Greater Sciatic Notch

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Rehman Irving - One of the best experts on this subject based on the ideXlab platform.

Jaroslav Bruzek - One of the best experts on this subject based on the ideXlab platform.

  • comparison of methods to determine sex by evaluating the Greater Sciatic Notch visual angular and geometric morphometrics
    Forensic Science International, 2012
    Co-Authors: Jorge Gomezvaldes, Mirsha Quintosanchez, Antinea Menendez Garmendia, Jana Veleminska, Gabriela Sanchezmejorada, Jaroslav Bruzek
    Abstract:

    Sex estimation is the first step for biological profile reconstruction of an unknown skeleton (archaeological or contemporary) and consequently for positive identification of skeletal remains recovered from forensic settings. Several tools have been developed using different osseous structures. With the intention to provide an objective method comparison, we reported the analysis of three different methods (visual, metric and geometric morphometrics) for sex assessment of the Greater Sciatic Notch. One hundred and thirty pelvic bones (45.4% females and 54.6% males) from the National Autonomous University of Mexico Skeletal Collection pertaining to the contemporary Mexican population were analyzed. We used the ROC-analysis to test between desired false positive thresholds (1-specificity) and expected true positive rates (sensitivity) in order to predict the best approach to sex assessment. The comparison of the area under the ROC-curves shows significant differences among visual and metric methods. At the same time, the analysis suggested that higher morphological variation among the sexes is independent of the methodological approach. The results indicate that the metric (angle), with a high percent of indeterminate cases (34.6%), and visual, with 26.2% of the cases allocated as intermediate cases, were poorly accurate; we cannot recommend these techniques for sexing an unknown specimen. On the other hand, the geometric morphometrics approach improves sex estimation in 82.3% of correctly classified individuals with more than 95% of posterior probability. In addition to the method comparison, the major sexual variation of the Greater Sciatic Notch was determined to be located on its posterior border.

Barker Helen - One of the best experts on this subject based on the ideXlab platform.

Jaroslav Brůžek - One of the best experts on this subject based on the ideXlab platform.

  • technical note geometric morphometrics and sexual dimorphism of the Greater Sciatic Notch in adults from two skeletal collections the accuracy and reliability of sex classification
    American Journal of Physical Anthropology, 2013
    Co-Authors: Jana Veleminska, Jorge Gomezvaldes, Gabriela Sanchezmejorada, Vaclav Krajicek, Jan Dupej, Petr Veleminský, Alena Sefcakova, Josef Pelikan, Jaroslav Brůžek
    Abstract:

    A3P-PACEA, UMR 5199 CNRS, University Bordeaux I, Talence 33405, FranceKEY WORDS shape analysis; hip bone; sex assessment; curve segmentation; SVM learn-ing modelABSTRACT The Greater Sciatic Notch (GSN) is one ofthe most important and frequently used characteristics fordetermining the sex of skeletons, but objective assessmentof this characteristic is not without its difficulties. We testedthe robustness of GSN sex classification on the basis of geo-metric morphometrics (GM) and support vector machines(SVM), using two different population samples. Using pho-tographs, the shape of the GSN in 229 samples from twoassemblages (documented collections of a Euroamericanpopulation from the Maxwell Museum, University of NewMexico, and a Hispanic population from Universidad Nacio-nal Autonoma de Mexico, Mexico City) was segmentedautomatically and evaluated using six curve representa-tions. The optimal dimensionality for each representationwas determined by finding the best sex classification. Theclassification accuracy of the six curve representations inour study was similar but the highest and concurrentlyhomologous cross-validated accuracy of 92% was achievedfor a pooled sample using Fourier coefficient and Legendrepolynomial methods. The success rate of our classificationwas influenced by the number of semilandmarks or coeffi-cients and was only slightly affected by GSN marginalpoint positions. The intrapopulation variability of thefemale GSN shape was significantly lower compared withthe male variability, possibly as a consequence of theintense selection pressure associated with reproduction.Males were misclassified more often than females. Ourresults show that by using a suitable GSN curve represen-tation, a GM approach, and SVM analysis, it is possible toobtain a robust separation between the sexes that is stablefor a multipopulation sample. Am J Phys Anthropol152:558–565, 2013.

Garry S. Gruen - One of the best experts on this subject based on the ideXlab platform.

  • Case Report
    Clinical Orthopaedics and Related Research, 2008
    Co-Authors: Philipp Kobbe, Boris A. Zelle, Garry S. Gruen
    Abstract:

    Piriformis syndrome is an uncommon condition characterized by Sciatic nerve entrapment at the Greater Sciatic Notch. Nonoperative treatment such as physical therapy, nonsteroidal antiinflammatory drugs, and local injections often results in relief of symptoms. For patients who do not benefit from nonoperative therapy, surgical exploration and decompression of the Sciatic nerve has been effective. However, the success of surgery may be diminished by scar formation or hematoma in the anatomically restricted Sciatic Notch. We report two patients with piriformis syndrome who responded primarily to surgical decompression and had recurrent symptoms resulting from scar tissue formation in the Sciatic Notch. On revision surgery, polytetrafluoroethylene pledgets were placed around the Sciatic nerve to avoid compression and entrapment by scar tissue. Both patients had satisfactory outcomes at 3 years followup.

  • Case Report: Recurrent Piriformis Syndrome After Surgical Release
    Clinical Orthopaedics and Related Research, 2008
    Co-Authors: Philipp Kobbe, Boris A. Zelle, Garry S. Gruen
    Abstract:

    Piriformis syndrome is an uncommon condition characterized by Sciatic nerve entrapment at the Greater Sciatic Notch. Nonoperative treatment such as physical therapy, nonsteroidal antiinflammatory drugs, and local injections often results in relief of symptoms. For patients who do not benefit from nonoperative therapy, surgical exploration and decompression of the Sciatic nerve has been effective. However, the success of surgery may be diminished by scar formation or hematoma in the anatomically restricted Sciatic Notch. We report two patients with piriformis syndrome who responded primarily to surgical decompression and had recurrent symptoms resulting from scar tissue formation in the Sciatic Notch. On revision surgery, polytetrafluoroethylene pledgets were placed around the Sciatic nerve to avoid compression and entrapment by scar tissue. Both patients had satisfactory outcomes at 3 years followup.