6 research outputs found
Anatomical analysis of preangular mandibular notch in humans
The authors have analysed in detail the mandibular preangular notch on the
basis of 273 human cadaver mandibles. They have revealed that the pregonial
notch is present in almost 90% of cases and that it is generally asymmetric and
elliptical in shape. The depth and length of the anterior part of the notch is
greater in males. Moreover, the preangular notch depth is greater on the right
side (regardless of sex). Knowledge of the preangular notch anatomy can be
useful for surgeons during reconstructive and plastic procedures on the mandibular
shaft
Partial mid-portion Achilles tear resulting in substantial improvement in pain and function in an amateur long-distance runner
This case presents symptom resolution for a long-distance runner with chronic Achilles tendinopathy (AT), following a partial tear of his Achilles tendon. The patient reported a sudden pain during a morning run, with preserved function. Three hours postinjury, he was reviewed in a musculoskeletal clinic. An ultrasound scan confirmed a partial Achilles tear, associated with significant Doppler activity. His index of AT severity The Victorian Institute of Sports Assessment - Achilles Questionnaire (VISA-A) 4 hours postinjury was markedly higher compared with 2 weeks preinjury, indicating reduced symptom severity. A follow-up scan 4 weeks postinjury showed minimal mid-portion swelling and no signs of the tear. His VISA-A score showed continued symptom improvement. This case represents resolution of tendinopathic symptomatology post partial Achilles tear. While the natural histories of AT and Achilles tears remain unknown, this case may indicate that alongside the known role of loading, inflammation may be a secondary mediator central to the successful resolution of AT pain