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The Journal of Bone and Joint Surgery.... Feb 2019The objective of this study was to analyze the literature regarding the diagnosis, pathogenesis, and prevalence of gluteal fibrosis (GF) and the outcomes of treatment.
BACKGROUND
The objective of this study was to analyze the literature regarding the diagnosis, pathogenesis, and prevalence of gluteal fibrosis (GF) and the outcomes of treatment.
METHODS
We searched PubMed, Embase, and Cochrane literature databases, from database inception to December 15, 2016. We used the following search terms including variants: "contracture," "fibrosis," "injections," "injections, adverse reactions,' "gluteal," and "hip." All titles and abstracts of potentially relevant studies were scanned to determine whether the subject matter was potentially related to GF, using predefined inclusion and exclusion criteria. If the abstract had subject matter involving GF, the paper was selected for review if full text was available. Only papers including ≥10 subjects who underwent surgical treatment were included in the systematic analysis. Data abstracted included the number of patients, patient age and sex, the type of surgical treatment, the method of outcome measurement, and outcomes and complications.
RESULTS
The literature search yielded 2,512 titles. Of these, 82 had a focus on GF, with 50 papers meeting the inclusion criteria. Of the 50 papers reviewed, 18 addressed surgical outcomes. The surgical techniques in these papers included open, minimally invasive, and arthroscopic release and radiofrequency ablation. Of 3,733 operatively treated patients in 6 reports who were evaluated on the basis of the criteria of Liu et al., 83% were found to have excellent results. Few papers focused on the incidence, prevalence, and natural history of GF, precluding quantitative synthesis of the evidence in these domains.
CONCLUSIONS
This study provided a systematic review of surgical outcomes and a summary of what has been reported on the prevalence, diagnosis, prognosis, and pathogenesis of GF. Although GF has been reported throughout the world, it requires further study to determine the exact etiology, pathogenesis, and appropriate treatment. Surgical outcomes appear satisfactory.
LEVEL OF EVIDENCE
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Topics: Adolescent; Buttocks; Child; Child, Preschool; Female; Fibrosis; Hip Contracture; Humans; Male; Muscle, Skeletal; Postoperative Complications; Treatment Outcome
PubMed: 30801376
DOI: 10.2106/JBJS.17.01670 -
Circulation Journal : Official Journal... Mar 2021
Topics: Buttocks; Humans; Iliac Artery; Intermittent Claudication
PubMed: 33642426
DOI: 10.1253/circj.CJ-21-0067 -
BMJ Case Reports Jun 2021Aggressive angiomyxoma (AA) is a rare mesenchymal tumour that is characterised by increased incidence in women compared with men, local invasion to the surrounding...
Aggressive angiomyxoma (AA) is a rare mesenchymal tumour that is characterised by increased incidence in women compared with men, local invasion to the surrounding tissue and high recurrence rate. A premenopausal woman presented to clinic with pelvic pressure, intermittent tingling in the thigh and pressure emptying the bladder. CT scan, vaginal and gluteal biopsies, and MRI scan were performed to conclude a final diagnosis of AA. The patient underwent complete resection of the mass. The mass tested positive for oestrogen receptor and progesterone receptor. The patient received leuprolide postoperatively to prevent recurrence. AA should be considered as a differential diagnosis for a pelvic and perineal mass. Patients should be warned of high recurrence rate, necessity of surgical removal and long-term hormonal treatment.
Topics: Buttocks; Female; Humans; Magnetic Resonance Imaging; Male; Myxoma; Neoplasm Recurrence, Local; Receptors, Estrogen
PubMed: 34193448
DOI: 10.1136/bcr-2021-241550 -
Journal of Cosmetic Dermatology Dec 2021High-intensity electromagnetic field procedure (HIFEM) is an effective tool for body shaping and muscle toning. Radiofrequency (RF) combined with targeted pressure...
Combination treatment for buttock and abdominal remodeling and skin improvement using HIFEM procedure and simultaneous delivery of radiofrequency and targeted pressure energy.
BACKGROUND
High-intensity electromagnetic field procedure (HIFEM) is an effective tool for body shaping and muscle toning. Radiofrequency (RF) combined with targeted pressure energy (TPE) provides the solution for skin laxity and cellulite.
AIMS
To document the effect of consecutive use of HIFEM, RF, and TPE for treatment of abdomen and buttocks.
METHODS
Fifteen subjects (44.3 ± 14.2 years, 22.3 ± 2.3 kg/m ) finished treatments and consequent follow-ups. They were treated over the abdomen (Group 1, N = 7) or buttocks (Group 2, N = 8), receiving four treatment procedures consisting of HIFEM treatment administered first, immediately followed by the simultaneous RF & TPE treatment. Each session took approximately 50 min (30 min of HIFEM; up to 20 min of RF & TPE) depending on the treated area. Study outcomes were assessed by the circumference measurement, satisfaction and comfort questionnaires, and digital photographs.
RESULTS
Combined treatments were safe and comfortable. At 1 month, the abdominal circumference significantly decreased by 4.4 cm, while buttocks showed a significant increase by 1.0 cm. The abdomen (-4.1 cm) and buttocks (+1.2 cm) circumference results were sustained for three months without a significant decline. Satisfaction was high in both groups (93.3%) since most subjects noted that the appearance of the treated area has been improved, referring to both body sculpting and skin appearance.
CONCLUSIONS
The consecutive application of HIFEM, RF, and TPE treatments noticeably improved the appearance of the abdomen and buttocks. Subjects showed enhancement of abdominal body contour, buttock lifting, and improved skin quality manifested by reduced skin laxity and cellulite.
Topics: Abdomen; Buttocks; Cosmetic Techniques; Electromagnetic Fields; Humans; Radio Waves; Radiofrequency Therapy; Treatment Outcome
PubMed: 34679227
DOI: 10.1111/jocd.14554 -
Indian Pediatrics Apr 2014
Topics: Antitubercular Agents; Buttocks; Child; Humans; Male; Skin; Tuberculosis, Cutaneous
PubMed: 24825291
DOI: 10.1007/s13312-014-0391-2 -
BMJ Case Reports Jan 2016
Topics: Buttocks; Calcinosis; Calcium; Chelating Agents; Child; Diagnosis, Differential; Durapatite; Female; Humans; Hyperphosphatemia; Joint Diseases; Phosphates; Sevelamer; Treatment Outcome
PubMed: 26811414
DOI: 10.1136/bcr-2015-213537 -
CMAJ : Canadian Medical Association... Mar 2008
Topics: Alanine Transaminase; Anti-Bacterial Agents; Aspartate Aminotransferases; Buttocks; Canada; Doxycycline; Humans; Insect Bites and Stings; Leukopenia; Male; Middle Aged; Rickettsia Infections; South Africa; Tick-Borne Diseases; Travel
PubMed: 18362379
DOI: 10.1503/cmaj.070102 -
Anais Brasileiros de Dermatologia 2017Liposarcomas correspond to the most common histological subtype of soft tissue sarcomas. They can be subdivided into: well differentiated or atypical lipoma,...
Liposarcomas correspond to the most common histological subtype of soft tissue sarcomas. They can be subdivided into: well differentiated or atypical lipoma, undifferentiated, myxoid, round, and pleomorphic cells. Atypical lipomas are the most prevalent and usually appear as asymptomatic softened tumors. They are locally aggressive but rarely lead to distant metastases. The diagnosis of this tumor is based on the imaging and histopathologic findings. Treatment consists of excision surgery with complete tumor removal. It has a good prognosis due to the low percentage of distant metastases. We report a rare case of giant atypical lipoma as well as the adopted therapy and evolution.
Topics: Adult; Biopsy; Buttocks; Diagnosis, Differential; Humans; Lipoma; Liposarcoma; Male; Soft Tissue Neoplasms
PubMed: 28954109
DOI: 10.1590/abd1806-4841.20174447 -
Dermatology Online Journal Jan 2007
Topics: Aged; Biopsy; Buttocks; Diagnosis, Differential; Humans; Lichen Planus; Male; Purpura; Skin
PubMed: 17511956
DOI: No ID Found -
Aesthetic Surgery Journal Aug 2022Cellulite is the dimpled appearance of skin that commonly occurs on the buttocks and thighs of postpubertal women. Cellulite can be emotionally distressing, causing many...
BACKGROUND
Cellulite is the dimpled appearance of skin that commonly occurs on the buttocks and thighs of postpubertal women. Cellulite can be emotionally distressing, causing many individuals to seek medical attention. A previous first-in-human study established the safety and feasibility of a novel minimally invasive method for selectively identifying and manually releasing the specific septa responsible for causing cellulite depressions in a precise manner.
OBJECTIVES
The objective of this open-label, multicenter study was to evaluate the safety, efficacy, and feasibility of this method for reducing the appearance of moderate and severe cellulite in adult women.
METHODS
Female patients (n = 20) 21 to 55 years old with a BMI ≤ 35 kg/m2 with moderate or severe cellulite on the buttocks and/or thighs were enrolled at 4 clinics. Patients were evaluated on posttreatment Days 7, 30, 120, and 180. The primary endpoint was a mean ≥1-point reduction in the Cellulite Severity Scale at 180 days.
RESULTS
Most patients (n = 18, 95%) achieved the primary endpoint. All patients (n = 19, 100%) were rated as much improved or very much improved in Cellulite Severity Scale scores. Adverse events and investigator findings were mild and transient, and none were unexpected.
CONCLUSIONS
A novel method for selectively identifying and manually releasing the specific septa responsible for causing cellulite depressions in a precise manner is a safe and effective means for improving the appearance of moderate and severe cellulite in adult women with a wide variety of skin types.
Topics: Adult; Buttocks; Cellulite; Cosmetic Techniques; Female; Humans; Middle Aged; Thigh; Treatment Outcome; Young Adult
PubMed: 35089992
DOI: 10.1093/asj/sjac010