20 research outputs found

    Valuation of works in the land consolidation

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    Cílem práce je komplexně popsat problematiku pozemkových úprav a zpracovat rozpočty plánů společných zařízení provedených v rámci pozemkových úprav. Pro jednotlivé plány společných zařízení budou zpracovány karty rozpočtových ukazatelů. Na závěr práce proběhne vyhodnocení zpracovaných rozpočtů a výsledných rozpočtových ukazatelů.The aim is to comprehensively describe the problems of land consolidation plans and prepare budgets of joint facilities performed in a frame of the landscaping. For individual plans of common facilities, cards of budgetary indicators will be processed. Finally, we will evaluate the resulting processed budgets and budget indicators.

    Ultrasound imaging of the axilla

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    : Axilla is a pyramidal-in-shape "virtual cavity" housing multiple anatomical structures and connecting the upper limb with the trunk. To the best of our knowledge, in the pertinent literature, a detailed sonographic protocol to comprehensively assess the axillary region in daily practice is lacking. In this sense, the authors have briefly described the anatomical architecture of the axilla-also using cadaveric specimens-to propose a layer-by-layer sonographic approach to this challenging district. The most common sonographic pathological findings-for each and every anatomical compartment of the axilla-have been accurately reported and compared with the corresponding histopathological features. This ultrasound approach could be considered a ready-to-use educational guidance for the assessment of the axillary region. CRITICAL RELEVANCE STATEMENT: Axilla is a pyramidal-in-shape "virtual cavity" housing multiple anatomical structures and connecting the upper limb with the trunk. The aim of this review article was to describe the anatomical architecture of the axilla, also using cadaveric specimens, in order to propose a layer-by-layer sonographic approach to this challenging district

    Ultrasound-guided interventions for painful shoulder: from anatomy to evidence

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    Ke-Vin Chang,1,2 Kamal Mezian,3 Ondřej Naňka,4 Wei-Ting Wu,1 Chih-Peng Lin,5,6 Levent Özçakar7 1Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Bei-Hu Branch, Taipei, Taiwan; 2Department of Physical Medicine and Rehabilitation, National Taiwan University, College of Medicine, Taipei, Taiwan; 3Department of Rehabilitation Medicine, Charles University, First Faculty of Medicine, Prague, Czech Republic; 4Institute of Anatomy, Charles University, First Faculty of Medicine, Prague, Czech Republic; 5Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan; 6Department of Anesthesiology, National Taiwan University, College of Medicine, Taipei, Taiwan; 7Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey Abstract: Shoulder pain is a common musculoskeletal disorder of variable etiology, ranging from rotator cuff pathology to peripheral nerve entrapment. Advances in ultrasound (US) technology have allowed static and dynamic evaluation of shoulder problems and most importantly, offer real-time, radiation-free guidance for interventions. The present review aims to describe shoulder anatomy in detail using information from cadaveric models and to illustrate US-guided techniques using clearly labeled figures and videos. The review will also present evidence of specific US-guided therapies for shoulder pain by summarizing landmark studies, systematic reviews, and meta-analyses. The following shoulder structures will be covered: 1) the biceps long head tendon, 2) the acromioclavicular joint, 3) the subacromial–subdeltoid bursa, 4) the glenohumeral joint, 5) the suprascapular nerve, and 6) the axillary nerve. Keywords: pain, sonography, tendon, joint, injection, rehabilitatio

    Ultrasound-Guided Interventions For Painful Shoulder: From Anatomy To Evidence

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    Shoulder pain is a common musculoskeletal disorder of variable etiology, ranging from rotator cuff pathology to peripheral nerve entrapment. Advances in ultrasound (US) technology have allowed static and dynamic evaluation of shoulder problems and most importantly, offer real-time, radiation-free guidance for interventions. The present review aims to describe shoulder anatomy in detail using information from cadaveric models and to illustrate US-guided techniques using clearly labeled figures and videos. The review will also present evidence of specific US-guided therapies for shoulder pain by summarizing landmark studies, systematic reviews, and meta-analyses. The following shoulder structures will be covered: 1) the biceps long head tendon, 2) the acromioclavicular joint, 3) the subacromial–subdeltoid bursa, 4) the glenohumeral joint, 5) the suprascapular nerve, and 6) the axillary nerve

    Advanced Ankle and Foot Sonoanatomy: Imaging Beyond the Basics

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    Ankle/foot pain is a common complaint encountered in clinical practice. Currently, due to the complex anatomy, the diagnosis and management of the underlying musculoskeletal disorders are extremely challenging. Nowadays, high-resolution ultrasound has emerged as the first-line tool to evaluate musculoskeletal disorders. There have been several existing protocols describing the fundamental sonoanatomy of ankle/foot joints. However, there are certain anatomic structures (e.g., Lisfranc ligament complex or Baxter nerve) which are also clinically important. As they are rarely elaborated in the available literature, a comprehensive review is necessary. In this regard, the present article aims to brief the regional anatomy, illustrate the scanning techniques, and emphasize the clinical relevance of the ankle/foot region

    Ulnar Wrist Pain Revisited

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    The triangular fibrocartilage complex (TFCC) serves as the major stabilizer of the wrist. Its injuries can result from trauma or degeneration, both of which are strongly correlated with the loading stress on the ulnar shaft and carpal joints. The TFCC is made of the articular disc, meniscus homologue, ulnocarpal ligament, radioulnar ligament, ulnotriquetral ligament, ulnolunate ligament, and subsheath of the extensor carpi ulnaris tendon. Because of its complexity, it is challenging to confirm the exact component affected in TFCC injuries. The Palmer classification is widely used for investigation of TFCC lesions using magnetic resonance imaging. Recently, high-resolution ultrasound (US) has become more popular in diagnosing musculoskeletal disorders. However, the utility of US imaging in TFCC lesions is less common because its anatomy under US imaging is not described in the current literature. Accordingly, in this review, we aimed to propose a standard US scanning protocol for the TFCC, present relevant images for its pathologies, and illustrate appropriate US-guided injection techniques for their management.PubMedWo

    Ultrasound imaging of the posterior lateral corner of the knee: a pictorial review of anatomy and pathologies

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    Abstract Assessment of the posterior lateral knee pain poses diagnostic challenges, requiring accurate evaluation of various structures in light of the medical history and physical examination. Despite substantial progress in the ultrasonographic diagnosis of musculoskeletal disorders, the current protocol (EURO-MUSCULUS/USPRM. Basic scanning protocols for knee) fails to conduct a comprehensive investigation into the intricate, tendons, and ligaments of the posterior lateral knee. This pictorial review aims to bridge this gap by offering a systematic approach to utilize ultrasound examination of the less-discussed structures in this specific region. Providing cadaveric and magnetic resonance images, this essay demonstrates the efficacy of ultrasound in diagnosing posterior lateral knee pain. Notably, pathologies such as ligamentous sprains and tears are clearly discernible. Moreover, the integration of ultrasound guidance plays a vital role in reducing the risk of inadvertent neurovascular injury during injection, such as the common peroneal nerve and lateral genicular artery. This comprehensive approach will enhance clinicians’ understanding and equip them with effective management strategies for posterior lateral knee pain. Critical relevance statement In this visual exposition, we delve into the intricacies of the posterior lateral corner of the knee. Offering a methodical approach to employ ultrasound for visualization of the less-explored structures within this region, the authors aim to enhance the diagnosis in posterior lateral knee pain. Key points 1. Ultrasound excels at revealing intricate structures in the posterior lateral knee. 2. Due to proximity of vital structures, extreme caution is crucial during injections. 3. Employing dynamic scan and understanding ligaments enables a comprehensive exploration of pathologies. Graphical Abstrac
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