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1. The anterior inferior tibiofibular ligament and talar impingement: a cadaveric study

Author

Halit Pinar, Kadir Yaldiz, Candan Arman, Nazli Gülriz Akseki, and Devrim Akseki

Subjects
Tibia, business.industry, Anterior talofibular ligament, Anterior tibiofibular ligament, Anatomy, Fascicle, musculoskeletal system, Biomechanical Phenomena, Talus, medicine.anatomical_structure, Fibula, Cadaver, Ligaments, Articular, medicine.ligament, Ligament, medicine, Humans, Orthopedics and Sports Medicine, Surgery, Ankle, business, Cadaveric spasm, human activities
Abstract

Impingement by the distal fascicle of the anterior inferior tibiofibular ligament (AITFL) is a relatively new entity among the known causes of anterolateral impingement syndromes of the ankle. This study investigated the anatomy of the anterior inferior tibiofibular ligament and its possible role in talar impingement in 47 ankles of 27 cadavers. The length, width, insertion point to the fibula and the interactions with talus were noted, as was the relationship of the fascicle and talus during different ankle movements before and after incision of the lateral ligaments. A distal fascicle of the AITFL was found in 39 of the 47 ankles (83%) and appeared as a single-complete ligament in the remaining 8 ankles (17%). The fascicle averaged 16.1 +/- 2.94 mm in length (range 10-21) and 4.2 +/- 1.00 mm in width (range, 3-7). The insertion point of the fascicle on the fibula averaged 10.3 +/- 2.27 mm (5-13) distal to the joint level. Contact between the ligament and the lateral dome of the talus was observed in 42 specimens (89.3%). Bending of the fascicle was observed in 8 of these 42 ankles with forced dorsiflexion. These 8 specimens were significantly wider and longer than the specimens without bending of the fascicle. Incision of the anterior talofibular ligament led to bending in dorsiflexion in additional 11 ankles. The total 19 fascicles with bending after incision of the anterior talofibular ligament were significantly longer and inserted more distally than the remaining 20 fascisles without bending. Manual traction simulating distraction during arthroscopic procedures relieved the contact. These findings show that the presence of the distal fascicle of the AITFL and its contact with the talus is a normal finding. However, it may become pathological due to anatomical variations and/or instability of the ankle resulting from torn lateral ligaments. When observed during an ankle arthroscopy, the surgeon should look for the criteria described in the present study to decide whether it is pathological and needs to be resected.

Published
2002
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2. Poster presentations

Author

Funda Aksu, Hakan Topacoglu, Candan Arman, Aytul Atac, Suleyman Tetik, Aida Hasanovic, Amela Kulenovic, Zakira Mornjakovic, Branko Pikula, Aida Sarac-Hadzihalilovic, Alma Voljevica, Belgin Bamac, Tuncay Colak, Murat Alemdar, Gulmine Dundar, Macit Selekler, Ozgur Dincer, Enis Colak, Aydin Ozbek, Cenk Kilic, Kivanc Kamburoglu, Tuncer Ozen, Vatan Kavak, Yalcin Kirici, Emin Oztas, Handan Altinkaya Soysal, Erdogan Unur, Nihat Ekinci, Omur Karaca, Olga Malakhova, Murat Kocaoglu, Serdar Toker, Figen Taser, Volkan Kilincoglu, Mustafa Fahri Yurtgun, Cannur Dalcik, Ali Zeybek, Marc Baroncini, Johann Peltier, Patrice Jissendi, Jean-Pierre Pruvo, Jean-Paul Francke, Vincent Prevot, Rengin Kosif, Yasin Arifoglu, Murat Diramali, Mustafa Sarsilmaz, Evren Kose, Murat Ogeturk, Burhan Akpinar, Ilter Kus, Sedat Meydan, Alev Kara, Zeliha Kurtoglu, Ibrahim Tekdemir, Alaittin Elhan, Orhan Bas, Ersan Odaci, Hakan Mollaoglu, Kagan Ucok, Suleyman Kaplan, Mehmet Senoglu, Vedat Nacitarhan, Ergul Belge Kurutas, Nimet Senoglu, Idris Altun, Yalcin Atli, Davut Ozbag, Sacide Karakas, M. Dincer Bilgin, Ayfer Metin Tellioglu, Sercin Ozlem, Betul Akcanal, Yuksel Yildiz, Hakki Gunes, Hayrullah Kose, Ibrahim Uzum, Umit Naci Gundogmus, Cigdem Caglayan, Velichka Pavlova, Mashenka Dimitrova, Lilia Georgieva, Elena Nikolova, Deniz Uzmansel, Nail Can Ozturk, Canan Yurttas Saylam, Erkin Ozgiray, Mustafa Orhan, Sedat Cagli, Mehmet Zileli, Derya Ozkan, Taylan Akkaya, Ayhan Comert, Nilgun Balikci, Esra Ozdemir, Haluk Gumus, Zafer Ergul, Oskay Kaya, Serdar Altun, R. Erkin Unlu, Hakan Orbay, Deog-Im Kim, Seung-Ho Han, Yi-Suk Kim, Ho-Jeong Kim, Kyu-Seok Lee, Omur Elcioglu, Hilmi Ozden, Gul Guven, Nurcan Imre, Bulent Yalcin, Hasan Ozan, Pinar Akyer, Mustafa Guvencer, Vasfi Karatosun, Mandeep Gill Sagoo, Rachel Claire Aland, Derya Ustuner, M. Cengiz Ustuner, Jafar Ai, Seyed Reza Ghazi, Seyed Hadi Mansouri, Mehmet Cudi Tuncer, Mehmet Ufuk Aluclu, Ozlen Karabulut, Eyup Savas Hatipoglu, Hasan Nazaroglu, Cigdem Icke, Emrah Akbay, Turkan Gunay, Suleyman Icke, Selda Yildiz, Fatih Yazar, Barcin Orhan Barlas, Delia Elena Zahoi, Ahmet Kavakli, Ufuk Tas, Durrin Ozlem Dabak, Hilal Irmak Sapmaz, Necdet Kocabiyik, Cenk Murat Ozer, Ayhan Ozcan, Levent Elevli, Kadir Desdicioglu, Ibrahim Alanbay, Figen Govsa, Canan Y. Saylam, Ilgaz Akdogan, Yilmaz Kiroglu, Sule Onur, Emine Hilal Evcil, Neslihan Cankara, Mehmet Ali Malas, M. Tayyar Kalcioglu, Serdar Duman, Tufan Ulcay, Ahmet Uzun, Zulfu Karabulut, Cagatay Barut, Ozdemir Sevinc, Gamze Yurdakan, Dundar Kacar, Ali Riza Erdogan, Hulyam Kurt, Bunyamin Demir, Mustafa Saltan, Dilek Burukoglu, Mehmet Cengiz Ustuner, Irfan Degirmenci, Aliriza Erdogan, Ozlem Damar, Merih Is, Gokhan Bayramoglu, Sahin Kabay, Onur Uysal, Hakan Senturk, Aysegul Bayramoglu, Cansu Ozbayar, Ali Kutlu, Mediha Canbek, Salih Cenap Cevli, Oguz Hancerlioglu, Mustafa Koplay, Elif Aksakalli, Fatih Dikici, Aysin Kale, Ozcan Gayretli, Ilke Ali Gurses, Senem Turan Ozdemir, Ilker Ercan, Emel Bulbul Baskan, Mediha Yilmaz, Guven Ozkaya, Hayriye Saricaoglu, Mete Erturk, Gulgun Kayalioglu, Mehmet Uzel, Guler Kahraman, Ercan Tanyeli, Ali Ihsan Soyluoglu, Orhan Tacar, Ayda Demirant, Murat Bilgin, Aziz Karadede, Ayfer Aktas, E. Hilal Evcil, Esra Koyuncu, Osman Sulak, Soner Albay, Gulnur Ozguner, Ahmet Ozbek, Elvan Ozbek, A. Hakan Ozturk, Tuba Demirci, Engin Ciftcioglu, Mehmet Tevfik Demir, Cem Kopuz, Esra Eroglu, Semin Gedikli, Hamit Ozyurek, Mehmet Selim Nural, Lutfi Incesu, Gonul Ogur, Engin Kara, Baris Celebi, Altan Yildiz, B. Zuhal Altunkaynak, Samet Vasfi Kuvat, Suleyman Murat Tagil, Cumhur Ertekin, Hilmi Uysal, Fikret Bademkiran, Nural Albayrak, Ali Firat Esmer, Nigar Keles Coskun, Muzaffer Sindel, Ferah Kizilay, Sevket Yalin, Nevin Karapinar, Mehmet Tokdemir, Lokman Karakurt, Levent Tumkaya, Adnan Korkmaz, Bulent Ayas, Nusret Ciftci, Yuksel Terzi, Ozlem Baran, Yusuf Nergiz, Murat Akkus, Ufuk Aluclu, Askin Ender Topal, Dilek Yuksel, Halil Ibrahim Acar, Simel Kendir, Emre Hekimoglu, Deniz Basman, Sunay Duman, Baris Ozener, Can Pelin, Ragiba Zagyapan, Ayla Kurkcuoglu, Mustafa Koc, Meral Erdinc, Levent Erdinc, Ilker Kelle, Enver Sancakdar, Nil Cetin, Selcuk Tunik, Ayse Yildirim, Iskender Kaplanoglu, Ercan Ayaz, Necip Ilhan, Mehmet Okumus, Kasim Zafer Yuksel, Harun Ciralik, Zeki Yilmaz, Yakup Gumusalan, Mehmet Gamsizkan, Mustafa Kazkayasi, Nadire Unver Dogan, Ismihan Ilknur Uysal, Aylin Karalezli, Zeliha Fazliogullari, Mustafa Buyukmumcu, Mehmet Cem Bozkurt, Aynur Emine Cicekcibasi, Deniz Demiryurek, M. Hakan Ozsoy, Alp Bayramoglu, Eray Tuccar, Ozlem Pamukcu Baran, Sevda Soker, Selen Bahceci, Yasemin Nasir, Mehmet Tugrul Yilmaz, Emine Aynur Cicekcibasi, Mahinur Ulusoy, Pervin Gunaslan, Nuray Bilge, Muzaffer Akkaya, Abdurrahman Genc, Sezer Akcer, Yucel Gonul, Emine Cosar, Gulengul Koken, Ilknur Ari, Sinan Bakirci, Ilker Mustafa Kafa, Murat Uysal, Ahmet Kagan Karabulut, Bahar Keles, Dilek Emlik, Yavuz Uyar, Kayhan Ozturk, Neslihan Altuntas Yilmaz, Ahmet Salbacak, Burkay Kutluhan Kacira, Mehmet Arazi, Serafettin Demirci, Demet Kiresi, Serter Gumus, Muzaffer Seker, Mehmet Uyar, Mohammad Ebrahim Astaneh, Alireza Khorshid, Ramazan Uygur, Ahmet Songur, Osman Fikret Sonmez, Kamil Hakan Dogan, Giray Kolcu, Madalina Iliescu, Petru Bordei, Dan Iliescu, Camelia Ciobotaru, Viorel Lucescu, Anatoli Covaleov, Constantin Ionescu, Miguel Guirao, E. Páramo, R. Mutuberria, I. Sánchez-Montesinos, O. Roda, F. Girón, Miguel Lopez-Soler, Olga Roda, Raúl Campos-López, Miguel Guirao-Piñeiro, Maria Teresa Pascual-Morenilla, Indalecio Sanchez-Montesinos, Maria Teresa Pascual, I. Garzon, D. Serrato, R. Nieto-Aguilar, I. Sanchez-Montesinos, M. Sanchez-Quevedo, M. Bulent Ozdemir, R. Hakan Ozean, Dilek Bagdatli, Esat Adiguzel, Zumrut Dogan, Ozlem Aycan, Nigar Vardi, Haldun Sukru Erkal, Hakan Ozturk, S. Mocanu, C. Stefanescu, A. Ionescu, Raluca Talpes, Elena Sapte, Constantin Dina, Loredana Surdu, Ionut Bulbuc, M. T. Medina, J. Medina, M. López-Soler, Carlos Martin-Oviedo, Alejandro Lowy-Benoliel, Eva Maranillo, Tomas Martinez-Guirado, Jose Sañudo, Bartolome Scola, Teresa Vazquez, L. A. Arráez-Aybar, J. L. Conejo-Menor, C. C. Gonzáles-Gómez, A. J. Torres-García, Hisayo Nasu, Shoji Chiba, M. Gutierrez-Semillera, Yahya Paksoy, Ahmet Kalaycioglu, Mehmet Yildirim, Ali Ozyasar, Omer Ozdogmus, Yusuf Ozgur Cakmak, Ural Verimli, Safiye Cavdar, Begum Yildizhan, Z. Asli Aktan Ikiz, Hulya Ucerler, Zuhal Ozgur, Seher Yilmaz, Abdullah Demirtas, Ertugrul Mavili, Mehtap Hacialiogullari, Hatice Susar, Seda Arslan, Kenan Aycan, Vecihi Ozkaya, Mara Pilmane, Sarmite Boka, Gursel Ortug, Carlos Ramirez, Aran Pascual-Font, Francisco Valderrama-Canales, Abdulah Kucukalic, Eldan Kapur, Elvira Talovic, Vaclav Baca, Robert Grill, Zdenek Horak, David Kachlik, Valer Dzupa, Marek Konarik, Jakub Knize, Petr Veleminsky, Tereza Smrzova, Michal Otcenasek, Jana Chmelova, Michal Kheck, Tomas Cupka, Lukas Hnatek, Floris van der Meijs, Pavel Cech, Vladimir Musil, H. Mustafa Ozkan, S. Kivanc Muratli, Hamid Tayefi, Ipek Ergur, Amac Kiray, Muhsin Toktas, Ozan Alkoc, Tolgahan Acar, Ibrahim Uzun, Oguz Asian Ozen, Abdullah Aycicek, Ozan Alper Alkoc, Mehmet Unlu, Ufuk Corumlu, Ihsaniye Coskun Ikiz, I. Hakan Oygucu, Erdogan Sendemir, Tuncay Kaner, Veli Caglar, Olcay Eser, Mehmet T. Demir, Omer Iyigun, Gokhan Pirzirenli, Ahmet Hilmi Kaya, Mennan Ece Aydin, Fahrettin Celik, Hakan True, Sevket Ozkaya, Bekir Ugur Ergur, Gulsah Zeybek, Kadir Bacakoglu, Mina Tadjalli, Aghdas Poostpasand, Seid Hadi Mansouiri, Ozra Allahvaisi, Jafar Soleimanirad, Bahram Nikkhoo, Yasukazu Nagato, Yasuo Haruki, Komazo Yazawa, Tutomu Okazaki, Munetaka Haida, Yutaka Imai, Thmineh Peirouvi, Mehrzad Mahzad-Sadaghiani, Farahnaz Noroozinia, Salami Siamak, Gholamhosseine Farjah, Sima Mola, Ewa Biegaj, Tymon Skadorwa, Konrad Pawlewicz, Robert Kapolka, Agata Chachulska, Joanna Zabicka, Aleksandra Krasowska, Alicja Prusik, Grzegorz Jaczewski, Adam Kolesnik, M. Mohsen Taghavi, S. Hasan Alavi, S. Adel Moallem, Zahed Safikhani, Marzieh Panahi, Shahriar Dabiri, Majid Asadi Shekaari, Rafael Latorre, Federico Soria, Octavio Lopez-Albors, Ricardo Sarria, Inacio Ayala, Inma Serrano, Enrique Perez-Cuadrado, Vladimir Musienko, Dmitry Tkachenko, Neriman Colakoglu, Murat Abdulgani Kus, Mahdi Jalali, Mohammad Reza Nikravesh, Abbas Ali Moeen, Mohammad Hassan Karimfar, Houshang Rafighdoost, Shabnam Mohammadi, Marina Korneeva, Houshang Rafighdoust, Kvetuse Lovasova, Adriana Bolekova, Darina Kluchova, Igor Sulla, Marina Yurievna Kapitonova, Syed Baharom Syed Ahmad Fuad, Flossie Jayakaran, Ali Reza Shams, Fereshteh Aghaee, Zohreh Baqer, Mohamad Faroki, Srijit Das, Normadiah Kassim, Azian Latiff, Frihah Suhaimi, Norzana Ghafar, Khin Pa Pa Hlaing, Israa Maatoq, Faizah Othman, Muge Kiray, Husnu Alper Bagriyanik, Cetin Pekcetin, Candan Ozogul, Mustafa Fidan, Farihah Suhaimi, Fei Sun, Francisco Sanchez-Margallo, Francisco Gil, Verónica Crisostomo, Jesus Uson, Gegorio Ramirez, Ozan Turamanlar, Oguz Kirpiko, Alpay Haktanir, Salvador Climent, Sergio Losilla, Maria Climent, Levent Sarikcioglu, Yesim Senol, Fatos B. Yildirim, Arzu Utuk, Jacek Kunicki, Parichehr Pasbakhsh, Negar Omidi, Hamed Omidi, Fatemeh Dehghani Nazhvani, Seyed Razi Ghalebi, Nima Javan, Akrami Mohagery, Ali Reza Ebrahimzadeh Bideskan, Mohammad Mehdi Hassanzadeh Taheri, Ali Reza Fazel, Cesare Tiengo, Veronica Macchi, Carla Stecco, Andrea Porzionato, Franco Mazzoleni, Raffaele De Caro, Alberto Clemente, Aldo Morra, Pietro Greco, Piero Pavan, Arturo Natali, Mehmet Demir, Mehmet Dokur, Niyazi Acer, Ayfer Mavi, Niki Matveeva, Dobrila Lazarova, Kostandina Korneti, Svetlana Jovevska, Dragica Jurkovik, Meri Papazova, Masoumeh Havasi, Naeim Alboghobeish, Ahmad Savari, Negin Salamat, Mozafar Sharifi, Hyun-Ho Kwak, Kyung-Seok Hu, Gyoo-Cheon Kim, Bong-Soo Park, Hee-Jin Kim, Ahmet Sinav, Adarsh K. Gulati, Nidhi K. Gulati, Hussien Alshammary, Seifollah Dehghani Nazhvani, Amir Vafafar, Tahereh Esmaeilpour, Soghra Bahmanpour, Leila Elyasi, Ahmad Monabbati, M. Ghanadi, Mohammad Reza Paryani, Hassan Gilanpour, Banino Amirsam, Rodrigo Elizondo Omaña, Santos Guzmán López, Oscar De la Garza Castro, Edgar Urrutia Vega, Santos Guzman Lopez, Freshteh Talebpour, Rahim Golmohammadi, Golamreza Dashti, Mohammad Ali Atlasi, Mehdi Mehdizadeh, Mohammad Hadi Bahadori, Mohammad Taghi Joghataei, Leili Hatami, Mandana Beigi Boroujeni, Jasem Estakhr, Ebrahim Esfandiary, Mohsen Marzban, Mehrdad Bakhtiary, Navid Modiry, Mokhtar Jafarpur, Hassan Mofidpur, S. Hassan Alavi, Alareza Mahmoudian, Mohmmad Mohsen Taghavi, Mokhtar Jafarpour, Ali Reza Mahmoudian, Nasrin Sanjarmousavi, Ines Doassans, Natalia Sorrenti, German Decuadro, Andres Saibene, Marie Poumayrac, Sebastian Laza, Carina Almiron, Maria Elena Vergara, Victor Soria, Sebastian Lasa, Adolfo Perez, Gabriela Castro, Ana Santa Maria, Mansoureh Soleimani, Majid Katebi, Masoomeh Bakhshayesh, Mithat Oner, Mehmet Halici, Ali Yikilmaz, Ahmet Guney, Yildirim Turk, Mete Edizer, Umit Beden, Nihal Icten, Mohammad Afshar, Mohammad Mehdi Hasanzadeh Taheri, Adel Moalem, Mohammad Jafar Golalipour, Azadeh Tamizi, Mohammad Ahi, Shahram Mohammadpour, Ardeshir Maiery, Cengiz Acikel, Ersin Ulkur, Huseyin Karagoz, Bahattin Celikoz, Kuldip Bedi, Partadiredja Ginus, Mohammad Jafar Golalipoor, Mohammad Reza Mohammadi, Poya Jhand, Azad Reza Mansourian, Kanizreza Hosseinpoor, Abbas Ali Keshtkar, Raith Alsaffar, Babak Kabiri Balajadeh, Soraya Ghafari, Ramin Azarhosh, Seyyed Amirhossein Fazeli, Mehrdad Jahanshahi, Annen Mohammad Gharravi, Banu Alicioglu, Hakki Muammer Karakas, Ahmet Harma, Hun-Mu Yang, Sung-Yoon Won, Jae-Gi Lee, Ju-Young Lee, Jeong-Yong Lee, Yoo-Ri Kim, Wu-Chul Song, Ki-Seok Koh, Eu-Na Hwang, Hyun-Gon Choi, Soon-Heum Kim, Soo-Young Kim, Mi-Sun Hur, Enis Ulucam, Osman Celbis, Da-Hye Kim, Hee-Suk Hong, Hyun-Joo Kim, Jong-Hoon Choi, Jong-Tae Park, Hyeon-Cheol Kim, Hamed Abbasi, Seyed Mohammad Hosseinipanah, Mohammad Hosseini, A. Amani, H. R. Ashrafi, Mohsen Sadeghimehr, Hyun-Ju Kim, Vadim Sheverdin, Zahra Amani, Alireza Ashrafi, Ali Reza Ashrafi, Hami Javad, Mokhtar Jafarpoor Kachap, Sebastián Laza, Marie Catherine Poumayrac, Inés Doassans, María Elena Vergara, Carina Almirón, Víctor Soria, Alvaro Rivara, Angela Sirilo, Diego Freire, Angela Cirillo, Maria Elena Veragara, Vlado Krmek, Nikola Krmek, Ana Jo-Osvatic, Vasilije Nikolic, Radivoje Radic, R. Shane Tubbs, Marios Loukas, Quentin Fogg, Neil Ashwood, Serpil Cilingiroglu, Cemal Ozbakir, Tahereh Mazoochi, Vedat Sabanciogullari, Cesur Gumus, F. Hayat Erdil, Mehmet Cimen, Hesam Moodi, Fateme Ghiasi, Asghar Akbari, Javad Hami, Majid Khazei, Elham Haghparast, Ioannis Mitsakis, Aikaterini Anastasiou, Menelaos Mitsakis, Kyriaki Sianou, Roxani Hainoglou, Margarida Francisco, Charikleia Mitsaki, Maria Konstantinidi, Stamatia Prapa, Igor Leksan, Tomislav Mrcela, Robert Selthofer, Fatemeh Kermanian, Alireza Mahmoudian, Mahmood Erfanian Ahmadpoor, Naser Dalili, Amir Hossein Elian, Ardesheer Moaiery, Zahra Jamalpour, Mohammad Reza Nourani, Alireza Asgari, Alireza Ebrahimzadeh, Seyed Hasan Eftekharvaghefi, Abbas Mohammadi, Vahid Sheibani, Seyed Noureddin Nematollahi-Mahani, Mastafa Latifpour, Masood Deilami, Behzad Soroure-Azimzadeh, Fatemeh Nabipour, Hamid Najafipour, Nouzar Nakhaee, Mohammad Yaghoobi, Rana Eftekharvaghefi, Parvin Salehinejad, Hasan Azizi, Hamid Reza Riasi, Maliheh Nobakht, Sara Asalgoo, Roshanak Rahbar, Norooz Najafzadeh, Kazem Moosavizadeh, Massood Ezzatabadypour, Masoud Majidi, Reza Malekpor-Afshar, Fariba Karimzade, Mahmood Hoseini, Mohamad Bayat, Ali Gorgi, Akram Nezhadi, Mehrdad Bakhtiari, Homa Rasooli Jazi, Maryam Jafaryan, Hosein Haghir, Mahmood Hosseini, Sadegh Rahimi, Fatemeh Behnam Rassouli, Ali Gorji, Aliasghar Habibi, Fatemeh Pouya, Shahryar Dabiri, A. Mousavi, Saeed Rajabalian, A. Abolidokht, Neda Khanlarkhani, Homayoun Naderian, Nezamedin Berjis, Mohamad Reza Namavar, Tahereh Talaei, Zohreh Mazaheri, Ahmad Monabati, Mehmet Ilkay Kosar, Kezban Karacan, Hamidreza Chegini, Hossein Nikzad, Egemen Ayhan, Sinan Ustundag, Salih Murat Akkin, Tahir Ogut, Parviz Rayegan, Mohamad Ali Emami Meibodi, Reza Montazer Ghaem, Rosa Zargarpoor, Seyd Hasan Eftekhar Vaghefi, Ghazale Moshkdanian, Fateme Poya, Hamid Kohestani, Roozbeh Rayegan Abarghoeai, Parviz Rayegan Abarghoeai, Seyed Hasan Eftekhar Vaghefi, Abolghasem Amir Mahmodi, Ali Poraboli, Hamid Reza Kohestani, Raena Eftekhar Vaghefi, Seyed Hasan Eftekhar Vaghefy, Raena Eftekhar Vaghefy, Parviz Raygan Abarghoeai, Mohamad Saba, Anneh Mohammad Gharravi, Fatemeh Javadnia, Mohsen Zhaleh, Dariush Bijan Nezhad, Mohammad Reza Gholami, Maria Piagkou, Vassiliki Kouki Aikaterini, Giannoulis Piagkos, Stergios Douvetzemis, Panagiotis Skandalakis, Sophia Anagnostopoulou, Nikolaos Papadopoulos, H. Hamdi Celik, Ilkan Tatar, Emel Cadalli Tatar, Burce Ozgen Mocan, Mustafa F. Sargon, C. Cem Denk, Homa Rasoolijazi, Mohammad Taghi Joghataie, Mehrdad Roghani, Salin Murat Akkin, Gulten Dinc, Mustafa Kurklu, Sener Ozboluk, Mahmut Komurcu, Jürgen Koebke, Mehmet Bulent Balioglu, Mehmet Akif Kaygusuz, Ferdi Sefa Bozkus, Ozgur Korkmaz, Sule Biyik Bayram, Mehmet Ali Can, Ebrahim Nasiri, Koroush Jafar-Kazemi, Melina Hosseini, Shahin Maghoul, Mansooreh Soleimani, Abdollah Amini, Mohamad Mahdi Hassanzade, Mohammad Hossein Davari, Tom Van Hoof, Germano T. Gomes, Emmanuel Audenaert, Koenraad Verstraete, Ingrid Kerckaert, Katharina D’Herde, Brion Benninger, Gil Hedley, Florin Mihail Filipoiu, Eugen Tarta, Mihali Enyedi, Cosmin Pantu, Razvan Stanciulescu, Cezary Skobowiat, Jaroslaw Calka, Mariusz Majewski, Maryam Rezaian, Akbar Yaghoobfar, Somayeh Hamedi, and T. Shomali

Subjects
Radiology, Nuclear Medicine and imaging, Surgery, Anatomy, Pathology and Forensic Medicine
Published
2009

3. The human sacrum and safe approaches for screw placement

Author

Funda Aksu, Sait Naderi, Candan Arman, Süleyman Tetik, Amaç Kiray, Esin Korman, Hakan Sinan Yılmaz, Arman, C., Naderi, S., Kiray, A., Aksu, F.T., Yilmaz, H.S., Tetik, S., Korman, E., and Yeditepe Üniversitesi

Subjects
Sacrum, Facet (geometry), Morphometric, business.industry, Decompression, Bone Screws, General Medicine, Anatomy, Sagittal plane, Screw placement, medicine.anatomical_structure, Neurology, Physiology (medical), Goniometer, Humans, Medicine, Calipers, Surgery, Neurology (clinical), business, Lumbosacral joint
Abstract

The human sacrum is the target of lumbosacral instrumentation and decompression procedures. Such surgical interventions require detailed knowledge of the anatomy of the human sacrum. The aim of this study was to measure surgically relevant parameters. Several factors, including the one-piece composition of the sacrum, the angles of the sacral pedicles and the anteroposterior diameter of the sacral vertebral bodies distinguish the sacrum from other parts of spine. Thirty-two measurements of shape, angles and distances between parts were taken of the sacra of 100 adult West Anatolian people using a Vernier caliper accurate to 0.1 mm and goniometer. According to this morphometric study, when measured from the sagittal, the SI facet angle was measured as 35.71 degrees +/- 9.59 and 34.70 degrees +/- 9.66, the sacral pedicle anteromedial screw trajectory angle was 35.65 degrees +/- 4.73 and 31.95 degrees +/- 3.95 and the anterolaterally oriented sacral wing screw trajectory angle was 32.65 degrees +/- 3.51 and 29.10 degrees +/- 3.14, on the right and left sides, respectively. The distance of the midline oriented SI pedicle screw was 51.12 mm and 51.26 mm on the right and left side, respectively. The distance for sacral wing oriented screw placement was 50.13 mm and 50.46 mm on the right and left side, respectively. The anteroposterior and transverse diameter of the sacral spinal canal were 21.84 mm and 31.31 mm, respectively. Thus, this Study describes anatomical specifications of the sacrum. These defined morphometric details should be taken into consideration during Surgical procedures. This study also describes anatomical landmarks which Will allow injury Of the sacrum during Surgery to be avoided. (C) 2008 Elsevier Ltd. All rights reserved.

Published
2009

4. The thickness and the lengths of the anterior wall of adult maxilla of the West Anatolian Turkish people

Author

Amaç Kiray, Atay Atabey, Mustafa Güvençer, Ipek Ergur, Esin Korman, Candan Arman, and Süleyman Tetik

Subjects
Adult, Anthropometry, Turkey, business.industry, Skull, Significant difference, Anterior wall, Alveolar arch, Anatomy, Piriform aperture, Pathology and Forensic Medicine, Facial reconstruction, Maxilla, Foramen, Humans, Medicine, Calipers, Body Weights and Measures, Radiology, Nuclear Medicine and imaging, Surgery, business
Abstract

The maxilla is the key structure on facial formation and stability. The knowledge about maxillary thickness and dimensions is crucial during facial reconstruction including this bone. In this study, anthropometric measurements of anterior wall of the maxilla on the dry human skulls were aimed. Sixty maxillae of 30 adult dry skulls of West Anatolian people were evaluated. Four vertical lines were drawn between the piriform aperture and lateral border of the bone and six horizontal lines between the infra-orbital margin and the inferior border of the piriform aperture. After establishing the lines, maxillary thicknesses on the intersection points of the vertical and horizontal lines and the lengths of the vertical lines from the infra-orbital margin to alveolar arch were measured by using a fine caliper. It was found that the thickest point of the anterior wall of the maxillae is on the lateral of the infra-orbital margin (5.17 +/- 2.27 mm), and thinnest one is on the inferior of the infra-orbital foramen (0.92 +/- 1.06 mm). The length of the vertical line tangent to piriform aperture (47.66 +/- 3.61 mm) is the longest. The corresponding data of the left and right maxillae were compared by Student's t test. There was no significant difference between both sides. After collecting the data, a thickness map of anterior wall of the maxilla was drawn. This data may be helpful in clinic during osteotomies, bone reconstructions, screw, or other reconstruction apparatus applications on the maxilla.

Published
2006

5. An anatomical study of the inferior cubital artery

Author

Atay Atabey, O. Magden, Candan Arman, and Çiğdem Içke

Subjects
Human cadaver, Mean diameter, Cephalic vein, medicine.medical_specialty, business.industry, Anterior surface, Anatomy, Surgery, Plastic surgery, medicine.anatomical_structure, Forearm, medicine.artery, medicine, Brachial artery, business, Artery
Abstract

The inferior cubital artery is important in planning fasciocutaneous flaps in the forearm. The origin, course, anatomical relationships, and diameter were investigated in 20 human cadavers by dissecting 40 arms. The anatomical architecture of the artery was classified into six groups according to their origin, either being from the radial or the radial recurrent or the brachial artery. The skin marking of the origin of the inferior cubital artery was determined to be 38.55+/-11.57 mm (mean+/-1 SD) inferior to the midpoint of the interepicondylar line on the anterior surface of the forearm. The inferior cubital artery may course from the back (70%), the front (17.5%), or between the paired limbs (5%) of the communicating branch of the cephalic vein in a crosswise fashion. The mean diameter of the artery was found to be 1.08+/-0.34 mm (mean+/-1 SD). We report the observation of three new variations and different courses of the inferior cubital artery that have not been previously reported.

Published
1997
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6. Morphometric analysis of human occipital condyle

Author

Süleyman Tetik, Mustafa Güvençer, M. Nuri Arda, Mehmet Senoglu, Candan Arman, Esin Korman, Güven Citak, and Sait Naderi

Subjects
Adult, Hypoglossal Nerve, business.industry, Cephalometry, Hypoglossal canal, General Medicine, Anatomy, Craniometry, Occipital condyle, Sagittal plane, Condyle, medicine.anatomical_structure, Atlanto-Occipital Joint, Morphometric analysis, Cranial Fossa, Posterior, Occipital Bone, medicine, Humans, Surgery, Neurology (clinical), Cranial fossa, Cervical Atlas, business, Vertebral column
Abstract

Objective: The human occipital condyle is the unique bony structure connecting the cranium and the vertebral column. The progress in neuroimaging techniques has increased interest for aggressive craniovertebral surgery. Such surgery requires the knowledge regarding anatomical aspects of the craniovertebral junction. The aim of the present study is to analyze the occipital condyle morphometrically. Material and methods: 404 occipital condyles of 202 dry skulls were used for this study. Twenty-seven parameters were measured, including length, width and height of occipital condyle, the distances between the occipital condyle and hypoglossal canal, as well as some important condyle-related angles. Results: The length, width and the height of the occipital condyle were found to be 23.4, 10.6, and 9.2 mm, respectively. The anterior and posterior intercondylar distances are 21.0 and 41.6 mm, respectively. Sagittal intercondylar angle was 59.3 ◦ . The intracranial orifice of the hypoglossal canal was found in the junction of the second and third quarter on the condyle in more than 55% of specimens. The shape of occipital condyles was classified into eight types as followings—type 1: oval-like condyle; type 2: kidney-like condyle; type 3: S-like condyle; type 4: eight-like condyle; type 5: triangle condyle; type 6: ring-like condyle; type 7: two-portioned condyle and type 8: deformed condyle. The most common type was type 1 (50%), whereas the most unusual type was type 7 (0.8%). Conclusion: It is concluded that the occipital condyle may present various shapes, length, width, and orientation, requiring a careful radiological analysis before craniovertebral junction surgery. © 2004 Elsevier B.V. All rights reserved.

Published
2005

7. Anatomical and computed tomographic analysis of C1 vertebra

Author

Tansu Mertol, Sait Naderi, Feridun Acar, Candan Arman, Handan Cakmakci, and M. Nuri Arda

Subjects
Facet (geometry), business.industry, medicine.medical_treatment, Vertebral artery, Laminectomy, General Medicine, Anatomy, Vertebra, medicine.anatomical_structure, Reference Values, Cadaver, Surgical Procedures, Operative, medicine.artery, Cervical Vertebrae, medicine, Humans, Calipers, Surgery, Neurology (clinical), Tomography, Tomography, X-Ray Computed, business, Cervical vertebrae
Abstract

Craniovertebral junction surgery requires knowledge regarding the anatomy of this region, particularly the C1 vertebra. Both C1 laminectomy and C1-2 instrumentation necessitate preoperative information about bony landmarks and the vertebral artery. This study compares the results obtained from anatomic and computed tomographic measurements of C1 bony landmarks. 31 C1 cervical vertebrae were measured; the C1 AP diameter, and C1 transverse diameter, the facet diameter, the distance between the anterior tubercle and the anterior aspect of the C1 lateral mass on a lateral view, the distance between the midline and the vertebral artery groove on the outer cortex of the posterior arch of C1 anatomically and computed tomographically. Anatomic measurements were performed by an anatomist using a Vernier caliper accurate to 0.1 mm, whereas the computed tomographic measurements were performed by a radiologist on bone window computed tomography (CT). The mean values and the differences between two measurement modalities were analysed using a paired t-test. There was no statistical difference between the results obtained by anatomical and radiological measurements for six parameters. There was, however, a statistically significant difference between two modalities regarding the distance between the midline and vertebral artery groove on the outer cortex of posterior arch of C1, while slightly different, the difference is within 1 mm and, therefore, not clinically significant. It is concluded that CT reflects most anatomical details of bony landmarks of C1. (C) 2003 Elsevier Science B.V. All rights reserved.

Published
2003

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