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1
المؤلفون: Uldis Bite, Stephen W. Carmichael, Toshiyuki Shimizu, Dean R. Fisher
المصدر: Annals of Plastic Surgery. 38:604-610
مصطلحات موضوعية: Male, musculoskeletal diseases, Microsurgery, medicine.medical_specialty, Thigh, Anastomosis, Posterior thigh flap, Medial compartment of thigh, Surgical Flaps, Reference Values, Cadaver, medicine, Humans, Aged, Aged, 80 and over, business.industry, Anatomy, Middle Aged, Anterolateral thigh, musculoskeletal system, Thigh flap, eye diseases, Surgery, Femoral Artery, body regions, Plastic surgery, medicine.anatomical_structure, Female, business
الوصف: Various free flaps have been utilized in the thigh region, however there are few systematic clinicoanatomic studies of the thigh region. The purpose of this study is to clarify the clinicoanatomic characteristics of the free septocutaneous thigh flap. Forty-two dissections were carried out in unenbalmed cadavers. The pedicle was observed in all specimens in the anterolateral thigh (ALT), medial thigh, gluteal thigh, and lateral thigh flaps. The pedicle was observed in 46% of the specimens in the anteromedial thigh flap. The pedicle was observed in 86% of the specimens in the posterior thigh flap. The pedicle length (153 +/- 23 mm) of the ALT flap was the longest pedicle in the thigh flaps. The internal diameter of the pedicle of the ALT flap (3.0 +/- 1.0 mm), which could be used for anastomosis, is the largest in the septocutaneous thigh flaps. The clinicoanatomic characteristics of thigh flaps are clarified.
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7a21eb9866348305669159c9450cfc77
https://doi.org/10.1097/00000637-199706000-00007 -
2
المصدر: The American Journal of Surgery. 166:130-135
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Dissection (medical), Anastomosis, Tendons, Cadaver, medicine.artery, medicine, Humans, Aged, Aged, 80 and over, Peroneal Artery, Foot, business.industry, Soft tissue, Arteries, General Medicine, Anatomy, Middle Aged, medicine.disease, Surgery, Tibial Arteries, medicine.anatomical_structure, Dorsalis pedis artery, Female, Ankle, business, Artery
الوصف: Reconstruction of the arteries of the foot in patients with severe chronic arterial occlusive disease has become a routine and valuable procedure. However, it is frequently difficult to select the optimal site for the distal arterial anastomosis. In order to determine the most important anatomic variations of foot arteries and the relationship of the dorsalis pedis artery to crossing tendons, the following study was performed in 30 cadaver limbs of 17 persons (9 men and 8 women). Their mean age at death was 69.8 years (range: 42 to 93 years). Methods to evaluate anatomy included anatomic dissection, arteriography, and preparation of corrosion cast models. The latter was performed by injection of liquid plastic and catalyst into the tibial arteries followed by chemical débridement of the soft tissue of the foot. Photographs of the corrosion cast models were taken at various stages of soft tissue dissolution. The dorsalis pedis artery was absent in 6.7% of the cases, and the arcuate artery was absent in 33%. The dorsalis pedis artery arose from the peroneal artery in 6.7%. The dorsalis pedis artery crossed under the extensor hallucis longus tendon at the ankle in 54%, above the ankle in 43%, but below the ankle in only 3%. Our study suggests that the optimal site for the dorsalis pedis artery anastomosis on the foot is the segment distal to the ankle.
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3
المؤلفون: Stephen W. Carmichael, Alan R. Zinsmeister, Ahlskog Je, Susan L. Stoddard, Gertrude M. Tyce
المصدر: Experimental neurology. 104(1)
مصطلحات موضوعية: Male, medicine.medical_specialty, Epinephrine, Dopamine, Autopsy, Norepinephrine, chemistry.chemical_compound, Degenerative disease, Catecholamines, Developmental Neuroscience, Internal medicine, medicine, Humans, Neurotransmitter, Aged, Aged, 80 and over, business.industry, Parkinson Disease, Middle Aged, medicine.disease, nervous system diseases, Endocrinology, medicine.anatomical_structure, Neurology, chemistry, Adrenal Medulla, Catecholamine, Female, Adrenal medulla, business, medicine.drug
الوصف: Autopsy specimens of adrenal medullae from parkinsonian and nonparkinsonian patients were analyzed for free catecholamines by high-performance liquid chromatography with electrochemical detection. The total free catecholamine content (nanomoles free catecholamine per milligram protein) was significantly lower in the parkinsonian patients than in the control population when the values were corrected for age and time from death to organ harvest. It is not established whether this decreased catecholamine content in the adrenals of parkinsonian patients is a concomitant of the disease itself or whether it is secondary to drug therapies used to treat the symptoms of Parkinson's disease.
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