Abstract:The pelvic malalignment syndrome is the most common in sports injuries and even in every client who presents with low back & pelvis pain or dysfunction. In this study, we used simple bony palpation method to assess the various pelvic malalignments in football players. While there are many methods to determine pelvic symmetry or asymmetry, this method is very simple one and that consistently works well for me. Our method of assessing the pelvic malalignments, even works well to the common individuals suffering with low back & pelvis pain or dysfunction due to various pelvic malalignment presentation. This study includes the healthy football players from National Football Club (NFC) of our institution, who were training or playing during the period of investigation (September 2012 -September 2014) (n = 40) were eligible for participation. At entry to the study, this eligible sample had a mean age of 22.2 ± 3.9 years, height of 175.8 ± 6.6 cm, and mass of 87.5 ± 7.1 kg. The number of eligible participants at each time point was 40 for all the four session time, point 1 (T1; start of preseason-1), point 2 (T2; end of season-1), point 3 (T3; start of preseason-2), and point 4 (T4; end of preseason-2). We instructed participants to nominate their leg preference for kicking, which was considered the dominant leg. Among the total number of eligible players assessed, 12.5% were left-leg dominant, 80% were right-leg dominant, and 7.5% reported no leg dominance. Subjects were limited to men who had a normal muscle strength and Range of Motion (ROM) of the back and lower extremities and who had no history of orthopaedic or neurologic disorders. All the individuals are subject to gain access the malalignment of both Innominate and Sacral bones of the bony pelvis unit. In addition, to justify our diagnosis we access the muscles of the functional slings and the muscles around the bony pelvis related to the malalignment of the pelvic unit. The techniques were repeated in different position and also performed for two times per day and continued for fifteen days to standardize. In this study, we observed, 87.5% i.e., the majority of the soccer's are suffering with multiple pelvic malalignments , includes innominate & sacral stuck. The soccer's suffering with single component malalignment account for about 10%, includes innominate or sacral stuck and soccer's who had the symmetry pelvis is only 2.5%. Conclusion: This method of assessing the pelvic malalignments until then not documented. In this sense, the objective of this study is to analyze and document the different presentations in pelvic malalignments which are common in soccer players and its simple method of evaluation is the literature state of the art. The present study may provide useful information to analyze common presentations of pelvic malalignments in different sports.

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Abstract:The innominate malalignments are most common in sports injuries and even in every client who presents with low back & pelvis pain or dysfunction. In this study, we used simple bony palpation method to assess the various innominate malalignments in football players, which was fails to observe in previous work of various authors. While there are many methods to determine pelvic symmetry or asymmetry, this method is very simple one and that consistently works well for me. This study includes the healthy football players from National Football Club (NFC) of our institution, who were training or playing during the period of investigation (September 2014 -May 2015) (n = 40) were eligible for participation. At entry to the study, this eligible sample had a mean age of 22.2 ± 3.9 years, height of 175.8 ± 6.6 cm, and mass of 87.5 ± 7.1 kg. The number of eligible participants at each time point was 40 for all the four session time, point 1 (T1; start of preseason-3) and point 2 (T2; end of season-3). Subjects were limited to men who had a normal muscle strength and Range of Motion (ROM) of the back and lower extremities and who had no history of orthopaedic or neurologic disorders. All the individuals are subject to gain access the malalignment of both Innominate bones of the bony pelvis unit. In addition, to justify our diagnosis we access the muscles of the functional slings and the muscles around the bony pelvis. The techniques were repeated in different position and also performed for two times per day and continued for fifteen days to standardize. In this study, we observed, 92.5% i.e., the majority of the soccer's are suffering with multiple innominate malalignments. The soccer's suffering with single component malalignment account for about 25% includes the isolated Rotational, Upslip or Tilt innominate stucks and soccer's who had the normal innominate at the end of the season is only about 7.5%. Conclusion: This method of assessing the pelvic malalignments until then not documented. In this sense, the objective of this study is to analyze and document the different presentations in pelvic malalignments which are common in soccer players and its simple method of evaluation is the literature state of the art. The present study may provide useful information to analyze common presentations of pelvic malalignments in different sports.

Facial artery is usually the main artery supplying the face. It gives three named branches on the face, the inferior labial, the superior labial and the lateral nasal and continues as the angular artery. Face is also supplied by the transverse facial artery and the arteries accompanying the cutaneous nerves. In our present case report, we observed that the lingual and facial arteries were originating from the front of External Carotid artery (ECA) as a common linguofacial trunk on the left side and coursed upwards towards the mandible for about 1.2 cm and then divided into facial and lingual arteries. We observed that the facial artery terminated as Inferior labial artery as end artery (without anastomoses). The other branches for the face namely Superior labial, lateral nasal and angular arteries are arises from the Transverse facial artery. Conclusion: In this study, we noticed that a variation in the morphological aspect of arterial pattern of face, until then not documented. In this sense, the objective of this study was to report a variation of the facial artery and to analyze it relative to the literature state of the art. The present case may provide useful information in different fields of oral and maxillofacial surgery.

Nasotracheal intubation used to be the preferred route for prolonged intubation in critical care units. Nasotracheal intubation may sometimes cause nasal trauma. The study included one hundred and nine (109) adult patients, were scheduled for elective head and neck surgeries with general anaesthesia, requiring nasotracheal intubation. All the patients compiled the criteria of American Society of Anesthesiologists (ASA) physical status I and II were included in this study. The incidence of complicated laryngoscopy was assumed as 8%, confidence levels at 99% and an error of 3%, the total sample size were One hundred and three (103) patients. Observation, recorded bleeding 63.11% (65-patients) of the time with the literature stating epistaxis rates from 17-77%. The study found there was a significant relationship of soft tissue profile and number of intubation attempts. In this study a concave profile was more likely to have multiple attempts, there was a significant relationship between moderate and severe bleeding and number of intubation attempts and in 04.85% (05-patients) of those patients with severe bleeding there were multiple intubation attempts. Thyromental distance and Mallampati score did not seem to have a significant relationship with either the number of intubation attempts or severity of bleeding. This may demonstrate that multiple attempts led to an increase in bleeding due to increased trauma or that bleeding from the nose into the oropharnyx and hypo-pharynx contributed to a difficult view of the larynx for passing the tube between the cords. The clinical relevance from this study to create an algorithm or define a set of factors to alert anesthetists to aware of knowledge about the common nasal anomalies for the difficult nasotracheal (NT) intubation.