Cargando…
A CT study of the femoral and sciatic nerve periacetabular moving in different hip positions
BACKGROUND: Femoral and sciatic nerves could be damaged during various stages of the periacetabular osteotomy. Changing the position of the hip could be the most effective way of preventing nerve injuries. The purpose of the present study was to investigate the distances of the nerves to various bon...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488403/ https://www.ncbi.nlm.nih.gov/pubmed/32917260 http://dx.doi.org/10.1186/s13018-020-01937-7 |
_version_ | 1783581682429853696 |
---|---|
author | Isin, Yagmur Hapa, Onur Kara, Yavuz Selim Kilic, Ali Ihsan Balcı, Ali |
author_facet | Isin, Yagmur Hapa, Onur Kara, Yavuz Selim Kilic, Ali Ihsan Balcı, Ali |
author_sort | Isin, Yagmur |
collection | PubMed |
description | BACKGROUND: Femoral and sciatic nerves could be damaged during various stages of the periacetabular osteotomy. Changing the position of the hip could be the most effective way of preventing nerve injuries. The purpose of the present study was to investigate the distances of the nerves to various bony landmarks with different hip positions in computerized pelvic scanograms of healthy adults. MATERIALS AND METHODS: Fifteen healthy male adults (30 hips) (age 30 ± 6) were included. Scans were performed at three different hip positions measured by goniometer (neutral “N,” flexion (30–45°) + abduction (30–45°) + external rotation (20°) “F” and neutral+ abduction (30–45°) + external rotation (20°) (N(abext)) at three different levels (sourcil “1,” the middle of the femoral head “2,” and lower border of triradiate cartilage “3.” RESULTS: At the sourcil level, the femoral nerve was found to be the furthest distance from the anterior acetabulum in the neutral position compared to flexion or neutral plus abduction, external rotation (p < 0.001). For the sciatic nerve, at level 2, hip flexion resulted in a greater distance than in the neutral position (p = 0.001). For level 3, hip flexion caused a decrease in the distance of the sciatic nerve to the acetabulum compared to both neutral positions (N or N(abex)) (p = 0.001). CONCLUSIONS: During a pubic cut of the osteotomy, the femoral nerve moves closer to the anterior acetabulum wall with hip flexion or abduction plus external rotation. During an ischial cut, the sciatic nerve gets closer to the ischium with hip flexion while it moves away from the bone during retroacetabular cut. Level-III Study |
format | Online Article Text |
id | pubmed-7488403 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-74884032020-09-16 A CT study of the femoral and sciatic nerve periacetabular moving in different hip positions Isin, Yagmur Hapa, Onur Kara, Yavuz Selim Kilic, Ali Ihsan Balcı, Ali J Orthop Surg Res Research Article BACKGROUND: Femoral and sciatic nerves could be damaged during various stages of the periacetabular osteotomy. Changing the position of the hip could be the most effective way of preventing nerve injuries. The purpose of the present study was to investigate the distances of the nerves to various bony landmarks with different hip positions in computerized pelvic scanograms of healthy adults. MATERIALS AND METHODS: Fifteen healthy male adults (30 hips) (age 30 ± 6) were included. Scans were performed at three different hip positions measured by goniometer (neutral “N,” flexion (30–45°) + abduction (30–45°) + external rotation (20°) “F” and neutral+ abduction (30–45°) + external rotation (20°) (N(abext)) at three different levels (sourcil “1,” the middle of the femoral head “2,” and lower border of triradiate cartilage “3.” RESULTS: At the sourcil level, the femoral nerve was found to be the furthest distance from the anterior acetabulum in the neutral position compared to flexion or neutral plus abduction, external rotation (p < 0.001). For the sciatic nerve, at level 2, hip flexion resulted in a greater distance than in the neutral position (p = 0.001). For level 3, hip flexion caused a decrease in the distance of the sciatic nerve to the acetabulum compared to both neutral positions (N or N(abex)) (p = 0.001). CONCLUSIONS: During a pubic cut of the osteotomy, the femoral nerve moves closer to the anterior acetabulum wall with hip flexion or abduction plus external rotation. During an ischial cut, the sciatic nerve gets closer to the ischium with hip flexion while it moves away from the bone during retroacetabular cut. Level-III Study BioMed Central 2020-09-11 /pmc/articles/PMC7488403/ /pubmed/32917260 http://dx.doi.org/10.1186/s13018-020-01937-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Isin, Yagmur Hapa, Onur Kara, Yavuz Selim Kilic, Ali Ihsan Balcı, Ali A CT study of the femoral and sciatic nerve periacetabular moving in different hip positions |
title | A CT study of the femoral and sciatic nerve periacetabular moving in different hip positions |
title_full | A CT study of the femoral and sciatic nerve periacetabular moving in different hip positions |
title_fullStr | A CT study of the femoral and sciatic nerve periacetabular moving in different hip positions |
title_full_unstemmed | A CT study of the femoral and sciatic nerve periacetabular moving in different hip positions |
title_short | A CT study of the femoral and sciatic nerve periacetabular moving in different hip positions |
title_sort | ct study of the femoral and sciatic nerve periacetabular moving in different hip positions |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7488403/ https://www.ncbi.nlm.nih.gov/pubmed/32917260 http://dx.doi.org/10.1186/s13018-020-01937-7 |
work_keys_str_mv | AT isinyagmur actstudyofthefemoralandsciaticnerveperiacetabularmovingindifferenthippositions AT hapaonur actstudyofthefemoralandsciaticnerveperiacetabularmovingindifferenthippositions AT karayavuzselim actstudyofthefemoralandsciaticnerveperiacetabularmovingindifferenthippositions AT kilicaliihsan actstudyofthefemoralandsciaticnerveperiacetabularmovingindifferenthippositions AT balcıali actstudyofthefemoralandsciaticnerveperiacetabularmovingindifferenthippositions AT isinyagmur ctstudyofthefemoralandsciaticnerveperiacetabularmovingindifferenthippositions AT hapaonur ctstudyofthefemoralandsciaticnerveperiacetabularmovingindifferenthippositions AT karayavuzselim ctstudyofthefemoralandsciaticnerveperiacetabularmovingindifferenthippositions AT kilicaliihsan ctstudyofthefemoralandsciaticnerveperiacetabularmovingindifferenthippositions AT balcıali ctstudyofthefemoralandsciaticnerveperiacetabularmovingindifferenthippositions |