Applied Anatomy of the Back

Rickenbacher, Josef; Landolt, Alex M.; Theiler, Karl; Scheier, Heinrich; Siegfried, J.; Wagenhäuser, F. J.

doi:10.1007/978-3-662-05791-9

Cited by 18 publications

(15 citation statements)

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“…This is consistent with the increased longissimus EMG at T8 with rapid right trunk rotation in the additional experiment. Data from the additional trials of rapid lateral flexion of the trunk also confirm the prediction from anatomical data (Gray et al, 1980;Rickenbacher et al, 1985) that activity of longissimus laterally flexes the trunk ipsilaterally (Fig. 6).…”

Section: Discussionsupporting

confidence: 75%

Anticipatory postural adjustments to arm movement reveal complex control of paraspinal muscles in the thorax

Lee¹,

Coppieters²,

Hodges³

2009

Journal of Electromyography and Kinesiology

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Section: Discussionsupporting

confidence: 75%

Anticipatory postural adjustments to arm movement reveal complex control of paraspinal muscles in the thorax

Lee¹,

Coppieters²,

Hodges³

2009

Journal of Electromyography and Kinesiology

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“…Thirty anatomical textbooks and six databases were searched to find dissection reports that included statistics of the anomalies found in the deep gluteal region (Clericus and Mangetus, 1714;Douglas, 1777;Cheselden, 1778;Simmons, 1780;Aitken, 1786;Monro, 1788;Bell, 1798;Fyfe, 1800;Zuckerman, 1961;Hollinshead, 1967Hollinshead, , 1982Anson and McVay, 1971;Romanes, 1981;Tobias and Arnold, 1981;Joseph, 1982;Hobart, 1984;Rickenbacher et al, 1985;O'Rahilly, 1986;Woodburne and Burkel, 1988;Hall-Craggs, 1990;McMinn, 1990;Lumley et al, 1995;Williams et al, 1995;Ger et al, 1996;Clemente, 1997;Skandalakis, 2004;Snell, 2004;Agur and Dalley, 2005;Cramer and Darby, 2005;Moore and Dalley, 2006). In each textbook, the sections titled ''sciatic nerve'' and/or ''piriformis muscle'' were searched for documentation of dissection reports.…”

Section: Methodsmentioning

confidence: 99%

Variations of the piriformis and sciatic nerve with clinical consequence: A review

2009

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The deep gluteal region is often encountered when performing injections, when performing surgery such as total hip replacements, or diagnosing problems of this region or lower limbs using clinical or imaging techniques. Previously, the prevalence figures of piriformis and sciatic nerve anomalies have ranged from 1.5 to 35.8% in dissected specimens. This study systematically reviews and meta-analyses the prevalence of piriformis and sciatic nerve anomalies in humans using previously published literature. A further review is conducted regarding the anatomical abnormalities present in surgical case series of procedures for patients suffering from piriformis syndrome. After pooling the results of 18 studies and 6,062 cadavers, the prevalence of the anomaly in cadavers was 16.9%; 95% confidence interval (CI) 16.0-17.9%. The prevalence of the piriformis and sciatic nerve anomaly in the surgical case series was 16.2%, 95% CI: 10.7-23.5%. The difference between the two groups was not found to be significant 0.74%; 95% CI: -5.66 to 7.13; P = 0.824. Because of the high likelihood of an anomaly being present in a patient, clinicians and surgeons should be aware of the potential complications this anomaly may have on medical or surgical interventions. Furthermore, because the prevalence of the anomaly in piriformis syndrome patients is not significantly different from what is thought to be a normal population, it indicates that this anomaly may not be as important in the pathogenesis of piriformis syndrome as previously thought.

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“…The lumbocostal ligament is near the superior lumbar triangle (Grynfeltt’s triangle) [3, 6]. This region, believed to arise when the serratus posterior inferior is poorly developed [3], is supported by the thoracolumbar fascia from the internal oblique muscle and the transversus abdominis and is covered by the latissimus dorsi [6].…”

Section: Discussionmentioning

confidence: 99%

“…This region, believed to arise when the serratus posterior inferior is poorly developed [3], is supported by the thoracolumbar fascia from the internal oblique muscle and the transversus abdominis and is covered by the latissimus dorsi [6]. The triangle is bound laterally by the posterior border of the internal abdominal oblique, medially by the quadratus lumborum, and superiorly by the twelfth rib and the lumbocostal ligament [6].…”

Section: Discussionmentioning

confidence: 99%

“…The formation of the ligament begins from the costal processes of the lumbar vertebrae. Here, reinforced fiber strands radiate in a fan-shaped configuration into the middle layer of the thoracolumbar fascia, forming at the upper end the lumbocostal ligament [3]. Along the same path as the ligament is the quadratus lumborum muscle, which lies lateral and posterior to the psoas major muscle [4].…”

Section: Introductionmentioning

confidence: 99%

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The Forgotten Lumbocostal Ligament: Anatomical Study with Application to Thoracolumbar Surgery

Saker

Tardieu

Alonso

et al. 2016

Cureus

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Introduction: Most ligaments of the human body have been well studied. However, the lumbocostal ligament has received little attention in the extant medical literature and, to our knowledge, has not undergone anatomical study. Therefore, the present study was performed to better characterize this structure’s anatomy and relationships.Methods: In the prone position, 10 adult cadavers underwent dissection of their lumbocostal ligaments. All specimens were unembalmed and had no history of surgery to the spine. The lumbocostal ligament was dissected and measurements made using calipers and a ruler. This ligament’s attachments were determined as well as its relationships to surrounding fasciae, muscle, and nerves.Results: A lumbocostal ligament was identified on all sides. The ligament was posterior to the quadratus lumborum muscle on all sides. The mean length of the ligament was 3 cm. The overall shape of the ligaments ranged from short bands to large rhomboidal sheets. Inferiorly, the lumbocostal ligament blended with the middle layer of the thoracolumbar fascia on all sides. The ligament attached to the transverse processes of L1 on 25% of sides and onto the transverse processes of L1 and L2 on 75% of sides. The ligament became taut with rib elevation and was lax with rib depression.Conclusions: The lumbocostal ligament is a constant structure of the thoracolumbar junction. Appreciation of this ligament can help localize the transverse processes of L1 and L2 and adjacent nerves, such as the regional dorsal rami as they exit near its attachment onto the lumbar transverse processes.

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Applied Anatomy of the Back

Cited by 18 publications

References 0 publications

Anticipatory postural adjustments to arm movement reveal complex control of paraspinal muscles in the thorax

Anticipatory postural adjustments to arm movement reveal complex control of paraspinal muscles in the thorax

Variations of the piriformis and sciatic nerve with clinical consequence: A review

The Forgotten Lumbocostal Ligament: Anatomical Study with Application to Thoracolumbar Surgery

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