Background: Hamstring muscle injuries are among the most common lower extremity injuries in athletes. Pain in the posterior thigh and leg weakness are usual presenting symptoms. Less dramatic onset in nonathletes, without pain in the posterior thigh, is more often thought of as an ischial bursitis or as pain from the sacroiliac joint or the gluteal or piriformis muscles. Pain localized over the...

Dear Editor, Metastasis to the penis is rare, with no more than 500 cases reported to date. Primary tumours of sarcomatous origin are extremely rare, and no case of osteosarcoma has been described in the literature. Here, we present a case of penile metastasis from osteosarcoma of the ischial tuberosity and discuss its possible metastatic mechanisms and clinical implications. A 42-year-old man,...

BACKGROUND Categorical grading and other measurable MRI parameters are frequently utilised for predicting the outcome of hamstring injuries. However, the reliability and smallest detectable difference (SDD) have not been previously evaluated. It therefore remains unclear if the variability in previously reported results reflects reporting variation or actual injury status. METHODS 25 hamstrin...

OBJECTIVE Clinicians commonly recommend that power wheelchair users with spinal cord injury perform wheelchair tilt and recline maneuvers to redistribute seating loads away from the ischial tuberosities. However, ischial pressure reduction may be accompanied by coccygeal pressure increases. Although the coccyx is among the most common sites of pressure ulcers, few studies have reported coccygea...

Introduction Normally, the gemelli muscles are distinguished as attaching along the tendon of the obturator internus (OI) and collectively inserting onto the greater trochanter of the femur [1]. The usual origin of the gemellus superior (GS) lies on the external aspect of the ischial spine with the gemellus inferior (GI) originating from the superior surface of the ischial tuberosity [1, 2]. Th...

The present study describes the topography and morphometry of a unilateral ossified sacrotuberous ligament. It aims to discuss its anatomical, radiological and clinical implications. The pudendal nerve, internal pudendal artery, nerve to obturator internus and coccygeal branch of inferior gluteal artery are all-important structures near sacrotuberous ligament. An ossified sacrotuberous ligament...

Polyurethane foam cushions in a slab form or a customized contoured form are commonly used in wheelchairs to prevent the development of decubitus ulcers (DU) in elderly chronically ill persons. Sixty-two consenting subjects, 60 years or older, were randomly assigned to sit on one of the two types of cushions for 3 or more hours daily for 5 months. A total of 72 DU developed in the 52 subjects w...