OBJECTIVE To estimate the risk of prolapse associated with levator avulsion injury among a urogynaecological clinic population. DESIGN Retrospective observational study. SETTING Tertiary urogynaecological unit. SAMPLE A total of 934 women seen for interview, examination using the pelvic organ prolapse quantification (POP-Q) staging system and imaging of the levator ani muscle by four-dime...

The face and scalp define functionally and aesthetically important units. Traumatic deformities of the head and neck region resulting from burn injuries, gunshot wounds, or ablative tumor surgeries may be presented as a single defect, such as of the skin, the subcutaneous tissue, or the muscle, or as a combination defect involving all three units. The optimal reconstruction of these specialized...

OBJECTIVE Levator avulsion is common after vaginal delivery and is strongly associated with prolapse and prolapse recurrence. The aim of this study was to compare assessment by digital palpation and two ultrasound methods, one using rendered volumes and the other multislice imaging, for the diagnosis of levator avulsion. METHODS We retrospectively analyzed randomly identified datasets of 266 ...

OBJECTIVE To report functional outcome in Posterior Cruciate Ligament (PCL) tibial avulsion fractures treated with open reduction and internal fixation through Burks and Schaffer approach. The patient specific functional outcome measures like IKDC grading together with objective grading with stress radiographs have rarely been used -to assess PCL tibial avulsion fractures. MATERIAL AND METHOD...

BACKGROUND Peripheral nerve (PN) transplantation and ventral root implantation are the two common types of recovery operations to restore the connection between motoneurons and their target muscles after brachial plexus injury. Despite experience accumulated over the past decade, fundamental knowledge is still lacking concerning the efficacy of the two microsurgical interventions. METHODS Thi...

Injury to the structures of the medial elbow is common among baseball players. The injury can result from repeated valgus stress of the elbow. Several types of injury to the structures of the medial elbow have been reported.1 These injuries cause valgus instability and pain of medial aspect of the elbow during pitch.2e4 Avulsion fractures of the sublime tubercle of the ulna are rare and general...

Avulsion fracture of the anterior tibial eminence is an uncommon injury. If bone union does not occur, knee extension will be limited by impingement of the avulsed fragment and knee instability will be induced by dysfunction of the anterior cruciate ligament (ACL). This report describes a 55-year-old woman who experienced an avulsion fracture of the right anterior tibial eminence during recreat...

OBJECTIVE The aim of this study was to assess the knowledge level of emergency measures for tooth avulsion among Kuwaiti parents. SUBJECTS AND METHODS Sixty-three parents completed an Arabic language questionnaire about their first-aid knowledge. The following fields of knowledge were assessed: general body injury treatment principles, tooth avulsion and replantation principles, avulsed perma...

Tooth avulsion is a very common event in children and emergency care procedures are crucial for case prognosis. As anyone at the moment of accident can provide first-aid measures, knowledge of school professionals dealing with children is of paramount importance. An informative campaign about dental trauma was performed in urban schools in the city of Adamantina, São Paulo state, Brazil, in an ...