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Abstract

Authors paid attention to anatomy and clinical implications which are associated with the variations of the sphenoid sinus. We discuss also anatomical structure of the sphenoid bone implementing clinical application of this bone to diff erent invasive and miniinvasive procedures (i.e. FESS).

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Authors and Affiliations

Joanna Jaworek-Troć
Michał Zarzecki
Anna Bonczar
Lourdes N. Kaythampillai
Bartosz Rutowicz
Małgorzata Mazur
Jacenty Urbaniak
Wojciech Przybycień
Katarzyna Piątek-Koziej
Marcin Kuniewicz
Marcin Lipski
Wojciech Kowalski
Janusz Skrzat
Marios Loukas
Jerzy Walocha
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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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Bibliography

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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
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Abstract

The purpose of this study was to determine the course of the main septum (MS) in the sphenoid sinuses in the adult population.

Materials and Methods: 296 patients (147 females, 149 males), who did not present any pathology in the paranasal sinuses, were included in this retrospective analysis of the computed tomography (CT) scans. Spiral CT scanner (Siemens Somatom Sensation 16) was used in order to glean the images of the paranasal sinuses, using standard procedure, in the option Siemens CARE Dose 4D, without using any contrast medium. Secondary reconstructions of the sagittal and frontal planes were obtained using multi-plans reconstruction (MPR) tool after obtaining transverse planes in the first instance.

Results: The course of the MS changed the most often from the anterior to the posterior part of the sphenoid sinuses. Such situation took place in 83.78% of the patients, in 32.43% of whom a clear shift to the lateral side was noticed only in the posterior part of the MS: in 18.24% of the patients to the right side, and in 14.19% of the patients to the left side. In 17.57% of the patients the lateral shift was visible in both anterior and posterior parts of the septum, where in 9.46% of the patients it was from the left side to the right, whereas in 8.11% of the patients the shift took place from the right side to the left. The MS had the shape of the letter ‘C’ in 22.29% of the cases, and 11.82% had the typical shape of the letter ‘C,’ and in 10.47% of the patients it paralleled the inverted letter ‘C’ (upside down). Amongst the types of the MS shifting directions the rarest was the MS that resembled the letter ‘S’ — 11.48% of the patients. In 5.74% of the cases it looked like the typical letter ‘S,’ and in 5.74% of the cases it was similar to the inverted letter ‘S.’ Only 16.22% of the cases had the MS that did not change its course nor its shape and ran medially in the sagittal plane from the anterior to the posterior part of the sinuses.

Conclusions: In furtherance of reducing the risk of problems occurring during a surgery in the paranasal sinuses, it is prudent to have a CT scan done in all the patients beforehand, due to the high prevalence of the anatomical variations in the sinuses.

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Bibliography

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Authors and Affiliations

Joanna Jaworek-Troć
1 2
Michał Zarzecki
1
Wojciech Przybycień
1
Marcin Lipski
1
Anna Curlej-Wądrzy
3
Joe Iwanaga
4
Jerzy Walocha
1
Agata Mazurek
1
Robert Chrzan
2
Andrzej Urbanik
2

  1. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Radiology, Jagiellonian University Medical College, Kraków, Poland
  3. Department of Integrated Dentistry, Institute of Dentistry, Jagiellonian University Medical College, Kraków, Poland
  4. Department of Neurosurgery, Tulane University, New Orleans, USA
Keywords 89-98
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Abstract

Anatomical nomenclature commonly does not follow changes in the clinical language and demands. Therefore we tried to explain the pelvic relationships based on the changes that occur in the pelvis as well as to compare different nomenclatural strategies used in every day language. Courses of fasciae in the male and female pelvis are also considered.
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Authors and Affiliations

Tomasz Iskra
1
Krzysztof Balawender
2 3 4
Wojciech Przybycień
1
Bartosz Rutowicz
1
Małgorzata Mazur
1
Bernard Solewski
1
Karolina Brzegowy-Solewska
1
Piotr Litwa
1
ORCID: ORCID
Maciej Sychta
1
Jerzy Walocha
1

  1. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
  2. Department of Normal and Clinical Anatomy, Institute of Medical Science, Rzeszów University Medical College, Rzeszów, Poland
  3. Department of Clinical Urology and Urological Oncology, Municipal Hospital of Rzeszów, Rzeszów, Poland
  4. Faculty of Medicine, University Sulkhan-Saba Orbeliani LLC, Tbilisi, Georgia
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Abstract

Introduction: The main goal of the present umbrella review was to provide the most up-to- date and evidence-based results regarding the various treatment options for tennis elbow (TE), which hopefully will significantly decrease the confusions existing in the literature. Furthermore, our study differs from past analytical studies because, as to the best of the authors’ knowledge, is the first to provide independent (not in comparison to other treatment) statistical results regarding the effectiveness of each TE treatment.
Materials and Methods: Major medical databases such as PubMed, Scopus, Embase, Web of Science, Google Scholar, Cochrane Library, BIOSIS, and EBSCO were searched. The overall search process was conducted in 3 stages.
Results: A total of 40 studies met the inclusion criteria and were included in this study. Out of those 40 meta-analyses, a total of 160 primary studies were screened in order to extract the data and perform a statistical analysis.
Conclusion: The present umbrella review underlines the efficiency of injection therapies, especially autologous blood, and platelet-rich plasma, while simultaneously proving the ineffectiveness of acupunc-ture and shock wave therapy as treatments for TE. Furthermore, the value of other known conservative treatment modalities, such as physical therapy, has been demonstrated.
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Authors and Affiliations

Michał Bonczar
1 2
Patryk Ostrowski
1 2
Dawid Plutecki
2 3
Martyna Dziedzic
1 2
Jakub Florek
4
Weronika Michalik
1
Wojciech Przybycień
1
Paweł Depukat
1
Bartosz Rutowicz
1
Ewa Walocha
1 2
Mateusz Koziej
1 2

  1. Department of Anatomy, Jagiellonian University Medical College, Kraków, Poland
  2. Youthoria. Youth Research Organization, Kraków, Poland
  3. Collegium Medicum, Jan Kochanowski University, Kielce, Poland
  4. Department of Orthopaedics and Traumatology, Rydygier Hospital, Brzesko, Poland

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