According to Fascial Manipulation theory, patellar tendon pain is often due to uncoordinated quadriceps contraction caused by anomalous fascial tension in the thigh. Therefore, the focus of treatment is not the patellar tendon itself, but involves localizing the cause of this incoordination, considered to be within the muscular fascia of the thigh region. Eighteen patients suffering from patell...

Perineal hernia after infralevator posterior pelvic exenteration due to adenocarcinoma of the lower rectum with genital invasion: a rectus abdominis myocutaneous flap was used to repair the defect and reconstruct the vagina. The donor abdominal fascia area was reinforced with bio-absorbable mesh (BioA-Gore). On CT, ileal loops were observed with elongated mesentery in the pelvis and perineum, a...

Figure 1. Photograph of the legs. A large, thickened, firm, hyper/hypopigmented plaque is evident on the left leg. Figure 2. Biopsies of affected skin (A) and contiguous tibialis anterior muscle and fascia from the left leg (B–D). (A) The der-mal collagen is thickened, packed, and hyalinized. The subcutaneous fat is extensively replaced by collagen, and perivascular inflammatory infiltrates are...

Spontaneous cerebrospinal fluid (CSF) otorrhea frequently occurs without temporal bone trauma, fracture, surgery, or any identifiable causes. It is usually associated with tegmen tympani defects of the temporal bone in adults. The congenital origin theory and the arachnoid granulation theory have been accepted to explain the tegmen tympani defect. Magnetic resonance imaging (MRI) and computed t...

W eak hip muscles lead to poor hip motion, and poor hip motion can cause knee, hip, and back pain. By exercising to strengthen the hip muscles that control how your hip moves, you can reduce your pain in these parts of your body. The 2 key muscles to include in your exercise program are the gluteus maximus (the chief muscle on the back of your hip—your buttocks) and the gluteus medius (the main...

Ulnar nerve compression at wrist is manifested either pathologically due to ganglia or neoplasms, or anatomically by the presence of accessory muscles in the hypothenar region. Accessory abductor digiti minimi muscle is an additional muscle encountered rarely in the wrist; presence of which causes high risk of ulnar neuropathy. We report here a case of unilateral accessory abductor digiti minim...

The undermining should split the muscle at the middle, and the same amount of muscle should be left in front of and behind the implant. The point X is found introducing a finger into the muscle incision 2–3 cm deeper. This is half of the thickness of the muscle and this is our plane of undermining. Point Y is in the iliac crest 5 cm beyond the upper-posterior iliac spine and is our superior lim...

The aim of this study was to describe the course of the buccal nerve and its relationships with the temporalis muscle during the prenatal period. Serial sections of 90 human fetal specimens ranging from 9 to 17 wk development were studied by light microscopy. Each fetal specimen was studied on both right and left sides, making a total of 180 cases for study. A 3-D reconstruction of the region a...

PURPOSE: Multiple studies demonstrate that traditional submuscular tissue expander coverage offers the best protection against implant exposure but restricts lower pole expansion. Recognizing these limitations, the authors present a pectoralis major splitting approach for complete submuscular coverage in high-risk patients or those with ischemic mastectomy skin flaps. The pectoralis major muscl...