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

Purpose The 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. Methods The anato...

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Autores: Santamaría-Le Pera, Javier, Valera-Garrido, Fermín, Valderrama-Canales, Francisco J., Minaya-Muñoz, Francisco, Herrero, Pablo, Lapuente-Hernández, Diego
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Zaragoza
Repositorio:Zaguán. Repositorio Digital de la Universidad de Zaragoza
OAI Identifier:oai:zaguan.unizar.es:150808
Acceso en línea:http://zaguan.unizar.es/record/150808
Access Level:acceso abierto
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spelling Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigationSantamaría-Le Pera, JavierValera-Garrido, FermínValderrama-Canales, Francisco J.Minaya-Muñoz, FranciscoHerrero, PabloLapuente-Hernández, DiegoPurpose The 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. Methods The 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. Results Key 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. Conclusions It 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.2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://zaguan.unizar.es/record/150808reponame:Zaguán. Repositorio Digital de la Universidad de Zaragozainstname:Universidad de ZaragozaInglésinfo:eu-repo/semantics/openAccessoai:zaguan.unizar.es:1508082026-05-29T13:59:51Z
dc.title.none.fl_str_mv Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation
title Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation
spellingShingle Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation
Santamaría-Le Pera, Javier
title_short Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation
title_full Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation
title_fullStr Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation
title_full_unstemmed Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation
title_sort Are palpation-guided interventional procedures on the adductor longus muscle safe? A cadaveric and sonographic investigation
dc.creator.none.fl_str_mv Santamaría-Le Pera, Javier
Valera-Garrido, Fermín
Valderrama-Canales, Francisco J.
Minaya-Muñoz, Francisco
Herrero, Pablo
Lapuente-Hernández, Diego
author Santamaría-Le Pera, Javier
author_facet Santamaría-Le Pera, Javier
Valera-Garrido, Fermín
Valderrama-Canales, Francisco J.
Minaya-Muñoz, Francisco
Herrero, Pablo
Lapuente-Hernández, Diego
author_role author
author2 Valera-Garrido, Fermín
Valderrama-Canales, Francisco J.
Minaya-Muñoz, Francisco
Herrero, Pablo
Lapuente-Hernández, Diego
author2_role author
author
author
author
author
description Purpose The 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. Methods The 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. Results Key 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. Conclusions It 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.
publishDate 2025
dc.date.none.fl_str_mv 2025
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url http://zaguan.unizar.es/record/150808
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
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dc.source.none.fl_str_mv reponame:Zaguán. Repositorio Digital de la Universidad de Zaragoza
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instname_str Universidad de Zaragoza
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