Imperforate anus in symmetrical conjoined live twins

This is a case report of newly born twins. The live twins were with two separate heads and a symmetrical body, conjoined in a sagittal plane. Their thorax and abdomen were broader then singleton normal. Spines were separate in cervical regions but gradually approached each other and completely fused at sacrum. Single perineum had an imperforate anus.

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Isolated imperforate anus in monozygotic twins: case report and implications

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2004.11.002 ◽

2005 ◽

Vol 40 (3) ◽

pp. E1-E4 ◽

Cited By ~ 13

Author(s):

Rainer Kubiak ◽

Vipul Upadhyay

Keyword(s):

Case Report ◽

Imperforate Anus ◽

Monozygotic Twins

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A Systematic Review of the Impact of Sports on Body Posture in Adolescents

Journal of Medical Imaging and Health Informatics ◽

10.1166/jmihi.2020.3013 ◽

2020 ◽

Vol 10 (5) ◽

pp. 1159-1164

Author(s):

Lifu Xing ◽

Sergey Popik

Keyword(s):

Children And Adolescents ◽

Sagittal Plane ◽

The Body ◽

Body Posture ◽

Training Time ◽

Negative Effect ◽

Symmetrical Body ◽

Adverse Influence ◽

Football Training ◽

The Impact

Purpose: A correct body posture plays an important role in people’s health, especially for children and adolescents who are in intensive development. Exercise regularly can increase their health, but there is also an adverse influence on children and adolescents. Thus this review evaluates the impacts of basketball, volleyball, football, gymnast training on the body posture of adolescents. Methods: The literature collect was complete through databases which included Google Scholar, PubMed, and ScienceDirect. Eight of 480 studies met the inclusion criteria. The collecting articles have assessed the impact of the sport of basketball, volleyball, football, and gymnast on body posture. Result and Conclusion: According to the analysis, the sport of basketball and volleyball play a negative effect on adolescent’s body posture and deviation of body posture increase as training time longer. Further research is required to be done to investigate football training to affect body posture because no studies are confirming the effect of football on body posture. However, gymnast training showed a symmetrical body posture, but the changes of the spine in the sagittal plane in adolescents are worthy of attention. Therefore, it is important to notice that the training program not only aims at the outcome but also promote the harmonious development of the adolescent.

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A rare case of perineal hamartoma associated with cryptorchidism and imperforate anus: case report

Einstein (São Paulo) ◽

10.1590/s1679-45082014rc2746 ◽

2014 ◽

Vol 12 (2) ◽

pp. 234-236

Author(s):

Kleiton Gabriel Ribeiro Yamaçake ◽

Amilcar Martins Giron ◽

Uenis Tannuri ◽

Miguel Srougi

Keyword(s):

Case Report ◽

Physical Examination ◽

Imperforate Anus ◽

Rare Case ◽

Coloanal Anastomosis ◽

Histopathological Examination ◽

Congenital Clubfoot ◽

Anorectal Anomaly ◽

Male Neonate ◽

Nonpalpable Testis

A full-term male neonate with anorectal anomaly and external perineal anomalies was referred to our service. Physical examination showed an epithelized perineal mass with cutaneous orifices, which had urine fistulization, hipotrofic perineal musculature, bilateral congenital clubfoot, hipospadic urethra, criptorquidy bilateral with nonpalpable testis and imperforate anus. A colostomy was constructed immediately after birth. The child underwent excision of perineal mass, bilateral orchidopexy, Duplay neourethroplasty and coloanal anastomosis at 3 months of age. The histopathological examination of the perineal mass revealed a hamartoma.

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Combined Laparoscopically Assisted and Anterior Sagittal Anorectoplasty for Imperforate Anus with Rectobulbar Urethral Fistula: A Case Report

Videoscopy ◽

10.1089/vor.2014.0222 ◽

2014 ◽

Vol 24 (6) ◽

Author(s):

Tetsuya Ishimaru ◽

Masahiko Sugiyama ◽

Mari Arai ◽

Jun Fujishiro ◽

Chizue Uotani ◽

...

Keyword(s):

Case Report ◽

Imperforate Anus ◽

Urethral Fistula ◽

Anterior Sagittal Anorectoplasty

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Hypertension Associated with Crossed Renal Ectopia in an Infant

PEDIATRICS ◽

10.1542/peds.48.3.454 ◽

1971 ◽

Vol 48 (3) ◽

pp. 454-457

Author(s):

David T. Mininberg ◽

Stephanie Roze ◽

H. J. Yoon ◽

Marylin Pearl

Keyword(s):

Case Report ◽

Physical Examination ◽

Imperforate Anus ◽

Male Infant ◽

Age Group ◽

Renal Ectopia ◽

Type Iii ◽

Group A ◽

Crossed Renal Ectopia ◽

Spontaneous Delivery

Hypertension is not found commonly in infants under 1 year of age. Renovascular type of hypertension is extremely rare in this age group. A 3-month-old male infant is presented who developed hypertension secondary to the unilateral anomaly of crossed renal ectopia. This was associated with two other developmental anomalies, imperforate anus Type III-B and rectourethral fistula. The hypertension was treated successfully by surgery. Case Report A male infant, the full-term product of a 34-year-old G6P4A1 mother, was born by normal spontaneous delivery, weighing 5 pounds 8½ ounces. Physical examination was entirely normal except for the presence of an imperforate anus which subsequently proved to be Type III-B.

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The effects of physiotherapy using proprioceptive neuromuscular facilitation techniques on the gait of patients after hip and knee arthroplasty: a case report

HIGHER SCHOOL’S PULSE ◽

10.5604/01.3001.0015.0632 ◽

2021 ◽

Vol 15 (SUPPLEMENT 2) ◽

pp. 1

Author(s):

Antonina Kaczorowska ◽

Jolanta Kaboth ◽

Ewelina Lepsy ◽

Agata Mroczek

Keyword(s):

Case Report ◽

Knee Arthroplasty ◽

Sagittal Plane ◽

Lower Limbs ◽

Timed Up And Go ◽

Number Of Patients ◽

Proprioceptive Neuromuscular Facilitation ◽

Test Assessment ◽

Hip And Knee Arthroplasty ◽

Tinetti Test

Background Gait disturbances are a major problem for patients after arthroplasty. After the surgery, walking speed, the rhythm of locomotion, and the length of the steps are significantly reduced. One of the therapeutic methods used in gait re-education is proprioceptive neuromuscular facilitation (PNF). Aim of the study This study aimed to evaluate the effects of physiotherapy using PNF techniques on the gait of patients after hip and knee arthroplasty. Case report A 60-year-old woman with advanced osteoarthritis that received bilateral hip and right knee arthroplasties was examined. Before and after the therapy, the following tests were performed: measurement of the range of motion (ROM) of hip and knees joints in the sagittal plane using a goniometer, assessment of the symmetry of the lower limbs loading using the two scales test, assessment of the risk of falls using the “Timed Up and Go” test, assessment of balance and gait using the Tinetti test, and assessment of pain intensity using the visual analogue scale (VAS). Rehabilitation was comprised of 15 PNF therapies, including scapular and pelvic PNF patterns. The stabilization of the upper and lower trunk, lifting, shifting of the body’s weight from one foot to another, gait cycle (the stance phase and the swing phase), walking forward, backward, and sideways, and walking up/down the stairs were also used. After the therapy, the flexion ROM in both hip and knees joints was improved. The lower limb symmetry index decreased from 1.167 to 1.121, and the sum of the points obtained in the Tinetti test increased from 22 to 26. Pain in the joints also decreased from 6 on the VAS scale to 4. However, the result obtained in the “Timed Up and Go” test after the therapy was increased by 0.5 s compared to before the therapy. Conclusions After hip and knee arthroplasties, physiotherapy using PNF techniques improved the gait and functional status of the patient. Continuation of this research using a larger number of patients is needed.

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Posterior pusher syndrome — case report

Open Medicine ◽

10.2478/s11536-011-0145-7 ◽

2012 ◽

Vol 7 (3) ◽

pp. 354-357

Author(s):

Emilia Mikołajewska

Keyword(s):

Case Report ◽

Sagittal Plane ◽

Body Orientation ◽

Coronal Plane ◽

Stroke Patients ◽

Active Resistance ◽

Paretic Side ◽

Pusher Syndrome ◽

Posterior Tilt

AbstractPusher syndrome is classically described as disorder of body orientation in the coronal plane. It is characterized by a tilt towards the contralesional paretic side and a resistance to external attempts to rectify. It occurs mainly in stroke patients, however, non-stroke causes have been described too. In 2010 the concept of the posterior pusher syndrome had been proposed, defined as disturbance of body orientation in the sagittal plane with imbalance, posterior tilt and an active resistance to forward pulling or pushing. The author describes, on the basis of the literature and own research, symptoms and methods of the treatment of the little-known posterior pusher syndrome.

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End-Range Mobilization Techniques in Adhesive Capsulitis of the Shoulder Joint: A Multiple-Subject Case Report

Physical Therapy ◽

10.1093/ptj/80.12.1204 ◽

2000 ◽

Vol 80 (12) ◽

pp. 1204-1213 ◽

Cited By ~ 98

Author(s):

Henricus M Vermeulen ◽

Wim R Obermann ◽

Bart J Burger ◽

Gea J Kok ◽

Piet M Rozing ◽

...

Keyword(s):

Case Report ◽

Range Of Motion ◽

Sagittal Plane ◽

Glenohumeral Joint ◽

Adhesive Capsulitis ◽

Plain Radiograph ◽

Shoulder Function ◽

Joint Mobility ◽

Lateral Rotation

Abstract Background and Purpose. The purpose of this case report is to describe the use of end-range mobilization techniques in the management of patients with adhesive capsulitis. Case Description. Four men and 3 women (mean age=50.2 years, SD=6.0, range=41–65) with adhesive capsulitis of the glenohumeral joint (mean disease duration=8.4 months, SD=3.3, range= 3–12) were treated with end-range mobilization techniques, twice a week for 3 months. Indexes of pain, joint mobility, and function were measured by the same observer before treatment, after 3 months of treatment, and at the time of a 9-month follow-up. In addition, arthrographic assessment of joint capacity (ie, the amount of fluid the joint can contain) and measurement of range of motion of glenohumeral abduction on a plain radiograph were conducted initially and after 3 months of treatment. Outcomes. After 3 months of treatment, there were increases in active range of motion. Mean abduction increased from 91 degrees (SD=16, range=70–120) to 151 degrees (SD=22, range=110–170), mean flexion in the sagittal plane increased from 113 degrees (SD=17, range=90–145) to 147 degrees (SD=18, range=115–175), and mean lateral rotation increased from 13 degrees (SD=13, range=0–40) to 31 degrees (SD=11, range=15–50). There were also increases in passive range of motion: Mean abduction increased from 96 degrees (SD=18, range=70–125) to 159 degrees (SD=24, range 110–180), mean flexion in the sagittal plane increased from 120 degrees (SD=16, range=95–145) to 154 degrees (SD=19, range=120–180), and mean lateral rotation increased from 21 degrees (SD=11, range=10–45) to 41 degrees (SD=8, range=35–55). The mean capacity of the glenohumeral joint capsule (its ability to contain fluid) increased from 10 cc (SD=3, range=6–15) to 15 cc (SD=3, range=10–20). Four patients rated their improvement in shoulder function as excellent, 2 patients rated it as good, and 1 patient rated it as moderate. All patients maintained their gain in joint mobility at the 9-month follow-up. Discussion. There seems to be a role for intensive mobilization techniques in the treatment of adhesive capsulitis. Controlled studies regarding the effectiveness of end-range mobilization techniques in the treatment of adhesive capsulitis are warranted.

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