The Development of the Anterior Abdominal Wall in the Rat in the Light of a New Anatomical Description
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Clinical Course of Fascial Fibromatosis, Vascularization and Tissue
Health and Primary Care Research Article ISSN: 2515-107X Clinical course of fascial fibromatosis, vascularization and tissue composition of Palmar Aponeurosis in patients with Dupuytren's Contracture and concomitant arterial hypertension Nathalia Shchudlo1, Tatyana Varsegova2, Tatyana Stupina2, Michael Shchudlo1*, Nathalia Shihaleva1 and Vadim Kostin1 1Clinics and experimental laboratory for reconstructive microsurgery and hand surgery 2Laboratory of morphology, of FSBI (Federal State Budget Institution) Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics”, Kurgan, 640014, Russia Abstract Objective: Analysis of clinical course of palmar fascial fibromatosis (PFF) and histomorphometric characteristics of palmar aponeurosis in patients with Dupuytren’s contracture (DC) with normal blood pressure (DCN) or with concomitant arterial hypertension (DCH). Materials and methods: Case reports and histologic operation material from 140 Dupuytren's contracture patients treated in FSBI (Federal State Budget Institution) Russian Ilizarov Scientific Center “Restorative Traumatology and Orthopaedics” in 2014-2018. Inclusion criteria - men aged 43-77 years. Control – fragments of palmar aponeurosis from patients with acute open hand trauma. Results: In DCH group PFF duration was insignificantly bigger (p>0,05), patients were older by 5 years at the beginning of PFF and by 7 years at the time of surgery, respectively (p<0,001) – compared to DCN group. Stage of contracture was 3 (2÷3) in DCH and 2,5 (2÷3) in DCN (p<0,05). In comparison with control in arteries of palmar aponeurosis pf DC patients the external diameter and lumen diameter were decreased but intima thickness increased. In comparison with DCN in DCH group luminal diameter was increased but intima thickness decreased (p<0, 05). -
An Aponeurosis Or Fascia?
Int. J. Morphol., 35(2):684-690, 2017. The Plantar Aponeurosis in Fetuses and Adults: An Aponeurosis or Fascia? La Aponeurosis Plantar en Fetos y Adultos: ¿Aponeurosis o Fascia? A. Kalicharan; P. Pillay; C.O. Rennie; B.Z. De Gama & K.S. Satyapal KALICHARAN, A.; PILLAY, P.; RENNIE, C.O.; DE GAMA, B. Z. & SATYAPAL, K. S. The plantar aponeurosis in fetuses and adults: An aponeurosis or fascia? Int. J. Morphol., 35(2):684-690, 2017. SUMMARY: The plantar aponeurosis (PA), which is a thickened layer of deep fascia located on the plantar surface of the foot, is comprised of three parts. There are differing opinions on its nomenclature since various authors use the terms PA and plantar fascia (PF) interchangeably. In addition, the variable classifications of its parts has led to confusion. In order to assess the nature of the PA, this study documented its morphology. Furthermore, a pilot histological analysis was conducted to examine whether the structure is an aponeurosis or fascia. This study comprised of a morphological analysis of the three parts of the PA by micro- and macro-dissection of 50 fetal and 50 adult cadaveric feet, respectively (total n=100). Furthermore, a pilot histological analysis was conducted on five fetuses (n=10) and five adults (n=10) (total n=20). In each foot, the histological analysis was conducted on the three parts of the plantar aponeurosis, i.e. the central, lateral, and medial at their calcaneal origin (total n=60). Fetuses: i) Morphology: In 66 % (33/50) of the specimens, the standard anatomical pattern was observed, viz. -
Anatomy of Abdominal Incisions
ANATOMY FOR THE MRCS but is time-consuming. A lower midline incision is needed for an Anatomy of abdominal emergency Caesarean section (where minutes may be crucial for baby and mother). The surgeon must also be sure of the pathol- incisions ogy before performing this approach. Close the Pfannenstiel and start again with a lower midline if the ‘pelvic mass’ proves to be Harold Ellis a carcinoma of the sigmoid colon! There are more than one dozen abdominal incisions quoted in surgical textbooks, but the ones in common use today (and which the candidate must know in detail) are discussed below. The midline incision (Figures 1–4) Opening the abdomen is the essential preliminary to the per- formance of a laparotomy. A correctly performed abdominal The midline abdominal incision has many advantages because it: exposure is based on sound anatomical knowledge, hence it is a • is very quick to perform common question in the Operative Surgery section of the MRCS • is relatively easy to close examination. • is virtually bloodless (no muscles are cut or nerves divided). • affords excellent access to the abdominal cavity and retroperi- toneal structures Incisions • can be extended from the xiphoid to the pubic symphysis. Essential features If closure is performed using the mass closure technique, pros- The surgeon needs ready and direct access to the organ requir- pective randomized clinical trials have shown no difference in ing investigation and treatment, so the incision must provide the incidence of wound dehiscence or incisional hernia com- sufficient room for the procedure to be performed. The incision pared with transverse or paramedian incisions.1 should (if possible): The upper midline incision is placed exactly in the midline • be capable of easy extension (to allow for any enlargement of and extends from the tip of the xiphoid to about 1 cm above the scope of the operation) the umbilicus. -
Healing of the Aponeurosis During Recovery from Aponeurotomy
VU Research Portal Healing of the aponeurosis during recovery from aponeurotomy: morphological and histological adaptation and related changes in mechanical properties Jaspers, R.T.; Brunner, R.; Riede, U.N.; Huijing, P.A.J.B.M. published in Journal of Orthopaedic Research 2005 DOI (link to publisher) 10.1016/j.orthres.2004.08.022 document version Publisher's PDF, also known as Version of record Link to publication in VU Research Portal citation for published version (APA) Jaspers, R. T., Brunner, R., Riede, U. N., & Huijing, P. A. J. B. M. (2005). Healing of the aponeurosis during recovery from aponeurotomy: morphological and histological adaptation and related changes in mechanical properties. Journal of Orthopaedic Research, 23, 266-73. https://doi.org/10.1016/j.orthres.2004.08.022 General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal ? Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. E-mail address: [email protected] Download date: 30. -
United States Patent (10) Patent No.: US 8,298,586 B2 Bosley, Jr
US008298,586B2 (12) United States Patent (10) Patent No.: US 8,298,586 B2 Bosley, Jr. et al. (45) Date of Patent: Oct. 30, 2012 (54) VARIABLE DENSITY TISSUE GRAFT 5,281,422 A 1/1994 Badylak et al. COMPOSITION 5,336,616 A 8/1994 Livesey et al. 5,352,463 A 10/1994 Badylak et al. 5,372,821 A 12/1994 Badvlak et al. (75) Inventors: Rodney W. Bosley, Jr., Chester Springs, 5,445,833. A 8, 1995 E. et al. PA (US); Clay Fette, Palm Beach 5,516,533 A 5/1996 Badylak et al. Gardens, FL (US) 5,554.389 A 9/1996 Badylak et al. 5,573,784. A 11, 1996 Badylak et al. (73) Assignee: Acell Inc, Columbia, MD (US) 5,607,590 A * 3/1997 Shimizu........................ 210,490 5,618,312 A 4, 1997 Yui et al. (*) Notice: Subject to any disclaimer, the term of this 35 A SE E. s al patent is extended or adjusted under 35 5,711,969 A 1/1998 Patel et al. U.S.C. 154(b) by 534 days. 5,753,267 A 5/1998 Badylak et al. 5,755,791 A 5/1998 Whitson et al. (21) Appl. No.: 12/507,338 5,866,414.5,762,966 A 2/19996/1998 Knapp,Badylak Jr. et etal. al. 5,866,415 A 2f1999 Villeneuve et al. (22) Filed: Jul. 22, 2009 5,869,041 A 2/1999 Vandenburgh (65) Prior Publication Data (Continued) US 2011 FOO2O42O A1 Jan. 27, 2011 FOREIGN PATENT DOCUMENTS (51) Int. -
Anterior Abdominal Wall
Abdominal wall Borders of the Abdomen • Abdomen is the region of the trunk that lies between the diaphragm above and the inlet of the pelvis below • Borders Superior: Costal cartilages 7-12. Xiphoid process: • Inferior: Pubic bone and iliac crest: Level of L4. • Umbilicus: Level of IV disc L3-L4 Abdominal Quadrants Formed by two intersecting lines: Vertical & Horizontal Intersect at umbilicus. Quadrants: Upper left. Upper right. Lower left. Lower right Abdominal Regions Divided into 9 regions by two pairs of planes: 1- Vertical Planes: -Left and right lateral planes - Midclavicular planes -passes through the midpoint between the ant.sup.iliac spine and symphysis pupis 2- Horizontal Planes: -Subcostal plane - at level of L3 vertebra -Joins the lower end of costal cartilage on each side -Intertubercular plane: -- At the level of L5 vertebra - Through tubercles of iliac crests. Abdominal wall divided into:- Anterior abdominal wall Posterior abdominal wall What are the Layers of Anterior Skin Abdominal Wall Superficial Fascia - Above the umbilicus one layer - Below the umbilicus two layers . Camper's fascia - fatty superficial layer. Scarp's fascia - deep membranous layer. Deep fascia : . Thin layer of C.T covering the muscle may absent Muscular layer . External oblique muscle . Internal oblique muscle . Transverse abdominal muscle . Rectus abdominis Transversalis fascia Extraperitoneal fascia Parietal Peritoneum Superficial Fascia . Camper's fascia - fatty layer= dartos muscle in male . Scarpa's fascia - membranous layer. Attachment of scarpa’s fascia= membranous fascia INF: Fascia lata Sides: Pubic arch Post: Perineal body - Membranous layer in scrotum referred to as colle’s fascia - Rupture of penile urethra lead to extravasations of urine into(scrotum, perineum, penis &abdomen) Muscles . -
The Female Pelvic Floor Fascia Anatomy: a Systematic Search and Review
life Systematic Review The Female Pelvic Floor Fascia Anatomy: A Systematic Search and Review Mélanie Roch 1 , Nathaly Gaudreault 1, Marie-Pierre Cyr 1, Gabriel Venne 2, Nathalie J. Bureau 3 and Mélanie Morin 1,* 1 Research Center of the Centre Hospitalier Universitaire de Sherbrooke, Faculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada; [email protected] (M.R.); [email protected] (N.G.); [email protected] (M.-P.C.) 2 Anatomy and Cell Biology, Faculty of Medicine and Health Sciences, McGill University, Montreal, QC H3A 0C7, Canada; [email protected] 3 Centre Hospitalier de l’Université de Montréal, Department of Radiology, Radio-Oncology, Nuclear Medicine, Faculty of Medicine, Université de Montréal, Montreal, QC H3T 1J4, Canada; [email protected] * Correspondence: [email protected] Abstract: The female pelvis is a complex anatomical region comprising the pelvic organs, muscles, neurovascular supplies, and fasciae. The anatomy of the pelvic floor and its fascial components are currently poorly described and misunderstood. This systematic search and review aimed to explore and summarize the current state of knowledge on the fascial anatomy of the pelvic floor in women. Methods: A systematic search was performed using Medline and Scopus databases. A synthesis of the findings with a critical appraisal was subsequently carried out. The risk of bias was assessed with the Anatomical Quality Assurance Tool. Results: A total of 39 articles, involving 1192 women, were included in the review. Although the perineal membrane, tendinous arch of pelvic fascia, pubourethral ligaments, rectovaginal fascia, and perineal body were the most frequently described structures, uncertainties were Citation: Roch, M.; Gaudreault, N.; identified in micro- and macro-anatomy. -
Surface Anatomy
BODY ORIENTATION OUTLINE 13.1 A Regional Approach to Surface Anatomy 398 13.2 Head Region 398 13.2a Cranium 399 13 13.2b Face 399 13.3 Neck Region 399 13.4 Trunk Region 401 13.4a Thorax 401 Surface 13.4b Abdominopelvic Region 403 13.4c Back 404 13.5 Shoulder and Upper Limb Region 405 13.5a Shoulder 405 Anatomy 13.5b Axilla 405 13.5c Arm 405 13.5d Forearm 406 13.5e Hand 406 13.6 Lower Limb Region 408 13.6a Gluteal Region 408 13.6b Thigh 408 13.6c Leg 409 13.6d Foot 411 MODULE 1: BODY ORIENTATION mck78097_ch13_397-414.indd 397 2/14/11 3:28 PM 398 Chapter Thirteen Surface Anatomy magine this scenario: An unconscious patient has been brought Health-care professionals rely on four techniques when I to the emergency room. Although the patient cannot tell the ER examining surface anatomy. Using visual inspection, they directly physician what is wrong or “where it hurts,” the doctor can assess observe the structure and markings of surface features. Through some of the injuries by observing surface anatomy, including: palpation (pal-pā sh ́ ŭ n) (feeling with firm pressure or perceiving by the sense of touch), they precisely locate and identify anatomic ■ Locating pulse points to determine the patient’s heart rate and features under the skin. Using percussion (per-kush ̆ ́ŭn), they tap pulse strength firmly on specific body sites to detect resonating vibrations. And ■ Palpating the bones under the skin to determine if a via auscultation (aws-ku ̆l-tā sh ́ un), ̆ they listen to sounds emitted fracture has occurred from organs. -
Kumka's Response to Stecco's Fascial Nomenclature Editorial
Journal of Bodywork & Movement Therapies (2014) 18, 591e598 Available online at www.sciencedirect.com ScienceDirect journal homepage: www.elsevier.com/jbmt FASCIA SCIENCE AND CLINICAL APPLICATIONS: RESPONSE Kumka’s response to Stecco’s fascial nomenclature editorial Myroslava Kumka, MD, PhD* Canadian Memorial Chiropractic College, Department of Anatomy, 6100 Leslie Street, Toronto, ON M2H 3J1, Canada Received 12 May 2014; received in revised form 13 May 2014; accepted 26 June 2014 Why are there so many discussions? response to the direction of various strains and stimuli. (De Zordo et al., 2009) Embedded with a range of mechanore- The clinical importance of fasciae (involvement in patho- ceptors and free nerve endings, it appears fascia has a role in logical conditions, manipulation, treatment) makes the proprioception, muscle tonicity, and pain generation. fascial system a subject of investigation using techniques (Schleip et al., 2005) Pathology and injury of fascia could ranging from direct imaging and dissections to in vitro potentially lead to modification of the entire efficiency of cellular modeling and mathematical algorithms (Chaudhry the locomotor system (van der Wal and Pubmed Exact, 2009). et al., 2008; Langevin et al., 2007). Despite being a topic of growing interest worldwide, This tissue is important for all manual therapists as a controversies still exist regarding the official definition, pain generator and potentially treatable entity through soft terminology, classification and clinical significance of fascia tissue and joint manipulative techniques. (Day et al., 2009) (Langevin et al., 2009; Mirkin, 2008). It is also reportedly treated with therapeutic modalities Lack of consistent terminology has a negative effect on such as therapeutic ultrasound, microcurrent, low level international communication within and outside many laser, acupuncture, and extracorporeal shockwave therapy. -
Glandula Submandibularis 10
GIT I oral cavity Oral cavity Slides: 1. Labium oris 2. Apex linguae 3. Papilla circumvallata 5. Palatum molle 8. Glandula parotis 9. Glandula submandibularis 10. Glandula sublingualis Oral mucosa Lamina epithelialis mucosae (LAM) stratified squamous epithelium Lamina propria mucosae (LPM) loose collagen connective tissue 3 functional types oforal mucosa: • lining mucosa – submucosa, lips, oral cavity, pallatum • masticatory – submucosa absent, mucosa directly attahed to periost, (gingiva, pallatum durum) • specialised – papillae (dorsum linguae) Lip - labium oris Transition zone (vermillion border) LEM SSE – eleidin LPM loose c.t. - papillae Dorsal (ORAL, mucous) tunica mucosa Ventral (SKIN, LAM – SSE external) LPM – loose c.t. Thin skin tela submucosa – loose connective tissue + gll. labiales – epidermis (keratinized SSE) (mixed seromucinous salivary – dermis (hair follicles, sebaceous glands). and sweat glands) m. orbicularis oris Labium oris Ventral Vermillion Dorsal gll.labiales Labium oris – vermillion border Tongue – lingua - dorsum linguae - facies inferior (mylohyoidea) Radix Papillae vallatae Papillae foliatae Corpus Papillae filliformes Papillae fungiformes Apex Tongue – lingua • Dorsum linguae: – tunica mucosa – papillae filiformes, fungiformes, vallatae, foliatae • lamina epithelialis – SSE • lamina propria – loose connective tissue (papillae) + capilaries – aponeurosis linguae; (tela submucosa absent) – skeletal muscle, collagen c.t., small salivary glands • Facies ventralis, inferior (mylohyoidea): – tunica mucosa – smooth -
Morphology of the Bicipital Aponeurosis: a Cadaveric Study S.D
Folia Morphol. Vol. 73, No. 1, pp. 79–83 DOI: 10.5603/FM.2014.0011 O R I G I N A L A R T I C L E Copyright © 2014 Via Medica ISSN 0015–5659 www.fm.viamedica.pl Morphology of the bicipital aponeurosis: a cadaveric study S.D. Joshi, A.S. Yogesh, P.S. Mittal, S.S. Joshi Department of Anatomy, Sri Aurobindo Medical College and Postgraduate Institute, Indore, India [Received 17 May 2013; Accepted 2 July 2013] The bicipital aponeurosis (BA) is a fascial expansion which arises from the ten- don of biceps brachii and dissipates some of the force away from its enthesis. It helps in dual action of biceps brachii as supinator and flexor of forearm. The aim of the present work was to study the morphology of BA. Thirty cadaveric upper limbs (16 right and 14 left side limbs) were dissected and dimensions of the BA were noted. The average width of aponeurosis at its commencement on the right was 15.74 mm while on the left it was 17.57 mm. The average angle between tendon and aponeurosis on the right was 21.16° and on the left it was 21.78°. The fibres from the short head of the biceps brachii contributed to the formation of proximal part of aponeurosis. Fascial sheath over the tendon of long head of biceps brachii was seen to form the distal part of the aponeurosis. In 5 cases, large fat globules were present between the sheath and the tendon. Histologically: The aponeurosis showed presence of thick collagen bundles. -
Terminologia Anatomica and Its Practical Usage: Pitfalls and How to Avoid Them
CORE Metadata, citation and similar papers at core.ac.uk Provided by Via Medica Journals ONLINE FIRST This is a provisional PDF only. Copyedited and fully formatted version will be made available soon. ISSN: 0015-5659 e-ISSN: 1644-3284 Terminologia Anatomica and its practical usage: pitfalls and how to avoid them Authors: Piotr Paweł Chmielewski, Zygmunt Antoni Domagała DOI: 10.5603/FM.a2019.0086 Article type: REVIEW ARTICLES Submitted: 2019-06-29 Accepted: 2019-07-10 Published online: 2019-07-29 This article has been peer reviewed and published immediately upon acceptance. It is an open access article, which means that it can be downloaded, printed, and distributed freely, provided the work is properly cited. Articles in "Folia Morphologica" are listed in PubMed. Powered by TCPDF (www.tcpdf.org) Terminologia Anatomica and its practical usage: pitfalls and how to avoid them Running title: New Terminologia Anatomica and its practical usage Piotr Paweł Chmielewski, Zygmunt Antoni Domagała Division of Anatomy, Department of Human Morphology and Embryology, Faculty of Medicine, Wroclaw Medical University Address for correspondence: Dr. Piotr Paweł Chmielewski, PhD, Division of Anatomy, Department of Human Morphology and Embryology, Faculty of Medicine, Wroclaw Medical University, 6a Chałubińskiego Street, 50-368 Wrocław, Poland, e-mail: [email protected] ABSTRACT In 2016, the Federative International Programme for Anatomical Terminology (FIPAT) tentatively approved the updated and extended version of anatomical terminology that replaced the previous version of Terminologia Anatomica (1998). This modern version has already appeared in new editions of leading anatomical atlases and textbooks, including Netter’s Atlas of Human Anatomy, even though it was originally available only as a draft and the final version is different.