigh produced severe limitation of knee motion in a 22-year-old man after passive manipulation of a knee on three separate occasions. Motion improved after excision of the bony mass and postoperative radiation to prevent recurrence. Caution is advised in passive manipulation of the knee, because repeated attempts can result in forced extension of the quadriceps muscle, periosteal damage, partial muscle tears, and interstitial hemorrhage.

Adult↗
PubMed1985

[Medical and surgical outcome of thigh amputation for arteritis].

Results of a minimum 4 year follow up of 87 cases of thigh amputation are discussed. Postoperative mortality was 40% and 40% of patients had survived after one year. Early mortality factors were age (mean 75 years) and the coronary lesion responsible for more than a half of postoperative deaths. Amputation stump complications were noted in 13% of cases, their onset being dependent on 3 factors: loss of femoral pulse, failure of vascular re-establishment and early amputation after this failure. The remaining limb required major amputation in 21% of cases before the end of the second year, the final major level of amputation being a factor of the lack of distal revascularization in 77% of patients.

Age Factors↗