کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4043144 1603498 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Variability in Locations of Hip Neurovascular Structures and Their Proximity to Hip Arthroscopic Portals
ترجمه فارسی عنوان
تنوع در مکان های ساختار عصبی عضلانی هیپ و نزدیکی آنها به پورتال های آرتروسکوپی هیپ
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی

PurposeTo measure the distances of pertinent neurovascular structures from bony landmarks used during hip arthroscopy and compare them among different demographic groups.MethodsThe distances from neurovascular structures to bony landmarks often used during hip arthroscopy were measured on magnetic resonance images of the hip in 100 patients. The structures studied include the lateral femoral cutaneous nerve (LFCN), sciatic nerve, femoral nerve, and femoral artery. These distances were then compared across different demographic groups, and statistical analysis was performed.ResultsThe mean anteroposterior (AP) distance from the tip of the greater trochanter to the sciatic nerve was 10.32 mm (range, 0 to 23.8 mm). At the level of the superior tip of the greater trochanter, the mean distances from the anterior superior iliac spine reference line to the LFCN, femoral nerve, and femoral artery were 6.37 mm (range, −9.8 to 35.9 mm) for medial-lateral, 23.24 mm (range, 3.4 to 67.0 mm) for AP, and 26.34 mm (range, 7.3 to 65.5 mm) for AP, respectively. We found significant differences in distances for the LFCN, femoral nerve, and femoral artery for weight (P = .003, P = .041, and P = .004, respectively) and body mass index (P = .003, P = .010, and P = .003, respectively), as well as for the LFCN between whites and Hispanics (P = .032). There were also significant differences for the femoral nerve vector between African Americans and whites (P = .04), as well as between African Americans and Hispanics (P = .04).ConclusionsWe found the LFCN to be the most at-risk neurovascular structure with hip arthroscopy portal placement. This study also showed that there is wide variability in the locations of pertinent neurovascular structures across different demographic groups, including weight, body mass index, and race or ethnicity.Clinical RelevancePortal placement during hip arthroscopy carries a risk of neurovascular injury, particularly to the LFCN. The clinician should be aware of the variability in structure location with different patient demographic characteristics.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Arthroscopy: The Journal of Arthroscopic & Related Surgery - Volume 30, Issue 4, April 2014, Pages 462–467
نویسندگان
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