1.A Morphometric Analysis of Intercondylar Notch of Femur with Emphasis on Its Clinical Implications
Medicine and Health 2014;9(2):103-108
The intercondylar notch has been an anatomic site of interest as it lodges the anterior cruciate ligament. The objectives of the present study were to study the morphology and morphometry of femoral intercondylar notch in cadaveric dry bones with emphasis on its clinical implications.The present investigation was performed by using 97 dry femora. The parameters like intercondylar notch width, intercondylar notch depth, condylar width and condylar depth were measured. The shapes of intercondylar notch were also analyzed. The measurements were compared statistically with respect to right and sides and were tabulated. It was observed that the intercondylar notch was having inverted ‘U’ shape morphology in 71 (73.2%) specimens and it was inverted ‘V’ shaped in 26 (26.8%) cases. The mean intercondylar notch width, intercondylar notch depth, condylar width and condylar depth were 11.9 ± 2.7 mm, 26.3 ± 2.4 mm, 72.9 ± 5.3 mm and 57.3 ± 4.3 mm, respectively. It was observed that there was no statistical significance difference observed (p > 0.05) between the right and left sides. The notch width index and notch depth index were determined as 0.25 and 0.46, respectively. The morphometry data of the present study could provide importance to the orthopedicians in prevention and management of knee injuries. We believe that the present study has provided additional information on this subject and these data might be of use to the clinicians who are involved in the diagnosis and management
of knee problems.
Anterior Cruciate Ligament
2.Foramen of Vesalius: Prevalence, Morphology, Embryological Basis and Clinical Implications
Murlimanju BV ; Reddy GR ; Latha VP ; Vasudha VS ; Rao CP ; Mangala MP ; Ashwin K ; Rajanigandha V
Journal of Surgical Academia 2015;5(1):24-28
The objectives of the present study were to find the prevalence of foramen of Vesalius and to discuss its morphology.
The embryological basis of this foramen and its surgical highlights are emphasized. The study comprised 78 human
adult dried skulls, which were obtained from the anatomy laboratory of our institution. The greater wing of the
sphenoid bone was macroscopically observed for the presence of foramen of Vesalius. It was observed that the
foramen was present in 29 skulls (37.2%). It was seen bilaterally in 13 (16.7%) skulls and unilaterally in 16 (20.5%)
specimens.Anatomical literature has explained the variation of this foramen by the developmental considerations.
We believe that the details of this foramen are known to have significant implications for the medical and surgical
literature. The details are also enlightening to the clinical anatomists and other broad specialties of medicine.This
sphenoidal emissary foramen contains a bridging vein, which connects the pterygoid venous plexus with the
cavernous sinus. This communication is clinically important, since an extra cranial infection may sometimes reach
the cavernous sinus through this foramen, which may lead to cavernous sinus thrombosis. Foramen of Vesalius can
get injured during the trigeminal nerve block technique performed for the trigeminal neuralgia. In this procedure, the
foramen can get hurt by a displaced instrument, which would end up in intracranial bleeding, which can spread the
extracranal infection into the cavernous sinus. This may lead to serious disorders like Tolosa Hunt and Gradenigo
syndromes.
Keywords: Foramen ovale, middle cranial fossa, morphology, skull base, sphenoid bone
Sphenoid Bon
3.The Anterior Transverse Ligament of Knee: Morphological and Morphometric Study in Formalin Fixed Human Fetuses
Murlimanju BV, Narga N, Ashwin K ; Mangala MP ; Naveen K ; Chandni G ; Biswabina R ; Chettiar G
Journal of Surgical Academia 2014;4(2):24-28
The objective was to study the morphology and morphometry of transverse ligament of the knee joint in south Indian
population. The present study included 53 formalin fixed foetuses which were obtained from the department of
Anatomy. There were 106 knee joints which were available for the present study. A vernier caliper of 0.02 mm
accuracy was used to measure the length of the transverse ligament. Among our specimens, transverse ligament of
the knee was observed in 87.7% of the cases. It was observed bilaterally in 81.1% of cases. The double transverse
ligaments were not observed in any of our specimens. The mean length of the transverse ligament measured 3.7 ± 1.5
mm. The statistically significant difference was not observed between the right and left sided transverse ligaments or
gender with regard to its length (Student's t test; p > 0.05). The morphological and morphometric data related to the
transverse ligament of the knee in human foetuses have not been reported. The present study provides additional
information on the morphology and morphometry of the transverse ligament in human foetuses. We believe that the
data of the present study will provide support to the foetal anatomy, concerning the surgical procedures and
arthroscopy of the knee joint. The findings are enlightening not only for Orthopedic Surgeons, but also for the
Morphologists and Embryologists.