BACKGROUND Anterior transposition of the inferior oblique muscle is a popular treatment for dissociated vertical divergence. It seems that this surgical procedure may alter the palpebral fissure. OBJECTIVES To investigate the alteration of the palpebral fissure with inferior oblique muscle anterior transposition when it is performed as the sole operative procedure and to report the cases of p...

Purpose To report a case of inferior rectus muscle hypoplasia with esotropia, which was treated successfully by resection and anterior transposition of the inferior oblique muscle. Observations A 1-year-old boy presented with esotropia. He had esotropia of 15-30° and intermittent left hypertropia. At the age of 3 years, the alternate prism cover test showed esotropia of 35Δ and left hypertrop...

OBJECT Surgical treatment for cubital ulnar nerve compression includes medial epicondylectomy, simple decompression, or anterior transposition (subcutaneous, intramuscular, or submuscular). There is a dearth of prospective randomized studies on which to base guidelines for choosing one operative treatment over another. The authors review the literature on this subject and present their findings...

OBJECTIVE To report the effect of weakening the superior rectus and inferior oblique (IO) muscles on ocular rotations. DESIGN Observational case series. We reviewed a 10-year period of medical records of consecutive patients who underwent bilateral 5- to 11-mm (mean, 8.0 mm; SD, 1.1 mm) superior rectus muscle recessions combined with an IO muscle recession, myectomy, or anterior transposition...

BACKGROUND The anti-elevation syndrome is an adverse outcome of anterior transposition of the inferior oblique muscle. The presumed cause is an excessive anti-elevating force vector that occurs with attempted elevation in abduction. This causes apparent overaction of the contralateral inferior oblique muscle due to fixation duress. It has been suggested that excessive residual extorsion may hel...

Subcutaneous and submuscular anterior ulnar nerve transposition have been widely used in patients with cubital tunnel syndrome. However, the reliable evidence in favor of 1 of 2 surgical options on clinical improvement remains controversial. To maximize the value of the available literature, we performed a systematic review and meta-analysis to compare subcutaneous versus submuscular anterior u...

A local transposition flap can be used to close a large donor defect. This is a medially based transposition flap. Although the flap is randomly patterned in design, there is a rich supply of cutaneous perforators in this region of the trunk. These include anterior perforators from the internal thoracic artery, perforators from the superior and inferior epigastric arcades that can communicate a...

SUMMARY The diagnostic echocardiographic features of transposition of the great arteries have been described as (1) abnormal great vessel relations, (2) reversed systolic time intervals. The former has been shown to be unreliable and the systolic time intervals have not been critically evaluated in the neonate. A cardiac opinion was sought in 17 cyanotic neonates, aged 7 to 80 hours in whom ful...