Evidence map›Paper›PMID 38803737›Full record

ArticleCureus2024

Obturator Nerve Block: An Anatomical Perspective.

Rajiv Ranjan, Rita Kumari, Babita Kujur, Rana Pratap Singh, Aradhana Sanga

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Rajiv RanjanAnatomy, Rajendra Institute of Medical Sciences, Ranchi, IND.
Rita KumariAnatomy, Rajendra Institute of Medical Sciences, Ranchi, IND.
Babita KujurAnatomy, Rajendra Institute of Medical Sciences, Ranchi, IND.
Rana Pratap SinghUrology, Rajendra Institute of Medical Sciences, Ranchi, IND.
Aradhana SangaAnatomy, Rajendra Institute of Medical Sciences, Ranchi, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background A comprehensive understanding of the anatomy of the obturator nerve after its emergence from the obturator foramen is essential when undertaking an obturator nerve block effectively. This study was conducted to provide precise anatomical guidance of the obturator nerve block with surface landmarks in the inguinal region. Materials and methods A cross-sectional observational study was carried out on 34 dissected embalmed cadaveric lower limbs to investigate anatomic variability of obturator nerve localization concerning bony/ligamentous landmarks viz. the pubic tubercle, anterior superior iliac spine, inguinal ligament, and femoral artery as well as the adductor longus. Results The pubic tubercle and inguinal ligament were found to be the "least variable indicator" and palpable landmark for localization of the main trunk of the obturator nerve exhibiting lesser standard deviation of the mean distance from the obturator nerve exit. Among the soft tissue (vessel/muscle) parameters, the shortest distance of the adductor longus muscle from the obturator nerve exit was found to have the lowest standard deviation, thus making it the most reliable parameter for obturator nerve localization. Conclusion High anatomic variability in the obturator nerve's localization does exist, and this explains the difficulty frequently encountered in the application of regional anesthetic techniques. The pubic tubercle and inguinal ligament points were found to be the least variable and most reliable landmarks for localization of the main trunk of the obturator nerve.

Indexed as

anatomical localizationcadaveric dissectionclinical practicenerve blockobturator nerve

Identifiers

PMID38803737
PMCPMC11129287

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