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| Provedor de dados: |
International Journal of Morphology
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| País: |
Chile
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| Título: |
Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip
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| 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
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| Data: |
2016-06-01
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| Ano: |
2016
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| Palavras-chave: |
Anatomy
Arthroscopy
Hip
Portal
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| 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.
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| Tipo: |
Journal article
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| Idioma: |
Inglês
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| Identificador: |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200051
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| Editor: |
Sociedad Chilena de Anatomía
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| Formato: |
text/html
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| Fonte: |
International Journal of Morphology v.34 n.2 2016
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