scholarly journals Hematoma After a Fluoroscopically Guided Sacroiliac Joint Injection: A Case Report

2021 ◽  
pp. 63-66
Author(s):  
Vwaire Orhurhu

Background: Sacroiliac joint injection continues to play a role in the diagnosis and therapeutic management of patients with sacroiliac joint arthropathy, as it provides pain relief and improvement in function to those patients. It is considered a low-risk pain procedure with minimal to no adverse side effects. Although rare, serious com-plications such as infection and hematoma are a possibility, however. In anticoagulated patients, interventional pain physicians are advised to weigh the risks and benefits before discontinuing anticoagulation. The literature describes serious complications associated with stopping anticoagulation, such as myocardial infarction. Howev-er, we should also be mindful of the possibility of intramuscular hematoma formation in anticoagulated patients receiving a fluoroscopically guided sacroiliac joint injection. Case Report: This case exposes the development of a 300-mL hematoma in the right gluteus maximus muscle after a fluoro-scopically guided sacroiliac joint injection in a patient who was taking warfarin. Consequently, she also developed neurologic symptoms such as new-onset urinary retention, weakness, and decreased sensation in her right leg. Conclusion: Pain physicians should be mindful of the risks and benefits before deciding to hold or discontinue anticoagulation in patients undergoing fluoroscopically guided sacroiliac joint injection, as intramuscular hematomas are a possible complication. Key words: Anticoagulation, hematoma, sacroiliac joint arthropathy, sacroiliac joint injection complications

2015 ◽  
Vol 04 (04) ◽  
pp. 186-189
Author(s):  
N Muthukumaravel ◽  
K. Y Manjunath

Abstract Background and aims: The third trochanter is defined as the osseous tubercule in the superior part of the gluteal tuberosity. The occurrence of third trochanter might have been due to the consequence of the relative strengthening of gluteus maximus muscle in human beings. The present study was undertaken on the femora of northern Tamil Nadu region with the aim to determine the frequency of third trochanter of femur in this region and to compare it with occurrence in other series. Material and methods: The study was carried out on a collection of 153 dried adult femora of unknown age and sex available at the departments of Anatomy of Annapoorana Medical College and Vinayaka Mission's Homeopathy Medical College, Salem, Tamil Nadu, India. Results: Out of total 153 femora studied, the presence of third trochanter was noticed in 21 femora (13.72%). Out of these 15.71% were femora of the right side and 12.04% were of the left side. The average length and breadth of the third trochanters were 19.80±5.22 mm and 7.63±1.75 mm respectively Conclusion: The occurrence of the third trochanter was considerably higher among right femora than the femora of the left side. The average length of the third trochanters was found to be more on the right side and average width was more on the left side. This may be due to functional difference between the right and left gluteus maximii muscles.


PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S224-S225
Author(s):  
Anupam Sinha ◽  
Zach Broyer ◽  
Theodore D. Conliffe ◽  
Madhuri Dholakia

2020 ◽  
Author(s):  
Mariusz Konieczny ◽  
Paweł Pakosz ◽  
Mateusz Witkowski

Abstract Background: According to research, fast skating on short distances causes asymmetry in the physiology of muscle work. As has been proven in many sporting disciplines, this asymmetry can increase the risk of injury. The aim of the study was to analyze the level of right and left fatigue asymmetry of gluteus maximus muscle in elite skaters on a short track and to compare this phenomenon to a control group. The muscles were chosen deliberately, due to their influence in maintaining the right position during training on ice. Methods: The experiment compared a group of eight members of the Polish Women’s National Team in short track with a group of eight non-training people. The subjects did the Biering-Sorensen test, in which sEMG (surface electromyography) signal frequency was measured in the gluteus maximus muscles during an isometric contraction. Fatigue slopes were analyzed with a one-way ANOVA with repeated measures.. In the skaters, the fatigue differed between the right and the left gluteus maximus muscles. All the skaters had higher fatigue in the right leg. This phenomenon was not observed in the non-training subjects, who on average had similar fatigue in both legs. Results: The results suggest that professional short-track training leads to considerable asymmetry in fatigability of gluteus maximus muscles, thereby increasing the risk of injury in training and competition. Conclusions: Training should thus be planned in a way that minimizes the risk of causing muscle fatigue asymmetry in skaters despite the typically asymmetrical muscle work during training on ice and competition, thus new trainign protocols should be developed or considered to decrease that asymmetry. Trial registration: The tests were previously approved by the Bioethical Commission of the Chamber of Physicians in Opole. (Resolution No. 235 of 13 December 2016).


2020 ◽  
Author(s):  
Mariusz Konieczny ◽  
Paweł Pakosz ◽  
Mateusz Witkowski

Abstract Background According to research, fast skating on short distances increases functional asymmetry of leg muscles. As has been proven in many sporting disciplines, this asymmetry can increase the risk of injury. The aim of the study was to analyze the level of right and left myolectrical manifestations of fatigue asymmetry of gluteus maximus muscle in elite skaters on a short track and to compare this phenomenon to a control group. The muscles were chosen deliberately, due to their influence in maintaining the right position during training on ice.Methods The experiment compared a group of eight members of the Polish Women’s National Team in short track with a group of eight non-training people. The subjects did the Biering-Sorensen test, in which sEMG (surface electromyography) signal frequency was measured in the gluteus maximus muscles during an isometric contraction. Myolectrical manifestations of fatigue slopes were analyzed with a ANOVA with repeated measures. In the skaters, the myolectrical manifestations of fatigue differed between the right and the left gluteus maximus muscles. All the skaters had higher myolectrical manifestations of fatigue in the right leg. This phenomenon was not observed in the non-training subjects, who on average had similar myolectrical manifestations of fatigue in both legs. Results Results showed that the right and the left muscles of the skaters in the experimental group differed in myolectrical manifestations of fatigue, but this difference was non-significant in the control group.The subjects from the two groups did not differ in the myolectrical manifestations of fatigue of the left muscle, they did in the myolectrical manifestations of fatigue of the right muscle. The elite speed-track skaters had higher myolectrical manifestations of fatigue in the right muscle than the non-training subjects.Conclusions Training should thus be planned in a way that minimizes the risk of causing muscle myolectrical manifestations of fatigue asymmetry in skaters despite the typically asymmetrical muscle work during training on ice and competition, thus new training protocols should be developed or considered to decrease that asymmetry.Trial registration The tests were previously approved by the Bioethical Commission of the Chamber of Physicians in Opole. (Resolution No. 235 of 13 December 2016).


2020 ◽  
Author(s):  
Mariusz Konieczny ◽  
Paweł Pakosz ◽  
Mateusz Witkowski

Abstract Background According to research, fast skating on short distances increases functional asymmetry of leg muscles. As has been proven in many sporting disciplines, this asymmetry can increase the risk of injury. The aim of the study was to analyze the level of right and left fatigue asymmetry of gluteus maximus muscle in elite skaters on a short track and to compare this phenomenon to a control group. The muscles were chosen deliberately, due to their influence in maintaining the right position during training on ice.Methods The experiment compared a group of eight members of the Polish Women’s National Team in short track with a group of eight non-training people. The subjects did the Biering-Sorensen test, in which sEMG (surface electromyography) signal frequency was measured in the gluteus maximus muscles during an isometric contraction. Fatigue slopes were analyzed with a ANOVA with repeated measures. In the skaters, the fatigue differed between the right and the left gluteus maximus muscles. All the skaters had higher fatigue in the right leg. This phenomenon was not observed in the non-training subjects, who on average had similar fatigue in both legs. Results Results showed that the right and the left muscles of the skaters in the experimental group differed in fatigue, but this difference was non-significant in the control group.The subjects from the two groups did not differ in the fatigue of the left muscle, they did in the fatigue of the right muscle. The elite speed-track skaters had higher fatigue in the right muscle than the non-training subjects.Conclusions Training should thus be planned in a way that minimizes the risk of causing muscle fatigue asymmetry in skaters despite the typically asymmetrical muscle work during training on ice and competition, thus new training protocols should be developed or considered to decrease that asymmetry.Trial registration The tests were previously approved by the Bioethical Commission of the Chamber of Physicians in Opole. (Resolution No. 235 of 13 December 2016).


2014 ◽  
pp. 419-422 ◽  
Author(s):  
Suhani Sumalatha ◽  
Antony D Souza ◽  
Jitendra Yadav ◽  
Sachendra Mittal ◽  
Amoldeep Singh ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document