507 © Springer Nature Switzerland AG 2021 D. Narayan Et Al. (Eds.), Surgical and Perioperative Management of Patients With

Total Page:16

File Type:pdf, Size:1020Kb

507 © Springer Nature Switzerland AG 2021 D. Narayan Et Al. (Eds.), Surgical and Perioperative Management of Patients With Index A defnition of, 355 Abdominal testicle, 320 postoperative care, 356 Abdominal wall and scrotum, 318 surgical interventions, 355 Abductor pollicis longus (APL), 405 symptoms/complications, 355 Aberrant right subclavian artery, 137 types/causes, 355 Abnormalities of the spermatic cord, 322 Acute mesenteric ischemia, 166 Accessory bones Adrenals common, of foot, 420, 422 anatomy, 286 uncommon, of foot and ankle, 423 lymphatics, 287 Accessory brachial artery (ABA), 439, 440 nerves, 287 Accessory deep peroneal nerve (aDPN), vasculature, 286 429, 430 congenital anomalies, 287 Accessory fexor digitorum longus embryology, 287 (aFDL), 426 Agenesis and hypoplasia of pancreas, 245 Accessory musculotendinous Airway management structures, 425–427 for additional congenital syndromes, 73 Accessory navicular with close proximity to congenital airway anomalies, 59–61 the navicular tuberosity, 422 Apert’s syndrome, 68 Accessory nerve (CN XI), 28 Beckwith-Weidemann syndrome, 65 Accessory ossicles, 411 cleft lip and palate, 62, 63 Achalasia, 147 Crouzon’s syndrome, 68 Achondroplasia, 116 Goldenhar syndrome, 68 Acquired spinal disorders anatomy juvenile rheumatoid arthritis, 64 lumbar disc herniation, 351, 353 Klippel–Feil syndrome, 70 complications, 353 laryngeal clefts, 72, 73 postoperative care, 353 laryngeal webs, 71, 72 surgical intervention, 353 laryngotracheomalacia, 61, 62 types, 353 mucopolysaccharidoses, 64 lumbar stenosis, 353 obstructive sleep apnea, 68, 69 postoperative care, 354 Pierre–Robin syndrome, 66 surgical intervention, 354 pyriform aperture stenosis, 72 symptoms/complications, 354 subglottic stenosis, 70, 71 types/causes, 354 Treacher Collins syndrome, 66 osteoporosis, 349 trisomy 21, 65 postoperative care, 351 defnition of, 57 primary, 349 diffcult airway, 59 surgical intervention, 350 endotracheal tube size selection and depth vertebral fractures, 350 insertion, 61 scoliosis general principles of, 74 © Springer Nature Switzerland AG 2021 507 D. Narayan et al. (eds.), Surgical and Perioperative Management of Patients with Anatomic Anomalies, https://doi.org/10.1007/978-3-030-55660-0 508 Index Airway management (cont.) Anatomical anomalies of foot and ankle endotracheal tube, 76 deformities LMA, 75, 76 amniotic band syndrome, 427, 428 pre-oxygenation, 76 clubfoot, 427 mallampati classifcation, 74 hypoplasia of lower extremity/fbular normal airway anatomy, 57–59 hemimelia, 428 pediatric vs. adult airway, 59 sirenomelia, 429 pre-operative assessment, 73, 74 syndactyly and polydactyly, 429 tracheal intubation, 74 tibial hemimelia, 428 Amniotic band syndrome, 427, 428 trisomy 21, 427 Anatomic abnormalities, 112 musculoskeletal anomalies of the foot and Anatomical anomalies ankle (see Musculoskeletal anatomical landmarks, 360, 361 anomalies of the foot and ankle) burn injuries, 42 (see Microstomia) peripheral nerve anomalies, 429–431 connective tissue disorders, 361 vascular anomalies, 432, 433 coronoid process hyperplasia, 38 Anconeus, 401 dural ectasia, 361 Angiotensin-converting enzyme (ACE) lower extremity, 366–370 inhibitors, 258 Marfan syndrome, 47, 48 Ankylosis, 37 management of, 48 Annular pancreas, 175, 194, 242–244 oral-facial manifestations of, 48 Anomalies of the urachus, 290 masticatory muscle tendon-aponeurosis Anomalies of the vas deferens, 298 hyperplasia, 39, 40 Anomalous left pulmonary artery (LPA), 139 management, 40 Anomalous muscles oral-facial manifestations of, 40 EDBM, 406 neuraxial anesthesia, 359, 361 EMP, 407 placement of, 361 extensor pollicis et indicis, 406 obesity, 46 fexor carpi radialis brevis, 399 management of, 47 palmaris profundus, 400 oral-facial manifestations of, 46 Anomalous origin of LPA from RPA, 140 oral submucous fbrosis, 38 Anomalous origin of the pulmonary artery, management, 39 138, 140 oral-facial manifestations of, 39 Anomalous pancreaticobiliary junction Rett syndrome, 48, 50 (APBJ), 246, 247 management of, 50, 51 Anomalous right pulmonary artery (RPA), oral-facial manifestations of, 50 138, 139 scleroderma Anterior compartment localized, 40 anomalous muscle, 399, 400 management in operating room, 42 deep muscle, 397–399 oral-facial manifestations of, 41 intermediate muscle, 394, 396 systemic, 40 superfcial muscles, 392–394 subcutaneous emphysema, 43 Anterior infrahyoid muscles, 22 clinical signs, 43 Anterior interosseous artery (AIA), 444 etiologies of, 44 Anterior interosseous nerve (AIN), 380, 381 management of, 44 normal course, 380 occurrence of, 44 variation and pathology, 380 symptoms of, 44 Anterior mandibular space, 58 temporomandibular joint, 35 Anterior scalene muscle, 26 ankylosis, 37, 38 Anterior superior iliac spine (ASIS), 145 closed lock management, 36, 37 Anterior tibial artery (ATA), 432, 454 tori normal course, 454 management of, 51–53 Anterior tibial veins (ATVs), 461 oral-facial manifestations of, 51 Anterior urethra, 298 upper extremity, 362, 363, 365, 366 Anterior urethral valves, 302, 303 Index 509 Anteromedial thigh fap, 452 Bipartite tibial sesamoid, 421 Aortic arches, 125 Bismuth–Corlette classifcation of choledochal Aortic saturation, 471 cysts, 231 Aortic stenosis, 114, 115 Bladder Apert’s syndrome, 68, 429 anatomy, 288 Aphalia, 317 congenital abnormalities Aplasia cutis congenital and epidermolysis bladder agenesis, 293 bullosa, 187 bladder diverticulum, 292 Aponeurosis, 5 bladder exstrophy, 291, 292 Arachnoid mater, 6 bladder septation/duplication, 292 Arch anatomical variants megacystis, 292, 293 cervical aortic arch, 133 embryology, 289 coarctation of the aorta, 129–131 urachus, congenital abnormalities double aortic arch, 126, 127 patent urachus, 289 ductus diverticulum, 133, 135 urachal cyst and urachal sinus, hypoplastic ascending aorta, 129 289, 290 interrupted aortic arch, 131, 133 Bladder agenesis, 293 patent ductus arteriosus, 133 Bladder diverticulum, 292 right-sided aortic arch, 127, 128 Bladder exstrophy, 291, 292 Arnold’s nerve, 99 Bladder septation or duplication, 292 Arteria lusoria, 86 Bland-White-Garland syndrome, 496 Arterial supply to the spinal cord, 352 Blood supply Artery to the vas deferens, 318 brain, 8 Atrial septal defect (ASD), 470, 477, 479 esophagus, 148 Atrialization, 495 face, 11 Atrioventricular septal defect (AVSD), gallbladder, 171, 172 480, 481 kidneys, 254–256 Auerbach’s plexus, 150 large intestine, 165, 166 Autosomal dominant PKD (ADPKD), 270 lymphatics, 257 Autosomal recessive PKD (ARPKD), 270 pancreas, 175, 238, 239 rectum, 169 small intestine, 161 B stomach, 157 Bare area, 207 ureters, 261 Barrett’s esophagus, 150 urinary bladder, 263 Basilic vein (BV), 448 Bochdalek’s foramen, 275 Beckwith-Wiedemann syndrome, 65, 246 Bovine arch, 135, 136 Behçet disease, 500 Bowman’s capsule, 253, 258 Berretini anastomoses, 385 Bowman’s space, 258 Berretini and Riche-Cannieu anastomoses, 387 Brachial artery, 437 Biconcave articular disc, 35 Brachial plexus, 30 Bicuspid aortic valve, 484, 499 Brachiointerosseous artery (BIA), 442 Bifurcation, 430, 431 Brachioradial artery (BRA), 441 Bilateral inguinal hernias, 291 Brachioradialis, 402 Bilateral microdecompression, 354 Brachioulnar artery (BUA), 442 Bilateral renal agenesis, 274 Brachymetatarsia, 423, 424 Bilateral vesicoureteral refux (VUR), 284 Brain Biliary anatomy blood supply, 8 choledochal cysts brainstem, 8 anatomy and classifcation, 230, 231 cerebellum, 8 management, 231, 232 cerebrum, 7 gallbladder, anatomy of, 221, 223, 225 diencephalon, 8 intrahepatic biliary anatomy, 225, 227, 228 ventricular system, 8 portal triad and pringle maneuver, 228, 230 Brainstem, 8 510 Index Branch vessel variants partial anomalous pulmonary venous aberrant right subclavian artery, 137 return, 495 anomalous origin of the pulmonary artery, patent ductus arteriosus, 480 138, 140 pulmonary arterial hypertension, 499 bovine arch, 135 pulmonary artery aneurysm, 494 common brachiocephalic trunk, 138 pulmonary atresia, 495 thyroidea ima artery, 137 quadricuspid aortic valve, 499 Branchial cleft cyst, 108 rasmussen aneurysm, 500 Branchial complex, variations and rheumatic heart disease, 501 pathology, 106–108 Takayasu arteritis, 501 Brunner’s glands, 162 TAPVR, 495 Bruxism, 50 tetralogy of Fallot, 484 Buck’s fascia, 308 transposition of the great vessels, Bulbar urethra, 299 484, 487 Bulbourethral artery, 308 tricuspid atresia, 487 Bulbourethral/cowper’s glands, 299 truncus arteriosus, 487 Buried/concealed penis, 311, 312 ventricular septal defect, 477 Buried penis, 311 anesthetic perioperative management Burn injuries, 42 history, 473 intraoperative considerations, 475, 476 C laboratory tests and imaging, 473 Calcitonin gene-related peptide monitoring, 473, 474 (CGRP), 239 physical examination, 473 Cantlie’s line, 219 subacute endocarditis prophylaxis, 476 Carbohydrates, 163 vascular access, 474, 475 Cardiac anatomic anomalies noncardiac surgery in patients with anesthesia management and CHD, 476 vascular access regional anesthesia for, 477 atrial septal defect, 477 pathophysiology, 470 atrioventricular septal defect, 480 cardiac shunt, 470 Behçet disease, 500 mechanical and dynamic bicuspid aortic valve, 499 obstruction, 472 bland-white-garland syndrome, 496 quantifcation of shunts, 471, 472 coarctation of the aorta, 480, 482 Cardiac shunt, 470 congenital aortic stenosis, 482, 483 Carotid artery congenital pulmonary stenosis, 480 normal course, 81, 82 cor triatriatum, 498 variations and pathologies, 82, 83 dextrocardia, 491 Carotid endarterectomies (CEA), 94 DORV, 489 Carpal bipartitions, 410, 411 double-outlet left ventricle, 498 Carpal bones Ebstein’s anomaly, 495 normal anatomy,
Recommended publications
  • Reconstructive
    RECONSTRUCTIVE Angiosomes of the Foot and Ankle and Clinical Implications for Limb Salvage: Reconstruction, Incisions, and Revascularization Christopher E. Attinger, Background: Ian Taylor introduced the angiosome concept, separating the M.D. body into distinct three-dimensional blocks of tissue fed by source arteries. Karen Kim Evans, M.D. Understanding the angiosomes of the foot and ankle and the interaction among Erwin Bulan, M.D. their source arteries is clinically useful in surgery of the foot and ankle, especially Peter Blume, D.P.M. in the presence of peripheral vascular disease. Paul Cooper, M.D. Methods: In 50 cadaver dissections of the lower extremity, arteries were injected Washington, D.C.; New Haven, with methyl methacrylate in different colors and dissected. Preoperatively, each Conn.; and Millburn, N.J. reconstructive patient’s vascular anatomy was routinely analyzed using a Dopp- ler instrument and the results were evaluated. Results: There are six angiosomes of the foot and ankle originating from the three main arteries and their branches to the foot and ankle. The three branches of the posterior tibial artery each supply distinct portions of the plantar foot. The two branches of the peroneal artery supply the anterolateral portion of the ankle and rear foot. The anterior tibial artery supplies the anterior ankle, and its continuation, the dorsalis pedis artery, supplies the dorsum of the foot. Blood flow to the foot and ankle is redundant, because the three major arteries feeding the foot have multiple arterial-arterial connections. By selectively performing a Doppler examination of these connections, it is possible to quickly map the existing vascular tree and the direction of flow.
    [Show full text]
  • Cadaveric Atlas for Orthoplastic Lower Limb and Foot Reconstruction of Soft Tissue Defects
    Review Article Clinics in Surgery Published: 28 Jun, 2018 Cadaveric Atlas for Orthoplastic Lower Limb and Foot Reconstruction of Soft Tissue Defects Kaitlyn L Ward1, Anthony Romano1 and Edgardo R Rodriguez-Collazo2* 1Franciscan Foot & Ankle Institute, Federal Way, WA, USA 2Presence Saint Joseph Hospital, Chicago, IL, USA Abstract Soft tissue deficits or non-healing wounds are a common and challenging problem faced by the lower extremity reconstructive surgeon. These cases often end in proximal amputation, especially in those with co-morbidities, compromised angiosomes, or following significant trauma. This atlas provides a guide for surgeons to understand and treat soft tissue lower extremity defects and complications. We discuss basic orthoplastic reconstructive principles and patient work-up; thus, alleviating the need to refer to a plastic or microsurgical specialist. Additionally, incision placement, anatomy of perforators, axial flow and arc of rotation for flaps are shown for medial, lateral and anterior compartments of the lower leg as well as the foot. The muscular and fascio cutaneous flaps in this atlas can be used to cover almost all areas of the lower extremity from the knee distally to the digits. The purpose of this atlas is to serve as a guide for surgeons to more effectively treat these soft tissue defects without the need for amputation. Keywords: Orthoplastic; Reconstruction; Soft tissue defects; Flaps; Lower extremity Introduction and Preoperative Planning The first step in preparation for performing any flap is precise preoperative planning. Anatomic landmarks should be utilized to map out major neurovascular structures and perforating vessels. OPEN ACCESS Locations and patency of said vessels can be further confirmed with the use of Doppler ultrasound *Correspondence: and/or angiography if necessary.
    [Show full text]
  • On the Position and Course of the Deep Plantar Arteries, with Special Reference to the So-Called Plantar Metatarsal Arteries
    Okajimas Fol. anat. jap., 48: 295-322, 1971 On the Position and Course of the Deep Plantar Arteries, with Special Reference to the So-Called Plantar Metatarsal Arteries By Takuro Murakami Department of Anatomy, Okayama University Medical School, Okayama, Japan -Received for publication, June 7, 1971- Recently, we have confirmed that, as in the hand and foot of the monkey (Koch, 1939 ; Nishi, 1943), the arterial supply of the human deep metacarpus is composed of two layers ; the superficial layer on the palmar surfaces of the interosseous muscles and the deep layer within the muscles (Murakami, 1969). In that study, we pointed out that both layers can be classified into two kinds of arteries, one descending along the boundary of the interosseous muscles over the metacarpal bone (superficial and deep palmar metacarpal arteries), and the other de- scending along the boundary of the muscles in the intermetacarpal space (superficial and deep intermetacarpal arteries). In the human foot, on the other hand, the so-called plantar meta- tarsal arteries are occasionally found deep to the plantar surfaces of the interosseous muscles in addition to their usual positions on the plantar surfaces of the muscles (Pernkopf, 1943). And they are some- times described as lying in the intermetatarsal spaces (Baum, 1904), or sometimes descending along the metatarsal bones (Edwards, 1960). These circumstances suggest the existence in the human of deep planta of the two arterial layers and of the two kinds of descending arteries. There are, however, but few studies on the courses and positions of the deep plantar arteries, especially of the so-called plantar metatarsal arteries.
    [Show full text]
  • Clinical Anatomy of the Lower Extremity
    Государственное бюджетное образовательное учреждение высшего профессионального образования «Иркутский государственный медицинский университет» Министерства здравоохранения Российской Федерации Department of Operative Surgery and Topographic Anatomy Clinical anatomy of the lower extremity Teaching aid Иркутск ИГМУ 2016 УДК [617.58 + 611.728](075.8) ББК 54.578.4я73. К 49 Recommended by faculty methodological council of medical department of SBEI HE ISMU The Ministry of Health of The Russian Federation as a training manual for independent work of foreign students from medical faculty, faculty of pediatrics, faculty of dentistry, protocol № 01.02.2016. Authors: G.I. Songolov - associate professor, Head of Department of Operative Surgery and Topographic Anatomy, PhD, MD SBEI HE ISMU The Ministry of Health of The Russian Federation. O. P.Galeeva - associate professor of Department of Operative Surgery and Topographic Anatomy, MD, PhD SBEI HE ISMU The Ministry of Health of The Russian Federation. A.A. Yudin - assistant of department of Operative Surgery and Topographic Anatomy SBEI HE ISMU The Ministry of Health of The Russian Federation. S. N. Redkov – assistant of department of Operative Surgery and Topographic Anatomy SBEI HE ISMU THE Ministry of Health of The Russian Federation. Reviewers: E.V. Gvildis - head of department of foreign languages with the course of the Latin and Russian as foreign languages of SBEI HE ISMU The Ministry of Health of The Russian Federation, PhD, L.V. Sorokina - associate Professor of Department of Anesthesiology and Reanimation at ISMU, PhD, MD Songolov G.I K49 Clinical anatomy of lower extremity: teaching aid / Songolov G.I, Galeeva O.P, Redkov S.N, Yudin, A.A.; State budget educational institution of higher education of the Ministry of Health and Social Development of the Russian Federation; "Irkutsk State Medical University" of the Ministry of Health and Social Development of the Russian Federation Irkutsk ISMU, 2016, 45 p.
    [Show full text]
  • A STUDY of PLANTAR ARTERIAL ARCH with ITS SURGICAL PERSPECTIVE Anupama K *1, Saraswathi G 2, Shailaja Shetty 3
    International Journal of Anatomy and Research, Int J Anat Res 2016, Vol 4(2):2392-96. ISSN 2321-4287 Original Research Article DOI: http://dx.doi.org/10.16965/ijar.2016.228 A STUDY OF PLANTAR ARTERIAL ARCH WITH ITS SURGICAL PERSPECTIVE Anupama K *1, Saraswathi G 2, Shailaja Shetty 3. *1 Assistant professor, Department of Anatomy, M S Ramaiah Medical College. Bangalore, Karnataka, India. 2 Retired Professor, Department of Anatomy, J S S Medical College, JSS University, Mysore, Karnataka, India. 3 Professor and Head, Department of Anatomy, M S Ramaiah Medical College. Bangalore, Karnataka, India. ABSTRACT Introduction: In the present day scenario the advances in the field of plastic, reconstructive and microvascular surgeries of the foot has necessitated a thorough knowledge of variations in the formation and branching pattern of plantar arterial arch. The blood supply of the sole is rich and is derived from the branches of the plantar arterial arch formed by variable contributions of dorsalis pedis artery, lateral plantar artery and medial plantar artery. Materials and Methods: 50 feet of the formalin fixed adult human cadavers were dissected and studied, in the Department of anatomy, JSS Medical College, Mysore. Results: The formation of plantar arterial arch and the origin of plantar metatarsal arteries were noted. The plantar arterial arch was classified into six types based on the origin of plantar metatarsal arteries. Type A-10%, Type B- 4%, Type C- 26%, Type D- 36%, Type E- 20%, Type F- 4%. It was also classified into 3 types based on the contribution of the formative arteries. Type I – 40%, Type II – 36% and Type III – 24%.
    [Show full text]
  • The Anatomy of the Plantar Arterial Arch
    Int. J. Morphol., 33(1):36-42, 2015. The Anatomy of the Plantar Arterial Arch Anatomía del Arco Plantar Arterial A. Kalicharan*; P. Pillay*; C. Rennie* & M. R. Haffajee* KALICHARAN, A.; PILLAY, P.; RENNIE, C. & HAFFAJEE, M. R. The anatomy of the plantar arterial arch. Int. J. Morphol., 33(1):36-42, 2015. SUMMARY: The plantar arterial arch provides the dominant vascular supply to the digits of the foot, with variability in length, shape, and dominant blood supply from the contributing arteries. According to the standard definition, the plantar arterial arch is formed from the continuation of the lateral plantar artery and the anastomoses between the deep branch of dorsalis pedis artery. In this study, 40 adult feet were dissected and the plantar arch with variations in shape and arterial supply was observed. The standard description of the plantar arch was observed in 55% of the specimens with variations present in 45%. Variations in terms of shape were classified into three types: Type A (10%): plantar arterial arch formed a sharp irregular curve; type B (60%): obtuse curve; type C (3%): spiral curve. Variation in the dominant contributing artery was classified into six types: type A (25%), predominance in the deep branch of dorsalis pedis artery supplying all digits; type B (5%), predominance in the lateral plantar artery supplying digits 3 and 4; and type C (20%), predominance in the deep branch of dorsalis pedis artery supplying digits 2 to 4; type D (24%), equal dominance showed; type E (10%), predominance in the lateral plantar artery supplying digits 3 to 5; and type F (21%), predominance of all digits supplied by lateral plantar artery.
    [Show full text]
  • SŁOWNIK ANATOMICZNY (ANGIELSKO–Łacinsłownik Anatomiczny (Angielsko-Łacińsko-Polski)´ SKO–POLSKI)
    ANATOMY WORDS (ENGLISH–LATIN–POLISH) SŁOWNIK ANATOMICZNY (ANGIELSKO–ŁACINSłownik anatomiczny (angielsko-łacińsko-polski)´ SKO–POLSKI) English – Je˛zyk angielski Latin – Łacina Polish – Je˛zyk polski Arteries – Te˛tnice accessory obturator artery arteria obturatoria accessoria tętnica zasłonowa dodatkowa acetabular branch ramus acetabularis gałąź panewkowa anterior basal segmental artery arteria segmentalis basalis anterior pulmonis tętnica segmentowa podstawna przednia (dextri et sinistri) płuca (prawego i lewego) anterior cecal artery arteria caecalis anterior tętnica kątnicza przednia anterior cerebral artery arteria cerebri anterior tętnica przednia mózgu anterior choroidal artery arteria choroidea anterior tętnica naczyniówkowa przednia anterior ciliary arteries arteriae ciliares anteriores tętnice rzęskowe przednie anterior circumflex humeral artery arteria circumflexa humeri anterior tętnica okalająca ramię przednia anterior communicating artery arteria communicans anterior tętnica łącząca przednia anterior conjunctival artery arteria conjunctivalis anterior tętnica spojówkowa przednia anterior ethmoidal artery arteria ethmoidalis anterior tętnica sitowa przednia anterior inferior cerebellar artery arteria anterior inferior cerebelli tętnica dolna przednia móżdżku anterior interosseous artery arteria interossea anterior tętnica międzykostna przednia anterior labial branches of deep external rami labiales anteriores arteriae pudendae gałęzie wargowe przednie tętnicy sromowej pudendal artery externae profundae zewnętrznej głębokiej
    [Show full text]
  • Assessment of the Pedal Arteries with Duplex Scanning
    ARTIGO DE REVISÃO ISSN 1677-7301 (Online) Avaliação das artérias podais ao eco-Doppler Assessment of the pedal arteries with Duplex Scanning Luciana Akemi Takahashi1 , Graciliano José França1, Carlos Eduardo Del Valle1 , Luis Ricardo Coelho Ferreira2 Resumo A ultrassonografia vascular com Doppler é um método não invasivo útil no diagnóstico e planejamento terapêutico da doença oclusiva das artérias podais. A artéria pediosa dorsal é a continuação direta da artéria tibial anterior e tem trajeto retilíneo no dorso do pé, dirigindo-se medialmente ao primeiro espaço intermetatarsiano, onde dá origem a seus ramos terminais. A artéria tibial posterior distalmente ao maléolo medial se bifurca e dá origem às artérias plantar lateral e plantar medial. A plantar medial apresenta menor calibre e segue medialmente na planta do pé, enquanto a plantar lateral é mais calibrosa, seguindo um curso lateral na região plantar e formando o arco plantar profundo, o qual se anastomosa com a artéria pediosa dorsal através da artéria plantar profunda. A avaliação das artérias podais pode ser realizada de maneira não invasiva com exame de eco-Doppler, com adequado nível de detalhamento anatômico. Palavras-chave: ultrassonografia Doppler; artérias da tíbia; procedimentos cirúrgicos vasculares. Abstract Vascular Doppler ultrasound is a noninvasive method that can help in diagnostic and therapeutic planning in case of pedal arterial obstructive disease. The dorsalis pedis artery is the direct continuation of the anterior tibial artery and follows a straight course along the dorsum of the foot, leading medially to the first intermetatarsal space, where it gives off its terminal branches. The posterior tibial artery forks distal to the medial malleolus and gives rise to the lateral plantar and medial plantar arteries.
    [Show full text]
  • 32. Vessels of Limb
    GUIDELINES Students’ independent work during preparation to practical lesson Academic discipline HUMAN ANATOMY Topic THE VESSELS OF THE UPPER LIMB. THE VESSELS OF THE LOWER LIMB. 1. The relevance of the topic Deepening of the knowledge of vascular systems of extremities is necessary for the professional interpretation of blood flow disorders in trauma, pathological processes of the extremities. Perfect knowledge of blood vessels of the extremities is the basis for professional activity of orthopedists, traumatologists, vascular surgeons, expand their capabilities of surgery. In addition, every doctor of any specialty is obliged to stop bleeding from damaged vessels quickly and efficiently, especially from the big ones by applying a tourniquet. 2. Specific objectives - describe, classify, analyse blood vessels of the shoulder girdle and arm - describe, classify, analyse blood vessels of the thigh, gluteal region, leg, foot - determine the borders of axillary artery, demonstrate the branches of axillary artery - describe and demonstrate v. cephalica, v. basilica, v. mediana cubiti - determine the borders of femoral artery, demonstrate the branches of femoral artery - determine the borders and branches of lateral femoral circumflex artery - demonstrate branches of medial femoral circumflex artery - demonstrate the borders and branches of obturator artery - determine the borders and branches of popliteal artery - demonstrate the posterior tibial artery, fibular artery, dorsalis pedis 3. Basic level of preparation includes a knowledge of osteology, myology. The student should know the anatomy of the bones of the upper and lower limb, muscles of the arm and forearm, classification of the junctions of the bones of the extremities; know peculiarities of muscles of the upper and lower limb.
    [Show full text]
  • Arteries of the Lower Limb
    BLOOD SUPPLY OF LOWER LIMB Ali Fırat Esmer, MD Ankara University Faculty of Medicine Department of Anatomy Abdominal aorta Aortic bifurcation Right common iliac artery Left common iliac artery Right external Left external iliac artery iliac artery Rigt and left internal iliac arteries GLUTEAL REGION Structures passing through the suprapriform foramen Superior gluteal artery and vein Superior gluteal nerve Structures passing through the infrapriform foramen Inferior gluteal artery and vein Inferior gluteal nerve Sciatic nerve Posterior femoral cutaneous nerve Internal pudendal artery and vein Pudendal nerve • Femoral artery is the principal artery of the lower limb • Femoral artery is the continuation of the external iliac artery • External iliac artery becomes the femoral artery as it passes posterior to the inguinal ligament • Femoral artery, first enters the femoral triangle. Leaving the tirangle it passes through the adductor canal and then adductor hiatus and reaches to the popliteal fossa, where it becomes the popliteal artery Contents of the femoral triangle (from lateral to medial) • Femoral nerve (and its branches) • Saphenous nerve (sensory branch of the femoral nerve) • Femoral artery (and its several branches) • Deep femoral artery (deep artery of the thigh) and its branches in this region; medial and lateral circumflex femoral arteries and perforating branches • Femoral vein (and veins draining to its proximal part such as the great saphenous vein and deep femoral vein) • Deep inguinal lymph nodes MUSCULAR AND VASCULAR COMPARTMENTS
    [Show full text]
  • Flaps Acfas 1
    Cadaveric Atlas for Orthoplastic Lower Limb and Foot Reconstruction of Soft Tissue Defects Kaitlyn Ward, DPM, AACFAS1; Anthony Romano, DPM AACFAS2; Edgardo Rodriguez-Collazo, DPM3 1Pacific Podiatry Group, Tacoma, WA; 2Franciscan Foot & Ankle Institute, Federal Way, WA; 3Presence Saint Joseph Hospital, Chicago, IL Medial Gastrocnemius and Medial Soleal Flap Section II: Approach to the Lateral and Anterior Statement of Purpose Compartment of the Lower Leg Section III: Medial Arch Approach to the Foot • Medial Plantar Artery Cutaneous Adipofascia Flap • Flexor Hallucis Brevis Muscle Flap Soft tissue deficits or non-healing wounds are a common and challenging problem faced by the lower extremity • Peroneus Brevis Flap • Common Peroneal Nerve Exposure • Abductor Hallucis Muscle Flap • Plantar Fasciocutaneous Flap reconstructive surgeon. These cases often end in proximal amputation, especially in those with co-morbidities, • Septal Peroneal Perforator Flap • Proximal Based Lateral Gastrocnemius • Flexor Digitorum Brevis Muscle Flap compromised angiosomes, or following significant trauma. This atlas therefore is to be used as a comprehensive • Lateral Compartment Options Muscle Flap resource for basic lower extremity flaps for soft tissue defects to assist in limb salvage. Figure 3b. Identification of the posterior tibial perforating arteries Figure 3a. Medial incision exposing the posterior compartment from the deep posterior muscle compartment to the superficial Medial Plantar Artery Cutaneous Adipofascia Flap of the leg with fascial and septal divisions. posterior muscle compartment. Peroneus Brevis Flap Figure 12a. Medial Figure 12b. Medial plantar artery plantar artery flap with fasciocutaneous flap with blood incision placement. Blood supply from medial plantar artery Methodology supply mainly from (proximally based) with dissection at medial plantar artery.
    [Show full text]
  • Medial Plantar Flap for Reconstruction of Heel Defect
    MICROSURGERY Medial Plantar Flap for Reconstruction of Heel Defect Benni Raymond, Gentur Sudjatmiko, Jakarta, Indonesia. Background: Heel is subjected to exceed weight bearing and shearing forces. Full-thickness defects to the plantar surface of the foot present a challenge. Variety of procedures have been described for resurfacing this site, but not all achieve normal foot function. Methods: Reporting two cases, defects of the plantar surface of the heel resurfaced with medial plantar !ap, an island fasciocutaneus !ap and innervated, thus provide a good replacement. Results: One patient show good result within 4 weeks, with minimal raw surface on secondary defect. While other patient didn’t show up after 2 weeks. Conclusion: Medial plantar !ap was successfully used for heel defect reconstruction. Donor site morbidity was minimal, and patient could walk post-operatively without special devices for the heel. Keywords: heel defect, medial plantar !ap Latar Belakang: Tumit merupakan daerah yang mengalami tekanan sebagai weight bearing dan rudapaksa. Defek seluruh ketebalan kulit pada sisi plantar kaki merupakan permasalahan yang pelik. Berbagai prosedur telah dideskripsikan untuk merekonstruksi defek ini namun tidak semua fungsi kaki didapatkan kembali. Metodologi: Melaporkan dua kasus dengan defek pada sisi tumit dilakukan rekonstruksi dengan !ap plantar media yang merupakan suatu !ap fasiokutan dan terinervasi yang merupakan tindakan rekon- struksi yang cukup baik Hasil: Satu pasien menunjukkan hasil yang baik dalam 4 minggu dengan defek sekunder minimal. Sementara pasien satu lagi hilang dari follow up setelah dua minggu. Kesimpulan: Flap plantar media dapat digunakan untuk rekonstruksi defek tumit. Morbiditas di area donor juga minimal dan pasien dapat berjalan pasca operasi tanpa alat khusus pada tumit.
    [Show full text]