IJAR.2018.326

Type of Article:  Original Research

Volume 6; Issue 4.1 (October 2018)

Page No.: 5727-5732

DOI: https://dx.doi.org/10.16965/ijar.2018.326

THE STUDY ON MORPHOLOGICAL AND MORPHOMETRIC ANALYSIS OF SACRAL HIATUS IN DRY HUMAN SACRA

R.Sasikumar *1, K. Praveena kumara 2, K. Manivannan 3, H.R.Krishna Rao 4.

*1,2 Tutor, Department of Anatomy, PES Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh, India.

3 Assistant Professor, Department of Anatomy, PES Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh, India.

4 Principal, Professor and Head, Department of Anatomy, PES Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh, India.

Address for Correspondence: R.Sasikumar, Department of Anatomy, PES Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh, India. E-Mail: saashikumar@gmail.com

ABSTRACT:

This study was carried out on 80 dry human sacra in meenakshi medical college Anatomical variations in morphology and morphometry of sacral hiatus. Various shapes of sacral hiatus were observed which included inverted U (66.3%), inverted V (11.3%), irregular (11.3%), dumbbell (3.8%) Agenesis Of the dorsal (6.3%) and bifid (1.3%). The apex of sacral hiatus was commonly found at the level of 4th sacral vertebra in 76.0%. the mean length of sacral hiatus was 22.9 mm. The mean anteroposterior diameter of sacral canal at the apex of sacral hiatus was 4.97 mm. Narrowing of sacral canal at the apex of sacral hiatus, diameter less than 4mm, was observed to be significantly high, (36%). The knowledge of anatomical variations of sacral hiatus is significant while administration of caudal epidural anaesthesia and it may help to improve its success rate.

Key words: Sacral Hiatus, Apex, Caudal Anaesthesia.

REFERENCES

  1. Gray’s anatomy the anatomical basis of clinical practice fortieth edition Pg.724- 771.
  2. Keith L, Moore. Moore clinically oriented anatomy seventh edition chapter 4 back Pg.451
  3. Santanu Bhattacharya, SudeshnaMajumdar, PitbaranChakraborty, SibaniMazumdar, ArdhenduMazumdar. A morphometric study of sacral hiatus for caudal epidural block among the population of West Bengal. Indian Journal of Basic & Applied Medical Research 2013;7(2):660-667.
  4. Saikia R, Sarma M. VARIATIONS OF SACRAL HIATUS IN DRY HUMAN SACRA&58; AN ANATOMICAL STUDY. Journal of Evidence Based Medicine and Healthcare. 2016 Jan 1;3(60):3238-42.
  5. VijishaPhalgunan, Baskaran S. Morphometric analysis of sacral hiatus and its clinical significance.The Health Agenda. 2013;10-14.
  6. ShilpaNilesh Shewale, Mohammad Laeeque, P. R. Kulkarni, Chaya Vijay Diwan. Morphological and Morphometrical Study of Sacral Hiatus. International Journal of Recent Trends in Science And Technology. 2013;6(1):48-52.
  7. Ashraf y nasr, Youssef h aliNaser a elsawy, The Sacral Hiatus. An Anatomic Study on Both Cadaveric and Dry Bones. Trans ClinBio, 2014;2(1).
  8. Smriti, Dr. Bias Dev, Dr. DeepaHans, Dr. SunandaRaina Morphology of Sacral Hiatus inDogra Region of India International journal of Advanced Research 2015;3(10):605-609.
  9. Arora S, Dhingra R, Malik VS, Garsa V, Chhabra S. Study of Various Shapes of Sacral Hiatus in North Indian Population. International Journal of Science and Research (IJSR). 2016;5(10):1328-32.
  10. Smriti, Dr. Bias Dev, Dr. DeepaHans, Dr. SunandaRaina Morphology of Sacral Hiatus inDogra Region of India International journal of Advanced Research 2015;3(10):605-609.
  11. Qudusia sultana, Dr. M.H Shariff et al. A Morphological Study of Sacral Hiatus with its Clinical Implications; Indian journal of applied research. 2014;4(2).
  12. Dona Saha, SantanuBhattacharya, AkhtarUzzaman, Sibani Mazumdar, Ardhendu Mazumdar. Morphometric study of variations of sacral hiatus among West Bengal population and clinical implications. ITALIAN JOURNAL OF ANATOMY AND EMBRYOLOGY 2016;121(2):165-171.
  13. Nadeem G, Importance of knowing the level of sacral hiatus for caudal epidural anesthesia.Morphol. Sci., 2014;31(1):9-13.
  14. Nagar SK. A study of sacral hiatus in dry human sacra. Journal of Anatomical                                                                    Society of India 2004;53:18-21.
  15. Shabana Ali, imranQureshi, Asad Ali Anatomical variation of Sacral Hiatus in                                           Dry Human Sacra JIIMC 2015;10(1).
  16. Jeewanjot Sekhon, Ajit PalSingh, Varun Chopra & Abhilashs Sacral Anatomical Malformation. SMU Medical Journal 2016;3(1).
  17. Ashok K. R, Kiran T. V, Rohini K. R. Study of sacral hiatus in dry bones International Journal of Anatomy and Research, Res 2016;4(2):2493-97.
  18. Q and Gautham K. morphometric study of sacral hiatus in dry human sacra in west Indian population.CIBTech journal of surgery 2013;2(2):56-63.
  19. Zarana K. Patel, Dr. BalakrishnaThummar, Dr. S.P.Rathod, Dr. T.C.Singel, Dr. ShaileshPartel, Dr. AnkurZalawadia Multi Centric Morphometric study of Dry Human Sacrum of Indian Population in Gujarat Region. NJIRM 2011;2(2).
  20. Seema; singh, m. &Mahajan, a. An anatomical study of variations of sacral hiatus in sacra of north Indian origin and its clinical significance. Int. J. Morphol., 2013;31(1):110-114.
  21. IrungbamDevan Singh, D.L. Birendo Singh, Dr. A. Jaishree Devi, Scaral Hiatus: An Anatomical Study Journal of Dental and Medical Science 2017;16(1):35-37.
  22. Lees synopsis of anaesthesia text book of anaesthesia 13th edition 2011-Pg 501-503.
  23. Kamal ahmm1, ara s2, ashrafuzzaman m 3, khatun k 4, islam ms5 morphometry of sacral hiatus and its clinical relevance in caudal epidural block j dhaka med coll. 2014;23(1):31-36.

Cite this article: R.Sasikumar, K. Praveena kumara, K. Manivannan, H.R.Krishna Rao. THE STUDY ON MORPHOLOGICAL AND MORPHOMETRIC ANALYSIS OF SACRAL HIATUS IN DRY HUMAN SACRA. Int J Anat Res 2018;6(4.1):5727-5732. DOI: 10.16965/ijar.2018.326