Cursus Sportletsels en Echografie
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1 Cursus Sportletsels en Echografie echographic-anatomical aspects of the hip/ inguinal region SkillsLab ErasmusMC Rotterdam 26 & 27 maart 2015
2 Lowlands Institute of Surgical and applied Anatomy LISA education and research in surgical anatomy
3 ventral approach
4 m. iliopsoas m.sartorius femorale vaat zenuw bundel
5
6 vascular aspects
7 m. tensor fascia lata lateral approach
8
9 dorso-/postero lateral approach
10 dorso-/postero lateral approach the abductor muscles m.glut. minimus - medius - maximus n. ischiadicus nn. gluteus superior en - inferior a& v glutea superior en - inferior
11 medial approach: the adductor muscles
12 straight posterior approach: the hamstring muscles
13 inguinal region
14 inguinal region closing of the proc. vaginalis
15 contents -ductus deferens - artery to ductus def. (from inf. vesical artery) -testicular artery (aorta) -plexus pampiniformis (vv. testicularis) -a+v cremasterica - r. genitalis (van n. genitofemorails) -sympatische en viscerale afferenten -lymfevaten - rudimenten v.d. proc. vaginalis and.
16 the fascia. external spermatic (from external oblique muscle/apon.) cremasteric (from internal oblique muscle) internal spermatic (from transversalis fascia)
17 the fascia. external spermatic (from external oblique muscle/apon.) cremasteric (from internal oblique muscle) internal spermatic (from transversalis fascia)
18 the fascia. external spermatic (from external oblique muscle/apon.) cremasteric (from internal oblique muscle) internal spermatic (from transversalis fascia)
19 n. genitofemoralis
20 boundaries of myopectineal orifice (of Fruchaud) - cranially: oblique and transverse muscle - caudally: pubic pecten - laterally: psoas muscle - medially rectus muscle
21 n. iliohypogastricus n. genitofemoralis n. ilio-inguinalis
22 a.&v. cremasterica blue line (Amid) (from: inf. epigastric vessels)
23
24 normale anatomie regio inguinalis (rechter inguinale regio, parallel en craniaal vh lig inguinale)
25 indirekte (laterale) hernia voor Valsalva na Valsalva
26 direkte (mediale) hernia voor Valsalva na Valsalva
27 femorale hernia voor Valsalva na Valsalva
28 Ian Beggs, UK Stefano Bianchi, Switzerland Angel Bueno, Spain Michel Cohen, France Michel Court-Payen, Denmark Andrew Grainger, UK Franz Kainberger, Austria Andrea Klauser, Austria Carlo Martinoli, Italy Eugene McNally, UK Philip J. O Connor, UK Philippe Peetrons, Belgium Monique Reijnierse, The Netherlands Philipp Remplik, Germany Enzo Silvestri, Italy
29
30
31
32 tensor fascia lata sartorius iliopsoas n. cut. fem. lat. sartorius
33 n m. iliacus
34
35 Pubis
36
37 glut. min. fascia lata
38 tuber ischiadicum
39
40 part 2 semimembranosus pees semimembranosus aponeurose biceps semitendinosus n. ischiadicus
41 Questions??
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