Anatomic study of arcus tendineus fasciae pelvis
| Autor: | Denis Querleu, J.P. Francke, Michel Cosson, Fabrice Narducci, B. Occelli, J Hautefeuille, Gilles Crépin |
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| Rok vydání: | 2001 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Pelvis Tendons Obturator Internus Muscle Cadaver medicine Humans Fascia Aged Aged 80 and over business.industry Muscles Urinary Bladder Diseases Obstetrics and Gynecology Pelvic fascia Anatomy Pelvic cavity musculoskeletal system Perineum Surgery body regions medicine.anatomical_structure Reproductive Medicine Vagina Female Pubovesical ligament business |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 97:213-219 |
| ISSN: | 0301-2115 |
| DOI: | 10.1016/s0301-2115(00)00527-3 |
| Popis: | Objective : To describe the anatomy of the arcus tendineus fasciae pelvis. Material and methods : Two fixed female cadaver pelvises (88 and 66 years old) were dissected. Results : The arcus tendineus fasciae pelvis is a 10-cm-long fibrous thickening of the pelvic fascia which is medial to the obturator internus muscle and lateral to the peritoneum. It is inserted on the ischiatic spine and courses downward and anteriorly to the pubovesical ligament. The posterior third of the arcus tendineus fasciae pelvis is fused with the posterior third of the arcus tendineus musculus levatoris ani, forming a curve with upward and anterior concavity. This portion of the arcus tendineus is thick and easy to recognise upon palpation. It is located 1cm slightly above and anterior to the ischiatic spine and 2cm from of the pudendal vessels, which course around the posterior inferior margin of the ischiatic spine. The superior margin of the median part of the arcus tendineus fasciae pelvis is crossed laterally by vessels for the obturator internus muscle arising from the internal iliac vessels. Conclusion : In genital prolapse cure, sutures must be placed through the anterior or median parts of the arcus tendineus fasciae pelvis. In any case, they must remain anterior to the posterior part of the arcus tendineus fasciae pelvis to avoid injury to the pudendal vessels. |
| Databáze: | OpenAIRE |
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