Relationship of the obturator nerve and psoas major: anatomic study with application to avoiding iatrogenic injuries

Background - The proximal course of the obturator nerve as related to the psoas major has been described differently among various authors. Because this relationship is important for better understanding of clinical presentations and during surgical approaches, this study aimed to elucidate this ana...

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Main Authors: Iwanaga, Joe (Author) , Warner, Tyler (Author) , Scullen, Tyler A. (Author) , von Glinski, Alex (Author) , Ishak, Basem (Author) , Bui, C. J. (Author) , Dumont, Aaron S. (Author) , Tubbs, R. Shane (Author)
Format: Article (Journal)
Language:English
Published: 10 January 2020
In: World neurosurgery
Year: 2020, Volume: 136, Pages: e365-e370
ISSN:1878-8769
DOI:10.1016/j.wneu.2020.01.008
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.wneu.2020.01.008
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S1878875020300152
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Author Notes:Joe Iwanaga, Tyler Warner, Tyler A. Scullen, Alex von Glinski, Basem Ishak, C.J. Bui, Aaron S. Dumont, R. Shane Tubbs
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Summary:Background - The proximal course of the obturator nerve as related to the psoas major has been described differently among various authors. Because this relationship is important for better understanding of clinical presentations and during surgical approaches, this study aimed to elucidate this anatomy via cadaveric dissection. - Methods - Twenty obturator nerves from 10 white cadaveric specimens underwent dissection. Observations were made of the relationship between the nerve and psoas major muscle. - Results - On all sides, the obturator nerve descended posterior to the psoas major and never through it. - Conclusions - These results might be important to clinicians who interpret radiology of this region, to clinicians who treat patients with presumed obturator compression syndromes, or to surgeons who operate near the intracavitary part of the obturator nerve.
Item Description:Gesehen am 30.04.2020
Physical Description:Online Resource
ISSN:1878-8769
DOI:10.1016/j.wneu.2020.01.008