RÉSUMÉ
Background: Hernia is defined as abnormal protrusion of whole or a part of a viscus through the wall that contains it. Among all external abdominal hernias, inguinal hernia is one most typically encountered. Many factors are responsible for the formation of hernia. We intended to study the risk of inguinal hernia in low lying pubic tubercle. Methods: The study was conducted on patients in AJIMS, India. It is a case-control study with 80 cases and 80 control meeting inclusion criteria, in all patients, following parameters SS line, ST line, height, weight was recorded and evaluated. Results: The average SS value for case which was much above the average in control.ST value was higher case group than control group, and p<0.0001 which was significant. when it comes to the mean of (SS/ST ratio)/height was higher in the case group than control group. Results developed show majority of the subjects with a low-lying pubic tubercle were inguinal hernia patients. Conclusions: Based on my study, interspinal distance (SS line) and pubo-spinal distance (ST line) are more in cases compared to control. Configuration of bony pelvis seems to be a major contributing factor in determining the risk of development of inguinal hernia as evidenced by the variations in ST length. This low-lying pubic tubercle is very important before selecting the patient for any surgical correction. So, the proper demonstration of anatomy of inguinal region is very important before selecting the surgical technique.
RÉSUMÉ
Background: Femoral nerve is a nerve of choice forfemoral nerve blockade. It enters the femoral triangle atthe midinguinal point. However, this point of entry neednot be the same always. Aim and Objectives: This studyis aimed at measuring the morphometry of the femoralnerve with the help of bony landmarks. Material andmethods: Forty adult lower limbs were dissected andthe morphometry of the femoral nerve was studied.Results: The mean distance from the Anterior SuperiorIliac Spine (ASIS) to the pubic tubercle was 12.66 ±1.48 cm. We found the FN from the ASIS at a meandistance of 6.38 ± 1.45 cm. Also, the FN was at a meandistance of 6.76 ± 1.12 cm from the pubic tubercle. Themean length of the FN trunk below the inguinalligament, i.e., in the femoral triangle before the divisionwas 2.19 ± 0.34 cm. However, in 8 lower limbs, the FNtrunk was divided before entering the femoral triangle.Conclusion: The findings of our study serve as anenabling guide to the surgeons, neurologists andanesthetist's in detecting the FN for various clinical andsurgical procedures.
RÉSUMÉ
Background: Hernia is defined as abnormal protrusion of whole or a part of a viscus through the wall that contains it. Among all external abdominal hernias, inguinal hernia is one most commonly encountered. Many factors are responsible for the formation of the inguinal hernia but, what makes a few people more susceptible to this situation is still clearly not proved. The lowness of pubic tubercle is associated with narrow origin of internal oblique muscle from lateral inguinal ligament which fails to protect the deep inguinal ring consequently lead to inguinal hernia.Methods: The study was conducted in Sardar Patel Medical College and attached hospital, Bikaner for duration of 12 months from March 2018 to February 2019. It is a case-control study with 50 cases and 50 control meeting inclusion criteria. In all patients, following parameters SS line, ST line, height, weight was recorded and evaluated.Results: The mean value of ST line in our study group is 7.37±0.182 cm which is significantly greater (p=0.0001) than the controls the mean value being 7.01±0.262 cm. In our study, 98% of cases were having ST line >7.01 cm whereas 66% of controls were ST line under 7.01 cm.Conclusions: Group of people with low lying pubic tubercle are at high risk of developing inguinal hernia.
RÉSUMÉ
Avulsion fractures of the anterior superior iliac spine are rare with a incidence 1.4% of pelvis injuries. This injury met commonly in adolescents, as an avulsion fracture of the apophyses, a result of suddenly and forcefully contraction or repetitive contraction of the sartorius and tensor fasciae latae muscles. Patients feel a severe pain localized in the anterior superior iliac spine on palpation and gait can be affected by pain. A high index of suspicion is necessary for emergency physicians to diagnose this rare injury. Treatment is mostly conservative although surgical treatment is required occasionally. We present a 46 years old man admitted to emergency department with a sudden pain on the right of pelvis after stumbling on the road. Avulsion fracture of anterior superior iliac spine detected by means of pelvis x-ray and computed tomography. Surgical intervention was preferred for this non-traumatic fracture due to bone displacement degree and milimetric exocytosis. Our case was unique according to patient’s age, trauma mechanism and treatment requirement as surgery.
RÉSUMÉ
[Objective]To introduce the pathogeny,diagnosis and treatment of anterior superior iliac spine avulsion fracture in adolescent.[Method]Fifteen cases were treated with conservative or open treatments according the different severity in Shanghai children's medical center.[Result]With both conservative and open treatments,all cases returned to full activity without residual complaints or weakness.[Conclusion]Correct diagnosis and treatment will get good results in ASIS avulsion fracture.