ESSR 2019 / P-0130
Layered Anatomic Approach: The Quadriceps Muscle Complex Injuries
Congress: ESSR 2019
Poster No.: P-0130
Type: Educational Poster
Keywords: Trauma, Motility, Cancer, Normal variants, Experimental investigations, Education, Ultrasound, MR, CT, Musculoskeletal system, Anatomy
Authors: R. Britel1, L. Muntaner Gimbernat1, A. Rodriguez Baeza2, A. Kassarjian3; 1Palma de Mallorca/ES, 2Barcelona /ES, 3Pozuelo de Alarcón/ES
DOI:10.26044/essr2019/P-0130

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  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

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