Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip

Méndez Aguirre, Omar y Morales Avalos, Rodolfo y Compeán Martínez, Gustavo A y Espinosa Uribe, Abraham G y Vílchez Cavazos, Félix y Theriot Girón, María del Carmen y Quiroga Garza, Alejandro y de la Garza Castro, Oscar y Guzmán Avilán, Katia y Guzmán López, Santos y Elizondo Omaña, Rodrigo Enrique (2016) Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip. International Journal of Morphology, 34 (2). pp. 752-758. ISSN 0717-9502

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Resumen

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 crosssectional 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 de elemento: Article
Palabras claves no controlados: Anatomy, Arthroscopy, Hip, Portal
Materias: R Medicina > RC Medicina Interna, Psiquiatría, Neurología
Divisiones: Medicina
Usuario depositante: Editor Repositorio
Creadores:
CreadorEmailORCID
Méndez Aguirre, OmarNO ESPECIFICADONO ESPECIFICADO
Morales Avalos, RodolfoNO ESPECIFICADONO ESPECIFICADO
Compeán Martínez, Gustavo ANO ESPECIFICADONO ESPECIFICADO
Espinosa Uribe, Abraham GNO ESPECIFICADONO ESPECIFICADO
Vílchez Cavazos, FélixNO ESPECIFICADONO ESPECIFICADO
Theriot Girón, María del CarmenNO ESPECIFICADONO ESPECIFICADO
Quiroga Garza, AlejandroNO ESPECIFICADONO ESPECIFICADO
de la Garza Castro, OscarNO ESPECIFICADONO ESPECIFICADO
Guzmán Avilán, KatiaNO ESPECIFICADONO ESPECIFICADO
Guzmán López, SantosNO ESPECIFICADONO ESPECIFICADO
Elizondo Omaña, Rodrigo Enriquerod_omana@yahoo.comNO ESPECIFICADO
Fecha del depósito: 13 Mayo 2020 15:29
Última modificación: 10 Jun 2020 19:24
URI: http://eprints.uanl.mx/id/eprint/14791

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