part of the body to the innominate bones. The sacrum also conducts the sacral nerve roots to the pelvic organs. Each innominate bone is a fusion of the ilium, ischium, and pubic bones. The intersection of the fusion forms the acetabulum, which articulates with the femur. Posteriorly, the innominate bones are anchored to the sacrum by the anterior and posterior iliac ligaments, two of the body’s...

INTRODUCTION Patients with stage III and IV pressure ulcers requiring surgical reconstruction remain a challenge. Extended hospitalization, and high costs of care per patient episode due to high rates of complications and recurrence, make efforts to reduce these rates of utmost importance to the medical community in general. We report a case in which two prior attempts at surgical resolution ha...

Introduction: Gossypiboma is a serious but uncommon complication of surgical interventions. Most case reports and reviews refer to abdominal or thoracic surgery. Retained postoperative foreign bodies in limb or spine surgery are less commonly encountered. We present a case of gossypiboma in a paraplegic patient originating from pararectal surgery and detected 15 years after index surgery for in...

To cite: McKernon SL, Reid S, Taylor KH, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015212951 DESCRIPTION A 53-year-old man presented to the A&E department at Liverpool University Dental Hospital following urgent referral from his general dental practitioner. During attempted routine extraction of the 18 (upper right wisdom tooth), his general dental ...

Latissimus dorsi tendon transfer is an effective option for young and active patients with massive irreparable posterosuperior rotator cuff tears and intact subscapularis tendon. This approach has been shown to relieve pain and improve shoulder function in both the short and long term. We describe a surgical technique using an acromial osteotomy to better expose the greater tuberosity for the t...

Snapping biceps femoris tendon (BFT) over the fibular head is an uncommon cause of lateral knee pain, with few case reports in the literature.1–12 Reported causes include anomalous tendon insertion, tears at the tendon insertion site, abnormality of the fibular head, and tendon subluxation despite normal anatomy. When nonoperative management fails, various surgical treatment techniques have bee...

BACKGROUND The quadratus femoris (QF) muscle is a possible source of lower buttock pain as evidenced by what is known about the pathophysiology of ischiofemoral impingement syndrome. However, there are few reports about the interventional management of the QF muscle as a pain generator. OBJECTIVE To describe an ultrasound-guided QF muscle injection technique in patients with lower buttock pai...

BACKGROUND Pelvic reconstruction after hemipelvectomy can greatly improve the weight-bearing stability of the supporting skeleton and improve patients' quality of life. Although an autograft can be used to reconstruct pelvic defects, the most suitable choice of autograft, i.e., the use of either femur or tibia, has not been determined. We aimed to analyze the mechanical stresses of a pelvic rin...