Surgical and Radiologic Anatomy最新文献

筛选
英文 中文
Exploring gender disparities in first authorship in anatomy during last two decades. 探讨近二十年来解剖学第一作者的性别差异。
IF 1.4 4区 医学
Surgical and Radiologic Anatomy Pub Date : 2025-02-21 DOI: 10.1007/s00276-025-03597-w
Anjali Singal, Swati Goyal
{"title":"Exploring gender disparities in first authorship in anatomy during last two decades.","authors":"Anjali Singal, Swati Goyal","doi":"10.1007/s00276-025-03597-w","DOIUrl":"10.1007/s00276-025-03597-w","url":null,"abstract":"<p><strong>Purpose: </strong>In scientific literature, authorship serves as a vital form of symbolic capital, with first authorship especially signifying active research involvement. This study examines the presence and magnitude of the gender gap in Anatomy research authorship and tracks its progression over the past twenty years in five esteemed journals. To our knowledge, this is the first study to explore the trend of female first authorship within the subject.</p><p><strong>Methods: </strong>PubMed search for all the published articles in five reputed Anatomical journals (2004-2023) was performed to get the bibliographic details of each article. Rentrez package was used to retrieve full name and affiliation. The first authors from the Department of Anatomy, Morphology, Embryology and Histology were included. Gender of the first author was assessed using Namsor API. The proportions of female first authors were presented as percentage stratified year-wise and geographically. A Mann-Kendall trend test statistics was applied to observe the significance of trends.</p><p><strong>Results: </strong>One third of publications were by female first authors in Anatomy in last two decades. Continent wise, Africa and North America had the highest and lowest female representation. Participation of female as first authors was relatively consistent across journals (31.6 -34.8%). Though trend for female first authors increased in 2023 (38.8%) as compare to in 2004 (28.9%), however Mann-Kendall trend test statistics indicate no significant increase in yearly trend (p = 0.552) during last twenty years.</p><p><strong>Conclusions: </strong>Globally males continue to dominate the prestigious first authorship in Anatomy except in India and Italy. Future research is needed to fully understand the obstacles preventing female representation as first authors in different geographic areas in this discipline.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"47 1","pages":"82"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A typical course of v3 segment of the right vertebral artery: a case study and literature overview. 右椎动脉v3段典型病程:个案研究及文献综述。
IF 1.4 4区 医学
Surgical and Radiologic Anatomy Pub Date : 2025-02-21 DOI: 10.1007/s00276-025-03578-z
Magdalena Gołuchowska, Sandra A Pilawska, Bartłomiej Łasocha, Tadeusz J Popiela, Borys M Kwinta, Roger M Krzyżewski
{"title":"A typical course of v3 segment of the right vertebral artery: a case study and literature overview.","authors":"Magdalena Gołuchowska, Sandra A Pilawska, Bartłomiej Łasocha, Tadeusz J Popiela, Borys M Kwinta, Roger M Krzyżewski","doi":"10.1007/s00276-025-03578-z","DOIUrl":"10.1007/s00276-025-03578-z","url":null,"abstract":"<p><strong>Purpose: </strong>To describe a case of atypical course of V3 segment of the right vertebral artery (VA) that runs through the hypoglossal canal.</p><p><strong>Methods: </strong>A 60-year-old female was qualified as clinical control group to participate in a clinical trial and two imaging methods in High Field Magnetic Resonance Imaging (1.5T): 3D FFE TOF and 3D T1 MPRAGE were performed.</p><p><strong>Results: </strong>In this case, the right VA enters the skull abnormally, through the hypoglossal canal. Research has shown that it is presumably a variant of persistent primitive hypoglossal artery (PPHA) or a partial persistence of the PPHA incorporated into the VA. Previous MRI images did not reveal any abnormalities in the structure in the vasculature of the brain, as well.</p><p><strong>Conclusion: </strong>Proper recognition and analysis of vascular variations are critical to avoid iatrogenic complications or to plan surgery of head or neck regions. Secondly, such anatomic variation may predispose a patient to ischemic attacks due to insufficient blood flow or aneurysms due to a weakened wall or stenosis of the VA.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"47 1","pages":"83"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Basal vein of Rosenthal anomaly with aplasia of the telencephalic segment and prominent lateral mesencephalic vein. 罗森塔尔基底静脉畸形,端脑节增生,间脑侧静脉突出。
IF 1.4 4区 医学
Surgical and Radiologic Anatomy Pub Date : 2025-02-20 DOI: 10.1007/s00276-025-03589-w
Marialuisa Zedde, Rosario Pascarella
{"title":"Basal vein of Rosenthal anomaly with aplasia of the telencephalic segment and prominent lateral mesencephalic vein.","authors":"Marialuisa Zedde, Rosario Pascarella","doi":"10.1007/s00276-025-03589-w","DOIUrl":"10.1007/s00276-025-03589-w","url":null,"abstract":"<p><strong>Purpose: </strong>The Basal Vein of Rosenthal (BVR) is one of the most stable intracranial veins. Despite this, several anomalies have been described and are related to its embryological origin as a longitudinal vein generated by the anastomosis between different segments. The anatomical variability also accounts for the presence and activation of different functional drainage pathways, both anteriorly and posteriorly, as well as with anastomoses with the infratentorial venous system METHODS: We are presenting an incidental finding in a patient undergoing brain Magnetic Resonance Imaging (MRI) in the diagnostic work-up of endolymphatic hydrops. The left BVR was the main location of anomalies including the hypoplasia of the first (telencephalic) segment, ad its afferents, and the presence of an additional drainage via the lateral mesencephalic vein (LMV) to the cavernous sinus and the transverse-sygmoid sinus (via a persistent oblique occipital sinus) besides the Galenic system.</p><p><strong>Conclusions: </strong>Although being stable, several anomalies of the BVR have been described, and the present case adds to the previous reports a combination of anomalies with hypoplasia of the first segment, prominent LMV and the drainage though a persistent oblique occipital sinus.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"47 1","pages":"81"},"PeriodicalIF":1.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mastoid pouch of the sigmoid sinus- an extraordinary anatomical variant. 乙状窦乳突袋-一种特殊的解剖变异。
IF 1.4 4区 医学
Surgical and Radiologic Anatomy Pub Date : 2025-02-18 DOI: 10.1007/s00276-025-03590-3
Mugurel Constantin Rusu, Corneliu Toader, Răzvan Costin Tudose
{"title":"Mastoid pouch of the sigmoid sinus- an extraordinary anatomical variant.","authors":"Mugurel Constantin Rusu, Corneliu Toader, Răzvan Costin Tudose","doi":"10.1007/s00276-025-03590-3","DOIUrl":"10.1007/s00276-025-03590-3","url":null,"abstract":"<p><strong>Purpose: </strong>The dural sigmoid sinus (SS) is a major surgical landmark. It is aimed to report an extraordinary and clinically significant anatomical variation- the mastoid pouch of the SS, which replaces the mastoid air cells.</p><p><strong>Method: </strong>The archived angioCT file of a 45 y.o. male was retrospectively studied on planar sections and by three-dimensional volume renderings.</p><p><strong>Results: </strong>An expansive mastoid pouch of the left SS was found, measuring 1.74 cm in transverse diameter and 2.18 cm in sagittal diameter, replacing the typical mastoid air cell system. This SS pouch extended to the mastoid cortex and was covered by a robust (1.41 cm broad) tegmen sinus sigmoidei. The bony wall between the SS pouch and the mastoid portion of the facial canal was 4.65 mm thick.</p><p><strong>Conclusion: </strong>The marked venous encroachments into the mastoid region emphasise the necessity for comprehensive preoperative imaging and careful selection of surgical approaches to prevent inadvertent vascular compromise.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"47 1","pages":"79"},"PeriodicalIF":1.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11835970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rare bilateral anatomical variation of the lateral thoracic artery: duplicated arteries with unique origins and pathways. 罕见的双侧胸外侧动脉解剖变异:具有独特起源和通路的重复动脉。
IF 1.4 4区 医学
Surgical and Radiologic Anatomy Pub Date : 2025-02-18 DOI: 10.1007/s00276-025-03587-y
Mark Rimmer, Warwick J Peacock, Kalyanam Shivkumar, Shumpei Mori
{"title":"Rare bilateral anatomical variation of the lateral thoracic artery: duplicated arteries with unique origins and pathways.","authors":"Mark Rimmer, Warwick J Peacock, Kalyanam Shivkumar, Shumpei Mori","doi":"10.1007/s00276-025-03587-y","DOIUrl":"10.1007/s00276-025-03587-y","url":null,"abstract":"<p><p>The lateral thoracic artery (LTA) is one of six main branches that originate from the axillary artery. The LTA has a textbook origin from the 2nd part of the axillary artery posterior to the pectoralis minor muscle. Contrary to the textbook origin, there are numerous reports of LTA variants that originate from the thoracoacromial artery, subscapular artery, and thoracodorsal artery, or even its duplication. This case report involves description of an additional unique duplicate variant of the LTA, bilaterally. The right duplicate LTA has its origin from the 3rd part of the axillary artery and then courses with the axillary sheath before coursing towards the breast. The right duplicate LTA variant also gives off two small subcutaneous branches in the medial upper arm. The left duplicate LTA has its origin from the brachial artery and courses directly to the breast through the axilla. Additional detail on the variants of the LTA could prove useful in surgical procedures that involve the lateral thorax, chest, and axilla and contribute to broader anatomical knowledge.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"47 1","pages":"80"},"PeriodicalIF":1.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A unique bilateral anatomical variation of the extensor digitorum longus and fibularis tertius muscles. 一个独特的双侧解剖变异的指长伸肌和腓骨大肌。
IF 1.4 4区 医学
Surgical and Radiologic Anatomy Pub Date : 2025-02-13 DOI: 10.1007/s00276-025-03591-2
Brendan Olson, William Wakeland, Jayden Olson, Sara Zoghi, John K Hubbard
{"title":"A unique bilateral anatomical variation of the extensor digitorum longus and fibularis tertius muscles.","authors":"Brendan Olson, William Wakeland, Jayden Olson, Sara Zoghi, John K Hubbard","doi":"10.1007/s00276-025-03591-2","DOIUrl":"10.1007/s00276-025-03591-2","url":null,"abstract":"<p><strong>Purpose: </strong>The extensor digitorum longus (EDL) and fibularis (peroneus) tertius (FT), muscles of the anterior compartment of the leg, synergistically work to dorsiflex and evert the foot. The EDL additionally extends the lateral four toes, while the FT normally lacks this ability. Anatomical variations of the variably present FT are common, but infrequently involve the EDL. The FT has been known to give off additional accessory tendons which may alter its role in ankle and foot movement. Documentation of unique anatomical variations of the FT and EDL can assist not only anatomists, but clinicians and surgeons as well.</p><p><strong>Methods: </strong>During routine cadaveric dissection, a rare and unique bilateral presentation of the extensor digitorum longus and fibularis tertius was discovered.</p><p><strong>Results: </strong>The extensor digitorum longus was found to be missing its lateral-most tendon that would normally insert on the 5th digit. A large, overriding FT split into three tendons, with the medial-most tendon inserting to the phalanges of the 5th digit, effectively replacing the missing EDL tendon. All findings were present bilaterally.</p><p><strong>Conclusion: </strong>To our knowledge, despite previous literature of unilateral presentations like this case, a bilateral EDL and FT variation as seen here has never been reported in humans. The use of accessory fibularis muscles in tendon graft procedures, especially the FT, makes awareness of leg anatomical variations critical for surgeons operating in the area. The present case is discussed alongside other documented anatomical variations, highlighting potential clinical implications for tendon grafting and preoperative imaging.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"47 1","pages":"78"},"PeriodicalIF":1.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Morphometric features, variability and clinical significance of coracoclavicular tuberosity. 喙锁骨结节的形态学特征、变异及临床意义。
IF 1.4 4区 医学
Surgical and Radiologic Anatomy Pub Date : 2025-02-08 DOI: 10.1007/s00276-025-03581-4
Yalçın Akbulut, Aslı Beril Karakaş Tanır, Burhan Yarar, Mukadder Sunar
{"title":"Morphometric features, variability and clinical significance of coracoclavicular tuberosity.","authors":"Yalçın Akbulut, Aslı Beril Karakaş Tanır, Burhan Yarar, Mukadder Sunar","doi":"10.1007/s00276-025-03581-4","DOIUrl":"10.1007/s00276-025-03581-4","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to construct an osteological map of the morphological projection of the coracoclavicular ligament on the clavicle.</p><p><strong>Methods: </strong>In this study, 93 dry clavicles without age and sex records were used. The attachment sites of the trapezoid and conoid ligaments were examined structurally and formally.</p><p><strong>Results: </strong>The attachment sites of the trapezoid ligament were triangular in 9 clavicles, ellipsoidal in 18 clavicles and trapezoidal in 62 clavicles. The anatomical structures of the attachment sites of the trapezoid ligament were as follows: 57 were tuberosities, 12 were tubercles, 11 were lines, and 9 were fovea. The attachments of the conoid ligament on the clavicle were low in 23 clavicles, moderate in 37 clavicles and high in 29 clavicles. The anatomical structure of the attachment sites of the conoid ligament was as follows: 50 were tubercles, 20 were tuberosities, 8 were adhesions, 6 were crests, 3 were impressions, and 2 were spines. The attachments of the conoid ligament on the clavicle were low in 20 clavicles, moderate in 50 clavicles, and high in 19 clavicles. The prevalence of the coracoclavicular joint was 6% in this study.</p><p><strong>Conclusion: </strong>In conclusion, we believe that this study provides guidance for clinicians by revealing the osteological traces of the components of the coracoclavicular ligament or the coracoclavicular joint on the clavicle.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"47 1","pages":"77"},"PeriodicalIF":1.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Iliolumbar ligament in foetuses: a 40-year-old controversy. 胎儿髂腰韧带:一个长达40年的争论。
IF 1.4 4区 医学
Surgical and Radiologic Anatomy Pub Date : 2025-02-07 DOI: 10.1007/s00276-025-03588-x
Dąbrowski Krzysztof
{"title":"Iliolumbar ligament in foetuses: a 40-year-old controversy.","authors":"Dąbrowski Krzysztof","doi":"10.1007/s00276-025-03588-x","DOIUrl":"10.1007/s00276-025-03588-x","url":null,"abstract":"<p><strong>Introduction: </strong>Depictions of the iliolumbar ligament in modern scientific publications and medical textbooks may vary noticeably and sometimes even contradict one another. The authors working on the subject seem to agree only on its general location and vague descriptions of function. However, their opinions appear to differ in every other aspect. Most extreme seems to be the disparity of opinions regarding anatomy of the development of the ligament, some authors claim that during its prenatal development and first few decades of life iliolumbar ligament is in fact a muscular structure, whereas other authors seem to negate this theory.</p><p><strong>Purpose: </strong>This study aims to examine the ligaments presence in human foetuses and verify the premise regarding its muscular character.</p><p><strong>Methods: </strong>16 foetuses with mean age 18.1 weeks were examined. The samples were extracted from the specimen belonging to the collection of Department of Descriptive and Clinical Anatomy of Medical University of Warsaw. The materials were prepared by hand with surgical and microsurgical tools with use of operating microscope. Additionally histological examination was performed on the foetal tissues.</p><p><strong>Results: </strong>During the examination strands and bands of collagenous tissue were observed in the typical location of the iliolumbar ligament in majority of cases, which suggests presence and development of ligamental structures in foetuses as early as in 15th week of development.</p><p><strong>Conclusion: </strong>The iliolumbar ligament is typically present and recognizable during the prenatal development, thus it cannot be stated that it comes to be later in life due to metaplasia.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"47 1","pages":"76"},"PeriodicalIF":1.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visualization and prediction of the pleura and thoracic duct: elucidation of changes due to respiration using arterial landmarks and CT images. 胸膜和胸导管的可视化和预测:利用动脉标志和CT图像阐明呼吸引起的变化。
IF 1.4 4区 医学
Surgical and Radiologic Anatomy Pub Date : 2025-02-07 DOI: 10.1007/s00276-025-03582-3
Niina Hirano, Satoru Muro, Junichi Tsuchiya, Keiichi Akita
{"title":"Visualization and prediction of the pleura and thoracic duct: elucidation of changes due to respiration using arterial landmarks and CT images.","authors":"Niina Hirano, Satoru Muro, Junichi Tsuchiya, Keiichi Akita","doi":"10.1007/s00276-025-03582-3","DOIUrl":"10.1007/s00276-025-03582-3","url":null,"abstract":"<p><strong>Purpose: </strong>The thoracic duct uses the pulsation of accompanying arteries to facilitate lymphatic flow. However, the lymphatic flow mechanism cannot be explained when it does not accompany the arteries. This study aimed to clarify the anatomical position of the thoracic duct and surrounding structures and determine the differences in the thoracic duct length and course during inspiration and expiration.</p><p><strong>Methods: </strong>Six cadavers were dissected to observe the positional relationship between the thoracic duct and surrounding structures. Image sequences of anatomical sections from the Visible Korean Human Open Resource were observed and reconstructed to understand their three-dimensional positioning. Inspiratory and expiratory computed tomography scans were used to measure and examine respiratory variations in the distance between the arterial landmarks to predict the thoracic duct length.</p><p><strong>Results: </strong>The thoracic duct accompanied the arteries for most of its course and was sandwiched between the arteries and pleura, entering the mediastinum. However, there was an area on the cranial side of the aortic arch where the thoracic duct did not accompany the arteries. The distance between the arterial landmarks in this area, which approximate the thoracic duct length, was significantly longer during inspiration (39.3 ± 7.81 mm) than during expiration (31.49 ± 7.01 mm).</p><p><strong>Conclusion: </strong>This study suggests that the pleura entering the mediastinum pushes the thoracic duct toward the arteries to promote lymphatic flow generation by arterial pulsation. Additionally, this study suggests that the lymphatic flow in the thoracic duct is generated by the expansion and contraction of the thoracic duct with respiratory movement.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"47 1","pages":"75"},"PeriodicalIF":1.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation. 触诊引导下介入长内收肌手术安全吗?尸体和超声检查。
IF 1.4 4区 医学
Surgical and Radiologic Anatomy Pub Date : 2025-02-07 DOI: 10.1007/s00276-025-03567-2
Javier Santamaría-Le Pera, Fermín Valera-Garrido, Francisco J Valderrama-Canales, Francisco Minaya-Muñoz, Pablo Herrero, Diego Lapuente-Hernández
{"title":"Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation.","authors":"Javier Santamaría-Le Pera, Fermín Valera-Garrido, Francisco J Valderrama-Canales, Francisco Minaya-Muñoz, Pablo Herrero, Diego Lapuente-Hernández","doi":"10.1007/s00276-025-03567-2","DOIUrl":"10.1007/s00276-025-03567-2","url":null,"abstract":"<p><strong>Purpose: </strong>The main objective was to study the anatomy of the adductor longus by ultrasound and cadaveric dissection, correlate the findings with the different approaches described, and evaluate the feasibility of defining a \"safe window\" for interventional musculoskeletal procedures.</p><p><strong>Methods: </strong>The anatomical study was performed on six cadaveric pieces, while ultrasound evaluations were performed on both lower limbs of 26 subjects (n = 52). Ultrasound variables included the number of saphenous veins, the location of the saphenous vein in relation to the proximal myotendinous junction, the number of vessels within or superficial to the adductor longus, and the distance between the dermis and the inferior border of the adductor longus to the anterior branch of the obturator nerve.</p><p><strong>Results: </strong>Key anatomic risk factors identified in cadavers included the great saphenous vein, the anterior branch of the obturator nerve, and the vascular network traversing the adductor longus. Ultrasound findings revealed that 91.4% of cases had at least one vessel at the proximal myotendinous junction in the cross-sectional area, almost 60% showed two to five vessels within the thickness of the muscle, and the anterior branch of the obturator nerve was located at a mean depth of 3.63-3.93 cm.</p><p><strong>Conclusions: </strong>It was not possible to define a \"safe\" approach area without the risk of damaging any neurovascular bundle due to the high anatomical variability both in number and in the route of these along the adductor longus. Therefore, the use of ultrasound to guide any interventional musculoskeletal procedure is highly recommended.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":"47 1","pages":"74"},"PeriodicalIF":1.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信