Learning objectives
1.
Review classic and new anatomic variants discoveries of the quadriceps muscle complex with cadaveric correlatio
2.
Improve our understanding of Imaging anatomy that is pertinent to perform biopsy and limb salvage surgery.
3.
Describe the natural pathways of the anterior thigh extracompartimental dissemination of malignant and inflammatory diseases
4.
Describe the anatomical variants of perforator branches of the lateral circumflex femoral artery and recognize the role of imaging in the planning of anterolateral thigh flap planning.
Proximal thigh level
Rectus femoris muscle extentions: origin...
Background
•MRI can identify direct and indirect tendon origins.
•Most intramuscular injuries of RF involve deep myotendinous junction.
•Eccentric contraction,
hip extension & knee flexion.
A 18-year-old manhad a complete grade III proximal direct and indirect proximal rectusfemoriswithanintact ASIS membrane.The ASIS membrane constraintstheRectusFemorismuscle at itstheoreticalanatomic position tetheringthedirect and indirect tendonstumps
A similar concept to the ASIS –RF membrane ,
has been evolving at the elbow where nowadays it is accepted that the insertion of the distal biceps has evolved to “the distal biceps brachii tendinous complex...
Imaging findings OR Procedure Details
The different approaches is important for MSK biopsy used to minimize potential tumor seeding of adjacent soft-tissue structures and compartments.
The sartorius muscle is in relation to the upper and anterior regions of the thigh.
For this reason the sartorious pathway has important implications in the spread of malignant and inflammatory diseases, and surgical approaches.
Imaging may be a useful tool for depiction of sartorius involvement
The classic anatomical situation,
the LCFA originates proximally from the deep femoral artery,
most commonly with a larger descending...
Conclusion
•Rectus femoris muscle origin complex and insertion complex
1.Proximal 1/3 thigh : From classic direct & indirect RF tendons to IMAGING PROXIMAL RF TENDINOMEMBRANOUS ORIGIN COMPLEX concept that includes the ASIS(variant) proximal membranous origin.
2.Distal 1/3 thigh : IMAGING DISTAL RF TENDINOUS INSERTION COMPLEX ( tendinous prepatellar continuation ).
Imaging US and MRI distal prepatellar tendinous tear
•Vastus intermedius related muscles
1.Middle 1/3 thigh :IMAGING VASTUS INTERMEDIUS TENSOR VASTUS INTERMEDIUS COMPLEX .
● 2.Distal 1/3 thigh : IMAGING VASTUS INTERMEDIUS -GENUS ARTICULARIS COMPLEX .
•QMC...
References
•Brukner P,
Connell D.
‘Serious thigh muscle strains’: beware the intramuscular tendon which plays an important role in difficult hamstring and quadriceps muscle strains.
British Journal of Sports Medicine.
2015;50(4):205-208.
•De Beule T,
Van Deun W,
Vranckx J,
de Dobbelaere B,
Maleux G,
Heye S.
Anatomical variations and pre-operative imaging technique concerning the anterolateral thigh flap: guiding the surgeon.
The British Journal of Radiology.
2016;89(1063):20150920.
•Grob,
K.,
Ackland,
T.,
Kuster,
M.,
Manestar,
M.
and Filgueira,
L.
(2016).
A newly discovered muscle: The tensor of the...
Personal Information
Reda Britel,
MD
Hospital Universitari Son Espases,
Universitat de les Illes Balears
Carretera de Valldemossa,
79,
07120 Palma de Mallorca Illes Balears,
07120 Spain
Phone: +34871205000
e-mail:
[email protected]