The Anatomy of the Obturator Nerve and Its Branches in a South African Cadaver Population

Autor: Zithulele N. Tshabalala¹, René Human-Baron, Soné Walt, Elizabeth M. Louw, Albert-Neels Schoor
Rok vydání: 2022
DOI: 10.21203/rs.3.rs-1437992/v1
Popis: Purpose: Several surgical and clinical procedures are performed in the area of the medial compartment of the thigh. This places the obturator nerve and its branches in potential danger of injury. This study aimed to provide a clear description of the anatomy and course of the obturator nerve and its branches to assist surgeons and clinicians in the safe performance of various pelvic procedures. Methods: One hundred and one (101) formalin-fixed were dissected. Dissections were performed just lateral to the lumbar vertebra to describe the origin of the obturator nerve. The course of the nerve, with its relations, was observed and recorded until it terminated in the medial thigh. The location of the obturator nerve within the obturator foramen was quantified by measuring the distance from three bony landmarks of the obturator foramen to the nerve. Findings: Variations were observed in the root origins of the obturator nerve, its course in the abdomen, bifurcation patterns and the innervation patterns of its terminal branches. Conclusion: The results of this study may be used in the pre-operative preparation of surgeons that are to perform surgery in the area of the obturator foramen. The study serves to assist in expanding the knowledge on the anatomy of the obturator nerve and its branches in a South African context. These results should be verified in a clinical setting.
Databáze: OpenAIRE