Uterine Fibroid-Induced Compressive Neuropathy of Lumbar Plexus and Obturator Nerve.

Introduction: Uterine fibroids are the most common gynecologic tumors in reproductive-aged women with a prevalence of up to 80%. Symptoms can range from heavy vaginal bleeding and bulk symptoms to, less frequently, deep vein thrombosis and bowel obstruction. Case Description: A 32-year-old female patient presented with acute-onset of right groin and knee pain, and difficulty ambulating. A large posterior uterine fibroid was found to be compressing branches of the lumbar plexus, including the obturator nerve. The patient underwent gynecologic evaluation and an urgent laparoscopic myomectomy. Postoperatively, she had significant improvement in neurologic symptoms. She continued physical therapy for residual mild paresthesia and pain with prolonged ambulation. Discussion: Large pelvic masses such as uterine fibroids should be considered on the differential diagnosis for acute-onset non-gynecologic symptoms such as compressive neuropathy, which require urgent evaluation and possible surgical management.

Executive Functions, Physical Abilities, and Their Relationship with Tactical Performance in Young Soccer Players.

While tactical performance in soccer is associated with the players' and teams' collective actions in the context of game stimuli, how tactical performance relates to players' executive functions (EFs) and physical abilities should be examined. In this study, we examined these relationships among 81 Under-15 male soccer players who underwent tactical evaluation (FUT-SAT), EF tests (i.e.,(Stop-Signal Test and Design Fluency Test)), and physical tests (i.e.,(Maturity Offset, Yoyo Endurance Test II, Sargent Jump Test, and Sprint Test)). Multiple linear regression modeling with the stepwise method showed that approximately 48% of overall game tactical performance variance was explained by inhibitory control, biological maturation, and sprint capacity (p = .004; d = .54; r2 = .479), whereas 35% of offensive tactical performance variance was explained by the same dimensions (p = .001; d = .91; r2 = .353). In addition, approximately 28% of defensive tactical performance variance was explained by cognitive flexibility and aerobic resistance (p = .007; d = .39; r2 = .280). These results reflect the combined importance of EFs and physical abilities for tactical performance in young soccer players, suggesting that these abilities may be targets for training when trying to improve young players' performance.