3. On a peculiar Ligament connecting the opposite Ribs in certain Vertebrata

1862 ◽  
Vol 4 ◽  
pp. 101-102
Author(s):  
Cleland

While examining the bones of a seal which had been for some time in maceration, the author observed that, in detaching one of the ribs from the vertebral column, a long ligament, connected to the head of the former, emerged from the intercostal foramen.It was then found that the right and left rib in all the pairs articulating with two vertebræ were connected across the mesial plane by a ligament which was attached at each end to a depression on the lower part of the continuous convex cartilaginous surface of the head of the rib, and was lodged in a tube on the floor of the spinal canal, formed by a groove on the upper surface of the corresponding intervertebral disc covered by the superior longitudinal ligament, and lined by a synovial membrane common to the tube, the ligament contained in it, and the entire heads of both the ribs.

Author(s):  
Zuzilla ◽  
T.Mohd Yoshandi ◽  
Danil Hulmansyah

Columna cervical vertebrae are a type of long bone that occurs on the back of the head. One of the radiological examinations most frequently performed in the hospital is the examination of the right posterior oblique projection cervical vertebrae (RPO). However, to see the cervical vertebrae column radiograph that is more optimal for cases of HNP, fractures, fissures, root symdrome. with a variation of the angle of 15 ° and 20 ° cranially. To find out which method is the most informative to display the right posterior oblique (RPO) projection with an angle of 15 ° and 20 ° cranially. This research is a type of quantitative research with statistical expansion. This research uses phantom. The research was conducted at the STIKes Awal Bros Pekanbaru in August 2020. The vertebral column results were used well, namely at an angle of 15 ° with clearly visible vertebral foramen, clearly visible intervertebral disc, visible C4 - C7, spinous process, clearly visible intervertebral disc.


1978 ◽  
Vol 49 (6) ◽  
pp. 914-920 ◽  
Author(s):  
Darrell J. Harris ◽  
Victor L. Fornasier ◽  
Kenneth E. Livingston

✓ Hemangiopericytoma is a vascular neoplasm consisting of capillaries outlined by an intact basement membrane that separates the endothelial cells of the capillaries from the spindle-shaped tumor cells in the extravascular area. These neoplasms are found in soft tissues but have rarely been shown to involve the spinal canal. This is a report of three such cases. Surgical removal of the tumor from the spinal canal was technically difficult. A high risk of recurrence has been reported but in these three cases adjunctive radiotherapy appeared to be of benefit in controlling the progression of the disease. These cases, added to the six cases in the literature, confirm the existence of hemangiopericytoma involving the vertebral column with extension into the spinal canal. This entity should be included in the differential diagnosis of lesions of the spinal canal. The risk of intraoperative hemorrhage should be anticipated.


2013 ◽  
Vol 1 (1) ◽  
pp. 61-65
Author(s):  
Michael G. Dudin ◽  
Dmitry Yu. Pinchuk

In the paper we discussed and analyzed the issues that confront practicing orthopedists with the most mysterious and at the same time the most studied vertebral column lesion in children and adolescents - idiopathic scoliosis. Nowadays a great amount of information on its various aspects has been already accumulated, but a practical output in the form of a system of effective treatment has not been yet found and (we can’t even speak about) there is no speech at all about the prevention (prophylactic) of the disease (scoliosis). On the basis of the own many year’s experience with this category of patients and the results of a comprehensive multi-faceted survey, the authors acquired the right to form their own point of view on the etiology and pathogenesis of the three-plane deformation in orthograde human (homo erectus). In this paper, the authors present their reflections on the history of the study of scoliosis, the terminology, statistical indicators and the existing views on its origins. Concerning argumentation on the own findings (conclusions) and views on the disease the authors plan to tell in the following sections.


2020 ◽  
Author(s):  
Haimiti Abuduaini ◽  
Hao Liu ◽  
Beiyu Wang ◽  
Yang Meng ◽  
Yi Yang ◽  
...  

Abstract Background: To evaluate epidemiological, clinical and radiographic features in the development and prognosis of rapid progressive cervical spondylotic myelopathy (rp-CSM).Methods: A retrospective study of 175 patient records was performed between March 2011 and January 2017. Patients were divided into rp-CSM group and chronic CSM (c-CSM) group according to the deterioration time and severity of preoperative neurological dysfunction. After selection, 25 rp-CSM patients were matched to a control group of 75 patients with c-CSM. The clinical outcomes were assessed by the Modified Japanese Orthopaedic Association (mJOA) score at six different follow-up time points. The imaging parameters including Torg-Pavlov Ratio (TPR) on conventional lateral x-ray and magnetic resonance images (MRI), intervertebral disc level compression ratio and increased signal intensity (ISI) on T2W1 were analyzed between the two groups, and predictors for rapid neurological dysfunction in CSM patients were evaluated using multivariate analysis.Results: Twenty-five patients experienced rp-CSM (18 males; median age 59.04 ± 12.81 years) and were matched with Seventy-five control subjects that with CSM without rapid progression (54 males; median age 56.88 ± 12.31 years). The average time to develop severe neurological deterioration was 0.8 month in rp-CSM group and 24 month in c-CSM group (p=0.001), preoperative mJOA were 6 in rp-CSM patients and 12 in c-CSM patients (p=0.014) and rp-CSM patients demonstrated worse outcomes than the controls in one year after surgery (mJOA improvement rate 54.5% and 80%, p=0.021). There were no differences between the two groups except the history of diabetes and the long-term smoking in basic condition, radiographic measurements signified that TPR MRI, intervertebral disc level compression ratio and increased signal intensity (ISI) on T2W1 were inferior in patients with rp-CSM than patients with c-CSM. Regression analysis verified that the history of diabetes, TPR MRI < 0.4, compression ratio ≥50%, the sagittal diameter of ISI ≥50% of spinal canal diameter on T2W1 have significant correlations with the rapid progressive neurological dysfunction in patients with CSM. Conclusion: The prognosis of rapid progressive CSM is worse than that of common chronic CSM. The rapid neurological deterioration can be identified by TPR MRI (< 0.4), compression ratio (≥50%), sagittal diameter of ISI (≥50% of spinal canal diameter). Besides, a history of diabetes was also a negative factor for these patients.


2012 ◽  
Vol 01 (03) ◽  
pp. 141-143
Author(s):  
Sathidevi VK ◽  
Rahul UR ◽  
Arun K Aipe

AbstractThe authors report a case of popliteal cyst which was detected during the routine dissection of a cadaver in Anatomy Department, Government Medical College, Thrissur, Kerala. The cyst was identified in the right popliteal fossa in a female cadaver arising from the interior of knee joint. It measured 6 cm in length and 3 cm in width. Thick synovial membrane was forming the cyst wall. On deep dissection it was found communicating directly with the synovial lining of knee joint.


Neurosurgery ◽  
1988 ◽  
Vol 22 (6 Pt 1) ◽  
pp. 1014???22 ◽  
Author(s):  
S Montaldi ◽  
H Fankhauser ◽  
P Schnyder ◽  
N de Tribolet

2020 ◽  
Vol 1 (4) ◽  
Author(s):  
Giselle Fernández García ◽  
Luis Bastián Manso

The lipoma arborescent of the knee consists of a benign villonodular proliferation of fat under the synovial membrane. It is a rare entity often secondary to previous trauma. Hoffa's fat is an extrasynovial intracapsular fat pad that which looks like a quadrangular pyramid is in the anterior-inferior compartment of the knee joint. The case of a 44-year-old male patient is presented, professional trainer, who complains of pain and increased volume of the anterolateral region of the right knee. Arborescent lipoma of Hoffa's fat is diagnosed. Key words: lipoma arborescent, Hoffa fat, knee lipoma, benign Hoffa fat tumor


2014 ◽  
Vol 21 (4) ◽  
pp. 614-616 ◽  
Author(s):  
Bekir Akgun ◽  
Sait Ozturk ◽  
Hakan Cakin ◽  
Metin Kaplan

Percutaneous intervertebral hydrogel (polyethylene glycol) implantation is a current treatment procedure that aims to restore hydration of a degenerated disc. There have been a few studies that claim that polyethylene glycol is successful for pain relief as the intervertebral space restores its hydration and elasticity. This procedure is reported to be indicated for discogenic low-back pain and mild radicular pain as it contributes to disc restoration. In this report, the authors describe the case of a 43-year-old woman who was admitted with low-back and right leg pain. Muscle strength in dorsiflexion of the right ankle and right toe was 3/5. The patient had undergone hydrogel implantation for L4–5 intervertebral disc restoration 2 days prior to presentation. There was a significant increase in the patient's complaints after hydrogel implantation, and acute weakness in the right ankle and toe had developed. Magnetic resonance imaging of the lumbar vertebrae, which was performed before the hydrogel implantation, showed a significant narrowing of the L4–5 disc space height, and a disc herniation that extended to the right neural foramen and caused compression of the dural sac. The patient underwent surgery immediately. The sequestered disc fragment that caused a prominent stenosis in the spinal canal, as well as hydrogel fragments, was removed. There was an improvement in the patient's complaints and motor deficit postoperatively. In this paper, a very rare complication is reported. In patients who have increased pain after intervertebral hydrogel implantation and who develop a neurological deficit, the migration of the applied material into the spinal canal should be considered.


2014 ◽  
Vol 20 (4) ◽  
pp. 219-227
Author(s):  
Oana Popa ◽  
P. Bordei ◽  
D. Iliescu ◽  
C. Ionescu

Abstract The origin of the internal iliac artery, right and left, was studied in 76 cases, 58 cases of male (76.32% of all cases) and 18 female cases (23.68% of all cases). The origin of the internal iliac arteries was considered in relation to the spine (lumbar-sacral). The right internal iliac artery males originates in a range from the upper edge of L4 vertebra - the lower part of fin sacral. It is found that in males, in most cases, 43 cases (74.14% of male cases), right internal iliac artery originates at different levels of sacral fin. We considered that the right iliac artery low origin only the cases in the lower part of the fin sacral, 10 cases (17.24% of male cases). Cases of high origin of the artery, above the fin sacral we found it in 15 cases (25.86% of male cases). From high origins, in the upper edge of the L4 vertebra and intervertebral disc at L4-L5, I met only one single case. Right internal iliac artery in females originated in a range between the upper edges of L5 - the lower part of sacral fin. In females, the right internal iliac artery origin, is located within narrower than in men, but in women, most frequently, 14 cases (77.78% of female the cases) was the origin of the internal iliac located at different levels of sacral fin. The females have not met internal iliac origin above the L5 vertebra or intervertebral disc level L4-L5. High origin was met it in 4 cases (22.22% of female the cases) and low origin in 6 cases (33.33% of female the cases). The level of the left internal iliac artery origin we studied 78 cases, finding it in the same range as in males, i.e., the upper edge of L4 vertebra - the front of the sacrum. In males, on a number of 57 cases (73.08% of all cases) the origin of the left internal iliac artery was made between the upper edge of the vertebra L4 - the front face of the sacrum, most commonly, in 44 cases (77 19% of male the cases) located in the sacral fin. The artery high origin I found it in 9 cases (15.79% of male the cases) and low origin in 18 cases (31.58% of male the cases). I have not met artery origin at L5-S1 intervertebral disc. In terms of low origin, only in males, the left internal iliac artery originated from the anterior to the sacrum, something not found the right internal iliac artery. In females, the 18 cases followed, had their origins in the range lower half of the L5 - middle sacral fin, 17 cases (94.44% of female the cases), terminating at the sacral fin. It is found that in women the origin of the left internal iliac artery is within narrower than the other cases described so far, showing the highest level of origin, this artery in females do not possess low origin. The high origin is present in a small percentage, only 5.56% of cases, encountering any case the origin of the left internal iliac artery is located at the L4 vertebra or the intervertebral discs at L4-L5 or L5-S1. Internal iliac artery diameter was followed on 90 cases, 44 cases for the right internal iliac artery and 46 cases for left internal iliac artery. In males, the right internal iliac artery I found a caliber between 3 to 9.8 mm. In women the right internal iliac artery caliber found between 3.9 to 6.9 mm.


2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Nik Qisti F ◽  
Shahrun Niza AS ◽  
Razrim R

Aberrant right subclavian artery is a rare cause of dysphagia. This is a congenital anomaly with the right subclavian artery originating from the dorsal part of the aortic arch and coursing through the mediastinum between the esophagus and the vertebral column. We report a case of a patient with chronic dysphagia caused by this condition. We further discuss the case with regards to its clinical features and options of management.


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