Anatomical risk evaluation of iatrogenic injury to the infrapatellar branch of the saphenous nerve during medial meniscus arthroscopic surgery.

Purpose: To determine the relationship of the medial meniscus with the infrapatellar branches of the saphenous nerve, the primary goal is to define and characterize different risk areas for these nerves during medial meniscus surgery. Methods: After dissecting 20 embalmed cadaver knees, we defined 7...

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Publicado en:Surgical & Radiologic Anatomy Vol. 39; no. 6; pp. 611 - 619
Autores principales: Koch, Guillaume, Clavert, Philippe, Kling, Agathe, Ramamurthy, Nitin, Edalat, Faramarz, Cazzato, Roberto, Garnon, Julien, Kahn, Jean-Luc
Formato: Journal Article
Publicado: Springer Nature Jun2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2017
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      pub: Springer Nature
      place: New York, New York
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        atl: Anatomical risk evaluation of iatrogenic injury to the infrapatellar branch of the saphenous nerve during medial meniscus arthroscopic surgery.
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          Koch, Guillaume
          Clavert, Philippe
          Kling, Agathe
          Ramamurthy, Nitin
          Edalat, Faramarz
          Cazzato, Roberto
          Garnon, Julien
          Kahn, Jean-Luc
        affil: Department of Orthopedic Surgery-CCOM , Strasbourg University Hospital , 10 avenue Baumann 67403 Illkirch France
      sug:
      ab: Purpose: To determine the relationship of the medial meniscus with the infrapatellar branches of the saphenous nerve, the primary goal is to define and characterize different risk areas for these nerves during medial meniscus surgery. Methods: After dissecting 20 embalmed cadaver knees, we defined 7 readily identifiable anatomical landmarks. For each knee, we recorded 2 morphological criteria and 16 measurements. Results: The most common anatomical course is a main trunk that is 8 mm anterior to the tuberculum adductorium and 60 mm posterior to the midpoint of the medial patellar margin. It has two main infrapatellar branches. The nerve division is 23 mm above the joint line. The path is oblique with an angle of 55.5°. The anterior meniscal landmark is 24 mm from the upper branch and 42.5 mm from the lower branch. The posterior meniscal landmark is 55 mm from the upper branch and 38 mm from the lower branch. Conclusions: We defined a common anatomical course for the saphenous nerve and its infrapatellar branches. Then, three different areas were defined at risk for iatrogenic nerve injuries during medial meniscus.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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