Anatomical Basis for the Selective Block of the Nerve to Quadratus Femoris by Way of Percutaneous Techniques

SUMMARY: Hip joint chronic pain can severely compromise patients’ life quality. Peripheral nerve blocks play an important role as diagnostic and therapeutic procedures. The aim of this work is to study the anatomy of the nerve to quadratus femoris (NQF) in view of the possibility of its pe...

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Autores principales:	Mansilla,Alejandra, Mansilla,Sofía, Calisto,Joaquín, Pereira,Crihstian J, García,Joaquín, Olivera,Eduardo
Lenguaje:	English
Publicado:	Sociedad Chilena de Anatomía 2020
Materias:	Nerve to Quadratus femoris hip joint selective block
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000601549
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spelling	oai:scielo:S0717-950220200006015492020-10-30Anatomical Basis for the Selective Block of the Nerve to Quadratus Femoris by Way of Percutaneous TechniquesMansilla,AlejandraMansilla,SofíaCalisto,JoaquínPereira,Crihstian JGarcía,JoaquínOlivera,Eduardo Nerve to Quadratus femoris hip joint selective block SUMMARY: Hip joint chronic pain can severely compromise patients’ life quality. Peripheral nerve blocks play an important role as diagnostic and therapeutic procedures. The aim of this work is to study the anatomy of the nerve to quadratus femoris (NQF) in view of the possibility of its percutaneous selective block. Forty-three gluteal cadaveric regions fixed in formaldehyde solution were dissected. The quadratus femoris, the obturator internus and superior and inferior gemellus were freed from their lateral insertion, exposing thus the posterior aspect of the hip joint. The NQF was identified, and the horizontal distance to the posterior edge of the greater trochanter at its upper, middle and lower thirds was registered. The number of the articular branches of the NQF was identified. Likewise, the horizontal distance to the posterior edge of the greater trochanter and the longitudinal distance to the line through the distal end of the posterior edge of the greater trochanter were measured. The distance between the NQF and the greater trochanter posterior edge at upper, middle and lower thirds was 46 mm, 41 mm and 35 mm, respectively. In most cases (85 %) the NQF presented one or two articular branches. The longitudinal distances between the line through the distal end of the posterior edge of the greater trochanter and the origin of the first, second and third articular branches of the NQF were 14.7 mm (-19.4 - 40), 16.4 mm (-9.3-42) and 27 mm (0-46), respectively. The distances to the posterior edge of the greater trochanter were 43.1 mm (16.3-66), 37.7 mm (6.5-53) and 39.8 mm (26-52), for the first, second and third articular branches, respectively. In conclusion, the articular branches of the nerve to quadratus femoris have a constant and predictable distribution. Our findings allow for generating a coordinate system for the selective block of the NQF by way of percutaneous techniques.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.38 n.6 20202020-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000601549en10.4067/S0717-95022020000601549
institution	Scielo Chile
collection	Scielo Chile
language	English
topic	Nerve to Quadratus femoris hip joint selective block
spellingShingle	Nerve to Quadratus femoris hip joint selective block Mansilla,Alejandra Mansilla,Sofía Calisto,Joaquín Pereira,Crihstian J García,Joaquín Olivera,Eduardo Anatomical Basis for the Selective Block of the Nerve to Quadratus Femoris by Way of Percutaneous Techniques
description	SUMMARY: Hip joint chronic pain can severely compromise patients’ life quality. Peripheral nerve blocks play an important role as diagnostic and therapeutic procedures. The aim of this work is to study the anatomy of the nerve to quadratus femoris (NQF) in view of the possibility of its percutaneous selective block. Forty-three gluteal cadaveric regions fixed in formaldehyde solution were dissected. The quadratus femoris, the obturator internus and superior and inferior gemellus were freed from their lateral insertion, exposing thus the posterior aspect of the hip joint. The NQF was identified, and the horizontal distance to the posterior edge of the greater trochanter at its upper, middle and lower thirds was registered. The number of the articular branches of the NQF was identified. Likewise, the horizontal distance to the posterior edge of the greater trochanter and the longitudinal distance to the line through the distal end of the posterior edge of the greater trochanter were measured. The distance between the NQF and the greater trochanter posterior edge at upper, middle and lower thirds was 46 mm, 41 mm and 35 mm, respectively. In most cases (85 %) the NQF presented one or two articular branches. The longitudinal distances between the line through the distal end of the posterior edge of the greater trochanter and the origin of the first, second and third articular branches of the NQF were 14.7 mm (-19.4 - 40), 16.4 mm (-9.3-42) and 27 mm (0-46), respectively. The distances to the posterior edge of the greater trochanter were 43.1 mm (16.3-66), 37.7 mm (6.5-53) and 39.8 mm (26-52), for the first, second and third articular branches, respectively. In conclusion, the articular branches of the nerve to quadratus femoris have a constant and predictable distribution. Our findings allow for generating a coordinate system for the selective block of the NQF by way of percutaneous techniques.
author	Mansilla,Alejandra Mansilla,Sofía Calisto,Joaquín Pereira,Crihstian J García,Joaquín Olivera,Eduardo
author_facet	Mansilla,Alejandra Mansilla,Sofía Calisto,Joaquín Pereira,Crihstian J García,Joaquín Olivera,Eduardo
author_sort	Mansilla,Alejandra
title	Anatomical Basis for the Selective Block of the Nerve to Quadratus Femoris by Way of Percutaneous Techniques
title_short	Anatomical Basis for the Selective Block of the Nerve to Quadratus Femoris by Way of Percutaneous Techniques
title_full	Anatomical Basis for the Selective Block of the Nerve to Quadratus Femoris by Way of Percutaneous Techniques
title_fullStr	Anatomical Basis for the Selective Block of the Nerve to Quadratus Femoris by Way of Percutaneous Techniques
title_full_unstemmed	Anatomical Basis for the Selective Block of the Nerve to Quadratus Femoris by Way of Percutaneous Techniques
title_sort	anatomical basis for the selective block of the nerve to quadratus femoris by way of percutaneous techniques
publisher	Sociedad Chilena de Anatomía
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000601549
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Anatomical Basis for the Selective Block of the Nerve to Quadratus Femoris by Way of Percutaneous Techniques

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