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At least 1,333 records · Page 74Linked to original sources
PubMed1995

Relative incidence and morphology of lateral and medial meniscal cysts detected by magnetic resonance imaging.

It is likely that meniscal cysts of the knee are a complication of meniscal tears which extend to the capsular attachment. They are reported as occurring three times more commonly on the lateral than the medial side. We reviewed 50 cases of meniscal cysts diagnosed on magnetic resonance imaging in patients with suspected internal derangement of the knee. Twenty-eight cysts involved the medial and 22 the lateral meniscus. The most common sites were the posterior third of the medial meniscus and the mid-third of the lateral meniscus. Fifteen cysts were suspected clinically, five on the medial side and 10 on the lateral side. Small cysts were only clinically predicted on the lateral side. We conclude that menial cysts are more common than previously thought and are more difficult than lateral cysts to detect clinically.

Adolescent↗
PubMed1979

Theory and practice in the measurement of laterality.

Using data from a divided visual field task, it is shown that correlations between laterality measures and overall accuracy are not a consequence of the level of accuracy constraining the achievable range of laterality, but depend on the design of current laterality measures and on the differential correlation of each hemisphere's scores with total accuracy. Comparing four laterality measures on 125 subjects shows that, although the laterality distributions differ in dispersion, the four measures are significantly intercorrelated and give nearly identical indications of average lateralisation. It is concluded that laterality measures may be of some limited use in comparing experimental results from different sources rather than in evaluating theories of cerebral asymmetry.

Adolescent↗
PubMed1998

Lateral cervical displacement is associated with endometriosis.

OBJECTIVE: To report on a series of cases of lateral cervical displacement and uterosacral ligament scarring associated with endometriosis. DESIGN: Case series. SETTING: Academic medical center. PATIENT(S): Three nulliparous women with chronic pelvic pain, lateral cervical displacement, and uterosacral nodularity. INTERVENTION(S): Physical examination to evaluate for lateral cervical displacement. Laparoscopic surgery to evaluate for endometriosis and uterosacral ligament involvement. MAIN OUTCOME MEASURE(S): Displacement of the entire cervix lateral to the midline of the vagina. Presence of endometriosis on the affected uterosacral ligament. RESULT(S): All three patients had lateral cervical displacement and implants of endometriosis and scarring on the uterosacral ligament ipsilateral to the displaced cervix. CONCLUSION(S): In women with pelvic pain, lateral cervical displacement due to uterosacral scarring may be a physical finding associated with endometriosis.

Adult↗
PubMedDate not supplied

Myectomy of lateral rectus muscle for third nerve palsy.

PURPOSE: To introduce myectomy of the lateral rectus muscle for correcting exotropia in patients with third nerve palsy. METHODS: The lateral rectus muscle of the paretic eye was myectomized without suturing it to the globe. This was combined with a medial rectus muscle resection and a contralateral lateral rectus muscle recession. Magnetic resonance imaging was performed to observe the re-attachment of the lateral rectus muscle to the globe. RESULTS: The patient was able to fuse in the primary position without any noticeable limitation in abduction. Magnetic resonance imaging showed that the lateral rectus muscle was attached to the globe through fibrous tissue. CONCLUSION: Myectomy of the lateral rectus muscle is an effective and simple procedure to accomplish a super-maximal weakening effect of abduction in patients with complete third nerve palsy.

Exotropia↗
PubMed1986

Comparison of the myoelectrical activity of the lateral and J-shaped ileal reservoirs.

Ileal myoelectrical activity was studied in ten 10-cm J-shaped and ten lateral ileal reservoirs (IR) in rabbits. Electrodes and a strain gauge were placed on both ileal segments of the reservoirs as well as the proximal and distal ileum entering and leaving the reservoirs. In three additional rabbits without reservoirs (controls), electrodes and a strain gauge were sutured to the distal ileum in a similar manner. Myoelectrical activity was recorded as (1) short spike burst complexes (SSBC) lasting greater than 25 seconds but less than three minutes, and (2) long spike burst complexes (LSBC) lasting more than three minutes. SSBC propagated through the lateral IR two weeks after its construction and were synchronous with intestinal contraction. In contrast, SSBC did not become organized or propagate distally through the J-shaped IR until eight weeks after reservoir construction. LSBC occurred infrequently in control rabbits and in those after construction of the J-shaped and lateral IRs. Propagation of LSBC in control rabbits was synchronous with prolonged propulsive intestinal contraction. In both the J-shaped and lateral reservoirs, LSBC occurred randomly and did not propagate from proximal to distal ileum through the IR until three months after reservoir construction. The frequency and duration of LSBC remained diminished for the J-shaped IR at three months when compared with the lateral IR. It is concluded that the return of normal propulsive activity occurs earlier in the lateral iso-peristaltic IR than in the J-shaped IR but that both are effective at three months.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1995

Study of the acceptability of lateral interocclusal records by a modular articulator.

Semiadjustable articulators are extensively used for routine restorative procedures. The instruments may be adjusted by lateral interocclusal records. However, it has been reported that semiadjustable articulators do not accept lateral interocclusal records from all patients. The Hanau modular system 194 semiadjustable articulator was introduced to develop occlusion with minimal error. The manufacturer recommends that the instrument should be adjusted by means of lateral interocclusal records. This study investigated the acceptability of lateral interocclusal records. Sixty lateral interocclusal records were made for 30 edentulous subjects, and the acceptability of the records was evaluated by use of the split-cast mounting procedure. Out of 60 lateral interocclusal records, 52 (87%) records were accepted by the articulator. A Z test was used for two proportions and was statistically significant (p < 0.05).

Adult↗
PubMed1996

Acute and chronic morbidity differences between muscle-sparing and standard lateral thoracotomies.

INTRODUCTION: Opinions differ regarding differences between totally muscle-sparing thoracotomy and standard lateral thoracotomy approaches to pulmonary resection with respect to operative time, postoperative pain and morbidity, and occurrence of chronic postthoracotomy pain syndromes and subjective shoulder dysfunction. METHODS: Three hundred thirty-five consecutive patients undergoing muscle-sparing thoracotomy (n = 148) or lateral thoracotomy (n = 187) to accomplish lobectomy for stage I lung cancer during a 40-month period were evaluated. Local rib resection was not employed, and two chest tubes were routinely used after operation in both thoracotomy groups. Epidural analgesia use was similar after operation in the two groups (muscle-sparing thoracotomy 38%, lateral thoracotomy 38%). The postoperative hospital courses and patient functional statuses at 1 year were examined. RESULTS: Demographic analyses demonstrated no differences between groups in age, sex, or association of significant comorbid medical illness. Although the operative time required for muscle-sparing thoracotomy was shorter, there were no differences between thoracotomy approaches in any of the other primary acute postoperative variables analyzed (chest tube duration, length of hospital stay, postoperative narcotic requirements, and postoperative mortality). The frequencies of chronic pain and shoulder dysfunction assessed 1 year after operation were also similar between thoracotomy groups. CONCLUSIONS: The relative efficacies and rates of occurrence of acute or chronic morbidity are equivalent after muscle-sparing thoracotomy and standard lateral thoracotomy. Although muscle-sparing thoracotomy may possibly be performed more expediently, it appears that the singular advantage of muscle-sparing thoracotomy over standard lateral thoracotomy involves the preservation of chest wall musculature in case rotational muscle flaps should be needed later.

Carcinoma, Non-Small-Cell Lung↗
PubMed2003

Lateral posterior fossa venous sinus relationships to surface landmarks.

BACKGROUND: Knowing the location of the venous sinuses in the combined lateral posterior fossa and lateral cranial base approach is important to prevent their inadvertent injury. The identification of surface landmarks related to these structures is useful in planning such surgical approaches. METHODS: Twelve injected adult cadaver specimens and 10 dried skulls were used to study the relationship of the venous sinuses to various surface anatomic structures. RESULTS: The asterion was not clearly seen in 60% of the studied cadaver sides. The asterion was always clearly seen in the dry skull preparations. The upper margin of the superior nuchal line was found to range from 1.5 mm to 14 mm inferior to the lower margin of the lateral transverse sinus. In 85% of our specimens, the mastoid groove was found to completely overlie the sigmoid sinus. CONCLUSIONS: The asterion was found to be variable in its anatomic relations to other identifiable structures. This variability in relation to other posterior fossa bony landmarks limits its overall usefulness as a consistently stable marker for intracranial structures. The first and most superolateral burr hole for lateral posterior fossa procedures can be safely placed 1 cm below the superior nuchal line and 1 cm medial to the top of the mastoid groove. A burr hole in this location will avoid the transverse and sigmoid sinuses, as well as the transverse-sigmoid junction, yet will be high enough and lateral enough to provide easy exposure of these venous sinuses for all lateral posterior fossa procedures.

Adult↗
PubMed2003

Evaluation of transition zone and lateral sextant biopsies for prostate cancer detection after initial sextant biopsy.

OBJECTIVES: To assess the value of transition zone and lateral sextant biopsies for the detection of prostate cancer after a previous sextant biopsy was negative. METHODS: A total of 74 prostates after radical prostatectomy were used to perform biopsies ex vivo. First, a sextant biopsy was taken, then two different rebiopsy techniques were performed. Rebiopsy technique A consisted of a laterally placed sextant biopsy and two cores per side of the transition zones only. Rebiopsy technique B included a standard sextant biopsy and two cores per side from the lateral areas of the prostate. The biopsies were taken using ultrasound guidance to sample the areas of interest precisely. RESULTS: The initial sextant biopsy found 39 prostate cancers. Rebiopsy technique A found 12 cancers (34%). In this group, a laterally placed sextant biopsy found 12 cancers; transition zone biopsies revealed cancer in 5 cases, but no additional tumor was found. Rebiopsy technique B detected 23 prostate cancers (66%). Fourteen tumors were found after a second standard sextant biopsy, and nine additional tumors were found in the lateral areas. CONCLUSIONS: Sextant biopsy has a low sensitivity of only 53%. A biopsy including the transition zones is not the ideal technique for detecting the remaining tumors. Therefore, transition zone biopsies should be reserved for patients with multiple previous negative biopsies of the peripheral zone. A subsequent sextant biopsy with additional cores from the lateral areas of the prostate is favorable if rebiopsy is necessary after a negative sextant biopsy.

Biopsy, Needle↗
PubMed2003

Comparison of relative renal function by renal scintigraphy and lateralized creatinine clearance in children with bilateral vesicoureteral reflux.

OBJECTIVES: To evaluate the relative renal function on preoperative and postoperative renal scintigraphy with lateralized creatinine clearance. Multiple factors affect renal blood flow and glomerular filtration that alter the relative renal function calculated by renal scintigraphy. The relative renal function according to renal scintigraphy in children with bilateral vesicoureteral reflux has not been compared with lateralized creatinine clearance. METHODS: We retrospectively reviewed the charts of 45 children treated surgically for bilateral vesicoureteral reflux. The average age at time of reimplantation was 5.3 years. Bilateral ureteral catheters were placed intraoperatively. Lateralized creatinine clearance was measured with 24-hour urine collections postoperatively from each catheter. Bladder catheterization was not performed during the renal scans. RESULTS: Thirty-six of 45 children had preoperative 1 to 3-minute relative renal function assessed by scintigraphy, 28 had a postoperative assessment, and 24 had both. Preoperative relative renal function ranged between 51% and 94% (mean 61.3%) in the higher functioning kidney. Postoperative renal function ranged from 47% to 90% (mean 60.5%) in the higher functioning kidney. A strong correlation existed between preoperative relative renal function and lateralized creatinine clearance (P <0.0001). Similarly, a significant correlation existed between the postoperative assessment and lateralized creatinine clearance (P <0.0003). No significant difference occurred between the preoperative and postoperative 1 to 3-minute relative renal function (P = 0.3552). CONCLUSIONS: The 1 to 3-minute relative renal function determined by renal scintigraphy accurately reflects the relative renal function determined by lateralized creatinine clearance. Bladder catheterization does not appear necessary for accurate determination of relative renal function by renal scan even in the presence of bilateral reflux.

Adolescent↗
PubMed1996

Lateral and axial signals involved in avian somite patterning: a role for BMP4.

In vertebrates, muscles of the limbs and body wall derive from the lateral compartment of the embryonic somites, and axial muscles derive from the medial compartment. Whereas the mechanisms that direct patterning of somites along the dorsoventral axis are beginning to be understood, little is known about the tissue interactions and signaling molecules that direct somite patterning along the mediolateral axis. We report the identification of a specific marker for the lateral somitic compartment and its early derivatives, cSim1, an avian homolog of the Drosophila single minded gene. Using this marker, we provide evidence that specification of the lateral somitic lineage results from the antagonistic actions of a diffusible medializing signal from the neural tube and a diffusible lateralizing signal from the lateral plate mesoderm, and we implicate bone morphogenetic protein 4(BMP4) in directing this lateralization.

Amino Acid Sequence↗
PubMed1993

An evaluation of the number of condenser insertions needed with warm lateral condensation of gutta-percha.

The purpose of this investigation was to determine the number of condenser insertions needed to obturate root canal systems using warm lateral condensation. Forty epoxide blocks with one major and five lateral canals placed at varying angles were used. The blocks received either one, three, five, or seven insertions of the warm instrument. The findings revealed gutta-percha and or sealer in every lateral canal. Cold compaction of the heated gutta-percha produced more material in the lateral canals than did the use of the heated condenser alone. The optimum number of condenser insertions depended upon the position of the lateral canal, the size of the canal, and the bulk of material being heated. The areas of the main canal with a smaller diameter required fewer insertions of the warm condenser to push the gutta-percha into the lateral canals located in those areas.

Analysis of Variance↗
PubMed1999

Distribution of the sacral neurones of origin of the ascending spinal tracts with axons passing through the lateral funiculi of the lowermost thoracic segments: an experimental HRP study in the cat.

The locations of 249 cell bodies of the ascending tract neurones in the grey matter of S1-S3 segments of the spinal cord were reconstructed by histochemical staining, after their axons (or axonal collaterals) at the level of the Thl3 segment were injected with horseradish peroxidase (HRP). In three cats in which the injections of HRP were restricted to the lateral part of the lateral funiculi (llf), about 84% of 159 retrogradely labelled cells were found on the contralateral side, while about 16% were located ipsilaterally. They were the most numerous in S2, S3 and S1 segments, respectively, and the neurones were distributed mainly in the lateral laminae I-VII, medial laminae V, VI and lamina VIII. In three other animals in which the injections of the marker were limited to the dorsal part of the lateral funiculi (dlf), 84 of the 90 ascending tract neurones were found to be distributed in the S2 and S3 segments both ipsi- (lateral laminae III-V) and contralaterally, (lateral laminae IV and V as well as the medial laminae VII and VIII) in similar numbers. The remaining six of the 90 cells with only contralateral projections at the dorsolateral funiculus at Thl3 were scattered within the S1 segment. These data are consistent with the results of studies on sacral spinocerebellar, spinothalamic and spinoreticular projections, as well as the localization of sacral spinocervical and priopriospinal neurones. They may also imply the importance of the bilateral fiber course of the neurones of origin of ascending tracts in the S2 and S3 segments within the dorsolateral funiculus.

Afferent Pathways↗
PubMed2003

Lower-extremity biomechanics during forward and lateral stepping activities in older adults.

OBJECTIVE: To characterize the lower-extremity biomechanics associated with stepping activities in older adults. DESIGN: Repeated-measures comparison of kinematics and kinetics associated with forward step-up and lateral step-up activities. BACKGROUND: Biomechanical analysis may be used to assess the effectiveness of various 'in-home activities' in targeting appropriate muscle groups and preserving functional strength and power in elders. METHODS: Data were analyzed from 21 participants (mean 74.7 yr (standard deviation, 4.4 yr)) who performed the forward and lateral step-up activities while instrumented for biomechanical analysis. Motion analysis equipment, inverse dynamics equations, and repeated measures ANOVAs were used to contrast the maximum joint angles, peak net joint moments, angular impulse, work, and power associated with the activities. RESULTS: The lateral step-up resulted in greater maximum knee flexion (P<0.001) and ankle dorsiflexion angles (P<0.01). Peak joint moments were similar between exercises. The forward step-up generated greater peak hip power (P<0.05) and total work (P<0.001); whereas, the lateral step-up generated greater impulse (P<0.05), work (P<0.01), and power (P<0.05) at the knee and ankle. CONCLUSIONS: In older adults, the forward step-up places greater demand on the hip extensors, while lateral step-up places greater demand on the knee extensors and ankle plantar flexors. RELEVANCE: Clinicians may use data from biomechanical analyses of in-home exercises to more effectively target specific lower-extremity muscle groups when prescribing exercise activities for older adults. The forward step-up is recommended for maintaining or improving hip extensor performance; whereas, the lateral step-up is recommended when targeting the knee extensors and ankle plantar flexors.

Activities of Daily Living↗
PubMed2002

The position of the spine in the recovery position--an experimental comparison between the lateral recovery position and the modified HAINES position.

UNLABELLED: The lateral recovery position is widely used for the positioning of unconscious patients. Ideally, in the setting of trauma it is avoided because of concerns about spinal cord injury. However, unconscious individuals with unsuspected trauma or trauma victims attended by partially trained first-aiders may be placed in the recovery position, potentially endangering the cord. Excessive movement of the spine in the recovery position may increase the risk of spinal cord injury in these situations. A new recovery position, termed the modified HAINES position, is described and the position of the spine in this position is compared with the lateral recovery position. HYPOTHESIS: That the modified HAINES position results in less distortion of the position of the spine than the lateral recovery position. METHODS: Thirty-eight healthy volunteers were imaged in the two different positions. Measurements of rotation, flexion and lateral flexion of the cervical and thoraco-lumbar spine were made. Two tailed paired t-tests were employed to compare measurements of the two positions and a McNemar test was used to compare the subjects' subjective experiences. RESULTS: The modified HAINES position resulted in 13.0 degrees (99% CI: 7.5-18.5) less lateral flexion and 12.6 degrees (99% CI: 9.4-15.9) less extension of the cervical spine while the position of the thoraco-lumbar spine was similar in both positions. Nineteen of 28 subjects found the modified HAINES position more comfortable (not significant). CONCLUSION: The modified HAINES position results in a more neutral position of the spine making it preferable to the lateral recovery position in the management of patients when trauma may have occurred. Further research is required to ensure that the recovery positions in use today are the best possible.

Adolescent↗
PubMed2000

Evidence for ascending visceral nociceptive information in the dorsal midline and lateral spinal cord.

The effect of acute, mid-cervical spinal cord lesions on neuronal and reflex activity evoked by the noxious visceral stimulus, colorectal distension (CRD; 80 mmHg, 20 s), was determined in halothane-anesthetized rats. Extracellular recordings were performed of neurons stereotaxically located within the ventrobasal group of the thalamus and in the region of the medullary lateral reticular nucleus. CRD-evoked activity of thalamic neurons was attenuated by lesions of the dorsal midline, but minimally affected by lateral lesions of the spinal cord. In contrast, CRD-evoked activity of medullary neurons was attenuated by lateral lesions ipsilateral to the recording site, but minimally affected by contralateral lateral lesions or dorsal midline lesions. Pseudo-affective visceromotor/cardiovascular responses were vigorous in rats with dorsal midline lesions and absent/attenuated in rats with bilateral lateral spinal lesions. This study presents evidence that visceral nociceptive information ascends in the spinal cord by both dorsal midline and lateral spinal pathways.

Animals↗
PubMed2001

Neurons in the lateral agranular frontal cortex have divided attention correlates in a simultaneous temporal processing task.

The frontal cortex is an important brain area for divided attention. Lesions of the lateral agranular frontal cortex in rats disrupt divided attention in a simultaneous temporal processing task. In the present study, the activity of lateral agranular neurons was examined while rats performed a simultaneous temporal processing procedure. Rats were trained to time two stimuli (a light and a tone), each associated with a different fixed interval. Simple trials, in which a single stimulus was presented, and compound trials, in which both stimuli were presented simultaneously, occurred randomly in a session. Rats were able to divide attention between the two stimuli, as assessed by the pattern of lever presses. Approximately 50% of lateral agranular neurons responded to at least one phase of the task with four response patterns observed. The activity of type 1 cells (60%) was altered to compound, but not simple, stimuli. Type 2 cells (10%) responded to both types of simple stimuli and to compound stimuli. Type 3 cells (27%) had changes in firing rate to one type of simple stimulus and to compound stimuli. Type 4 cells (3%) responded to one type of simple stimulus, but were unresponsive to all other stimuli. The large proportion of type 1 cells supports the hypothesis that the lateral agranular cortex is important in divided attention. Previous studies have suggested that the lateral agranular cortex in rats is equivalent to the primary motor cortex. If so, the results from the present study provide evidence that the lateral agranular cortex may have some cognitive functions, in addition to being part of the motor system.

Acoustic Stimulation↗
PubMed2002

Lack of 5-HT(1B) receptor and of serotonin transporter have different effects on the segregation of retinal axons in the lateral geniculate nucleus compared to the superior colliculus.

We have shown previously that raised levels of serotonin (5-hydroxytryptamine or 5-HT) during development prevent retinal ganglion cell axons from segregating into eye-specific regions in their principal targets: the superior colliculus and the dorsal lateral geniculate nucleus. Possible mediators of 5-HT in this system include its plasma membrane transporter, which is transiently expressed by a sub-population of retinal ganglion cells, and the presynaptic 5-HT(1B) receptor carried on retinal ganglion cell axons. We analysed the retinal projections of 5-HT(1B) knockout (n=15), serotonin transporter knockout (n=14), serotonin transporter/5-HT(1B) double knockout (n=4) and monoamine oxidase A/5-HT(1B) double knockout (n=3) mice. In all four different knockout mice, the ipsilateral retinal projection to the superior colliculus was more diffuse and lost its characteristic patchy distribution. The alterations were most severe in the serotonin transporter knockout mice, where the ipsilateral retinal fibres covered the entire rostrocaudal and mediolateral extent of the superior colliculus, whereas in the 5-HT(1B) and double knockout mice, fibres retracted from the caudal and lateral superior colliculus. Abnormalities in the 5-HT(1B) knockout mice appeared only after postnatal day (P) 4. Treatment with parachlorophenylalanine (at P1-P12) to decrease serotonin levels caused an exuberance of the ipsilateral retinal fibres throughout the superior colliculus (n=9). In the dorsal lateral geniculate nucleus in contrast, the distribution and size of the ipsilateral retinal projection was normal in all four knockout mice. In the serotonin transporter knockout mice however, the contralateral retinal fibres failed to retract from the mediodorsal dorsal lateral geniculate nucleus, an abnormality that was reversed by early treatment with parachlorophenylalanine and in the serotonin transporter/5-HT(1B) double knockout. OUR OBSERVATIONS INDICATE: (1) that the lack of 5-HT transporter and the associated changes in 5-HT levels impair the segregation of retinal axons in both the superior colliculus and the dorsal lateral geniculate nucleus; (2) that 5-HT and 5-HT(1B) receptors are necessary for the normal refinement of the ipsilateral retinal fibres in the superior colliculus, but are not essential for the establishment of eye-specific segregation in the thalamus. Thus, both an excess and a lack of 5-HT affect the refinement of the superior colliculus retinal projection, while the establishment of eye-specific patterns in the dorsal lateral geniculate nucleus appears not to be sensitive to the lack of 5-HT or 5-HT(1B) receptors.

Animals↗