دورية أكاديمية
Proximal endoscopic repair of the hamstring tendons: a cadaveric anatomical study of posterior hip portals.
| العنوان: | Proximal endoscopic repair of the hamstring tendons: a cadaveric anatomical study of posterior hip portals. |
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| المؤلفون: | Ranzoni LV; Department of Pathophysiology, Faculty of Medicine, USP, Av. Dr. Arnaldo, 455 - Cerqueira César, São Paulo, SP 01246-903, Brazil., Guberovich MA; Department of Pathophysiology, Faculty of Medicine, USP, Av. Dr. Arnaldo, 455 - Cerqueira César, São Paulo, SP 01246-903, Brazil., Ejnisman L; Orthopedics Department, Hospital Israelita Albert Einstein, Dr. Ovídio Pires de Campos Street, 333, Cerqueira Cesar, São Paulo, SP 05403-010, Brazil., Miyahara HS; Orthopedics Department, Hospital das Clínicas-FMUSP, Dr. Ovídio Pires de Campos Street, 333, Cerqueira Cesar, São Paulo, SP 05403-010 Brazil., Rath E; Orthopedics Department, Tel Aviv University School of Medicine, Tel Aviv-Yafo 6997801, Israel., Gurgel HMC; Orthopedics Department, Hospital das Clínicas-FMUSP, Dr. Ovídio Pires de Campos Street, 333, Cerqueira Cesar, São Paulo, SP 05403-010 Brazil., Jacomo AL; Department of Surgery, Faculty of Medicine, USP, Av. Dr. Arnaldo, 455 - Cerqueira César, São Paulo, SP 01246-903, Brazil. |
| المصدر: | Journal of hip preservation surgery [J Hip Preserv Surg] 2023 Mar 22; Vol. 10 (2), pp. 75-79. Date of Electronic Publication: 2023 Mar 22 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101643347 Publication Model: eCollection Cited Medium: Print ISSN: 2054-8397 (Print) Linking ISSN: 20548397 NLM ISO Abbreviation: J Hip Preserv Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: Oxford : Oxford University Press, [2014]- |
| مستخلص: | Arthroscopy and endoscopic hip surgery have attracted increasing attention in the orthopedic field. In the case of arthroscopy, portals and their relationships with neurovascular bundle structures at risk are well established. However, studies on endoscopic portals used for the repair of hamstring tendon injuries are insufficient. Hamstring injuries are the most common muscle injury in sports medicine, and up to 12% can present as a tendon rupture. Endoscopic surgery is advantageous because it has a lower rate of bleeding and avoids excessive handling of the gluteal muscles. The objective of this study is to perform an anatomical evaluation of endoscopic portals for hamstring repair and measure their distance to neurovascular structures-mainly sciatic nerve and posterior femoral cutaneous nerve (PFCN). Fifteen hips from frozen and formalized cadavers were evaluated. Specimens that showed any modification in their anatomy were excluded. Portals were simulated using Steinmann pins, and anatomical dissection was performed. Distances from neurovascular structures were measured using a digital caliper. Four male cadaver hips (26%) and eleven female cadaver hips (74%) were included. Two dissected hips presented PFCN injury through the posterolateral portal- mean 20.28 mm (±8.14), and one through the distal accessory portal- 21.87 mm (±12.03). The injury rate for PFCN was 3/15 or 20%. None of the portals presented sciatic nerve injury. Conclusion: There is an imminent risk of nerve injury to the PFCN by performing the lateral portals for hamstring repair. To avoid this, we recommend starting the procedure through the most medial (posteromedial) portal, and the other portals must be performed under direct visualization. Competing Interests: None declared. (© The Author(s) 2023. Published by Oxford University Press.) |
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| تواريخ الأحداث: | Date Created: 20231030 Latest Revision: 20231031 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10604049 |
| DOI: | 10.1093/jhps/hnad001 |
| PMID: | 37900891 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2054-8397 |
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| DOI: | 10.1093/jhps/hnad001 |