ABSTRACT
BACKGROUND: To analyse the prevalences of the cam and pincer morphologies in a cohort of patients with groin pain syndrome caused by inguinal pathologies. MATERIALS AND METHODS: Forty-four patients (40 men and 4 women) who suffered from groin pain syndrome were enrolled in the study. All the patients were radiographically and clinically evaluated following a standardised protocol established by the First Groin Pain Syndrome Italian Consensus Conference on Terminology, Clinical Evaluation and Imaging Assessment in Groin Pain in Athlete. Subsequently, all of the subjects underwent a laparoscopic repair of the posterior inguinal wall. RESULTS: The study demonstrated an association between the cam morphology and inguinal pathologies in 88.6% of the cases (39 subjects). This relationship may be explained by noting that the cam morphology leads to biomechanical stress at the posterior inguinal wall level. CONCLUSIONS: Athletic subjects who present the cam morphology may be considered a population at risk of developing inguinal pathologies. LEVEL OF EVIDENCE: Level IV, Observational cross-sectional study.
Subject(s)
Abdominal Wall/surgery , Athletic Injuries/physiopathology , Athletic Injuries/surgery , Femoracetabular Impingement/physiopathology , Groin/surgery , Adult , Athletic Injuries/diagnostic imaging , Biomechanical Phenomena , Cross-Sectional Studies , Female , Femoracetabular Impingement/classification , Femoracetabular Impingement/diagnostic imaging , Femoracetabular Impingement/etiology , Hernia, Inguinal/surgery , Humans , Laparoscopy , Male , Pain/etiology , Pain/physiopathology , Single-Blind Method , Surgical Mesh , Syndrome , Young AdultABSTRACT
The nomenclature and the lack of consensus of clinical evaluation and imaging assessment in groin pain generate significant confusion in this field. The Groin Pain Syndrome Italian Consensus Conference has been organised in order to prepare a consensus document regarding taxonomy, clinical evaluation and imaging assessment for groin pain. A 1-day Consensus Conference was organised on 5 February 2016, in Milan (Italy). 41 Italian experts with different backgrounds participated in the discussion. A consensus document previously drafted was discussed, eventually modified, and finally approved by all members of the Consensus Conference. Unanimous consensus was reached concerning: (1) taxonomy (2) clinical evaluation and (3) imaging assessment. The synthesis of these 3 points is included in this paper. The Groin Pain Syndrome Italian Consensus Conference reached a consensus on three main points concerning the groin pain syndrome assessment, in an attempt to clarify this challenging medical problem.
ABSTRACT
BACKGROUND: A 63-year-old woman with chronic atrial fibrillation treated with warfarin was admitted to emergency for coma and complete vertical gaze palsy. Investigations: Brain CT and MRI, echo-colour Doppler sonography of the supraaortic vessels, angio-CT of the intracranial vessels, EEG, transesophageal echocardiogram, biohumoral tests. Brain CT and MRI scans showed bilateral thalamic lesions with involvement of the right midbrain; EEG showed a diffuse alpha rhythm prevalent on the posterior regions; echo-colour Doppler sonography of the supraaortic vessels showed marked reduction of blood flow in the right vertebral artery; angio-CT scans showed occlusion of the right vertebral artery and a significant filling defect of the first part of the right posterior cerebral artery (P1) from which the artery of Percheron arises. A follow-up angio-CT showed a complete recanalization of P1. Diagnosis: Percheron artery syndrome. Treatment and Management: Aspirin, neurorehabilitation.
Subject(s)
Antiviral Agents/adverse effects , Drug Eruptions/etiology , Exanthema/chemically induced , Interferon-alpha/adverse effects , Polyethylene Glycols , Administration, Oral , Drug Eruptions/diagnosis , Drug Eruptions/drug therapy , Exanthema/diagnosis , Exanthema/drug therapy , Female , Glucocorticoids/administration & dosage , Glucocorticoids/therapeutic use , Histamine Antagonists/administration & dosage , Histamine Antagonists/therapeutic use , Humans , Interferon alpha-2 , Middle Aged , Ointments , Recombinant Proteins , Skin TestsABSTRACT
The inclusion of charcoal filters in the anaesthetic low-flow systems contributes to the acceleration of the kinetics of isoflurane (Forane). In fifty-four subjects, scheduled for extra- and intracranial surgery, ventilated with a low-flow system (Ohmeda Excel OAV7750 with rebreathing cassette) with a mean total flow of 0.7 1/min, the experimental charcoal cartridge showed: (a) a good adsorbent power (awakening within 5-6 minutes from the inclusion of the cartridge into the circuit) and (b) efficiency (adsorbent power unchanged until the sixth application). The use of charcoal during low-flow anaesthesia is both useful and economical.
