Morphometric study of the semitendinosus muscle and its neurovascular pedicles in South Indian cadavers

Vadgaonkar, Rajanigandha; Prameela, M. D.; Murlimanju, B. V.; Tonse, Mamatha; Chettiar, Ganesh Kumar; Massand, Amit; Blossom, Vandana; Prabhu, Latha V.

doi:10.5115/acb.2018.51.1.1

Cited by 6 publications

(4 citation statements)

References 20 publications

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“…All were innervated by the nervus subcostalis (T12) and arterial supply was by a branch from the inferior epigastric artery. Knowledge about the neurovascular pedicle of a muscle makes the job easier for surgeons operating on ap procedures [37]. Hence, variations in the arterial supply and innervation are crucial for the PM to be considered as a ap in reconstructive surgeries [13].…”

Section: Discussionmentioning

confidence: 99%

Reappraisal of the anatomical diversity of the pyramidalis muscle with its substantial clinical applicability: Cadaveric analysis

NB¹,

Patra

Ravi

et al. 2023

Preprint

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Purpose: The study aimed to analyze the anatomical diversity of the pyramidalis muscle (PM), their association with sex, laterality and possible role in muscle biomechanics. Materials & Methods: 51 formalin-fixed cadavers (36 males and 15 females) were examined for PM. Based on the mode of insertion or the level of apex, the formation of the muscle was classified into nine patterns. Observations: PM was more prevalent bilaterally (39.21%) than unilaterally (1.96%) (p=0.001) and more frequently in males (41.67%) than in females (40%). (p>0.05). Side symmetry was detected except in one case and Type 7 was the most common form. The mean length of PM in males and females was 4.51±0.14 and 3.33±0.12 cm on the right and 4.51±0.11 and 3.26±0.16 cm on the left side. The mean width of right-sided PMs in males and females was 1.90±0.17 and 1.58±0.13 cm and left-sided 1.88±0.14 and 1.55±0.38 cm. mean of Pyramidalis-puboumbilical index (PPI) in males and females was 32.82±1.65 and 27.50±1.08 respectively. The mean insertion angle was 24.56±3.07 on right and 23±2.03 on the left side (p=0.03). Male predominance existed on right and left-sided PM length (p<0.001 and p<0.001), width (p=0.001) and PPI (P=0.001). The strong positive correlation (r=0.83) between length and width indicates a symmetrical muscle augmentation in the two dimensions. Conclusion: PM is an inconsistent anatomical structure with persistent morphology. The level and angle of insertion into the linea are crucial in the biomechanics of linea alba. PPI, determining the level of termination would be useful to surgeons making midline infra-umbilical incisions.

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Section: Discussionmentioning

confidence: 99%

Reappraisal of the anatomical diversity of the pyramidalis muscle with its substantial clinical applicability: Cadaveric analysis

NB¹,

Patra

Ravi

et al. 2023

Preprint

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“…At the same time, the choice of graft often depends on the surgeon's preference based on surgical training, experience, and success rates. The choice of graft should also be determined by the graft morphometries and other considerations such as age, body size, activity level, concomitant injuries, donor-site morbidity, and return to active sport [6,12,13] as well as morphological differences and variations amongst individuals of different race, ethnicity, and sexes [14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Morphometry of the patellar tendon using a simple tracing method: a gold standard for anterior cruciate ligament reconstruction

Latiff

2023

Anat Cell Biol

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The anterior cruciate ligament (ACL) is mostly damaged in sporting activities. To reconstruct the damaged ACL, a patellar tendon (PT) is often the most preferred graft due to its fast healing and bone integration i.e. bone-patellar tendon-bone graft. Suitability of the PT often depends on the morphometric profile of the tendon. This study reported on the harvestable surface area (SA) of the tendon using a simple tracing method. The PT of 79 adult formalin-fixed cadavers of South Africans of European Ancestry were dissected, and the margins of the PT were traced on a wax paper before the tracings were scanned. The SA, straight proximal width (SPW), curved proximal width (CPW), straight distal width (SDW), curved distal width (CDW) and length of tendon (LOT) from the digitized image of the PT was measured. In addition, the length of the lower limbs was measured to normalize the measurements. The results showed no significant side differences, and the measurements were not sexually dimorphic. A strong correlation was reported for SA vs. LOT, SPW vs. CPW and SDW vs. CDW for both sexes and sides. The presented morphological profile provides additional information on the usability of the graft and with respect to healing and recovery.

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“…Each graft has its own advantages and disadvantages and may differ extensively in everyone (Romanini et al, 2010;Cerulli et al, 2013;Dhammi et al, 2015). From an anatomical point of view, there are morphological differences amongst individuals of different sexes, race and ethnicity, which means that the choice of graft in an individual may not be solely based on a surgeon's preference (Xerogeanes et al, 2013;van Zyl et al, 2016;Gupta et al, 2017;Vadgaonkar et al, 2018). This study explored the morphometric profile of the QT, a commonly used autograft (Frank et al, 2017), with the aim that it could serve as a guide to surgeons when choosing autografts.…”

Section: Introductionmentioning

confidence: 99%

Morphometry of the harvestable surface area of quadriceps tendon using a simple tracing method: A common ACL autograft

Latiff¹,

Olateju²

2022

EJA

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Several tendons can be used as autografts for anterior cruciate ligament reconstruction, and the choice often depends on the surgeons’ preferences. The quadriceps tendon is a commonly used autograft. This study presented, for the first time, the morphometry of the harvestable area of the QT using a simple tracing method. Adult cadavers of South Africans of European Ancestry were carefully dissected to expose the tendon. Then the tendon outline (premarked to enhance visibility) was then traced on a firmly secured wax paper which assumed the curvature of the tendon in situ. The tracing was then scanned (with its inscribed scale bar) and the morphometrics were measured on the digitized images using an imageJ software. The limb length was also measured in order to normalize all the measurements. Despite the observable difference in the surface area of the quadriceps tendon in each individual, there was no significant difference. For the other measurements, there were no side or sex differences except for the straight distal width which is sexually dimorphic. Some paired parameters showed a strong correlation but the correlation between the limb length and other measurements was weak. These data will be useful for pre-operative planning of anterior cruciate ligament reconstruction and will shed more light into the usability of the quadriceps tendon as a graft with respect to healing at the donor site and the return of knee function.

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Morphometric study of the semitendinosus muscle and its neurovascular pedicles in South Indian cadavers

Cited by 6 publications

References 20 publications

Reappraisal of the anatomical diversity of the pyramidalis muscle with its substantial clinical applicability: Cadaveric analysis

Reappraisal of the anatomical diversity of the pyramidalis muscle with its substantial clinical applicability: Cadaveric analysis

Morphometry of the patellar tendon using a simple tracing method: a gold standard for anterior cruciate ligament reconstruction

Morphometry of the harvestable surface area of quadriceps tendon using a simple tracing method: A common ACL autograft

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