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At least 1,009 records · Page 56Linked to original sources

Reactions of thigh tissues of sheep to blunt trauma.

Severe damage to the deep musculature of the thigh was caused by standardized crushing injuries applied to muscle overlying the femora of anesthetized sheep. The injuries caused an acute inflammatory response, with the formation of granulation tissue and, later, extensive scarring. Periosteal bone formed in all cases, in some instances resulting in a spike of bone that protruded into the overlying soft tissue. Heterotopic bone formed in 16.6% of the legs of sheep within three weeks to three months after trauma by intramembranous ossification within scar tissue replacing muscle tissue.

Animals↗

[Ileal carcinoid observed in a very advanced phase in presence of metastasis to the left thigh soft tissues, both kidneys, liver, and left lung].

Reference is made to the APUD system and the APUDoma concept, and stress is laid on certain correlations noted between the histochemical features, endocrine activity, and topographical distribution of digestive tract carcinoids. Lastly, a description is given of a advanced stage, when metastases were already present on the soft parts of the left thigh, and in both kidneys, the liver, and the left lung. The occasion is taken to put forward some observations of a clinical, prognostic, and diagnostic order.

Apudoma↗

Glycolipids and their developmental patterns in chick thigh and leg muscles.

Five major gangliosides and two major neutral glycolipids were isolated from chick thigh and leg muscles using Unisil column chromatography and preparative thin-layer chromatography. They were identified by gas-liquid chromatography as GD3, GM3, and N-acetyl glucosamine-containing mono- and disialogangliosides. Two major neutral glycolipids were found and identified as monogalactosylceramide and digalactosylceramide. The quantification of each ganglioside by thin-layer chromatography was done using a direct densitometric method, and the pattern of changes of glycolipids during development was investigated. In the embryonic period, GD3 was the predominant ganglioside. GD3 and the N-acetylglucosamine-containing disialoganglioside decreased; GM3 increased during embryonic life and became the major post-natal ganglioside. The two neutral glycolipids also increased rapidly after hatching.

Animals↗

Differential hyperemic responses following femoral arterial and thigh cuff occlusion in the canine hindlimb.

The hyperemic response following arterial reconstruction is variable. To further evaluate this response, arterial blood flows in the canine hindlimb were compared following isolated femoral arterial occlusion and after thigh cuff tourniquet occlusion, which also obstructs collateral circulation. Arterial occlusion and tourniquet occlusion produced significant (P less than 0.05) increases in femoral arterial flow after all intervals of occlusion, except following 30 minutes of isolated arterial occlusion. Isolated arterial occlusion and tourniquet occlusion produced comparable hyperemic responses through five minutes of occlusion. However, tourniquet occlusion produced a significantly greater increase (P less than 0.05) in femoral flow when occlusions exceeded five minutes. These data suggest that the extent of collateralization may moderate the postobstructive hyperemic response following aortic and femoropopliteal reconstruction. The collateral recruitment during isolated arterial occlusion may be responsible for a diminished hyperemic response with time, while obstruction of the collateral circulation during tourniquet occlusion may result in a greater hyperemic response.

Animals↗

Treatment of proximal-third femur fractures with pins and thigh plaster.

Thirty patients with proximal third femur fractures were treated with pins-in-thigh plaster. Patients were divided into two groups: (1) acute (pins-in-plaster applied within one month after injury); and (2) late (pins-in-plaster applied later than one month ater injury). Patients in the acute group had application of pins-in-plaster inserted at an average of nine days after injury, and were treated in plaster for 9.4 weeks with union occurring at 10.7 weeks. Patients in the late group had application of pins-in-plaster an average of 13.3 weeks after injury, treatment in plaster for 7.7 weeks, and union at 21 weeks. Subtrochanteric fractures healed as rapidly as other areas of the femur when braced early. Twenty-five fractures demonstrated less than 2 cm of shortening and less than 10 degrees of varus. There were no nonunions. One patient developed a deep wound infection. Antibiotics were required in seven patients because of pin tract drainage, which ceased once the pins were removed. This method is indicated in active patients with comminuted or open fractures but neither in the elderly or senile patients, or in intertrochanteric-subtrochanteric fractures.

Adolescent↗

Multiple level arterial occlusions of the leg. Reliability of indirect thigh pressures in the assessment of proximal arterial obstruction.

19 patients with obstructive arterial disease both proximal and distal to the inguinal ligament were studied with segmental blood pressure recordings because reconstruction of the proximal lesion was considered. The common femoral pressure was measured intraarterially as well as with a 12 cm cuff placed as proximally as possible on the thigh. The proximal pressures measured by the two techniques were found to correlate well. Thus, the atraumatic cuff pressure technique is validated which can be of use in evaluating multilevel occlusions and the associated run off problem involved in partial proximal reconstruction.

Aorta↗

[Acute ischaemia after osteosynthesis of the proximal thigh (author's transl)].

In consequence of the increasing osteosynthetic treatment of bone fractures we draw the attention to iatrogenic blood vessel injuries. Primary location is the proximal thigh. Most important is the clinical diagnosis of an acute ischaemia of the operated limb. An arteriographic diagnosis is not necessary, but the operation site should be explored immediately. Prevention of intraoperative lesions of great vessels consists of exact anatomic reposition of the bone fragments, a subtile osteosynthesis whereas the osteosynthesis material should not extend the bone cortex. Exact haemostasis should be performed, avoiding extending ligations. Intraoperative as well as postoperative control of peripheral pulses should never be omitted.

Acute Disease↗

Skin injuries on the body and thigh of dairy cows: associations with season, claw health, disease treatment, and other cow characteristics.

An epidemiological study was conducted in 18 dairy herds with the objective to characterize those groups of cows where skin injuries to the body and thighs occurred most frequently. Data were analyzed with multivariable logistic regression. The epidemiologic patterns were different in first and later lactations. In first lactation some degree of injury occurred among 7.7% of 1793 cows. For most cows occurrence of sole ulcer was positively associated with injury while occurrence of heel horn erosion was negatively associated with injury. The association between injury and body weight differed depending on month of calving (significant interaction). Injuries occurred most frequently among high yielding cows. Severe reproductive, metabolic, and/or infectious diseases were associated with injuries. In later lactations some degree of injury occurred among 13.4% of 832 cows in lactations 2 to 9 where severity of injury increased with lactation number. Injuries occurred least frequently at examinations made in the January to March. They occurred most frequently among cows with sole ulcers. Calving in March through October was associated with injuries especially if the cows were treated for limb disorders. Most cases of injuries occurred early or late in lactation or among high or very low yielding cows in lactations 2 to 9.

Animals↗

[Tibial nerve and fibular nerve paresis in pigs after intramuscular injection in the caudal thigh muscle (case report)].

Paresis of the hindlimb in piglets after intramuscular injection of various therapeutics in the caudal thigh muscles were observed. The injection was followed by inflammatory changes of the muscle tissue at the injection site. The tibial and fibular nerve were enclosed in the alterations and showed a distinct to complete loss of nerve fibers resulting in clinical signs of paresis. The affected hindlimb was dragged on the dorsal digital surface. The piglet showed an extended consecutive swelling and ulceration below the hock and loss of the claws. These findings strongly demonstrate the necessity of a correct intramuscular injection in piglets, which should be done in the lateral neck muscles.

Animals↗

Hibernoma of the medial thigh. Case report and literature review.

Hibernoma is a tumor of brown fat origin with hypervascularity and features on magnetic resonance imaging that resemble liposarcoma. Despite these similarities, malignant potential has not been demonstrated. Complete marginal resection with meticulous hemostasis is the treatment of choice. This article describes the case of a patient with an unusually large medial thigh hibernoma demonstrating the clinical presentation and radiographic and pathologic features of this rare benign soft tissue tumor.

Adult↗

[Secondary injury to the spine due to static insufficiency in thigh amputees (author's transl)].

On the basis of a study of the literature, our own investigation as well as clarification of the mobility of the pelvis and spine in thigh amputees, it was established that secondary alterations occur in the spine which represent a degeneration in terms of vocational fittness. In spite of numerous publication by various researchers, this recognition has not yet been widely accepted. Reference is made to the significance of the small vertebral joint mechanism. Additional basic research is required here.

Amputation, Surgical↗

First records of Hyalomma aegyptium (Acari: Ixodida: Ixodidae) from the Russian spur-thighed tortoise, Testudo graeca nikolskii, with an analysis of tick population dynamics.

During the fall of 1995 and the spring of 1996, 77 statistically comparable tick collections, comprising 792 specimens, were made from adults of the Russian spur-thighed tortoise, Testudo graeca nikolskii, at 4 sites along Russia's Black Sea coast. These are the first tick collections reported from T. g. nikolskii since its recognition as a taxonomic entity. All ticks were determined to be Hyalomma (Hyalomma) aegyptium, a common tortoise parasite in southern Russia that in 1930 was erroneously designated the type of subgenus Hyalommasta. Male ticks were recovered from more tortoises (67) than were females (57) or immatures (14), and nymphs were seen only in the fall. Significantly more ticks parasitized male tortoises than females, perhaps because males of T. g. nikolskii have larger home ranges. However, no functional relationship was found between tortoise ventral surface area and degree of tick infestation. Like other tortoise ticks, H. aegyptium is expected to decline in concert with its increasingly threatened hosts.

Animals↗

[Injuries of the thigh bone with a destruction of the neuro-vascular bundle].

From 1969 to 1971 the authors treated 1360 injured patients, eight of which suffered serious injuries of the thigh; fractured femur complicated by a severed Femoral Popliteal Artery, and lesions of the Sciatic Nerve. Six patients were injured at work, one in an automobile accident, and one was a gunshot victim. In approximately 1000 fractures one is complicated by an injured neurovascular bundle. The clinical picture of such a case is characteristic. The arteriograph is used only to locate the lesion. Reconstruction of the artery must be accomplished some eight to twelve hours following the injury. In all of the authors' cases, this was done one to eight hours following the trauma. After twelve hours, ischemic necrosis of the soft tissue (musculature) sets in requiring amputation. The remaining segment of the damaged artery is usually resected. In one case, a segment 8 cm. long was removed. Following the termino-terminal anastomosis, the injured extremity was placed in a flexed position whlich alleviated the tension on the sutures. The result of vein autographs are worse than those of the termino-terminal anastomoses. Thrombosis later begins to restrict blood flow through the reconstructed artery, but by this time, adequate collateral circulation has been established. The limb has thus been saved. Heparin is administrated immediately before and during the operation in a dosage of 5000 units per 500 ml. of physiological solution. Postoperatively, it is not used as it acts on the fibrin thrombi, and not on the thrombocyte thrombi which are formed postoperatively in the areas where the tunica intima has been damaged. Heparin is indicated in the prophylaxis of venous thrombosis. In these cases in which the femur was fractured, the question asked is whether to perform the osteosynthesis and anastomosis simultaneously, or to perform the former at a later time. The authors chose both methods for various reasons. Only a few cases permitted the authors to decide which approach would be better. Usually they performed a temporary fixation of the bone with Rusch's Pin, and sutured the artery. Four months later, a compressive osteosynthesis using an L-plate, was performed. In four cases, the Sciatic Nerve was injured, which, according to the circumstances was sutured either immediately, or 3 to 4 weeks later. In 3 patients, good functional results were obtained. Three cases resulted in a contracture of the knee, two of which also had residual Sciatic Paresis. One case resulted in permanent venous stasis (edema of the legs, and two cases results in amputation.

Adult↗