Due to the fixed bony structure of the pelvis, the pelvic operation space is limited, complicating the surgical operation of rectal cancer, especially middle and low rectal cancer. The closer the ...tumor is to the anal verge, the smaller the operative field and operating space, the longer the operative time, and the greater the incidence of intraoperative side injuries and postoperative complications. To date, there is still no clear definition of a difficult pelvis that affects the surgical operation of rectal cancer. Few related research reports exist in the literature, and views on this aspect are not the same between countries. Therefore, it is particularly important to predict the difficulty of rectal cancer surgery in a certain way before surgery and to select the surgical method most suitable for each case during the treatment of rectal cancer.
Primate pelvic anatomy and implications for birth Trevathan, Wenda
Philosophical transactions of the Royal Society of London. Series B. Biological sciences,
03/2015, Letnik:
370, Številka:
1663
Journal Article
Recenzirano
Odprti dostop
The pelvis performs two major functions for terrestrial mammals. It provides somewhat rigid support for muscles engaged in locomotion and, for females, it serves as the birth canal. The result for ...many species, and especially for encephalized primates, is an ‘obstetric dilemma’ whereby the neonate often has to negotiate a tight squeeze in order to be born. On top of what was probably a baseline of challenging birth, locomotor changes in the evolution of bipedalism in the human lineage resulted in an even more complex birth process. Negotiation of the bipedal pelvis requires a series of rotations, the end of which has the infant emerging from the birth canal facing the opposite direction from the mother. This pattern, strikingly different from what is typically seen in monkeys and apes, places a premium on having assistance at delivery. Recently reported observations of births in monkeys and apes are used to compare the process in human and non-human primates, highlighting similarities and differences. These include presentation (face, occiput anterior or posterior), internal and external rotation, use of the hands by mothers and infants, reliance on assistance, and the developmental state of the neonate.
The sacral autonomic outflow is sympathetic Espinosa-Medina, I; Saha, O; Boismoreau, F ...
Science (American Association for the Advancement of Science),
11/2016, Letnik:
354, Številka:
6314
Journal Article
Recenzirano
Odprti dostop
A kinship between cranial and pelvic visceral nerves of vertebrates has been accepted for a century. Accordingly, sacral preganglionic neurons are considered parasympathetic, as are their targets in ...the pelvic ganglia that prominently control rectal, bladder, and genital functions. Here, we uncover 15 phenotypic and ontogenetic features that distinguish pre- and postganglionic neurons of the cranial parasympathetic outflow from those of the thoracolumbar sympathetic outflow in mice. By every single one, the sacral outflow is indistinguishable from the thoracolumbar outflow. Thus, the parasympathetic nervous system receives input from cranial nerves exclusively and the sympathetic nervous system from spinal nerves, thoracic to sacral inclusively. This simplified, bipartite architecture offers a new framework to understand pelvic neurophysiology as well as development and evolution of the autonomic nervous system.
Objectives
Three‐dimensional (3D) data collected by structured light scanners, photogrammetry, and computed tomography (CT) scans are increasingly combined in joint analyses, even though the scanning ...techniques and reconstruction software differ considerably. The aim of the present study was to compare the quality and accuracy of surface models and landmark data obtained from modern clinical CT scanning, 3D structured light scanner, photogrammetry, and MicroScribe digitizer.
Material and methods
We tested 13 different photogrammetric software tools and compared surface models obtained by different methods for four articulated human pelves in a topographical analysis. We also measured a set of 219 landmarks and semilandmarks twice on every surface as well as directly on the dry bones with a MicroScribe digitizer.
Results
Only one photogrammetric software package yielded surface models of the complete pelves that could be used for further analysis. Despite the complex pelvic anatomy, all three methods (CT scanning, 3D structured light scanning, photogrammetry) yielded similar surface representations with average deviations among the surface models between 100 and 200 μm. A geometric morphometric analysis of the measured landmarks showed that the different scanning methods yielded similar shape variables, but data acquisition via MicroScribe digitizer was most prone to error.
Discussion
We demonstrated that three‐dimensional models obtained by different methods can be combined in a single analysis. Photogrammetry proved to be a cheap, quick, and accurate method to generate 3D surface models at useful resolutions, but photogrammetry software packages differ enormously in quality.
A comparison of landmark sets on human pelves obtained by Ct scanning, 3D structured light scanner, photogrammetry and Microscribe Digitizer.
Abstract This study investigated whether people with low back pain (LBP) reduce variability of movement between the pelvis and thorax (trunk) in the transverse plane during gait at different speeds ...compared to healthy controls. Thirteen people with chronic LBP and twelve healthy controls walked on a treadmill at speeds from 0.5 to 1.72 m/s, with increments of 0.11 m/s. Step-to-step variability of the trunk, pelvis, and thorax rotations were calculated. Step-to-step deviations of pelvis and thorax rotations from the average pattern (residual rotations) were correlated to each other, and the linear regression coefficients between these deviations calculated. Spectral analysis was used to determine the frequencies of the residual rotations, to infer the relation of reduced trunk variability to trunk stiffness and/or damping. Variability of trunk motion (thorax relative to pelvis) was lower ( P =0.02), covariance between the residual rotations of pelvis and thorax motions was higher ( P =0.03), and the linear regression coefficients were closer to 1 ( P =0.05) in the LBP group. Most power of segmental residual rotations was below stride frequency (∼1 Hz). In this frequency range, trunk residual rotations had less power than pelvis or thorax residual rotations. These data show that people with LBP had lower variability of trunk rotations, as a result of the coupling of deviations of residual rotations in one segment to deviations of a similar shape (correlation) and amplitude (regression coefficient) in the other segment. These results support the argument that people with LBP adopt a protective movement strategy, possibly by increased trunk stiffness.
Biomechanical testbench emulating the physiological loading of the pelvis is crucial in developing reconstructive implants for fragility fractures of the pelvis. Additionally, it will help understand ...the influence of the common daily loading on the pelvic ring. However, most reported experimental studies were mainly comparative with simplified loading and boundary conditions. In Part I of our study, we described the concept of the computational experiment design to design and construct a biomechanical testbench emulating the gait movement of the pelvis. The 57 muscles and joints' contact forces were reduced to four force actuators and one support, producing a similar stress distribution. The experimental setup is explained in this paper and some experimental results are presented. In addition, a series of repeatability and reproducibility tests were conducted to assess the test stand capabilities of replicating the gait physiological loading. The calculated stresses and the experimentally recorded strains showed that the pelvic ring response to the loading always follows the loaded leg side during the gait cycle. Furthermore, the experimental results of the pelvis displacement and strain at selected locations match the numerical ones. The developed test stand and the concept of computational experiment design behind it provide guidelines on how to design biomechanical testing equipment with physiological relevance.
Extant archosaurs exhibit highly divergent articular soft tissue anatomies between avian and crocodilian lineages. However, the general lack of understanding of the dynamic interactions among ...archosaur joint soft tissues has hampered further inferences about the function and evolution of these joints. Here we use contrast‐enhanced computed tomography to generate 3D surface models of the pelvis, femora, and hip joint soft tissues in an extant archosaur, the American alligator. The hip joints were then animated using marker‐based X‐Ray Reconstruction of Moving Morphology (XROMM) to visualize soft tissue articulation during forward terrestrial locomotion. We found that the anatomical femoral head of the alligator travels beyond the cranial extent of the bony acetabulum and does not act as a central pivot, as has been suggested for some extinct archosaurs. Additionally, the fibrocartilaginous surfaces of the alligator’s antitrochanter and femoral neck remain engaged during hip flexion and extension, similar to the articulation between homologous structures in birds. Moreover, the femoral insertion of the ligamentum capitis moves dorsoventrally against the membrane‐bound portion of the medial acetabular wall, suggesting that the inner acetabular foramen constrains the excursion of this ligament as it undergoes cyclical stretching during the step cycle. Finally, the articular surface of the femoral cartilage model interpenetrates with those of the acetabular labrum and antitrochanter menisci; we interpret such interpenetration as evidence of compressive deformation of the labrum and of sliding movement of the menisci. Our data illustrate the utility of XROMM for studying in vivo articular soft tissue interactions. These results also allow us to propose functional hypotheses for crocodilian hip joint soft tissues, expanding our knowledge of vertebrate connective tissue biology and the role of joint soft tissues in locomotor behavior.
We assessed the kinematic relationship of hip joint soft tissues in the American alligator during the high walk using XROMM and DiceCT techniques. Repeated kinematic patterns allow interpretation of a non‐pivoting femoral head, engagement between the femoral neck and antitrochanter, ligament movement, as well as labrum compression. These results allow us to propose functional hypotheses of crocodylian joint tissues and expand our knowledge on the role of vertebrate joint tissues.
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