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,Félix, Theriot-Giron,María del Carmen, Quiroga-Garza,Alejandro, de la Garza-Castro,Oscar, Guzmán Avilán,Katia, Guzmán-López,Santos, Elizondo-Omaña,Rodrigo E
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2016
Materias:	Anatomy Arthroscopy Hip Portal
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200051
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spelling	oai:scielo:S0717-950220160002000512016-07-13Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the HipMéndez-Aguirre,OmarMorales-Avalos,RodolfoCompeán-Martínez,Gustavo AEspinosa-Uribe,Abraham GVílchez-Cavazos,FélixTheriot-Giron,María del CarmenQuiroga-Garza,Alejandrode la Garza-Castro,OscarGuzmán Avilán,KatiaGuzmán-López,SantosElizondo-Omaña,Rodrigo E Anatomy Arthroscopy Hip Portal 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.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.34 n.2 20162016-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200051en10.4067/S0717-95022016000200051
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Anatomy Arthroscopy Hip Portal
spellingShingle	Anatomy Arthroscopy Hip Portal 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 Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip
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 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.
author	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
author_facet	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
author_sort	Méndez-Aguirre,Omar
title	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_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_sort	neurovascular structures at risk during anterolateral and medial arthroscopic approaches of the hip
publisher	Sociedad Chilena de Anatomía
publishDate	2016
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000200051
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Neurovascular Structures at Risk During Anterolateral and Medial Arthroscopic Approaches of the Hip

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