Superficial Fascia • Fascia Can Be Divided Into Different Types
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Plantar Fascia-Specific Stretching Program for Plantar Fasciitis
Plantar Fascia-Specific Stretching Program For Plantar Fasciitis Plantar Fascia Stretching Exercise 1. Cross your affected leg over your other leg. 2. Using the hand on your affected side, take hold of your affected foot and pull your toes back towards shin. This creates tension/stretch in the arch of the foot/plantar fascia. 3. Check for the appropriate stretch position by gently rubbing the thumb of your unaffected side left to right over the arch of the affected foot. The plantar fascia should feel firm, like a guitar string. 4. Hold the stretch for a count of 10. A set is 10 repetitions. 5. Perform at least 3 sets of stretches per day. You cannot perform the stretch too often. The most important times to stretch are before taking the first step in the morning and before standing after a period of prolonged sitting. Plantar Fascia Stretching Exercise 1 2 3 4 URMC Orthopaedics º 4901 Lac de Ville Boulevard º Building D º Rochester, NY 14618 º 585-275-5321 www.ortho.urmc.edu Over, Please Anti-inflammatory Medicine Anti-inflammatory medicine will help decrease the inflammation in the arch and heel of your foot. These include: Advil®, Motrin®, Ibuprofen, and Aleve®. 1. Use the medication as directed on the package. If you tolerate it well, take it daily for 2 weeks then discontinue for 1 week. If symptoms worsen or return, then resume medicine for 2 weeks, then stop. 2. You should eat when taking these medications, as they can be hard on your stomach. Arch Support 1. -
Pelvic Anatomyanatomy
PelvicPelvic AnatomyAnatomy RobertRobert E.E. Gutman,Gutman, MDMD ObjectivesObjectives UnderstandUnderstand pelvicpelvic anatomyanatomy Organs and structures of the female pelvis Vascular Supply Neurologic supply Pelvic and retroperitoneal contents and spaces Bony structures Connective tissue (fascia, ligaments) Pelvic floor and abdominal musculature DescribeDescribe functionalfunctional anatomyanatomy andand relevantrelevant pathophysiologypathophysiology Pelvic support Urinary continence Fecal continence AbdominalAbdominal WallWall RectusRectus FasciaFascia LayersLayers WhatWhat areare thethe layerslayers ofof thethe rectusrectus fasciafascia AboveAbove thethe arcuatearcuate line?line? BelowBelow thethe arcuatearcuate line?line? MedianMedial umbilicalumbilical fold Lateralligaments umbilical & folds folds BonyBony AnatomyAnatomy andand LigamentsLigaments BonyBony PelvisPelvis TheThe bonybony pelvispelvis isis comprisedcomprised ofof 22 innominateinnominate bones,bones, thethe sacrum,sacrum, andand thethe coccyx.coccyx. WhatWhat 33 piecespieces fusefuse toto makemake thethe InnominateInnominate bone?bone? PubisPubis IschiumIschium IliumIlium ClinicalClinical PelvimetryPelvimetry WhichWhich measurementsmeasurements thatthat cancan bebe mademade onon exam?exam? InletInlet DiagonalDiagonal ConjugateConjugate MidplaneMidplane InterspinousInterspinous diameterdiameter OutletOutlet TransverseTransverse diameterdiameter ((intertuberousintertuberous)) andand APAP diameterdiameter ((symphysissymphysis toto coccyx)coccyx) -
The Cyclist's Vulva
The Cyclist’s Vulva Dr. Chimsom T. Oleka, MD FACOG Board Certified OBGYN Fellowship Trained Pediatric and Adolescent Gynecologist National Medical Network –USOPC Houston, TX DEPARTMENT NAME DISCLOSURES None [email protected] DEPARTMENT NAME PRONOUNS The use of “female” and “woman” in this talk, as well as in the highlighted studies refer to cis gender females with vulvas DEPARTMENT NAME GOALS To highlight an issue To discuss why this issue matters To inspire future research and exploration To normalize the conversation DEPARTMENT NAME The consensus is that when you first start cycling on your good‐as‐new, unbruised foof, it is going to hurt. After a “breaking‐in” period, the pain‐to‐numbness ratio becomes favourable. As long as you protect against infection, wear padded shorts with a generous layer of chamois cream, no underwear and make regular offerings to the ingrown hair goddess, things are manageable. This is wrong. Hannah Dines British T2 trike rider who competed at the 2016 Summer Paralympics DEPARTMENT NAME MY INTRODUCTION TO CYCLING Childhood Adolescence Adult Life DEPARTMENT NAME THE CYCLIST’S VULVA The Issue Vulva Anatomy Vulva Trauma Prevention DEPARTMENT NAME CYCLING HAS POSITIVE BENEFITS Popular Means of Exercise Has gained popularity among Ideal nonimpact women in the past aerobic exercise decade Increases Lowers all cause cardiorespiratory mortality risks fitness DEPARTMENT NAME Hermans TJN, Wijn RPWF, Winkens B, et al. Urogenital and Sexual complaints in female club cyclists‐a cross‐sectional study. J Sex Med 2016 CYCLING ALSO PREDISPOSES TO VULVAR TRAUMA • Significant decreases in pudendal nerve sensory function in women cyclists • Similar to men, women cyclists suffer from compression injuries that compromise normal function of the main neurovascular bundle of the vulva • Buller et al. -
Strain Assessment of Deep Fascia of the Thigh During Leg Movement
Strain Assessment of Deep Fascia of the Thigh During Leg Movement: An in situ Study Yulila Sednieva, Anthony Viste, Alexandre Naaim, Karine Bruyere-Garnier, Laure-Lise Gras To cite this version: Yulila Sednieva, Anthony Viste, Alexandre Naaim, Karine Bruyere-Garnier, Laure-Lise Gras. Strain Assessment of Deep Fascia of the Thigh During Leg Movement: An in situ Study. Frontiers in Bioengineering and Biotechnology, Frontiers, 2020, 8, 15p. 10.3389/fbioe.2020.00750. hal-02912992 HAL Id: hal-02912992 https://hal.archives-ouvertes.fr/hal-02912992 Submitted on 7 Aug 2020 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. fbioe-08-00750 July 27, 2020 Time: 18:28 # 1 ORIGINAL RESEARCH published: 29 July 2020 doi: 10.3389/fbioe.2020.00750 Strain Assessment of Deep Fascia of the Thigh During Leg Movement: An in situ Study Yuliia Sednieva1, Anthony Viste1,2, Alexandre Naaim1, Karine Bruyère-Garnier1 and Laure-Lise Gras1* 1 Univ Lyon, Université Claude Bernard Lyon 1, Univ Gustave Eiffel, IFSTTAR, LBMC UMR_T9406, Lyon, France, 2 Hospices Civils de Lyon, Hôpital Lyon Sud, Chirurgie Orthopédique, 165, Chemin du Grand-Revoyet, Pierre-Bénite, France Fascia is a fibrous connective tissue present all over the body. -
Wound Classification
Wound Classification Presented by Dr. Karen Zulkowski, D.N.S., RN Montana State University Welcome! Thank you for joining this webinar about how to assess and measure a wound. 2 A Little About Myself… • Associate professor at Montana State University • Executive editor of the Journal of the World Council of Enterstomal Therapists (JWCET) and WCET International Ostomy Guidelines (2014) • Editorial board member of Ostomy Wound Management and Advances in Skin and Wound Care • Legal consultant • Former NPUAP board member 3 Today We Will Talk About • How to assess a wound • How to measure a wound Please make a note of your questions. Your Quality Improvement (QI) Specialists will follow up with you after this webinar to address them. 4 Assessing and Measuring Wounds • You completed a skin assessment and found a wound. • Now you need to determine what type of wound you found. • If it is a pressure ulcer, you need to determine the stage. 5 Assessing and Measuring Wounds This is important because— • Each type of wound has a different etiology. • Treatment may be very different. However— • Not all wounds are clear cut. • The cause may be multifactoral. 6 Types of Wounds • Vascular (arterial, venous, and mixed) • Neuropathic (diabetic) • Moisture-associated dermatitis • Skin tear • Pressure ulcer 7 Mixed Etiologies Many wounds have mixed etiologies. • There may be both venous and arterial insufficiency. • There may be diabetes and pressure characteristics. 8 Moisture-Associated Skin Damage • Also called perineal dermatitis, diaper rash, incontinence-associated dermatitis (often confused with pressure ulcers) • An inflammation of the skin in the perineal area, on and between the buttocks, into the skin folds, and down the inner thighs • Scaling of the skin with papule and vesicle formation: – These may open, with “weeping” of the skin, which exacerbates skin damage. -
Back-To-Basics: the Intricacies of Muscle Contraction
Back-to- MIOTA Basics: The CONFERENCE OCTOBER 11, Intricacies 2019 CHERI RAMIREZ, MS, of Muscle OTRL Contraction OBJECTIVES: 1.Review the anatomical structure of a skeletal muscle. 2.Review and understand the process and relationship between skeletal muscle contraction with the vital components of the nervous system, endocrine system, and skeletal system. 3.Review the basic similarities and differences between skeletal muscle tissue, smooth muscle tissue, and cardiac muscle tissue. 4.Review the names, locations, origins, and insertions of the skeletal muscles found in the human body. 5.Apply the information learned to enhance clinical practice and understanding of the intricacies and complexity of the skeletal muscle system. 6.Apply the information learned to further educate clients on the importance of skeletal muscle movement, posture, and coordination in the process of rehabilitation, healing, and functional return. 1. Epithelial Four Basic Tissue Categories 2. Muscle 3. Nervous 4. Connective A. Loose Connective B. Bone C. Cartilage D. Blood Introduction There are 3 types of muscle tissue in the muscular system: . Skeletal muscle: Attached to bones of skeleton. Voluntary. Striated. Tubular shape. Cardiac muscle: Makes up most of the wall of the heart. Involuntary. Striated with intercalated discs. Branched shape. Smooth muscle: Found in walls of internal organs and walls of vascular system. Involuntary. Non-striated. Spindle shape. 4 Structure of a Skeletal Muscle Skeletal Muscles: Skeletal muscles are composed of: • Skeletal muscle tissue • Nervous tissue • Blood • Connective tissues 5 Connective Tissue Coverings Connective tissue coverings over skeletal muscles: .Fascia .Tendons .Aponeuroses 6 Fascia: Definition: Layers of dense connective tissue that separates muscle from adjacent muscles, by surrounding each muscle belly. -
A Device to Measure Tensile Forces in the Deep Fascia of the Human Abdominal Wall
A Device to Measure Tensile Forces in the Deep Fascia of the Human Abdominal Wall Sponsored by Dr. Raymond Dunn of the University of Massachusetts Medical School A Major Qualifying Report Submitted to the Faculty Of the WORCESTER POLYTECHNIC INSTITUTE In partial fulfillment of the requirements for the Degree of Bachelor of Science By Olivia Doane _______________________ Claudia Lee _______________________ Meredith Saucier _______________________ April 18, 2013 Advisor: Professor Kristen Billiar _______________________ Co-Advisor: Dr. Raymond Dunn _______________________ Table of Contents Table of Figures ............................................................................................................................. iv List of Tables ................................................................................................................................. vi Authorship Page ............................................................................................................................ vii Acknowledgements ...................................................................................................................... viii Abstract .......................................................................................................................................... ix Chapter 1: Introduction ................................................................................................................... 1 Chapter 2: Literature Review ......................................................................................................... -
Anatomy and Physiology of Erection: Pathophysiology of Erectile Dysfunction
International Journal of Impotence Research (2003) 15, Suppl 7, S5–S8 & 2003 Nature Publishing Group All rights reserved 0955-9930/03 $25.00 www.nature.com/ijir Chapter 2 Anatomy and Physiology of erection: pathophysiology of erectile dysfunction Reporters and participants of the 1st Latin American Dysfunction Consensus Meeting International Journal of Impotence Research (2003) 15, Suppl 7, S5–S8. doi:10.1038/sj.ijir.3901127 Anatomy deep dorsal vein, the circumflex veins, the emissary veins, the cavernous veins and the crural veins). The lacunar spaces drain into small venules, which flow The penis, the male genital organ, has two func- together into a subalbugineal plexus, which in turn, tions: sexual and urinary. It is located above the emerges as emissary veins4,5 (Figure 1). scrotum, and it is linked to the pubic symphysis by two ligaments. It has a three-cylinder shape, integrated by two CROSS-SECTIONAL SECTION OF THE PENIS vascular tissue bodies (corpora cavernosa) (CC) and Superficial dorsal vein the corpus spongiosum (CS). The CCs have two Dorsal artery of penis Dorsal nerve of portions: a fixed posterior one, or perineal, and one penis that is anterior or free. At its base, the ischiopubic Deep dorsal vein Colles’ fascia rami are fixed, surrounded by the ischiocavernous muscles. The CS, in turn, stems from the perineum, Buck’s fascia Circumflex Vein surrounded by the bulbocavernous muscle. The Corpus urethra runs most of its length. At the distal end, cavernosum Tunica albuginea the CS dilates into a structure known as glans, Cavernous artery where the urethra opens to the outside of the Corpus spongiosum Urethral artery body through the meatus.1,2 Urethra Adapted and Modified from the 2ndBrazilian Consensus on Erectile Dysfunction2 The penis has an epidermal layer, underneath which is located the superficial fascia (Colles’), Figure 1 Cross-sectional section of the penis. -
Skin Grafting for Penile Skin Loss
Demzik et al. Plast Aesthet Res 2020;7:52 Plastic and DOI: 10.20517/2347-9264.2020.93 Aesthetic Research Review Open Access Skin grafting for penile skin loss Alysen Demzik1, Charles Peterson2, Bradley D. Figler1 1Department of Urology, University of North Carolina-Chapel Hill, Chapel Hill, NC 27599, USA. 2University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA. Correspondence to: Dr. Bradley D. Figler, Department of Urology, University of North Carolina-Chapel Hill, 2105 Physician’s Office Building, 170 Manning Drive, Chapel Hill, NC 27599, USA. E-mail: [email protected] How to cite this article: Demzik A, Peterson C, Figler BD. Skin grafting for penile skin loss. Plast Aesthet Res 2020;7:52. http://dx.doi.org/10.20517/2347-9264.2020.93 Received: 24 Apr 2020 First Decision: 11 Aug 2020 Revised: 1 Sep 2020 Accepted: 17 Sep 2020 Published: 12 Oct 2020 Academic Editor: Marlon E. Buncamper Copy Editor: Cai-Hong Wang Production Editor: Jing Yu Abstract Penile skin grafting is an effective technique for managing skin deficiency resulting from a variety of causes. A thorough understanding of penile anatomy and the pathophysiology of the underlying condition being treated are essential. We provide an overview of penile anatomy as well as the pathophysiology of conditions that may lead to penile skin deficiency, as a result of either the underlying condition or its management. The conditions discussed include lichen sclerosus, buried penis, hidradenitis suppurativa, lymphedema, necrotizing fasciitis, cancer, and trauma. We also discuss surgical technique for penile skin grafting with an emphasis on technical considerations unique to the penis. -
The Fascia Lata of the Thigh – More Than a “Stocking”: a Magnetic Resonance Imaging, Ultrasonography and Dissection Study
The Fascia Lata of the Thigh – More Than a “Stocking”: A Magnetic Resonance Imaging, Ultrasonography and Dissection Study. Willem Fourie. School of Anatomical Sciences, University of the Witwatersrand, 7 York Road, Parktown 2193, Johannesburg, South Africa. Phone: +27 (0)11 763 6990. Fax: +27 (0)866 180 179. E-mail: [email protected] BACKROUND: Regional descriptions of the thigh mostly exclude detailed descriptions of the fascia lata and its relationships to underlying muscles. It is cursorily described as “a strong, dense, broad single layer of deep fascia investing the thigh muscles like a stocking”. This “stocking” contributes to increased compartment pressure when the muscles contract, aiding venous return. With recent growing understanding of the role of deep fascia, it seems like the fascia lata may not solely be for compartmentalisation, containment and aiding venous return. OBSERVATIONS: During dissections of cadaver thighs, we observed that the fascial relations to underlying muscles differ from textbook descriptions, forming a separate fascia covering some muscles, while acting as an epimysial cover to others in the same region. Furthermore, in an ultrasonography (US) pilot study, some regions of the upper thigh appeared as a triple layer of fascia covering muscles. Both these observations contradicted the general descriptions in literature. AIMS: 1. To investigate the above observations further. 2. Comparing dissection observations and living subjects using magnetic resonance imaging (MRI) and ultrasonography (US). METHODS: Detailed dissection of eight cadaver thighs compared to observations from MRI and US of four living subjects’ thighs. Observations were done at the same four levels on all the thighs. RESULTS: While vastus lateralis observations corresponded to textbook descriptions, US showed the fascia lata as a triple layer in places. -
Fascial Contraction Fascia Can Be Divided Into Two General Categories: Sub Cutaneous Fascia and Deep Fascia, Also Known As Muscu Lar Fascia
by joe muscolino body mechanics Bodywork and movement therapy can help with contracted fascial tissue. fascial contraction Fascia can be divided into two general categories: sub- examples of deep fibrous fascia, as cutaneous fascia and deep fascia, also known as muscu- are ligaments and intermuscular lar fascia. Subcutaneous fascia, as the name implies, is septa. The loosely packed struc- located immediately deep to the skin. It is largely com- ture of subcutaneous fascia allows www.amtamassage.org/mtj posed of adipose (fat) cells, giving it its gel-like consis- for a healthy blood supply, giving it tency. Collagen fibers and fibroblast cells are embedded strong reparative properties when within this mix of adipose cells. Deep fascia is located injured. Alternatively, the dense ar- deeper in the body and is primarily comprised of dense- rangement of fibrous fascia does not ly packed collagen fibers, accounting for its description allow adequate room for blood ves- as fibrous fascia. Fibroblasts are located between these sels; therefore, fibrous fascia has a collagen fibers (Figure 1). poor blood supply and does not heal Endomysium, perimysium and epimysium, which well when injured. In addition to 145 create the tendons and aponeuroses of muscles, are collagen fibers and fibroblasts, both body mechanics Recent research suggests that fascia does and stretched, having the ability to transfer these pull- ing forces to other tissues. For example, when a muscle not function only in a belly contracts and pulls upon its tendons, these fibrous passive tensile manner, tissue tendons transfer that pulling force to the bony at- tachments of the muscle. -
CHAPTER 6 Perineum and True Pelvis
193 CHAPTER 6 Perineum and True Pelvis THE PELVIC REGION OF THE BODY Posterior Trunk of Internal Iliac--Its Iliolumbar, Lateral Sacral, and Superior Gluteal Branches WALLS OF THE PELVIC CAVITY Anterior Trunk of Internal Iliac--Its Umbilical, Posterior, Anterolateral, and Anterior Walls Obturator, Inferior Gluteal, Internal Pudendal, Inferior Wall--the Pelvic Diaphragm Middle Rectal, and Sex-Dependent Branches Levator Ani Sex-dependent Branches of Anterior Trunk -- Coccygeus (Ischiococcygeus) Inferior Vesical Artery in Males and Uterine Puborectalis (Considered by Some Persons to be a Artery in Females Third Part of Levator Ani) Anastomotic Connections of the Internal Iliac Another Hole in the Pelvic Diaphragm--the Greater Artery Sciatic Foramen VEINS OF THE PELVIC CAVITY PERINEUM Urogenital Triangle VENTRAL RAMI WITHIN THE PELVIC Contents of the Urogenital Triangle CAVITY Perineal Membrane Obturator Nerve Perineal Muscles Superior to the Perineal Sacral Plexus Membrane--Sphincter urethrae (Both Sexes), Other Branches of Sacral Ventral Rami Deep Transverse Perineus (Males), Sphincter Nerves to the Pelvic Diaphragm Urethrovaginalis (Females), Compressor Pudendal Nerve (for Muscles of Perineum and Most Urethrae (Females) of Its Skin) Genital Structures Opposed to the Inferior Surface Pelvic Splanchnic Nerves (Parasympathetic of the Perineal Membrane -- Crura of Phallus, Preganglionic From S3 and S4) Bulb of Penis (Males), Bulb of Vestibule Coccygeal Plexus (Females) Muscles Associated with the Crura and PELVIC PORTION OF THE SYMPATHETIC