Evidence map›Paper›PMID 39920288›Full record

ArticleSurgical and radiologic anatomy : SRA2025

Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation.

Javier Santamaría-Le Pera, Fermín Valera-Garrido, Francisco J Valderrama-Canales, Francisco Minaya-Muñoz, Pablo Herrero, Diego Lapuente-Hernández

Abstract read
In one paragraph

Article in Surgical and radiologic anatomy : SRA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Javier Santamaría-Le PeraQuiron Prevention Health Center, Madrid, 28020, Spain.
Fermín Valera-GarridoMVClinic Institute, Madrid, 28600, Spain.ORCID http://orcid.org/0000-0002-8867-2519
Francisco J Valderrama-CanalesDepartment of Anatomy & Embryology, Faculty of Medicine, Complutense University of Madrid, Madrid, 28040, Spain.ORCID http://orcid.org/0000-0002-4288-2940
Francisco Minaya-MuñozMVClinic Institute, Madrid, 28600, Spain.ORCID http://orcid.org/0000-0002-6337-2501
Pablo HerreroDepartment of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, 50009, Spain. pherrero@unizar.es.ORCID http://orcid.org/0000-0002-9201-0120
Diego Lapuente-HernándezDepartment of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, Zaragoza, 50009, Spain.ORCID http://orcid.org/0000-0002-6506-6081

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe main objective was to study the anatomy of the adductor longus by ultrasound and cadaveric dissection, correlate the findings with the different approaches described, and evaluate the feasibility of defining a "safe window" for interventional musculoskeletal procedures.

methodsThe anatomical study was performed on six cadaveric pieces, while ultrasound evaluations were performed on both lower limbs of 26 subjects (n = 52). Ultrasound variables included the number of saphenous veins, the location of the saphenous vein in relation to the proximal myotendinous junction, the number of vessels within or superficial to the adductor longus, and the distance between the dermis and the inferior border of the adductor longus to the anterior branch of the obturator nerve.

resultsKey anatomic risk factors identified in cadavers included the great saphenous vein, the anterior branch of the obturator nerve, and the vascular network traversing the adductor longus. Ultrasound findings revealed that 91.4% of cases had at least one vessel at the proximal myotendinous junction in the cross-sectional area, almost 60% showed two to five vessels within the thickness of the muscle, and the anterior branch of the obturator nerve was located at a mean depth of 3.63-3.93 cm.

conclusionsIt was not possible to define a "safe" approach area without the risk of damaging any neurovascular bundle due to the high anatomical variability both in number and in the route of these along the adductor longus. Therefore, the use of ultrasound to guide any interventional musculoskeletal procedure is highly recommended.

Indexed as

Muscle, SkeletalPalpationAgedAged, 80 and overCadaverDissectionFeasibility StudiesFemaleHumansMaleMiddle AgedObturator NerveSaphenous VeinThighUltrasonographyUltrasonography, InterventionalAdductor longus muscleCadaverInterventional musculoskeletal proceduresSonographyUltrasound

Identifiers

PMID39920288
PMCPMC11805763

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.