Pressure sores--a constant problem for plegic patients and a permanent challenge for plastic surgery.
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Pressure sores can be defined as lesions caused by unrelieved pressure resulting in damage of the underlying tissue. They represent a common problem in the pathology of plegic patients and, plastic surgery has a significant role in their treatment. Pressure sores occur over bony prominences and so, they are most commonly seen at the sacrum and trochanters in paralyzed patients and at ischium for the patients who sit in a wheelchair for a long time. For these patients, surgical treatment is very important because on one hand, it stops the loss of nutrients and proteins at the site of the pressure sore, and on the other hand, it permits the initiation of neuromuscular recuperation treatment much faster. (+info)
Effect of wheelchair tilt-in-space and recline angles on skin perfusion over the ischial tuberosity in people with spinal cord injury.
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Differential diagnosis in painful ischiopubic synchondrosis (IPS): a case report.
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Synchondroses are temporary joints that only exist during skeletal maturation. Bilateral widening of the ischiopubic synchondrosis (IPS) is a normal growth phenomenon, but when it is unilateral and painful it can become a diagnostic challenge. An eight-year-old child with an enlarged symptomatic unilateral synchondrosis is presented. Failure of conservative treatment and its pseudo-tumoral appearance led us to intervene surgically. Pathology revealed a stress fracture. Based on this clinical case, we made a revision of policy regarding pathology, diagnostic workup and treatment strategies for symptomatic synchondrosis. (+info)
Ischial spine sign reveals acetabular retroversion in Legg-Calve-Perthes disease.
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Measuring acetabular component position on lateral radiographs - ischio-lateral method.
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The standard method for the evaluation of arthritis and postoperative assessment of arthroplasty treatment is observation and measurement from plain films, using the flm edge for orientation. A more recent employment of an anatomical landmark, the ischial tuberosity, has come into use as orientation for evaluation and is called the ischio-lateral method. In this study, the use of this method was evaluated as a first report to the literature on acetabular component measurement using a skeletal reference with lateral radiographs. Postoperative radiographs of 52 hips, with at least three true lateral radiographs taken at different time periods, were analyzed. Component position was measured with the historical method (using the flm edge for orientation) and with the new method using the ischio-lateral method. The mean standard deviation (SD) for the historical approach was 3.7 degrees and for the ischio-lateral method, 2.2 degrees (p < 0.001). With the historical method, 19 (36.5%) hips had a SD greater than +/- 4 degrees , compared to six hips (11.5%) with the ischio-lateral method. By using a skeletal reference, the ischio-lateral method provides a more consistent measurement of acetabular component position. The high intra-class correlation coefficients for both intra- and inter-observer reliability indicate that the angle measured with this simple method, which employs no further technology, increased time, or cost, is consistent and reproducible for multiple observers. (+info)
Locally recurrent rectal cancer successfully treated by total pelvic exenteration with combined ischiopubic rami resection: report of a case.
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