Data/hora: 02/06/2024 07:32:25

Provedor de dados: | 77
País: | Chile
Título: | Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip
Autores: | Méndez-Aguirre,Omar; Morales-Avalos,Rodolfo; Compeán-Martínez,Gustavo A; Espinosa-Uribe,Abraham G; Vílchez-Cavazos,Félix; Theriot-Giron,María del Carmen; Quiroga-Garza,Alejandro; de la Garza-Castro,Oscar; Guzmán Avilán,Katia; Guzmán-López,Santos; Elizondo-Omaña,Rodrigo E.
Data: | 2016-06-01
Ano: | 2016
Palavras-chave: | Anatomy; Arthroscopy; Hip; Portal.
Resumo: | To describe the safety areas for placement of 5 anterolateral portals (anterior, anterior lateral, posterior lateral, proximal anterior medial and distal anterior medial portals) and 3 recently described medial portals (anterior medial, posterior medial and distal posterior medial portals) to provide topographical description of the safety of each. A descriptive, observational and cross-sectional study in which femoral triangle dissection was performed in 12 hips. 5 lateral portals and the 3 medial portals were placed. Clinically relevant neurovascular structures associated with each portal, were identified measured and documented. The lateral portal with the highest risk of injury to a nearby neurovascular structure was the anterior portal, the most adjacent to the femoral cutaneous nerve, 1.42 cm (±0.85) lateral to the portal. In the medial portals, the anterior medial portal has the narrowest margin in relation to the femoral artery, 2.14 cm (±0.35) lateral to the portal and medial to the obturator nerve by 0.87 cm (±0.62). The lateral portals have a higher safety margin; the portal with the most proximity to a neurovascular structure is the anterior portal, associated laterally with the femoral cutaneous nerve, presenting a higher risk of injury. Medial portals have a higher risk of injuring the femoral neurovascular bundle as well as the obturator nerve.
Tipo: | Journal article
Idioma: | Inglês
Identificador: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200051
Editor: | Sociedad Chilena de Anatomía
Formato: | text/html
Fonte: | International Journal of Morphology  v.34 n.2 2016