Articles Related to tibia
Linear Support Vector Machine Myoelectric Pattern Recognition Control System Architecture for Transtibial Osteomyoplastic Amputees
The use of surface electromyography (sEMG) signals for clinical diagnosis is well appreciated in the medical
field. However, the use of sEMG signals for the control of powered prosthetic limbs is still regarded as a futuristic idea. Past
and present studies have focused more on the upper limb (hand) as compared to the lower limb (leg). The challenges associated with the controlling leg movement include designing for both balance and locomotion. After amputation, the muscle
orientation and alignments on the residual stump changes as some of the anatomical landmarks are changed during surgical
procedure. To achieve locomotion, some amputees, generally from third-world nations, use passive mechanical prosthetic
limbs with a fixed ankle.
Effects of Gabapentin Enacarbil on Cortical Arousals, Heart Rate, Blood Pressure and Anterior Tibialis EMG Responses Associated with PLMs in Restless Legs Syndrome
Objective: This study was conducted to investigate the effects of gabapentin enacarbil (GEn) on sleep EEG, heart rate (HR), blood presssure, anterior tibialis EMG activity (PLMs power) and subjective complaints in subjects with moderate to severe RLS and disturbed sleep.
Methods: This was a single site, single-blind, placebo run-in, fixed dose single group polysomnography (PSG) study. Eligible subjects (age 24-66 years) were treated with placebo for one week and GEn (600 mg/day) for 4 weeks. Two in-laboratory PSGs were collected for adaptation and baseline at the end of the placebo run-in period and for re-adaptation and efficacy assessment at the end of the 4-week treatment period. The primary endpoint was the difference in PSG derived cortical arousal intensity (arousal scale, 0-9) associated with PLMs between 4 weeks of treatment with GEn and placebo. Secondary endpoints included changes in HR responses (ΔHR), nocturnal systolic blood pressure (SBP) changes (>10 mmHg) secondary to PLMs and PLMs power. Other PSG and subjective measures were assessed.
Results: Of 20 subjects enrolled, 18 completed the study. Subjects treated with GEn did not show significant improvements in cortical arousal intensity and ΔHR. However, subjects showed reduced PLMs power (p= 0.013) and associated reductions in nocturnal SBP per hour of sleep (p= 0.041) GEn showed significant improvement in other PSG parameters and subjective endpoints.
Conclusion: The data suggests that GEn reduces the frequency and power of PLMs and the corresponding SBP changes in subjects with RLS. Despite reducing the total number of PLM associated arousals and nocturnal HR, the study did not demonstrate consistent effects of GEn on cortical arousal intensity and corresponding HR changes associated with PLMs.
Clinical Trial Registration: ClinicalTrials.gov identifier: NCT02424695
Modified and Combined Lateral and Posterolateral Approach an Alternative Treatment to Tibial Plateau Fractures
The selection of a surgical approach for the treatment of tibia plateau fractures is an important decision. Approximately 7% of all tibia plateau fractures affect the posterolateral corner. Displaced posterolateral tibia plateau fractures require anatomic articular reduction and buttress plate fixation on the posterior aspect. These aims are difficult to reach through a lateral or anterolateral approach. The standard posterolateral approach with fibula osteotomy and release of the posterolateral corner is a traumatic procedure, which includes the risk of fragment denudation. Isolated posterior approaches do not allow sufficient visual control of fracture reduction, especially if the fracture is complex. Therefore, the aim of this case report was to present a surgical approach for posterolateral tibial plateau fractures that both protects the soft tissue and allows for good visual control of fracture reduction. The approach involves a lateral arthrotomy for visualizing the joint surface and a posterolateral approach for the fracture reduction and plate fixation, which are both achieved through one posterolateral skin incision. Using this approach, we achieved reduction of the articular surface and stable fixation in patients at the final follow-up visit. No complications and no loss of reduction were observed. Additionally, the new posterolateral approach permits direct visual exposure and facilitates the application of a buttress plate. This approach does not require fibular osteotomy, and fragments of the posterolateral corner do not have to be detached from the soft tissue network.
Epiphyseal Closure of Femur, Tibia and Fibula of the Paca (Cuniculus Paca, Linnaeus, 1766)
After capybara, paca (Cuniculus paca) is the largest rodent in the neotropical region and the body weight varies from 5 to 10 kg, and may reach up to 14 kg. They are animals that reach sexual maturity at around 10 months of age. The aim of this research is to examine, through radiography, the femur, tibia and fibula of the paca. The animals were anaesthetized for radiographic exams. At 6 months of age, the growth line of the femoral proximal epiphysis ceases to perform its functions. At 12 months of age, there is the closure of the line growth of distal femoral epiphysis. At the paca’s tibia, at 12 months old, there was the closure of the growth of the proximal epiphysis. In the distal epiphysis, the closure of the line growth also occurred at 12 months old. At the paca’s fibula, the bone activity of proximal epiphysis ceases with only 23 months old. The distal fibular epiphysis ends its development with 15 months. There are similarities and differences relative to the closure of the pacas’ epiphysis femur, tibia and fibula comparing with dogs and cats.
Acrometastasis from a Pancreatic Primary Adenocarcinoma: A First Report in the Literature
A seventy five year male presented with acute onset right foot pain and swelling. Plain imaging revealed a lytic area in the medial and middle cuneiform bones of the right foot. Background history of resected pancreatic cancer and current presentation were consistent early diffuse disease recurrence of a pancreatic primary tumour. The presenting feature in this case was of symptomatic acrometastases, that is, metastases to the feet.