|ESSR 2019 / P-0130|
|Layered Anatomic Approach: The Quadriceps Muscle Complex Injuries|
•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 myomyous point of failure research-in-progress : degloving rectus femoris injury phenomenon. Role of pennate vs unnipennate fibers and ROLE OF RECTUS FEMORIS CENTRAL APONEUROSIS AND ITS COMPLEX APONEUROTIC SYSTEM
QMC anatomic COMPLEX landmarks Key for limb sparing surgery that should be emphasized include
1-safe biopsy paths avoiding a way through Rectus Femoris and Major muscles Gluteus which are Key for Walking after surgery
2-Staging quadriceps-sartorius muscles relationship :the transcompartimental tumor spread pathway
3-Staging : quadriceps –iliopsoas muscles relationship :the transpelvic tumor spread pathway
Topography , number of perforant arteries and the presence of LCFA –LSGA VARIANT ANASTOMOSIS AT THE COMPLEX ANATOMIC ARCADE OF THE PATELLA are key issues for quadriceps ALT flap plannnig
Thematically related posters
ESSR 2019 / P-0115
Migratory loose bodies from the ankle joint to the flexor hallucis longus tendon sheath – Imaging features