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Trunk Muscles
Published in Eve K. Boyle, Vondel S. E. Mahon, Rui Diogo, Handbook of Muscle Variations and Anomalies in Humans, 2022
Eve K. Boyle, Vondel S. E. Mahon, Rui Diogo, Rowan Sherwood
A detached portion or third head of iliacus is referred to as iliacus minor (Winslow) (Macalister 1875; Bergman et al. 1988; Saga and Takahashi 2016). Iliacus minor originates from the anterior inferior iliac spine, passes deep to iliopsoas in front of the hip joint capsule, and attaches to the lower portion of the intertrochanteric line on the femur and/or into the iliofemoral ligament (Macalister 1875; Knott 1883a; Das and Singh 1950; Bergman et al. 1988; Saga and Takahashi 2016). Macalister (1875) notes that the insertion is “always above the main iliacus tendon” but Ward et al. (2000) and Babst et al. (2011) state that the insertion of iliocapsularis is distal to the lesser trochanter.
Salter's osteotomy and Dega osteotomy
Published in K. Mohan Iyer, Hip Preservation Techniques, 2019
The skin incision used is an oblique “bikini” incision, as the bikini incision results in excellent exposure and cosmoses. The anterior inferior iliac spine is palpated and marked. The incision begins about two-thirds of the distance from the greater trochanter to the iliac crest, crosses the inferior spine and extends 1 or 2 cm beyond the inferior spine.
Pelvis and perineum
Published in David Heylings, Stephen Carmichael, Samuel Leinster, Janak Saada, Bari M. Logan, Ralph T. Hutchings, McMinn’s Concise Human Anatomy, 2017
David Heylings, Stephen Carmichael, Samuel Leinster, Janak Saada, Bari M. Logan, Ralph T. Hutchings
The hip (innominate) bone - superiorly lies the crest of the ilium, which terminates anteriorly as the anterior superior iliac spine and just inferior to which is the anterior inferior iliac spine (Figs. 7.1, 7.2). On the inner aspect of the ilium, level with the acetabulum, lies an edge, the arcuate line. The pubic bone anteriorly has on its superior edge a swelling, the pubic tubercle, and two extensions projecting laterally - the superior and inferior rami. Posteriorly and inferior to the ilium lies the ischium, formed by a tubercle, on which we sit, a spine projecting medially and an inferior ramus. The large opening within is the obturator foramen, mostly closed by the obturator membrane, which has a small gap, the obturator canal, superiorly. Posteriorly between the ischium, ilium and sacrum lies the greater and lesser sciatic notches, turned into foramina by the sacro- spinous and sacrotuberous ligaments.
Comparison between pericapsular nerve group block and morphine infusion in reducing pain of proximal femur fracture in the emergency department: A randomized controlled study
Published in Egyptian Journal of Anaesthesia, 2023
Abdelrhman Alshawadfy, Ahmed M. Elewa, Mahmoud Ahmed Mewafy, Ahmed A. Ellilly
With the patient in the supine position, the ultrasound curvilinear (2.5–5 MHz) probe was placed on a transverse plane over the anterior superior iliac spine. Once the spine was identified, the transducer was aligned with the pubic ramus and rotated at approximately 45 degrees, parallel to the inguinal crease. The transducer was then slid medially along this axis until the anterior inferior iliac spine, iliopubic eminence, and the psoas tendon were identified, serving as anatomic landmarks. The head of the femur was exposed through sliding the probe distally or gently tilting caudally. After returning to the initial starting position, a standard B-Braun Stimuplex 22 G × 100 mm needle was inserted in-plane under ultrasound guidance, from lateral to medial, in the plane between the psoas tendon and the pubic ramus. All the blocks were performed in an aseptic setting with the patient observed.
External iliac artery injury following total hip arthroplasty via the direct anterior approach—a case report
Published in Acta Orthopaedica, 2020
Ellen Burlage, Jasper G Gerbers, Bob R H Geelkerken, Wiebe C Verra
Severe vascular injury during total hip arthroplasty is a rare complication estimated at between 0.16% and 0.25% (Nachbur et al. 1979). More recent studies report an incidence of 0.04% in primary THA with an increase to 0.19% in revision arthroplasty (Abularrage et al. 2008). In general, regardless of the surgical approach, injuries have been reported in all the main vessels around the hip, the common femoral artery being the most reported damaged vessel and the external iliac artery thereafter (Shoenfeld et al. 1990, Lazarides et al. 1991). They are at risk because of their anatomical location (Bach et al. 2002, Kawasaki 2012). At the level of the anterior inferior iliac spine the external iliac vessels lie only 7 millimeters from the bone. In some cases they lie directly on the osseous surface as they leave the cavity of the pelvis (Rue et al. 2004, Kawasaki 2012).
Femoral and pelvic osteotomies for severe hip displacement in nonambulatory children with cerebral palsy: a prospective population-based study of 31 patients with 7 years’ follow-up
Published in Acta Orthopaedica, 2019
For the pelvic osteotomy, a modification of the incomplete transiliac Dega osteotomy was performed (Grudziak and Ward 2001) through a transverse anterior incision approximately 2 cm distal to the superior anterior iliac spine. The anterior part of the iliac apophysis was split and the inner and outer tables of the ilium were subperiosteally exposed. The osteotomy was performed with curved osteotomes. It started just above the anterior inferior iliac spine and proceeded posteriorly, keeping about 1.5 cm above the attachment of the joint capsule. The direction of the osteotomy was medially and inferiorly and ended just above the horizontal limb of the triradiate cartilage, leaving the posterior part of the cortex at the sciatic notch intact. A broad osteotome was used to lever open the osteotomy laterally and anteriorly. The bone graft from the femoral shortening was inserted in the open wedge (Figure 1).