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Number of results: 22
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Abstract

The aim of the study was to assess the course of posterior interosseous nerve in the wrist capsule in the transparent method of nerve staining.

M a t e r i a l a n d M e t h o d s: Thirty dorsal wrist capsules were collected bilaterally from 15 donors (thirty capsules) within 12 hours of death. By the dorsal incision the capsules were collected in the same manner. The specimens were stained according to the protocol of modified Sihler’s staining technique. The preserved capsules were analysed under 8–16× magnification of optical microscope for the presence of major posterior interosseous nerve trunks, their major and minor branches, and nerve connections.

R e s u l t s: Three main types of nerve course were identified within the joint capsule. Type I — the most common, with the presence of a single trunk with the excursion of the first main branch on the radial side, two main branches on the ulnar side, the presence of the prevailing number of small branches on the radial side and the presence of 3–4 branches extending beyond the level of the carpo-metacarpal joints. Type II with the presence of two main nerve trunks, running almost in parallel with the first main branch on the radial side, two main branches on the ulnar side with presence of a predominant number of small branches on the radial side and the presence of 3–4 branches running beyond the level of carpo-metacarpal joints. Type III (least often) with the presence of crossed main nerve trunks.

C o n c l u s i o n: The modified Sihler’s staining technique allows for transparent visibility of the nerves innervation the dorsal wrist capsule. However does not allow accurate assessment as histological examination, especially in evaluation of nerve endings, but it gives a significantly larger area of nerve observation.

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Authors and Affiliations

Tomasz Bonczar
Jerzy A. Walocha
Mariusz Bonczar
Ewa Mizia
Joanna Filipowska
Krzysztof Tomaszewski
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Abstract

Authors, mostly specialists on rehabilitation and orthopedic surgery prove that arthrofibrosis is a commonly overlooked phenomenon, which may lead to serious limitation in the range of movement, leading to limitation in patients quality of functioning. The main goal of this article is to emphasize the importance of understanding a such complex condition. Non typical patomechanism, lack of biomarkers dedicated to this dysfunction and general lack of under-standing in this pathology causes that risk factors and the most effective strategies remain vastly unknown. Pathophysiology of the arthrofibrosis in the joints is definitely multifactorial, but intense production of collagen seems to be the main factor. Most modern pharmacological methods concentrate on the regula-tion of collagen fiber production and reducing the inflammation. Inflammation from joint contractures stimulates the proliferation of activated cells that results in the production of extracellular matrix macromolecules to form fibrotic tissue that is deposited into the capsule, thereby resulting in fibrosis.
Lack of unified classification scale is caused by relatively high variation of the functions fulfilled by particular joints and each treatment plan should be constructed individually. Quality of surgical treatment and physical therapy play a major role in both prevention and treatment of such complex condition as arthrofibrosis.
Both iatrogenic mistakes and overly aggressive manual therapy are some of main factors increasing the risk of this pathological condition. Introducing properly conducted physical therapy treatment in the early stage is crucial to main the range of movement and preventing this significant problem.
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Authors and Affiliations

Andrzej Walocha
1
Bartosz Rutowicz
2
Wojciech Przybycień
2
Michał Zarzecki
2
Michał Kłosiński
2
Paweł Depukat
2
Bernard Solewski
2
Ewa Mizia
2
Anna Gil
2
Ewa Walocha
3

  1. Boom Boxing Studio, Kraków, Poland
  2. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
  3. Laboratory of Nursing Theory and Fundamentals, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland
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Abstract

There are only very few studies on the anatomy of the deep brachial artery — DBA (arteria profunda brachii), both regarding its course, branching pattern and contribution to the cubital rete. Most of the textbooks are based on data which remain unchanged for years. The aim of this article was to summarize the current knowledge on this vessel, based on the anatomical and clinical studies and other sources available including also own cadaveric study. We tried to present also some controversies regarded to the nomenclature of the branches of the DBA.
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Authors and Affiliations

Wojciech Przybycień
1
Michał Zarzecki
1
Agata Musiał
1
Paweł Depukat
1
Bartłomiej Kruszyna
1
Agata Mazurek
1
Julia Jaszczyńska
1
Kinga Glądys
1
Ewa Walocha
2
Ewa Mizia
1
Grzegorz Wysiadecki
3
Jerzy Walocha
1

  1. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Clinical Nursing, Institute of Nursing and Obstetrics, Jagiellonian University Medical College, Kraków, Poland
  3. Department of Normal and Clinical Anatomy, Chair of Anatomy and Histology, Medical University of Łódź, Łódź, Poland

Authors and Affiliations

Małgorzata Mazur
Wiesława Klimek-Piotrowska
Izabela Mróz
Ewa Mizia
Marcin Kuniewicz
Aleksandra Kucharska
Brygida Wandzel-Loch
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Abstract

The study was carried out on 50 human lower legs obtained during autopsies (KBET: 122.6120.315.2016). The anatomy of the joint was studied using classical anatomical description methods. Based also on literature we have reviewed the current knowledge on the inferior tibiofibular joint blood supply considering the important clinically aspect - vascular density. Authors of this paper postulate relatively low vascular density of the region described and potential worse condition for healing in case of injury or after surgical procedures performed. We also postulate that ligament screws should be positioned with special respect to time limit which enables proper healing of the syndesmosis.

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Authors and Affiliations

Łukasz Warchoł
Izabela Mróz
Ewa Mizia
Jarosław Zawiliński
Paweł Depukat
Wojciech Kurzydło
Krzysztof A. Tomaszewski

Authors and Affiliations

Paweł Depukat
Izabela Mróz
Krzysztof Tomaszewski
Ewa Mizia
Marcin Kuniewicz
Tomasz Bonczar
Małgorzata Mazur
Piotr Pełka
Marcin Lipski

Authors and Affiliations

Wiesława Klimek-Piotrowska
Ewa Mizia
Paweł Depukat
Michał Kłosiński
Mirosława Dzikowska
Małgorzata Mazur
Marcin Kuniewicz
Tomasz Bonczar
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Abstract

The main goal of this study was to investigate possible residua of thymic tissue in 100 adult cadavers with no thoracic pathology known before, by dissection of standard locations of thymic tissue in perithyroid, periaortic, peritracheal and retrotracheal spaces, as well as areas located next to the course of phrenic, vagus and left recurrent laryngeal nerves. Thus obtained tissue samples were studied by two pathologists independently. The remnants of the thymic tissue were found in 61 out of 100 specimens studied. It means that residua of ectopic thymic tissue is common, which may have a huge impact on the results of treatment of many diseases i.e. myasthenia gravis in course of thymoma.

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Authors and Affiliations

Ewa Mizia
Wiesława Klimek-Piotrowska
Jarosław Kużdżał
Tomasz Konopka
Monika Lis
Juliusz Pankowski
Artur Pasternak
Jarosław Zawiliński
Andrzej Wrona

Authors and Affiliations

Tomasz Bereza
Izabela Mróz
Ewa Mizia
Wojciech Kurzydło
Piotr Bachul
Joanna Jaworek
Monika Konarska
Klaudia Walocha
Małgorzata Mazur
Marcin Kuniewicz
Paweł Depukat
Przemysław Chmielewski
Łukasz Warchoł
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Abstract

Anatomy of the vascular system of the leg was studied using classical anatomical dissection methods. Based also on literature we have reviewed the current knowledge on the vascularization of the lower leg and its embryological background with special respect toward the posterior tibial artery and its branches.

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Authors and Affiliations

Przemysław Chmielewski
Łukasz Warchoł
Izabela Mróz
Michał Malczak
Joanna Jaworek
Ewa Mizia
Ewa Walocha
Paweł Depukat
Piotr Bachul
Tomasz Bereza
Wojciech Kurzydło
Barbara Gach-Kuniewicz
Małgorzata Mazur
Krzysztof Tomaszewski

Authors and Affiliations

Tomasz Bereza
Janusz Skrzat
Izabela Mróz
Artur Pasternak
Krzysztof Tomaszewski
Ewa Mizia
Stanislas Kielczewski
Dominik Pawlicki
Wojciech Kurzydło
Piotr Bachul
Monika Konarska
Klaudia Walocha
Lourdes Niroja Kaythampillai
Paweł Depukat
Tomasz Bonczar
Przemysław Chmielewski
Małgorzata Mazur
Łukasz Warchoł

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