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Obturator Nerve Compression

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1. Obturator Nerve Compression

Obturator Nerve Compression Obturator Nerve Compression Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Obturator Nerve Compression (...) Obturator Nerve Compression Aka: Obturator Nerve Compression , Obturator Nerve Entrapment From Related Chapters II. Pathophysiology Compression of obturator nerve III. Symptoms Deep ache at adductor origin near pubic bone provokes pain radiation and weakness Radiation from medial thigh into knee -related weakness (especially jumping) IV. Diagnosis: Electromyogram (EMG) Indicated for symptoms greater than 3 months EMG shows denervation of adductor longus and brevis V. Management Surgical neurolysis

2018 FP Notebook

2. Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy (PubMed)

possibly compressing the obturator nerve. After evacuation of the hematoma, the patient had immediate improvement of his neurologic deficits. Our patient's clinical vignette illustrates the importance of considering postsurgical hematoma in the differential diagnosis when patients present with signs and symptoms of obturator neurapraxia after RALP. (...) Obturator Compartment Syndrome Secondary to Pelvic Hematoma After Robot-Assisted Laparoscopic Radical Prostatectomy Obturator nerve injury is a known injury after robot-assisted laparoscopic radical prostatectomy (RALP) and patients often present with motor and sensory deficits in the immediate postoperative period. We describe a 65-year-old male who presented with motor deficits, indicative of obturator neurapraxia after RALP upon waking from anesthesia. Work-up revealed an expansile hematoma

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2016 Journal of endourology case reports

3. Obturator Nerve Compression

Obturator Nerve Compression Obturator Nerve Compression Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Obturator Nerve Compression (...) Obturator Nerve Compression Aka: Obturator Nerve Compression , Obturator Nerve Entrapment From Related Chapters II. Pathophysiology Compression of obturator nerve III. Symptoms Deep ache at adductor origin near pubic bone provokes pain radiation and weakness Radiation from medial thigh into knee -related weakness (especially jumping) IV. Diagnosis: Electromyogram (EMG) Indicated for symptoms greater than 3 months EMG shows denervation of adductor longus and brevis V. Management Surgical neurolysis

2015 FP Notebook

4. CRACKCast 107 – Peripheral Nerve Disorders

Vasospastic (deep buttock injection) Neoplastic Radiation Idiopathic lumbosacral plexitis Infectious Herpesvirus (sacrococygeal) Herpes simplex 2 Herpes zoster Cytomegalovirus polyradiculopathy (HIV infection) Isolated mononeuropathies (broad categories): Upper extremity Radial nerve Ulnar nerve Median nerve Lower extremity Sciatic nerve Femoral nerve Lateral femoral cutaneous (meralgia paresthetica) Peroneal nerve Tibial nerve Sural nerve Plantar nerve Obturator mononeuropathy [10] What are two other (...) to compressive neuropathy. Caused when the radial nerve is trapped between the humeral shaft and some hard surface, as seen in deep drunk sleep. “Bridegroom’s palsy” = radial nerve may be compressed by the bride’s head resting on the groom’s arm during sleep Rare: Radial neuropathy secondary to improper crutch use causing compressive neuropathy at the level of the axilla! Look for wrist +/- finger drop. Also seen is paresthesia of dorsum of 1st digit space. [11] Describe the motor and sensory innervation

2017 CandiEM

5. The Anterior Subcutaneous Pelvic Fixator (INFIX) in an Anterior Posterior Compression Type 3 Pelvic Fracture. (PubMed)

, and 7 or 8 mm in diameter. The approach is a mini open and one needs to be familiar with the iliac oblique, obturator outlet, and obturator inlet views. The length of the screw is measured from the sciatic notch to the skin, and they are placed so that the head sits just below the skin. The rod is passed just under the skin along the bikini line and the construct compressed or distracted against a c-clamp while monitored with fluoroscopy. In Orthopaedic Trauma Association C type injuries, we leave c (...) The Anterior Subcutaneous Pelvic Fixator (INFIX) in an Anterior Posterior Compression Type 3 Pelvic Fracture. The purpose of this video is to describe the equipment, anatomy, and surgical technique of anterior subcutaneous pelvic fixation (INFIX) using pedicle screws and a rod in an Anterior Posterior Compression 3 pelvic fracture, as well as how to distract in lateral compression fractures.The equipment required includes standard spine pedicle screw sets with long screws, 70-110 mm in length

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2016 Journal of Orthopaedic Trauma

6. Sacrotuberous Ligament Healing following Surgical Division during Transgluteal Pudendal Nerve Decompression: A 3-Tesla MR Neurography Study. (PubMed)

Sacrotuberous Ligament Healing following Surgical Division during Transgluteal Pudendal Nerve Decompression: A 3-Tesla MR Neurography Study. Pelvic pain due to chronic pudendal nerve (PN) compression, when treated surgically, is approached with a transgluteal division of the sacrotuberous ligament (STL). Controversy exists as to whether the STL heals spontaneously or requires grafting. Therefore, the aim of this study was to determine how surgically divided and unrepaired STL heal (...) . A retrospective evaluation of 10 patients who had high spatial resolution 3-Tesla magnetic resonance imaging (3T MRI) exams of the pelvis was done using an IRB-approved protocol. Each patient was referred for residual pelvic pain after a transgluteal STL division for chronic pudendal nerve pain. Of the 10 patients, 8 had the STL divided and not repaired, while 2 had the STL divided and reconstructed with an allograft tendon. Of the 8 that were left unrepaired, 6 had bilateral surgery. Outcome variables

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2016 PLoS ONE

7. NERVE ENTRAPMENT IN THE HIP REGION: CURRENT CONCEPTS REVIEW (PubMed)

NERVE ENTRAPMENT IN THE HIP REGION: CURRENT CONCEPTS REVIEW The purpose of this clinical commentary is to review the anatomy, etiology, evaluation, and treatment techniques for nerve entrapments of the hip region. Nerve entrapment can occur around musculotendinous, osseous, and ligamentous structures because of the potential for increased strain and compression on the peripheral nerve at those sites. The sequela of localized trauma may also result in nerve entrapment if normal nerve gliding (...) is prevented. Nerve entrapment can be difficult to diagnose because patient complaints may be similar to and coexist with other musculoskeletal conditions in the hip and pelvic region. However, a detailed description of symptom location and findings from a comprehensive physical examination can be used to determine if an entrapment has occurred, and if so where. The sciatic, pudendal, obturator, femoral, and lateral femoral cutaneous are nerves that can be entrapped and serve a source of hip pain

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2017 International journal of sports physical therapy

8. Obturator Hernia – MRI Image (PubMed)

Obturator Hernia – MRI Image Obturator hernia although considered a rare entity is the most frequently encountered pelvic floor hernia. Since the first published report in the 18th century, their unusual and unfamiliar clinical presentation still represents a diagnostic dilemma for the modern day clinician. A detailed history and clinical examination in our thin, elderly female patient who presented with intermittent small bowel obstruction and symptoms of right obturator nerve compression (...) with a positive Howship-Romberg sign was crucial in establishing a diagnosis. Sophisticated radiologic modalities such as MRI as shown below in the case of our patient can reliably confirm the diagnosis of obturator hernia.

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2012 The Indian journal of surgery

9. Nerve Entrapment Syndromes of the Lower Extremity (Diagnosis)

delivery as a result of compression of the nerve between the head of the fetus and the bony structures of the pelvis, or as a consequence of compression of the nerve between a tumor and the bony pelvis. Entrapment may also occur in the obturator canal during surgery or in conjunction with a total hip arthroplasty. Other potential causes include malposition of the lower limb for prolonged periods, entrapment in the adductor magnus in athletes, and abnormal positioning of the lower limb of a newborn (...) Saphenous nerve Obturator nerve Common peroneal nerve Superficial peroneal nerve Deep peroneal nerve Posterior tibial nerve Plantar nerves Digital nerves The genitofemoral nerve or its branches (genital or femoral) can be entrapped throughout its course. Nerve injury occurs most commonly as a complication of surgical procedures involving the lower abdomen. Injury or entrapment of the lateral femoral cutaneous nerve, also known as meralgia paresthetica (from the Greek words mēros [“thigh”] and algos

2014 eMedicine Surgery

10. Facial Nerve Paralysis

. These stages correspond with the pathologic findings of neurapraxia, axonotmesis, neurotmesis, and partial and complete transection of the facial nerve. A clinical House-Brackmann grade 1 injury refers to neurapraxia, which is the most likely stage for spontaneous recovery. Axonotmesis is the term for longer compression of the nerve, clinically a House-Brackmann level 2-3 injury, with temporary axonoplasmal flow interruption and subsequent Wallerian anterograde degeneration. Degeneration in axonotmesis (...) pedicle and bring the muscle flap up to the face. After suturing the inferior part of the gracilis muscle, the lateral aspect of the orbicularis oris muscle, pull the superior part cranially, giving until the desired muscle tension is reached, and consecutively suture it to the zygomatic arch. Coapt the donor nerve (anterior obturator nerve) to the recipient proximal stump of the facial nerve or the end of the sural crossover nerve graft. Other donor nerves, such as the ansa hypoglossi or the motor

2014 eMedicine Surgery

11. Nerve Entrapment Syndromes of the Lower Extremity (Treatment)

body mechanics will also be helpful. If this approach fails, surgical intervention may be needed. Obturator nerve entrapment For anterior obturator nerve entrapment, treatment may consist of electrical stimulation of the adductor and hip flexor muscles, stretching, and massage. These modalities, however, typically have not been successful in resolving this condition if it is not recognized early. Posterior tibial nerve entrapment Compression of the branches of the posterior tibial nerve is a common (...) . These may include avoidance of hip extension, prolonged standing, and compressive garments. The use of ice and a TENS unit may also be helpful. Saphenous nerve entrapment Saphenous nerve entrapment in the adductor canal usually is treated conservatively by injecting an anesthetic (with or without a corticosteroid) at the point of maximal tenderness (usually 10 cm proximal to the medial femoral condyle). The injection may have to be repeated periodically. Avoiding aggravating activities and using proper

2014 eMedicine Surgery

12. Nerve Entrapment Syndromes of the Lower Extremity (Overview)

delivery as a result of compression of the nerve between the head of the fetus and the bony structures of the pelvis, or as a consequence of compression of the nerve between a tumor and the bony pelvis. Entrapment may also occur in the obturator canal during surgery or in conjunction with a total hip arthroplasty. Other potential causes include malposition of the lower limb for prolonged periods, entrapment in the adductor magnus in athletes, and abnormal positioning of the lower limb of a newborn (...) Saphenous nerve Obturator nerve Common peroneal nerve Superficial peroneal nerve Deep peroneal nerve Posterior tibial nerve Plantar nerves Digital nerves The genitofemoral nerve or its branches (genital or femoral) can be entrapped throughout its course. Nerve injury occurs most commonly as a complication of surgical procedures involving the lower abdomen. Injury or entrapment of the lateral femoral cutaneous nerve, also known as meralgia paresthetica (from the Greek words mēros [“thigh”] and algos

2014 eMedicine Surgery

13. Nerve Entrapment Syndromes of the Lower Extremity (Follow-up)

body mechanics will also be helpful. If this approach fails, surgical intervention may be needed. Obturator nerve entrapment For anterior obturator nerve entrapment, treatment may consist of electrical stimulation of the adductor and hip flexor muscles, stretching, and massage. These modalities, however, typically have not been successful in resolving this condition if it is not recognized early. Posterior tibial nerve entrapment Compression of the branches of the posterior tibial nerve is a common (...) . These may include avoidance of hip extension, prolonged standing, and compressive garments. The use of ice and a TENS unit may also be helpful. Saphenous nerve entrapment Saphenous nerve entrapment in the adductor canal usually is treated conservatively by injecting an anesthetic (with or without a corticosteroid) at the point of maximal tenderness (usually 10 cm proximal to the medial femoral condyle). The injection may have to be repeated periodically. Avoiding aggravating activities and using proper

2014 eMedicine Surgery

14. Assessment of lower extremity mononeuropathy

. It can be caused by compressive, infectious, malignant, and inflammatory aetiologies. Lumbosacral radiculopathies Neuropathy involving the nerve root. It can also be caused by compressive, infectious, malignant, and inflammatory aetiologies. Differentials Diabetic amyotrophy Lumbosacral radiculopathy Meralgia paraesthetica Peroneal neuropathy Morton's neuroma Lumbosacral plexopathy (non-neoplastic compressive) Obturator neuropathy Sciatic neuropathy Tarsal tunnel syndrome Tibial neuropathy Femoral (...) of the peripheral nerve, from the dorsal root ganglion through to the lumbosacral plexus and the terminal individual named nerves. Dysfunction can lead to weakness, pain, or sensory deficits. These entities are a major source of neurological referral. Causes Mononeuropathies can be thought of as compressive or idiopathic, or as sequelae of underlying systemic disease (e.g., diabetes, malignancy, infection, and inflammatory conditions). Compressive neuropathies produce symptoms in the distribution

2018 BMJ Best Practice

15. Optimisation of RIZIV – INAMI lump sums for incontinence

nerve stimulation KCE Report 304 Incontinence 15 PVR Post voiding residual volume RIZIV – INAMI Rijksinstituut voor ziekte- en invaliditeitsverzekering – Institut national d'assurance maladie-invalidité RP MUS Retropubic mid-urethral sling SD Standard deviation SIMS Single incision minisling SNS Sacral neurostimulation SOI Severity of illness SUI Stress urinary incontinence TCT Technical Cell – Cellule Technique TO Transobturator TO MUS Transobturator mid-urethral sling TOT Trans-obturator tape T (...) -PTNS Transcutaneous posterior tibial nerve stimulation TURP Transurethral resection of the prostate TVT Tension-free vaginal tape TVT-O Tension-free vaginal tape obturator UTI Urine tract infection UUI Urgency urinary incontinence UI Urinary Incontinence VC Vaginal cones WHO World Health Organisation 16 Incontinence KCE Report 304 ? SCIENTIFIC REPORT 1 GENERAL INTRODUCTION 1.1 Aim of the study Under specific conditions, persons suffering from incontinence can benefit from a grant for incontinence

2019 Belgian Health Care Knowledge Centre

16. Chronic Pelvic Pain

and types of nonbladder syndromes as risk factors for interstitial cystitis/painful bladder syndrome. Urology, 2011. 77: 313. 181. Peters, K.M., et al. Are ulcerative and nonulcerative interstitial cystitis/painful bladder syndrome 2 distinct diseases? A study of coexisting conditions. Urology, 2011. 78: 301. 182. Rab, M., et al. Anatomic variability of the ilioinguinal and genitofemoral nerve: implications for the treatment of groin pain. Plast Reconstr Surg, 2001. 108: 1618. 183. Eklund, A., et al (...) and how to excise vaginal mesh. Curr Opin Obstet Gynecol, 2016. 28: 311. 207. Khatri, G., et al. Diagnostic Evaluation of Chronic Pelvic Pain. Phys Med Rehabil Clin N Am, 2017. 28: 477. 208. Bendavid, R., et al. A mechanism of mesh-related post-herniorrhaphy neuralgia. Hernia, 2016. 20: 357. 209. Hahn, L. Treatment of ilioinguinal nerve entrapment - a randomized controlled trial. Acta Obstet Gynecol Scand, 2011. 90: 955. 210. Antolak, S.J., Jr., et al. Anatomical basis of chronic pelvic pain syndrome

2019 European Association of Urology

17. Prostate Cancer

transperineal prostate biopsies using single-dose cephazolin prophylaxis. World J Urol, 2017. 35: 1199. 215. von Knobloch, R., et al. Bilateral fine-needle administered local anaesthetic nerve block for pain control during TRUS-guided multi-core prostate biopsy: a prospective randomised trial. Eur Urol, 2002. 41: 508. 216. Adamakis, I., et al. Pain during transrectal ultrasonography guided prostate biopsy: a randomized prospective trial comparing periprostatic infiltration with lidocaine

2019 European Association of Urology

18. Urinary Incontinence

. Washout policies in long-term indwelling urinary catheterisation in adults. Cochrane Database Syst Rev, 2010: CD004012. 113. Niel-Weise, B.S., et al. Urinary catheter policies for long-term bladder drainage. Cochrane Database Syst Rev, 2012: CD004201. 114. Moore, K.N., et al. Assessing comfort, safety, and patient satisfaction with three commonly used penile compression devices. Urology, 2004. 63: 150. 115. Lipp, A., et al. Mechanical devices for urinary incontinence in women. Cochrane Database Syst (...) . Cochrane Database Syst Rev, 2013: CD001202. 183. Lim, R., et al. Efficacy of electromagnetic therapy for urinary incontinence: A systematic review. Neurourol Urodyn, 2015. 34: 713. 184. Wallace, P.A., et al. Sacral nerve neuromodulation in patients with underlying neurologic disease. Am J Obstet Gynecol, 2007. 197: 96 e1. 185. Finazzi-Agro, E., et al. Percutaneous tibial nerve stimulation effects on detrusor overactivity incontinence are not due to a placebo effect: a randomized, double-blind, placebo

2019 European Association of Urology

19. Muscle-invasive and Metastatic Bladder Cancer

examination of obturator lymph nodes and impact on lymph node dissection borders during radical cystectomy: results of a prospective multicentre study by the Turkish Society of Urooncology. BJU Int, 2011. 107: 547. 53. Jimenez, R.E., et al. Grading the invasive component of urothelial carcinoma of the bladder and its relationship with progression-free survival. Am J Surg Pathol, 2000. 24: 980. 54. Sjodahl, G., et al. A molecular taxonomy for urothelial carcinoma. Clin Cancer Res, 2012. 18: 3377. 55. Choi

2019 European Association of Urology

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