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At least 19 recordsLinked to original sources

PubMedDate not supplied

Sheldon's trunk index and the growth of the thoracic and lumbar trunk.

The trunk index (TI), a ratio of the area of the thoracic trunk to that of the lumbar trunk, is measured on a somatotype photograph marked according to defined criteria. Photographs of 82 boys from the Harpenden Growth Study were measured at ages 5 to 18 years, in an order that obscured which photographs were of the same boy at different ages. Remeasurement two months later of 12 boys at each of ages 5, 11, and 18 years showed retest correlations of 0.97 or higher for thoracic and lumbar areas separately and of about 0.95 for their ratio. When 57 boys aged 17 to 20 years were measured by another worker, their TI values correlated 0.90 with those used in this study. Inter-age correlations among the unedited TI values were approximately 0.9 between ages a year apart and declined as age differences increased. Correlations with values at age 18 increased from about 0.7 at age 5 to 0.9 by age 16. Editing was done by remeasuring all values that deviated by more than 0.05 TI units from a regression line based on each subject's total array of values. In the edited data, correlations with TI values at age 18 increased, ranging from 0.8 at age 5 to 0.95 by age 16. Mean TI was quite stable, ranging only between 1.45 and 1.51 for the whole age span, with the lowest values appearing from 11 to 14 years. In 43 of the 59 boys whose series allowed determination of peak height velocity (PHV), a 'TI dip' appeared: one to three TI values fell more than 0.05 TI units below the boy's overall regression line shortly before PHV. Distance and velocity curves are given for growth of the thoracic and lumbar trunk areas. Peak velocity of growth of the lumbar area occurred on average a little earlier than that for the thoracic area; the TI dip was in part a result of this. Alterations of fat distribution as seen by skinfolds probably also contributed. Judging by their individual regression lines, about 80% of the boys showed no more than chance variation from a horizontal slope, their TI neither increasing nor decreasing overall. An additional 10% appeared to show significant slopes only because their series started or ended too near their TI dips. The remaining 10% of boys appeared to show real changes in TI as they grew. Examples of the most extreme changes are shown.

Adolescent↗

PubMed2026

Impact on analgesia, diaphragmatic function, and recovery between erector spinae plane block versus superior trunk block in arthroscopic shoulder surgery: a randomized controlled trial.

BACKGROUND: Effective analgesia and preservation of diaphragmatic function are key considerations in analgesia for shoulder surgery. The superior trunk block provides analgesia with reduced phrenic nerve involvement, while the erector spinae plane block offers minimal impact on diaphragm motion. This randomized controlled trial compared the analgesic efficacy, impact on diaphragmatic motion, and postoperative recovery between the two blocks. METHODS: Sixty patients undergoing arthroscopic shoulder surgery were randomized to receive either erector spinae plane block or superior trunk block. Primary outcomes were postoperative VAS and changes in diaphragmatic excursion. Secondary outcomes included Quality of Recovery-15 (QoR-15) scores, morphine-equivalent consumption, and the handgrip strength motor blockade. RESULTS: The superior trunk block resulted in significantly lower dynamic VAS at 1-h postoperatively (0.1 [0.0, 0.2] vs. 5.7 [4.0, 7.6]; p < 0.001) and reduced 24-h morphine consumption (7.8 [2.5, 15.0] mg vs. 12.7 [7.5, 17.3] mg; p = 0.038) compared to the erector spinae plane block. However, diaphragmatic excursion was better preserved in the erector spinae plane block group (8.37% ± 20.7% vs. -20.09% ± 22.2%; p < 0.001), with a lower incidence of partial hemidiaphragm paresis (3.3% vs. 46.7%; p < 0.001). At 24 h postoperatively, QoR-15 scores were higher in the superior trunk block group (p = 0.047), and no patient in either group developed handgrip motor blockade. CONCLUSIONS: Superior trunk block offers superior early postoperative analgesia and better overall recovery, while erector spinae plane block minimizes diaphragmatic impairment. However, the erector spinae plane block may represent an option only in carefully selected patients at high respiratory risk, acknowledging its significantly poorer early analgesic profile.

Humans↗

PubMed1978

[Hemodynamic disorders resulting from angiography (selective arteriography of the celiac trunk and splenoportography) (author's transl)].

The hemodynamic disorders resulting from the selective arteriography of celiac trunk and splenoportography were studied in 30 dogs. The systemic blood pressure and peripheral pulse rate were considered in these instants: before, during, immediately after and 10 minutes after the angiographic procedures. The analysis of the results obtained permit to conclude that: a) catheterism of the celiac trunk only, increase the systolic systemic blood pressure but does not change the dyastolic; b) during the injection of the contrast medium in the celiac trunk there is an increase of the systemic blood pressure (systolic and dyastolic); c) the selective arteriography of the celiac trunk as well as the splenoportography cause decrease of the systemic blood pressure (systolic and dyastolic) immediately after (1 to 70 seconds) the procedure; d) the decrease of the systemic blood pressure (systolic and dyastolic) is greater after the arteriography than after the splenoportography; e) the decrease of the systemic blood pressure (systolic and dyastolic) is transitory; 10 minutes after the realization of angiographies the systemic blood pressure return to the values observed before the examination; f) selective arteriography of the celiac trunk as well as splenoportography cause decrease of the peripheral pulse rate 10 minutes after the realization of the angiographic procedures.

Angiography↗

PubMed1979

Ganglion cells in the facial nerve trunk of the mouse.

Numbers and distribution of the ganglion cells in the facial trunk distal to the ggl. geniculi of the mouse were examined with the light microscope. Counts of the ganglion cells in 22 nerves from 14 mice showed that all specimens contained some ganglion cells and numbers of the ganglion cells were various (1--80) and, on an average, there were 24 ganglion cells in each facial trunk. Ganglion cells existed most frequently in the dorsal corner and the dorso-lateral border of the small fiber zone of the facial trunk near the level of the origin of the n. stapedius. Also they were often found in the facial trunk near the origin of the chorda tympani and near the cross contact of the r. auricularis n. vagi with the facial trunk. These ganglion cells may be sensory neurons.

Animals↗

PubMed1977

[Surgical treatment of occlusive lesions of the brahciocephalic trunk].

Surgery was performed on 41 patients for an occlusive process in the brachycephalic trunk. As concerns the clinical form of the occlusive process these patients were divided into 4 groups, viz. with symptomless occlusion--4, with transitory form--18, with chronic cerebro-vascular insufficiency--5 and with complete ischemic stroke--14. The diagnosis was established on the ground of routine clinical and instrumental examination findings. The authors consider an angiographic investigation of the patients to be indispensible. In the presence of an angiographically confirmed occlusion of the brachycephalic trunk the authors hold indicated reconstructive surgery in patients of all the mentioned clinical groups. As a basic type of the reconstructive operation is regarded resection of the trunk with prosthetics. The circulation could be restored in all of the patients operated upon. Late follow-up of the surgically treated patients (up to 10 years) proves that in the treatment of arterial insufficiency of the brain the reconstructive operation on the occluded brachycephalic trunk is a highly effective method.

Adult↗

PubMed1979

Localization of neurons in the rat superior cervical ganglion that project into different postganglionic trunks.

Horseradish peroxidase (HRP) was used to determine whether neurons in the rat superior cervical ganglion (SCG) are localized in regions of the ganglion as a function of the postganglionic trunk they utilize. In separate experiments, each of the two major postganglionic trunks was cut 1-3 mm from the SCG and solid HRP was applied to the cut end proximal to the ganglion. The results demonstrated that the cell bodies of neurons whose axons project out the internal carotid nerve (ICN) were located primarily in the rostral part of the ganglion. Cell bodies of neurons whose axons project out the external carotid nerve (ECN) were located primarily in the caudal part. The total percentages of neuronc with axons in the ICN and ECN were about 35% and 45%, respectively. When HRP was applied to both these trunks, 73% of the neurons in the SCG were labeled. In the caudal portion of the ganglion, an additional group of neurons was observed whose axons project into the cervical sympathetic trunk. Control studies indicated that the neuronal labeling observed in our experiments was due to retrograde axonal transport rather than the direct uptake of HRP by neuronal cell bodies. Thus, neuronal subpopulations exist in specific regions of the rat SCG. The significance of these results to biochemical and electrophysiological studies is discussed.

Animals↗

PubMed1976

Anatomical study of the cervical sympathetic trunk and ganglia in the albino rat (Mus norvegicus albinus).

Nine adult albino rats of both sexes were studied. 16 sympathetic trunks and ganglia were dissected in detail in eight rats. The right and left superior cervical ganglion and the sympathetic trunk below the ganglion were removed from an additional rat. The cell bodies of these ganglia and the axons of the trunks were counted with the aid of light and electron microscopy. Considering the number and location of ganglia and patterns of branching, the rat's cervical sympathetic nervous system compares closely with man's. There appears to be a relationship between body size and myelination of preganglionic neurons in the cervical sympathetic trunks, with smaller animals having the least number of myelinated fibers.

Animals↗

PubMed1975

[Surgery of occlusive lesions of the brachiocephalic trunk].

A detailed analysis of 33 cases of operations on the brachiocephalic trunk is reported. An experience with surgical treatment for occlusive lesions of the brachiocephalic trunk of various etiology to liquidate chronic ischemia of the brain has evidenced that in aorto-arteritis the prosthesizing of the brachiocephalic trunk with synthetic prosthesis yields the most favourable results.

Adolescent↗

PubMedDate not supplied

[Esophageal atresia, brachio-cephalic arterial trunk and tracheomalacia (author's transl)].

The case of 6 children operated for type III esophageal atresia with re-establishment of continuity is reported owing to the association with anterior tracheal compression by the brachio-cephalic arterial trunk. In the 5 cases, control radiography after the intervention showed a tracheotomy opposite the superior esophageal pouch and sometimes a notch in the anterior trachea. In all of the cases, endoscopy confirmed the presence of compression of the anterior aspect of the trachea by the brachio-cephalic arterial trunk. In 2 cases, esophageal transit was normal, the signs of tracheal compression disappeared after section-reimplantation of the brachio-cephalic trunk. In the other cases esophageal complications existed: stenosis, choking during swallowing, reflux. The surgical treatment of these complications led to the disappearance of the respiratory disorders.

Brachiocephalic Trunk↗

PubMed1977

Ultrastructural studies of the superior cervical trunk of the mouse: distribution, cytochemistry and stability of fibrous elements in preganglionic fibers.

The ultrastructure of axons in the preganglionic cervical sympathetic trunk of the mouse is described with emphasis on the number, distribution and stability of fibrous elements in the axoplasm. Neurofilaments outnumbered microtubules in myelinated and non-myelinated axons of all sizes, and the ratio of neurofilaments to microtubules in non-myelinated axons at each point studied was fairly consistent and independent of axonal diameter. The density of neurofilaments and microtubules, however, was greater in axons of progressively smaller diameter. In non-myelinated axons and small myelinated axons neurofilaments were uniformly distributed throughout the axoplasm resulting in minimum and maximum interfilament distances of 300 angstrom and 500 angstrom respectively; the spacing of fibrous elements within any one axon was dependent upon its diameter and position with respect to the superior cervical ganglion in the preganglionic trunk. The maximum interfilament distance was also found in large myelinated axons where neurofilaments, occurring in fascicles, were separated by distances of approximately 500 angstroms. Cytochemical staining of axons with lanthanum hydroxide, ruthenium red or alkaline bismuth delineated the delicate filamentous matrix interconnecting microtubules, neurofilaments and other organelles in the axoplasm. Alkaline bismuth stain was most intense in myelinated axons where heaviest deposition of reaction product was associated with neurofilaments. Treatment in vitro of the cervical sympathetic trunk with 5 X 10(-5) M vinblastine sulfate dissociated microtubules and induced formation of crystalline arrays of "tubular" elements. A uniform center to center spacing of 250-300 angstrom was found for crystalloids in non-myelinted axons; however, in myelinated axons the center to center spacing was not uniform and varied in the range 300-600 angstrom. Neurofilaments and their surface projections were unaffected by vinblastine. Fixation in the presence of lanthanum enhanced delineation of crystalloid elements. Exposure of 0-4 degrees C for up to three hours had no consistent effect on microtubules or neurofilaments. In contrast, cold treatment disrupted the delicate axonal matrix and resulted in the formation of aggregates of coarse flocculent material in the axoplasm.

Animals↗

PubMed1977

Primary sarcoma of the pulmonary trunk and/or right or left main pulmonary artery--a rare cause of obstruction to right ventricular outflow. Report on two patients and analysis of 35 previously described patients.

Clinical and morphologic observations are described in two women with primary sarcoma of the pulmonary trunk, and observations in 35 previously described patients with primary sarcoma involving a major extrapulmonary pulmonary artery are summarized. The neoplasm produces symptoms by causing obstruction to right ventricular outflow or by dislodging tumor fragments to the smaller intrapulmonary pulmonary arteries with or without pulmonary infarction. The sarcoma nearly always arises from the pulmonary trunk to which it is firmly attached. Although it grows to a large size within the lumen, it infrequently, despite its highly malignant histologic pattern, extends through the wall of the pulmonary trunk or metastasizes outside the pulmonary circulation. It may mimic a variety of more common disorders. Diagnosis can be achieved by angiography and treatment starts with total excision.

Adult↗

PubMed1978

Evagination of smooth muscle cells in the hypoxic pulmonary trunk.

Six female Wistar albino rats were exposed to the hypoxia of a simulated altitude of 5500 m, three for a period of one week and three for a month. They developed ultrastructural changes in the pulmonary trunk consisting of evaginations of muscle cells of its media through gaps in the internal elastic lamina to press into the underlying endothelial cells. Such evaginations were usually devoid of myofilaments and organelles. Some appeared so electron-lucent as to be unrecognisable as muscle apart from the unequivocal connection with the parent smooth muscle cells. Elsewhere we have demonstrated that muscular evaginations in normal pulmonary blood vessels are an artefact brought about by collapse of lung tissue and that they can be avoided by distending the lung. Hence in the present investigation, in which the pulmonary trunk was fixed in distension, the evaginations are interpreted as indicating contraction of the muscle cells able to overcome the distending force. We interpret them as evidence of constriction of muscle cells in the media of the pulmonary trunk in response to hypoxia.

Animals↗

PubMed1977

[Sympathetic trunk treatment or infusion therapy in cases of sudden deafness (author's transl)].

The optimal criterion for registering the result of a sudden-deafness-therapy is a class interval of 25 dB in the audiogram, followed by punctal evaluation of the mean value of the frequencies 0,5/1/2/4/8 kc/sec. Blocking of the sympathetic trunk, as well as infusions using low-molecular dextranes or derivatives of nicotnic acid, furthermore strictly oral treatment as well as combinations of all these, all lead to a statistically proved recovery of hearing. The extent of improvement is ascertainbly smaller with strictly oral treatment than with blocking the sympathetic trunk or with infusions. Hearing is slightly more improved by blocking the sympathetic trunk than by infusional treatment. Statistically however, the difference is not significant. Low-molecular dextran (Rheomakrodex) is not superior to Xantinol-Nicotinate (Complamin). Future investigations in the assessment of therapeutical results should exclusively evaluate unilateral sudden deafness and include the intact second ear into the computation.

Audiometry↗

PubMed1977

[Age and individual characteristics in the structure of the celiac trunk in man].

The individual and developmental features of the structure of the celiac trunk were studied in 155 human corpses of either sex, age and habitus. The method used was the dissection preceded by the injection of vessels with roentgen-contrast masses and roentgenography. The individual and developmental features of the level of branching the celiac trunk off from the abdominal part of the aorta have been revealed, as well as the angle of its branching, the length and diameter of the celiac trunk and the form of its ramification.

Adolescent↗

PubMed1976

Peroperative measurements of blood flow and pressure in occlusion and/or stenosis of the subclavian artery and the brachiocephalic trunk.

Preoperative haemodynamic studies were performed in 60 out of 64 patients operated upon for occlusive disease of the subclavian artery. The pressure differences over the occlusive lesion were recorded in 53 patients. Blood flow was studied in 56 patients with the aid of electromagnetic flowmetry. The average mean pressure difference was 30 mmHg in 6 patients with occlusion of the brachiocephalic trunk and 20 mmHg in 20 patients with left subclavian artery occlusion. In 3 patients with right subclavian occlusion it was 17 mmHg. The highest individual mean pressure differences were found in patients with multiple occlusive lesions in extracranial cephalic arteries. Stenoses of the brachiocephalic trunk and the subclavian arteries in general caused a lower average mean pressure difference than the occlusions. Vertebral blood flow in cases of occlusion of the proximal part of the subclavian artery was usually reversed.

Adult↗

PubMed1979

[Compressive brachio-cephalic arterial trunk and gastro-oesophageal reflux following surgery for oesophageal atresia (author's transl)].

6 cases of cardiorespiratory complications occurring after surgical treatment of oesophageal atresia are reported by virtue of the association of tracheal compression by the brachio-cephalic arterial trunk and of gastro-oesophageal reflux. In all cases, medical (2 cases) or surgical (4 cases) treatment of gastro-oesophageal reflux led to the disappearance of all respiratory symptoms and signs. Emphasis is placed upon the need for a routine and thorough search, radiological and endoscopic, of such associated oesophageal pathology, before proceeding to surgery on the compressive brachio-cephalic arterial trunk.

Brachiocephalic Trunk↗

PubMed1978

Histochemical definition of muscle fibre types in the trunk musculature of a teleost fish (cod, Gadus morhua, L.).

Cryostat sections incubated for myofibrillar ATPase, SDH, LDH, and alpha-GPDH as well as p-phenylene-diamine stained semithin sections were used to define muscle fibre types in the trunk musculature of the cod (Gadus morhua, L.). Three zones (superficial, intermediate, deep) containing different muscle fibre types are present within both epaxial and hypaxial parts of each myomere subjacent to the lateral line. Atypical relations concerning myofibrillar ATPase activity probably reflects instability of myosin during storage of frozen tissue. The histochemical reaction does not distinguish between myofibrillar and mitochondrial ATPase in cod muscle. Based on ATPase and SDH activities, seven different histochemical profiles of muscle fibres can be identified in trunk musculature of this teleost fish. Attempts to homologize these fibre types with those in cyclostomes or those in higher animals proved futile. The higher number of histochemically defined muscle fibre types in cod might be explained by developmental processes and an admixture of immature fibres throughout life.

Adenosine Triphosphatases↗

PubMed1979

Fine structure of muscle and other components of the trunk of Sagitta setosa (Chaetognath).

The histology of the Chaetognath's trunk is largely based upon works of Hertwig (1880) and Burfield (1927) and is revised here essentially on ultrastructural basis, in a study on Sagitta setosa. The trunk is composed of a thick multilayered epidermis, without cuticle, and contains an abundant nervous system. It is separated from the underlying general musculature by a "basement membrane" which is not crossed by nerves fibres in the region of the ventral ganglion. We have been mainly interested in the muscular tissue. It has no close contact with the body cavity but is surrounded by a thin monolayer epithelium. The general musculature is composed of two types of muscles. The first one, forming the primary musculature, is divided by mesenteries and lateral fields into four quadrants. It contains groups of fibres (C then A) alternating with other groups of fibres (B). The second one, constituting the secondary musculature, is divided into four bands. Both types of fibres are readily identifiable by their myofibrils. The fibres of primary musculature, in close contact with their membrane level, have no basement lamina except at the myoepidermic junctions.

Animals↗