TY  - JOUR
A1  - Rudert, Maximilian
A1  - Horas, Konstantin
A1  - Hoberg, Maik
A1  - Steinert, Andre
A1  - Holzapfel, Dominik Emanuel
A1  - Hübner, Stefan
A1  - Holzapfel, Boris Michael
T1  - The Wuerzburg procedure: the tensor fasciae latae perforator is a reliable anatomical landmark to clearly identify the Hueter interval when using the minimally-invasive direct anterior approach to the hip joint
JF  - BMC Musculoskeletal Disorders
N2  - Background
The key for successful delivery in minimally-invasive hip replacement lies in the exact knowledge about the surgical anatomy. The minimally-invasive direct anterior approach to the hip joint makes it necessary to clearly identify the tensor fasciae latae muscle in order to enter the Hueter interval without damaging the lateral femoral cutaneous nerve. However, due to the inherently restricted overview in minimally-invasive surgery, this can be difficult even for experienced surgeons.

Methods and Surgical Technique
In this technical note, we demonstrate for the first time how to use the tensor fasciae latae perforator as anatomical landmark to reliably identify the tensor fasciae latae muscle in orthopaedic surgery. Such perforators are used for flaps in plastic surgery as they are constant and can be found at the lateral third of the tensor fasciae latae muscle in a direct line from the anterior superior iliac spine.

Conclusion
As demonstrated in this article, a simple knowledge transfer between surgical disciplines can minimize the complication rate associated with minimally-invasive hip replacement.
KW  - anatomical landmark
KW  - direct anterior approach
KW  - Hueter interval
KW  - minimally-invasive
KW  - hip replacement
KW  - perforator
Y1  - 2016
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-146031
VL  - 17
IS  - 57
ER  - 
TY  - JOUR
A1  - Elsner, Clara
A1  - Kunz, Andreas Steven
A1  - Wagner, Nicole
A1  - Huflage, Henner
A1  - Hübner, Stefan
A1  - Luetkens, Karsten Sebastian
A1  - Bley, Thorsten Alexander
A1  - Schmitt, Rainer
A1  - Ergün, Süleyman
A1  - Grunz, Jan-Peter
T1  - MRI-based evaluation of the flexor digitorum superficialis anatomy: investigating the prevalence and morphometry of the “chiasma antebrachii”
JF  - Diagnostics
N2  - Recent dissection studies resulted in the introduction of the term “chiasma antebrachii”, which represents an intersection of the flexor digitorum superficialis (FDS) tendons for digits 2 and 3 in the distal third of the forearm. This retrospective investigation aimed to provide an MRI-based morphologic analysis of the chiasma antebrachii. In 89 patients (41 women, 39.3 ± 21.3 years), MRI examinations of the forearm (2010–2021) were reviewed by two radiologists, who evaluated all studies for the presence and length of the chiasma as well as its distance from the distal radioulnar and elbow joint. The chiasma antebrachii was identified in the distal third of the forearm in 88 patients (98.9%), while one intersection was located more proximally in the middle part. The chiasma had a median length of 28 mm (interquartile range: 24–35 mm). Its distances to the distal radioulnar and elbow joint were 16 mm (8–25 mm) and 215 mm (187–227 mm), respectively. T1-weighted post-contrast sequences were found to be superior to T2- or proton-density-weighted sequences in 71 cases (79.8%). To conclude, the chiasma antebrachii is part of the standard FDS anatomy. Knowledge of its morphology is important, e.g., in targeted injections of therapeutics or reconstructive surgery.
KW  - flexor digitorum superficialis
KW  - flexor tendon
KW  - chiasma antebrachii
KW  - magnetic resonance imaging
Y1  - 2023
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-362631
SN  - 2075-4418
VL  - 13
IS  - 14
ER  -