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JCR 2016
جستجوی مقالات
دوشنبه 1 دی 1404
The Archives of Bone and Joint Surgery
، جلد ۳، شماره ۴، صفحات ۲۷۴-۲۷۹
عنوان فارسی
چکیده فارسی مقاله
کلیدواژههای فارسی مقاله
عنوان انگلیسی
Inguinal Abnormalities in Male Patients with Acetabular Fractures Treated Using an Ilioinguinal Exposure
چکیده انگلیسی مقاله
Purpose: Surgeons performing an ilioinguinal exposure for acetabular fracture surgery need to be aware of aberrant findings such as inguinal hernias and spermatic cord lesions. The purpose of this study is to report these occurrences in a clinical series of adult males undergoing acetabular fracture fixation and a series of adult male cadavers. The secondary aim is to characterize these abnormalities to aid surgeons in detecting these abnormalities preoperatively and coordinating a surgical plan with a general surgeon.Methods: Clinical study- Retrospective review of treated acetabular fractures through an ilioinguinal approach. Incidence of inguinal canal and spermatic cord abnormalities requiring general surgery consultation were identified. Corresponding CT scans were reviewed and radiographic characteristics of the spermatic cord abnormalities and/or hernias were noted.Cadaveric study- 18 male cadavers dissected bilaterally using an ilioinguinal exposure. The inguinal canal and the contents of the spermatic cord were identified and characterized.Results: Clinical Study- 5.7% (5/87) of patients had spermatic cord lesion and/or inguinal hernia requiring general surgical intervention. Preoperative pelvic CT scan review identified abnormalities noted intraoperatively in four of the five patients. Cord lipomas visualized as enlargements of the spermatic cord with homogeneous density. Hernias visualized as enlarged spermatic cords with heterogeneous density. Cadaver Study- 31% (11/36) of cadavers studied had spermatic cord and/or inguinal canal abnormalities. Average cord diameter in those with abnormalities was 24.9 mm (15-28) compared to 16 mm (11-22) in normal cords, which was statistically significant.Conclusion: The clinical and cadaveric findings emphasize the importance of understanding inguinal abnormalities and the value of detecting them preoperatively. The preoperative pelvic CT scans were highly sensitive in detecting inguinal abnormalities.
کلیدواژههای انگلیسی مقاله
INGUINAL ABNORMALITIES IN ACETABULAR FRACTURES
نویسندگان مقاله
رضا فیروزآبادی | reza firoozabadi
department of orthopaedic surgery and sports medicine, harborview medical center, seattle, wa usa
پاوول stafford | paul stafford
orthopedic and trauma service of oklahoma, tulsa, ok usa
میلتون routt | milton routt
department of orthopaedics surgery, the university of texas medical school at houston, houston, tx usa
نشانی اینترنتی
http://abjs.mums.ac.ir/article_4582.html
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en
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RESEARCH PAPER
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