Radiographic features of the region of the trochanteric fossa were evaluated bilaterally on 175 ventrodorsal radiographs of canine hip joints and findings were compared to anatomic specimens. The fossa showed a variable radiographic appearance, which was affected by positioning and anatomic diversity. On a small number of radiographs (n = 12), the trochanteric fossa was clearly defined as a circular area of radiopacity surrounded by a radiolucent halo. This appearance was significantly influenced by medial rotation of the femur (P < 0.001). On some anatomic specimens an irregular protuberance representing the site of attachment of the gemelli, internal and external obturator muscles was seen within the fossa, surrounded by a variable number of small openings, which were thought to be nutrient foramina. Dissection identified a small number of minor branches of the medial circumflex femoral artery entering these.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1111/j.1740-8261.2001.tb00943.x | DOI Listing |
J Orthop
June 2025
The Affiliated Hospital of Qingdao University, Qingdao Cancer Institute, Qingdao University, Qingdao, 266071, China.
Study Objective: This study aims to validate the application effects of a novel theoretical model of dynamic parallel traction in the treatment of femoral neck fractures through three-dimensional finite element analysis. By simulating the femoral neck fracture model, we explore the promotional effect of dynamic parallel traction on fracture healing.
Method: A digital 3D femur model was constructed using high-resolution computed tomography data of the lower limbs of a 70-year-old elderly subject.
Vet Comp Orthop Traumatol
January 2025
Campinas, São Paulo, Brazil.
Objective: To evaluate the in vitro mechanical properties of basilar fractures of the femoral neck stabilized with two or three titanium-cannulated screws in dogs.
Study Design: Ex vivo study.
Sample Population: Cadaveric canine femur ( = 21).
Eur J Orthop Surg Traumatol
August 2024
Department of Orthopedic Surgery, Faculty of Medicine, Al-Azhar University, Al Mokhayyam Al Dayem Street, Nasr City, Cairo, 11675, Egypt.
Cephalomedullary nailing for unstable proximal femoral fractures is widely utilized, especially for geriatric osteoporotic fractures. There are two starting points for entry, namely trochanteric tip entry and pyriformis fossa entry, both have advantages and disadvantages, the tip of the greater trochanter seems that it is not the ideal starting point for trochanteric entry nails, the study presents the foothill entry point as a reproducible, technically feasible entry point to overcome the shortcoming of both standard starting points, and it could be easy executed with clear intraoperative fluoroscopic landmarks and lead to appropriate nail position without intraoperative complications.
View Article and Find Full Text PDFInjury
August 2024
Department of Orthopaedic Surgery, Cedars Sinai Medical Center, Los Angeles, CA, USA; Orthopaedic Biomechanics Laboratory, Cedars Sinai Medical Center, Los Angeles, CA, USA. Electronic address:
Introduction: Reconstruction nails are commonly used to treat proximal femur fractures, with cephalic screw placement for femoral neck "prophylaxis" becoming standard practice. These implants are traditionally introduced through piriformis fossa (PF) or greater trochanter (GT) entry portals. A third "central collinear" (CC) portal has been proposed that allows entry along the femoral anatomic axis and central placement of cephalic screws.
View Article and Find Full Text PDFArch Orthop Trauma Surg
June 2024
Department of Orthopedic Surgery, University of Miami Hospital, Miami, FL, USA.
Introduction: Entry point selection, a crucial aspect of femoral antegrade nailing, can impact nail fit and consequently fracture reduction. In adults, the standard entry portals used are the piriformis fossa and the tip of the greater trochanter. Previous systematic reviews comparing the two techniques have not been limited to Randomized Controlled Trials (RCTs) and have not consistently included the same available RCTs.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!