Avulsion of the puborectalis muscle is associated with asymmetry of the levator hiatus
Objective To determine the degree of levator hiatal asymmetry in women with unilateral avulsion of the puborectalis muscle in order to estimate the likely effect of successful reconstruction. Methods We reviewed datasets of women seen between May 2005 and January 2009 in a tertiary urogynecological...
Gespeichert in:
| Veröffentlicht in: | Ultrasound in obstetrics & gynecology 2011-06, Vol.37 (6), p.723-726 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 726 |
|---|---|
| container_issue | 6 |
| container_start_page | 723 |
| container_title | Ultrasound in obstetrics & gynecology |
| container_volume | 37 |
| creator | Dietz, H. P. Bhalla, R. Chantarasorn, V. Shek, K. L. |
| description | Objective
To determine the degree of levator hiatal asymmetry in women with unilateral avulsion of the puborectalis muscle in order to estimate the likely effect of successful reconstruction.
Methods
We reviewed datasets of women seen between May 2005 and January 2009 in a tertiary urogynecological unit. Archived ultrasound volume datasets were analyzed for hiatal dimensions and puborectalis muscle trauma in patients with unilateral avulsion.
Results
From 929 eligible datasets we identified 71 patients with isolated complete unilateral tears. Unilateral avulsion was associated with a significant increase in hiatal area (P ≤ 0.002). Relative to a hypothetical normal hiatus (intact hemi‐area × 2), avulsion was associated with a larger hiatus on Valsalva maneuver (+2.1 cm2 or 7%).
Conclusions
Unilateral puborectalis muscle avulsion results in an asymmetric increase in the size of the levator hiatus. This increase is relatively minor, accounting for < 10% of hiatal area. Surgical repair of an avulsion may have only limited effects on hiatal dimensions. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/uog.8969 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_868997078</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3278911181</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4129-816d3fc4e450709bf504cd087c82d7129fee2ad5ec3d2a01ed03f6683c2023493</originalsourceid><addsrcrecordid>eNp10N9LHDEQB_AgFr2q4F8gCyLty9rJj80mjyLWFgRftK8hl531VrKXM9ko9983eqdCoU-TgU9mhi8hxxTOKQD7kcPDudJS75AZFVLX0EKzS2agJdSt1GyffE3pEQCk4HKP7DPKG0pbNSN_Lp6zT0NYVqGvpgVWqzwPEd1k_ZCqMSfnsSovm1Jwg52wq16GaVH69TjiFNfv_zw-2ynEalFQTofkS299wqNtPSD3P6_uLn_VN7fXvy8vbmonKNO1orLjvRMomnKynvcNCNeBap1iXVtEj8hs16DjHbNAsQPeS6m4Y8C40PyAfNvMXcXwlDFNZhySQ-_tEkNORkmldQutKvL0H_kYclyW4wxtaCsaqSkv6vtGuRhSitibVRxGG9eGgnmN2pSozWvUhZ5sB-b5iN0HfM-2gLMtsMlZ30e7dEP6dIJRJoQort64l8Hj-r8Lzf3t9dvivwfBlEs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1517456913</pqid></control><display><type>article</type><title>Avulsion of the puborectalis muscle is associated with asymmetry of the levator hiatus</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Wiley Free Content</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Dietz, H. P. ; Bhalla, R. ; Chantarasorn, V. ; Shek, K. L.</creator><creatorcontrib>Dietz, H. P. ; Bhalla, R. ; Chantarasorn, V. ; Shek, K. L.</creatorcontrib><description>Objective
To determine the degree of levator hiatal asymmetry in women with unilateral avulsion of the puborectalis muscle in order to estimate the likely effect of successful reconstruction.
Methods
We reviewed datasets of women seen between May 2005 and January 2009 in a tertiary urogynecological unit. Archived ultrasound volume datasets were analyzed for hiatal dimensions and puborectalis muscle trauma in patients with unilateral avulsion.
Results
From 929 eligible datasets we identified 71 patients with isolated complete unilateral tears. Unilateral avulsion was associated with a significant increase in hiatal area (P ≤ 0.002). Relative to a hypothetical normal hiatus (intact hemi‐area × 2), avulsion was associated with a larger hiatus on Valsalva maneuver (+2.1 cm2 or 7%).
Conclusions
Unilateral puborectalis muscle avulsion results in an asymmetric increase in the size of the levator hiatus. This increase is relatively minor, accounting for < 10% of hiatal area. Surgical repair of an avulsion may have only limited effects on hiatal dimensions. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.</description><identifier>ISSN: 0960-7692</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1002/uog.8969</identifier><identifier>PMID: 21351178</identifier><identifier>CODEN: UOGYFJ</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; avulsion ; Biological and medical sciences ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; levator defect ; levator hiatus ; Medical sciences ; Middle Aged ; Muscle Strength - physiology ; pelvic floor ; Pelvic Floor - diagnostic imaging ; Pelvic Floor - injuries ; Pelvic Floor - physiopathology ; prolapse ; puborectalis muscle ; Sports injuries ; Ultrasonography ; Young Adult</subject><ispartof>Ultrasound in obstetrics & gynecology, 2011-06, Vol.37 (6), p.723-726</ispartof><rights>Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4129-816d3fc4e450709bf504cd087c82d7129fee2ad5ec3d2a01ed03f6683c2023493</citedby><cites>FETCH-LOGICAL-c4129-816d3fc4e450709bf504cd087c82d7129fee2ad5ec3d2a01ed03f6683c2023493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fuog.8969$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fuog.8969$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,1430,27907,27908,45557,45558,46392,46816</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24212444$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21351178$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dietz, H. P.</creatorcontrib><creatorcontrib>Bhalla, R.</creatorcontrib><creatorcontrib>Chantarasorn, V.</creatorcontrib><creatorcontrib>Shek, K. L.</creatorcontrib><title>Avulsion of the puborectalis muscle is associated with asymmetry of the levator hiatus</title><title>Ultrasound in obstetrics & gynecology</title><addtitle>Ultrasound Obstet Gynecol</addtitle><description>Objective
To determine the degree of levator hiatal asymmetry in women with unilateral avulsion of the puborectalis muscle in order to estimate the likely effect of successful reconstruction.
Methods
We reviewed datasets of women seen between May 2005 and January 2009 in a tertiary urogynecological unit. Archived ultrasound volume datasets were analyzed for hiatal dimensions and puborectalis muscle trauma in patients with unilateral avulsion.
Results
From 929 eligible datasets we identified 71 patients with isolated complete unilateral tears. Unilateral avulsion was associated with a significant increase in hiatal area (P ≤ 0.002). Relative to a hypothetical normal hiatus (intact hemi‐area × 2), avulsion was associated with a larger hiatus on Valsalva maneuver (+2.1 cm2 or 7%).
Conclusions
Unilateral puborectalis muscle avulsion results in an asymmetric increase in the size of the levator hiatus. This increase is relatively minor, accounting for < 10% of hiatal area. Surgical repair of an avulsion may have only limited effects on hiatal dimensions. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>avulsion</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>levator defect</subject><subject>levator hiatus</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle Strength - physiology</subject><subject>pelvic floor</subject><subject>Pelvic Floor - diagnostic imaging</subject><subject>Pelvic Floor - injuries</subject><subject>Pelvic Floor - physiopathology</subject><subject>prolapse</subject><subject>puborectalis muscle</subject><subject>Sports injuries</subject><subject>Ultrasonography</subject><subject>Young Adult</subject><issn>0960-7692</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10N9LHDEQB_AgFr2q4F8gCyLty9rJj80mjyLWFgRftK8hl531VrKXM9ko9983eqdCoU-TgU9mhi8hxxTOKQD7kcPDudJS75AZFVLX0EKzS2agJdSt1GyffE3pEQCk4HKP7DPKG0pbNSN_Lp6zT0NYVqGvpgVWqzwPEd1k_ZCqMSfnsSovm1Jwg52wq16GaVH69TjiFNfv_zw-2ynEalFQTofkS299wqNtPSD3P6_uLn_VN7fXvy8vbmonKNO1orLjvRMomnKynvcNCNeBap1iXVtEj8hs16DjHbNAsQPeS6m4Y8C40PyAfNvMXcXwlDFNZhySQ-_tEkNORkmldQutKvL0H_kYclyW4wxtaCsaqSkv6vtGuRhSitibVRxGG9eGgnmN2pSozWvUhZ5sB-b5iN0HfM-2gLMtsMlZ30e7dEP6dIJRJoQort64l8Hj-r8Lzf3t9dvivwfBlEs</recordid><startdate>201106</startdate><enddate>201106</enddate><creator>Dietz, H. P.</creator><creator>Bhalla, R.</creator><creator>Chantarasorn, V.</creator><creator>Shek, K. L.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201106</creationdate><title>Avulsion of the puborectalis muscle is associated with asymmetry of the levator hiatus</title><author>Dietz, H. P. ; Bhalla, R. ; Chantarasorn, V. ; Shek, K. L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4129-816d3fc4e450709bf504cd087c82d7129fee2ad5ec3d2a01ed03f6683c2023493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>avulsion</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>levator defect</topic><topic>levator hiatus</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle Strength - physiology</topic><topic>pelvic floor</topic><topic>Pelvic Floor - diagnostic imaging</topic><topic>Pelvic Floor - injuries</topic><topic>Pelvic Floor - physiopathology</topic><topic>prolapse</topic><topic>puborectalis muscle</topic><topic>Sports injuries</topic><topic>Ultrasonography</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dietz, H. P.</creatorcontrib><creatorcontrib>Bhalla, R.</creatorcontrib><creatorcontrib>Chantarasorn, V.</creatorcontrib><creatorcontrib>Shek, K. L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in obstetrics & gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dietz, H. P.</au><au>Bhalla, R.</au><au>Chantarasorn, V.</au><au>Shek, K. L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Avulsion of the puborectalis muscle is associated with asymmetry of the levator hiatus</atitle><jtitle>Ultrasound in obstetrics & gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2011-06</date><risdate>2011</risdate><volume>37</volume><issue>6</issue><spage>723</spage><epage>726</epage><pages>723-726</pages><issn>0960-7692</issn><eissn>1469-0705</eissn><coden>UOGYFJ</coden><abstract>Objective
To determine the degree of levator hiatal asymmetry in women with unilateral avulsion of the puborectalis muscle in order to estimate the likely effect of successful reconstruction.
Methods
We reviewed datasets of women seen between May 2005 and January 2009 in a tertiary urogynecological unit. Archived ultrasound volume datasets were analyzed for hiatal dimensions and puborectalis muscle trauma in patients with unilateral avulsion.
Results
From 929 eligible datasets we identified 71 patients with isolated complete unilateral tears. Unilateral avulsion was associated with a significant increase in hiatal area (P ≤ 0.002). Relative to a hypothetical normal hiatus (intact hemi‐area × 2), avulsion was associated with a larger hiatus on Valsalva maneuver (+2.1 cm2 or 7%).
Conclusions
Unilateral puborectalis muscle avulsion results in an asymmetric increase in the size of the levator hiatus. This increase is relatively minor, accounting for < 10% of hiatal area. Surgical repair of an avulsion may have only limited effects on hiatal dimensions. Copyright © 2011 ISUOG. Published by John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>21351178</pmid><doi>10.1002/uog.8969</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-7692 |
| ispartof | Ultrasound in obstetrics & gynecology, 2011-06, Vol.37 (6), p.723-726 |
| issn | 0960-7692 1469-0705 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_868997078 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Free Content; EZB-FREE-00999 freely available EZB journals |
| subjects | Adolescent Adult Aged Aged, 80 and over avulsion Biological and medical sciences Female Gynecology. Andrology. Obstetrics Humans levator defect levator hiatus Medical sciences Middle Aged Muscle Strength - physiology pelvic floor Pelvic Floor - diagnostic imaging Pelvic Floor - injuries Pelvic Floor - physiopathology prolapse puborectalis muscle Sports injuries Ultrasonography Young Adult |
| title | Avulsion of the puborectalis muscle is associated with asymmetry of the levator hiatus |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T21%3A11%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Avulsion%20of%20the%20puborectalis%20muscle%20is%20associated%20with%20asymmetry%20of%20the%20levator%20hiatus&rft.jtitle=Ultrasound%20in%20obstetrics%20&%20gynecology&rft.au=Dietz,%20H.%20P.&rft.date=2011-06&rft.volume=37&rft.issue=6&rft.spage=723&rft.epage=726&rft.pages=723-726&rft.issn=0960-7692&rft.eissn=1469-0705&rft.coden=UOGYFJ&rft_id=info:doi/10.1002/uog.8969&rft_dat=%3Cproquest_cross%3E3278911181%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1517456913&rft_id=info:pmid/21351178&rfr_iscdi=true |