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

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 provid...

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Autores principales: Méndez Aguirre, Omar, Morales Avalos, Rodolfo, Compeán Martínez, Gustavo A, Espinosa Uribe, Abraham G., Vílchez Cavazos, José Félix, Theriot Girón, María del Carmen, Quiroga Garza, Alejandro, De la Garza Castro, Oscar, Guzmán Avilán, Katia Denisse, Guzmán López, Santos, Elizondo Omaña, Rodrigo Enrique
Formato: Artículo
Lenguaje:inglés
Publicado: 2016
Materias:
Acceso en línea:http://eprints.uanl.mx/14791/1/25.pdf
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author Méndez Aguirre, Omar
Morales Avalos, Rodolfo
Compeán Martínez, Gustavo A
Espinosa Uribe, Abraham G.
Vílchez Cavazos, José Félix
Theriot Girón, María del Carmen
Quiroga Garza, Alejandro
De la Garza Castro, Oscar
Guzmán Avilán, Katia Denisse
Guzmán López, Santos
Elizondo Omaña, Rodrigo Enrique
author_facet Méndez Aguirre, Omar
Morales Avalos, Rodolfo
Compeán Martínez, Gustavo A
Espinosa Uribe, Abraham G.
Vílchez Cavazos, José Félix
Theriot Girón, María del Carmen
Quiroga Garza, Alejandro
De la Garza Castro, Oscar
Guzmán Avilán, Katia Denisse
Guzmán López, Santos
Elizondo Omaña, Rodrigo Enrique
author_sort Méndez Aguirre, Omar
collection Repositorio Institucional
description 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.
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spelling eprints-147912024-03-05T20:53:31Z http://eprints.uanl.mx/14791/ Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip Méndez Aguirre, Omar Morales Avalos, Rodolfo Compeán Martínez, Gustavo A Espinosa Uribe, Abraham G. Vílchez Cavazos, José Félix Theriot Girón, María del Carmen Quiroga Garza, Alejandro De la Garza Castro, Oscar Guzmán Avilán, Katia Denisse Guzmán López, Santos Elizondo Omaña, Rodrigo Enrique RC Medicina Interna, Psiquiatría, Neurología 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. 2016 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/14791/1/25.pdf http://eprints.uanl.mx/14791/1.haspreviewThumbnailVersion/25.pdf Méndez Aguirre, Omar y Morales Avalos, Rodolfo y Compeán Martínez, Gustavo A y Espinosa Uribe, Abraham G. y Vílchez Cavazos, José Félix y Theriot Girón, María del Carmen y Quiroga Garza, Alejandro y De la Garza Castro, Oscar y Guzmán Avilán, Katia Denisse 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 http://doi.org/10.4067/S0717-95022016000200051 doi:10.4067/S0717-95022016000200051
spellingShingle RC Medicina Interna, Psiquiatría, Neurología
Méndez Aguirre, Omar
Morales Avalos, Rodolfo
Compeán Martínez, Gustavo A
Espinosa Uribe, Abraham G.
Vílchez Cavazos, José Félix
Theriot Girón, María del Carmen
Quiroga Garza, Alejandro
De la Garza Castro, Oscar
Guzmán Avilán, Katia Denisse
Guzmán López, Santos
Elizondo Omaña, Rodrigo Enrique
Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip
title_full Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip
title_fullStr Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip
title_full_unstemmed Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip
title_short Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip
title_sort neurovascular structures at risk during anterolateral and medial arthroscopic approaches of the hip
topic RC Medicina Interna, Psiquiatría, Neurología
url http://eprints.uanl.mx/14791/1/25.pdf
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