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Functional Rehabilitation
Published in James Crossley, Functional Exercise and Rehabilitation, 2021
The lower back, pelvis and hips integrate to create the lumbo-pelvic hip complex (LPHC) (see Figure 7.39). The head of the femur sits within the acetabulum of the pelvis to form a ball and socket joint. The pelvis is formed from three pelvic bones, the ischium, ilium and pubis. Posteriorly, the pelvis articulates with the sacrum at the sacroiliac joint (SIJ).
Examination of Hip Joint in a Child
Published in Nirmal Raj Gopinathan, Clinical Orthopedic Examination of a Child, 2021
Nirmal Raj Gopinathan, Reet Mukopadhya, Karthick Rangasamy, Ramesh Kumar Sen
The examiner stands behind the patient and observes the angle made between the line joining the iliac crests (pelvis) and the ground. The patient raises the foot on the opposite side being tested with the hip kept between neutral and a flexion of 30°. The position of the pelvis is noted. On the weight-bearing side, a supporting stick can be given, or the examiner may support both the shoulders to maintain balance.
Considerations for the Focused Neuro-Urologic History and Physical Exam
Published in Jacques Corcos, Gilles Karsenty, Thomas Kessler, David Ginsberg, Essentials of the Adult Neurogenic Bladder, 2020
Laura L. Giusto, Patricia M. Zahner, Howard B. Goldman
The key aspects of sexual function for the female patient differ from those of a male patient (Table 19.6). While some of her function may be dependent on whether she is neurologically intact, some function may also depend on portions of her gynecologic history. It is therefore helpful to ask about pregnancies and deliveries, if she has had a hysterectomy, and previous pelvic surgeries. In addition, we ask the patient if she is sexually active and if she has any discomfort with vaginal intercourse. Previous surgical history, menopausal status, and neurologic history may all contribute to pelvic floor dysfunction.
Findings in ancient Egyptian mummies from tomb KV64, Valley of the Kings, Luxor, with evidence of a rheumatic disease
Published in Scandinavian Journal of Rheumatology, 2023
LM Öhrström, R Seiler, S Bickel, F Rühli
The epiphyseal plates are predominantly closed, as described above, indicating a young adult age estimation, while the dental status corresponds to that of a juvenile. The absence of degenerative changes in the postcranial skeleton argues against advanced age. In general, age estimation of skeletons by X-rays is difficult, especially in adults (40). In juvenile individuals, age estimation is quite accurate, with the evaluation of the epiphyseal plates on a plain hand X-ray according to the radiographic atlas of Greulich and Pyle being the gold standard (41). For a more accurate age estimation in adult skeletons, investigation by CT would be necessary to assess the ossification status of the medial clavicular epiphysis, as is typically performed in forensic contexts (7). In conclusion, a young adult age can be estimated. The morphology of the pelvis indicates a female individual (9).
Comprehensive overview of the venous disorder known as pelvic congestion syndrome
Published in Annals of Medicine, 2022
Kamil Bałabuszek, Michał Toborek, Radosław Pietura
Pelvic Venous Disorders manifests in many clinical presentations. Pelvic Congestion Syndrome is a common condition occurring worldwide, in which a significant proportion of cases remain undiagnosed and symptoms reported by women are often underestimated, due to poor knowledge of the condition. It is an important cause of chronic pelvic pain in female patients. It can also present with superficial varicose veins as the only symptom as well as in combination with pain. Symptoms can be non-specific and difficult to distinguish from other diseases. Certain diagnosis of the PCS is very challenging, due to its multiformity. Determining which patients suffer from symptoms associated with PCS is hard, but also extremely important to implement appropriate and targeted treatment. Future randomised trials on embolisation management are needed. A common treatment algorithm for trials based on an understanding of the mechanisms leading to symptoms would be particularly helpful in objectively evaluating outcomes.
Chlamydia trachomatis: quest for an eye-opening vaccine breakthrough
Published in Expert Review of Vaccines, 2022
Vivek P Chavda, Anjali Pandya, Erica Kypreos, Vandana Patravale, Vasso Apostolopoulos
C. trachomatis is an obligate, gram-negative intracellular bacterium that causes disease in the eyes and genital tracts of humans [1] (Table 1). Infection of the genital tract occurs via sexual transmission and is a leading cause of pelvic inflammatory disease worldwide. In addition, repeated C. trachomatis infection may lead to tubal factor infertility and ectopic pregnancy in women [2]. Infection of the eyes leads to a disease known as trachoma, which is spread via direct and indirect contact with infected ocular and nasal discharge; trachoma often spreads via contaminated flies and bedding [3]. The disease is the leading cause of infectious blindness worldwide and is characterized by repeated infection of the conjunctiva with particular C. trachomatis strains [4]. This repeated infection leads to scarring of the conjunctiva and trichiasis, the abrasive rubbing action of which may cause damage to the cornea and, eventually, blindness [3,4].