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Saudi Medical Journal Dec 2016To investigate whether adult patients with unilateral developmental dysplasia of the hip (UDDH) have pelvic asymmetry and what correlation existing between...
To investigate whether adult patients with unilateral developmental dysplasia of the hip (UDDH) have pelvic asymmetry and what correlation existing between them. Methods: A total of 100 adult patients with UDDH were enrolled in the retrospective observational study in Shanghai Jiaotong University Affiliated Sixth People's Hospital, Shanghai, China, between January 2012 and February 2014. The anteroposterior pelvic radiographs were reviewed and the pelvic heights and ischium heights were measured and compared between the affected and non-affected sides to find out the relationship between the pelvic morphology and hip dysplasia. Results: The pelvic heights demonstrated significant differences between the non-affected side and the affected side in patients with Crowe type II-IV UDDH (p less than 0.05), but not in patients with Crowe type I UDDH (p=0.09). There were significant differences in the bilateral ischium heights in patients with Crowe type III and IV UDDH (p less than 0.05), but not in patients with Crowe type I and II UDDH (p=0.78, p=0.055). In addition, the degree of hip dysplasia was positively associated with the degrees of asymmetry of pelvis (r=0.78, p less than 0.001) and ischium (r=0.72, p less than 0.001) in UDDH patients. Conclusion: The pelvic asymmetry exists in adult patients with UDDH. In addition, the degree of asymmetry has correlation with the degree of hip dysplasia. We recommend that it should be taken more cautions to use teardrops and ischial tuberosity as anatomy landmarks to balance leg-length discrepancy for unilateral DDH patients in preoperative planning and total hip arthroplasty.
Topics: Adult; Aged; Female; Hip Dislocation, Congenital; Humans; Male; Middle Aged; Pelvis; Young Adult
PubMed: 27874150
DOI: 10.15537/smj.2016.12.15945 -
Radiology May 1947
Topics: Female; Humans; Pelvis
PubMed: 20240130
DOI: 10.1148/48.5.527 -
Der Orthopade Oct 2020The field of musculoskeletal diagnostics and personalized medicine has undergone a revolutionary transformation due to a deeper understanding of skeletal biomechanics... (Review)
Review
The field of musculoskeletal diagnostics and personalized medicine has undergone a revolutionary transformation due to a deeper understanding of skeletal biomechanics and due to technological advancements. Analogous to this transformation, our understanding of spinopelvic conditions has experienced a paradigm shift in terms of both static and dynamic changes in spinopelvic pathologies and enabled a more accurate delineation of the drivers of disability. The purpose of this review is to describe the standard and state of the art of preoperative diagnostic and planning methods for common spinopelvic pathologies and to discuss both the added clinical value and limitations. The rationale is to accelerate the accurate and timely diagnosis and as well as the efficient and safe preoperative workflow.
Topics: Humans; Pelvis; Preoperative Period; Spine
PubMed: 32944784
DOI: 10.1007/s00132-020-03982-w -
Journal of Minimally Invasive Gynecology 2017This article is a personal perspective of female surgical pelvic anatomy and recommended surgical dissection techniques. (Review)
Review
This article is a personal perspective of female surgical pelvic anatomy and recommended surgical dissection techniques.
Topics: Dissection; Female; Gynecologic Surgical Procedures; Humans; Pelvis
PubMed: 28216461
DOI: 10.1016/j.jmig.2017.01.024 -
Voenno-meditsinskii Zhurnal Dec 2002The injuries of pelvis and pelvic organs remain one of the difficult problems of surgery in military and peace-time. The detection of pathologic changes in the cases of... (Review)
Review
The injuries of pelvis and pelvic organs remain one of the difficult problems of surgery in military and peace-time. The detection of pathologic changes in the cases of pelvic traumas depends on the time, quality and volume of radial investigations. The rule that any pelvic injury is considered as the complicated one until the opposite will be proved determines the diagnostic algorithm of roentgenologic examination, and the contrast methods are of great importance. The perspective method of for investigating the casualties with severe combined pelvic trauma is the spiral computed tomography. The investigation of casualties with pelvis and pelvic organ traumas must be conducted at the shortest periods after the trauma using the whole complex of radial investigative methods both the conventional roentgenologic and imaging methods.
Topics: Diagnostic Imaging; Humans; Military Personnel; Pelvic Bones; Pelvis; Radiography; Russia; Tomography, Spiral Computed; Warfare
PubMed: 12602259
DOI: No ID Found -
International Urogynecology Journal Jun 2016In the pelvis, the rectogenital septum (RGS) separates the urogenital compartment from the digestive compartment. In men, it corresponds to Denonvilliers' rectoprostatic... (Review)
Review
INTRODUCTION
In the pelvis, the rectogenital septum (RGS) separates the urogenital compartment from the digestive compartment. In men, it corresponds to Denonvilliers' rectoprostatic fascia or rectovesical septum (RVS). Its purpose-and, indeed, its existence-are controversial in women. The purpose of this review was to update knowledge about the RGS in women and, in particular, to clarify its relationship to pelvic nerves in order to deduce practical consequences of pelvic surgery and compare it to the RVS in men.
METHODS
A review of the anatomical and surgical literature was undertaken. Evidence for embryological origin, composition, and surgical importance of the RGS in women and men is suggested.
RESULTS
This manuscript presents evidence of the existence of the RGS in both women (rectovaginal septum, RVaS) and men (rectovesical septum, RVS). It originates from the genital structures and extends from the rectogenital pouch to the perineal body. It is composed of connective tissue associated with bundles of smooth muscle cells and has lateral expansions in close contact with neurovascular bundles originating from the inferior hypogastric plexus. During pelvic surgery for carcinoma, preservation of nerve fibers of erectile bodies is necessary if possible. The RGS is thus an important surgical landmark during urogenital sinus surgery, prolapse surgery, and proctectomy in women as well as during proctectomy and prostatectomy in men.
CONCLUSIONS
The RGS is present in women as well as in men, with great similarities between the two sexes. It represents an important surgical landmark during pelvic nerve-sparing surgery.
Topics: Female; Humans; Male; Pelvis; Rectum; Vagina
PubMed: 26690361
DOI: 10.1007/s00192-015-2878-3 -
Evolutionary Anthropology Oct 2023Recent research on the pelvis has clarified the flexibility of pelvic bones to manage nearly infinite possibilities in terms of selection and drift, while still... (Review)
Review
Recent research on the pelvis has clarified the flexibility of pelvic bones to manage nearly infinite possibilities in terms of selection and drift, while still maintaining excellent bipedalism. Despite this work, and the studies outlining the diversity of pelvic morphology across the hominin lineage, conversations continue to be stymied by distractions related to purported trade-offs that the different functions the pelvis must either allow for (e.g., parturition) or directly perform (e.g., attachment sites of muscles). Here we show that tight constraints on morphology are not evident in the pelvic variation of multiple human populations. We thus provide further evidence that human pelves are not geometrically similar and that pelvic morphology successfully balances the intersection of population history, active selective, and drift.
Topics: Animals; Humans; Pelvis; Pelvic Bones; Hominidae; Communication
PubMed: 37609957
DOI: 10.1002/evan.22001 -
The Kurume Medical Journal 1999Although plain X-ray analysis is able to reveal anatomical changes in the frontal plane of the pelvis after Chiari pelvic osteotomy involving medial displacement...
Although plain X-ray analysis is able to reveal anatomical changes in the frontal plane of the pelvis after Chiari pelvic osteotomy involving medial displacement (medialization) in the distal fragment and lateral displacement (lateralization) in the proximal fragment, changes in the horizontal or sagittal plane can not be discerned. Here, I have investigated three dimensional changes in the pelvis using CT in 22 patients before and after Chiari pelvic osteotomy. The various changes were investigated. Medialization in the distal fragment (average 0.4 cm) occurred in the 14 cases and to a slight extent in the other 8 cases. Also anterior or posterior displacement, and anterior rotation occurred in the distal fragment. Lateralization in the proximal fragment (average 0.8 cm) occurred in 19 cases and to a slight extent in the other 3 cases. Furthermore, the acetabular coverage over the femoral head, assessed by superimposing the acetabular region over the femoral head, improved by about 30% of the anterior half of femoral head and by about 20% of the posterior half of femoral head. It is suggested that the acetabular coverage over the femoral head is most affected by lateralization in the proximal fragment.
Topics: Adult; Female; Humans; Male; Middle Aged; Osteotomy; Pelvis; Tomography, X-Ray Computed
PubMed: 10319608
DOI: 10.2739/kurumemedj.46.9 -
Journal of Pediatric Orthopedics. Part B Sep 2019Pelvic injuries have an incidence of 1: 100 000 children per year in the UK, of which 10% are unstable. A literature review was conducted. Clinical examination alone in... (Review)
Review
Pelvic injuries have an incidence of 1: 100 000 children per year in the UK, of which 10% are unstable. A literature review was conducted. Clinical examination alone in a stable patient precludes the need for imaging. Imaging options in the acute pelvic injury are critically reviewed. Where appropriate Judet views or limited exposure computed tomography scan remain of diagnostic benefit. Displacement greater than 1 cm should be reduced and held with an appropriate method. Closed reduction and external fixation for rotationally unstable fractures, and closed or open reduction with internal fixation of two columns should be considered for rotationally and vertically unstable fractures.
Topics: Algorithms; Child; Fracture Fixation, Internal; Fractures, Bone; Humans; Orthopedics; Pelvic Bones; Pelvis; Tomography, X-Ray Computed; United Kingdom
PubMed: 31348138
DOI: 10.1097/BPB.0000000000000591 -
International Journal of Urology :... Mar 2013The procedure of radical prostatectomy has changed rapidly since the introduction of laparoscopic and robotic surgery, which allows for clear, highly magnified... (Review)
Review
The procedure of radical prostatectomy has changed rapidly since the introduction of laparoscopic and robotic surgery, which allows for clear, highly magnified visualization. The da Vinci surgical system enables three-dimensional visualization and makes use of instruments with seven degrees of freedom. Since its introduction, the use of robot-assisted radical prostatectomy has spread rapidly worldwide. However, adaptation to changes in surgical techniques using knowledge of classical pelvic anatomy has been difficult. In this report, we reviewed the progress in knowledge of pelvic anatomy, particularly regarding the cavernous nerves, prostatic fascia, Denonvilliers' fascia, endopelvic fascia, bladder neck and apex of the prostate, with regard to radical prostatectomy.
Topics: Autonomic Pathways; Fascia; Humans; Laparoscopy; Male; Pelvis; Prostate; Prostatectomy; Robotics; Urinary Bladder
PubMed: 23176711
DOI: 10.1111/iju.12021