000150808 001__ 150808
000150808 005__ 20251017144653.0
000150808 0247_ $$2doi$$a10.1007/s00276-025-03567-2
000150808 0248_ $$2sideral$$a142699
000150808 037__ $$aART-2025-142699
000150808 041__ $$aeng
000150808 100__ $$aSantamaría-Le Pera, Javier
000150808 245__ $$aAre palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation
000150808 260__ $$c2025
000150808 5060_ $$aAccess copy available to the general public$$fUnrestricted
000150808 5203_ $$aPurpose
The main objective was to study the anatomy of the adductor longus by ultrasound and cadaveric dissection, correlate the findings with the different approaches described, and evaluate the feasibility of defining a “safe window” for interventional musculoskeletal procedures.
Methods
The anatomical study was performed on six cadaveric pieces, while ultrasound evaluations were performed on both lower limbs of 26 subjects (n = 52). Ultrasound variables included the number of saphenous veins, the location of the saphenous vein in relation to the proximal myotendinous junction, the number of vessels within or superficial to the adductor longus, and the distance between the dermis and the inferior border of the adductor longus to the anterior branch of the obturator nerve.
Results
Key anatomic risk factors identified in cadavers included the great saphenous vein, the anterior branch of the obturator nerve, and the vascular network traversing the adductor longus. Ultrasound findings revealed that 91.4% of cases had at least one vessel at the proximal myotendinous junction in the cross-sectional area, almost 60% showed two to five vessels within the thickness of the muscle, and the anterior branch of the obturator nerve was located at a mean depth of 3.63–3.93 cm.
Conclusions
It was not possible to define a “safe” approach area without the risk of damaging any neurovascular bundle due to the high anatomical variability both in number and in the route of these along the adductor longus. Therefore, the use of ultrasound to guide any interventional musculoskeletal procedure is highly recommended.
000150808 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000150808 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000150808 700__ $$aValera-Garrido, Fermín
000150808 700__ $$aValderrama-Canales, Francisco J.
000150808 700__ $$aMinaya-Muñoz, Francisco
000150808 700__ $$0(orcid)0000-0002-9201-0120$$aHerrero, Pablo$$uUniversidad de Zaragoza
000150808 700__ $$0(orcid)0000-0002-6506-6081$$aLapuente-Hernández, Diego$$uUniversidad de Zaragoza
000150808 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000150808 773__ $$g47, 1 (2025), 74 [8 pp.]$$pSurg. radiol. anat.$$tSurgical and radiologic anatomy$$x0930-1038
000150808 8564_ $$s1456832$$uhttps://zaguan.unizar.es/record/150808/files/texto_completo.pdf$$yVersión publicada
000150808 8564_ $$s1866414$$uhttps://zaguan.unizar.es/record/150808/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000150808 909CO $$ooai:zaguan.unizar.es:150808$$particulos$$pdriver
000150808 951__ $$a2025-10-17-14:37:16
000150808 980__ $$aARTICLE