IJAR.2019.274
Type of Article: Original Research
Volume 7; Issue 3.3 (September 2019)
Page No.: 6976-6982
DOI: https://dx.doi.org/10.16965/ijar.2019.274
ILIOPECTINEAL LIGAMENT AS AN IMPORTANT LANDMARK IN ILIOINGUINAL APPROACH OF THE ANTERIOR ACETABULUM: A CADAVERIC MORPHOLOGIC STUDY
Ayman Ahmed Khanfour *1, Ashraf Ahmed Khanfour 2.
*1 Anatomy department Faculty of Medicine, Alexandria University, Egypt.
2 Chairman of Orthopaedic surgery department Damanhour National Medical Institute Egypt.
Corresponding author: Ayman Ahmed Khanfour: Assistant professor in the human Anatomy and Embryology department, Faculty of Medicine, University of Alexandria, Egypt. Mobile: 00201223815866. E-Mail: aymn222@hotmail.com
ABSTRACT:
Background: The iliopectineal ligament is the most stout anterior part of the iliopectineal membrane. It separates lacuna musculorum” laterally from “Lacuna vasorum” medially. This ligament is an important guide in the safe anterior approach to the acetabulum.
Aim of the work: To study the detailed anatomy of the iliopectineal ligament demonstrating its importance as a surgical landmark in the anterior approach to the acetabulum.
Material and methods: The material of this work included eight adult formalin preserved cadavers. Dissection of the groin was done for each cadaver in supine position with exposure of the inguinal ligament. The iliopectineal ligament and the three surgical windows in the anterior approach to the acetabulum were revealed.
Results: Results described the detailed morphological anatomy of the iliopectineal ligament as regard its thickness, attachments and variations in its thickness. The study also revealed important anatomical measurements in relation to the inguinal ligament. The distance between the anterior superior iliac spine (ASIS) to the pubic tubercle ranged from 6.7 to 10.1 cm with a mean value of 8.31±1.3. The distance between the anterior superior iliac spine (ASIS) to the blending point of the iliopectineal ligament to the inguinal ligament ranged from 1.55 to 1.92 cm with a mean value of 1.78±0.15.
Conclusion: The iliopectineal ligament detailed morphology and attachments are crucial when planning to do anterior approach of the acetabulum to decrease incidence of iatrogenic injury to the femoral vessels.
Key words: Iliopsoas fascia – Iliopectineal membrane – Iliopectineal ligament – Inguinal ligament -Anterior acetabular approach.
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