Congenital Agenesis of the Superficial Posterior Compartment Calf Muscles in a 13-Month-Old Infant

ABSTRACTAnomalies of the calf muscles are rare. One such anomalous muscle, known as the Muscle Flexor accessorius longus (also named accessorius ad accessorium, accessorius secondus, accessory flexor digitorum longus or pronator pedis) is of morphological significance. When present, this originates in the deep fascia of the tibia or fibula and inserts in the foot either into the flexor digitorum accessorius or into the tendons of the flexor digitorum longus. In this report we present a discussion of the morphological significance and phylogenetic history of one such muscle observed. In this case report we describe an anomalous calf muscle which extends from the popliteal region, runs along the posterior compartment of the leg, reaches the sole and is inserted to the flexor digitorum longus muscle. This kind of muscle variations are considered to be the higher origin of the flexor digitorum accessorius muscle of the sole. Here we discuss the phylogenetic history of this muscle as this muscle variant is present in some primitive mammals, absent in apes and in this particular case appeared as one of the muscles of the flexor compartment of the leg.

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3D Microstructural Fiber Tracking of the Human Calf Muscles in Individuals With and Without Type 2 Diabetes during Rest and Exercise

Diabetes ◽

10.2337/db18-632-p ◽

2018 ◽

Vol 67 (Supplement 1) ◽

pp. 632-P

Author(s):

MASOUD EDALATI ◽

CHRISTOPHER J. SORENSEN ◽

MARY HASTINGS ◽

MOHAMED A. ZAYED ◽

MICHAEL J. MUELLER ◽

...

Keyword(s):

Type 2 Diabetes ◽

Fiber Tracking ◽

Human Calf ◽

Calf Muscles ◽

Rest And Exercise

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Pelvic organ prolapse surgery and overactive bladder symptoms—a population-based cohort (FINPOP)

International Urogynecology Journal ◽

10.1007/s00192-021-04920-w ◽

2021 ◽

Author(s):

Päivi K. Karjalainen ◽

Anna-Maija Tolppanen ◽

Nina K. Mattsson ◽

Olga A.E. Wihersaari ◽

Jyrki T. Jalkanen ◽

...

Keyword(s):

Pelvic Organ Prolapse ◽

Overactive Bladder ◽

Symptom Severity ◽

Pelvic Organ ◽

Population Based ◽

Urinary Frequency ◽

Posterior Compartment ◽

Posterior Repair ◽

Apical Compartment ◽

Bothersome Symptom

Abstract Introduction and hypothesis It is unclear how compartment of pelvic organ prolapse (POP) impacts overactive bladder (OAB) symptom severity or improvement after POP surgery. We hypothesized that anterior and apical prolapse are more strongly associated with OAB symptoms than posterior compartment prolapse. Methods A total of 2933 POP surgeries from a prospective population-based cohort were divided into two groups: (1) anterior and/or apical compartment surgery (± posterior repair), N = 2091; (2) posterior repair only, N = 478. Urinary frequency and urgency urinary incontinence (UUI) were evaluated using PFDI-20 (bothersome symptom: score 3–4) at baseline, 6, and 24 months. Association between degree of POP in specific compartments and symptoms at baseline was estimated with generalized linear models and between compartment of surgery and symptom improvement with generalized estimating equations. Results At least one bothersome symptom was reported by 40% at baseline, 14% at 6, and 19% at 24 months. At baseline, urinary frequency was associated with degree of anterior and apical and UUI with anterior compartment prolapse. Women undergoing surgery for anterior/apical compartment started with worse symptoms and experienced greater improvement than women undergoing posterior compartment surgery. Bothersome frequency resolved in 82% after anterior/apical and in 63% after posterior compartment surgery. Bothersome UUI resolved in 75% after anterior/apical and in 61% after posterior compartment surgery. After surgery, symptom severity was comparable between groups. Bothersome de novo symptoms occurred in 1–3%. Conclusions OAB symptoms are more strongly related to anterior and apical than to posterior compartment prolapse, but improvement is seen after surgery for any vaginal compartment.

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Association between Oxygen Consumption and Surface Electromyographic Amplitude and Its Variation within Individual Calf Muscles during Walking at Various Speeds

Sensors ◽

10.3390/s21051748 ◽

2021 ◽

Vol 21 (5) ◽

pp. 1748

Author(s):

Kohei Watanabe ◽

Shideh Narouei

Keyword(s):

Oxygen Consumption ◽

Spatial Variation ◽

Metabolic Response ◽

Correlation Coefficients ◽

Surface Emg ◽

Medial Gastrocnemius ◽

Whole Body ◽

Young Males ◽

Emg Amplitude ◽

Calf Muscles

Surface electromyography (EMG) has been used to estimate muscle work and physiological burden of the whole body during human movements. However, there are spatial variations in surface EMG responses within individual muscles. The aim of this study was to investigate the relation between oxygen consumption and surface EMG responses of lower leg muscles during walking at various speeds and to quantify its spatial variation within an individual muscle. Nine young males walked on a treadmill at four speeds: preferred minus 1 km/h, preferred, preferred plus 1 km/h, and preferred plus 2 km/h, and the metabolic response was measured based on the expired gas. High-density surface EMG of the tibialis anterior (TA), medial gastrocnemius (MG), lateral gastrocnemius, and soleus muscles was performed using 64 two-dimensional electrode grids. Correlation coefficients between oxygen consumption and the surface EMG amplitude were calculated across the gait speeds for each channel in the electrode grid and for individual muscles. Mean correlation coefficients across electrodes were 0.69–0.87 for the four individual muscles, and the spatial variation of correlation between the surface EMG amplitude and oxygen consumption within an electrode grid was significantly greater in MG muscle than in TA muscle (Quartile deviations: 0.24 for MG and 0.02 for TA, p < 0.05). These results suggest that the physiological burden of the whole body during gait at various speeds can be estimated from the surface EMG amplitude of calf muscles, but we need to note its spatial distribution within the MG muscle.

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Modified laparoscopic lateral suspension with a five-arm mesh in pelvic organ prolapse surgery

BMC Women s Health ◽

10.1186/s12905-021-01388-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Eren Akbaba ◽

Burak Sezgin

Keyword(s):

Pelvic Organ Prolapse ◽

De Novo ◽

Pelvic Organ ◽

Laparoscopic Technique ◽

Life Questionnaire ◽

Advanced Stage ◽

Posterior Compartment ◽

Anterior Compartment ◽

Mesh Graft ◽

Laparoscopic Lateral Suspension

Abstract Background Laparoscopic lateral suspension (LLS) is a laparoscopic technique used to treat pelvic organ prolapse (POP) in apical and anterior compartment defect with the use of a synthetic T-shaped mesh graft. The posterior compartment is repaired using a second mesh or a procedure along with LLS, such as posterior colporrhaphy. The aim of this study was to evaluate the clinical results of LLS for POP using a five-arm mesh instead of a T-shaped mesh graft to repair the defect of the posterior compartment in addition to the apical and anterior compartments. Methods Data from 37 patients with a diagnosis of advanced-stage (≥ 3) POP undergoing LLS with the use of a five-arm mesh were retrospectively analysed. Pre-operative and post-operative examinations and, surgical outcomes were determined. The results of measurements and examinations, reoperation rates, erosion rates, lower urinary tract symptoms, and complications were analysed. The Prolapse Quality of Life Questionnaire (P-QOL) was also used. Results The median post-operative follow-up was 20 (13–34) months. There was a significant improvement in POP-Q scores in all treated compartments, with overall objective cure rates of 94.5% for the apical compartment, 86.4% for the anterior compartment, and 91.8% for the posterior compartment. The median operative time was 96 (76–112) minutes. The median length of hospitalization was 2 (1–3) days. A significant improvement in vaginal bulge, urinary urgency, incomplete voiding, urinary frequency, and constipation was observed after surgery. The sexuality among patients increased from 13 (35.1%) preoperatively to 22 (59.4%) post-operatively. De novo stress urinary incontinence developed in 7 (18.9%) patients. The P-QOL scores improved significantly after surgery. Conclusions In advanced-stage POP patients, the posterior compartment damage can also be repaired in LLS with the use of a single five-arm mesh without the need for an additional procedure, and the recurrence rate can be reduced.

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