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  • 1
    ISSN: 1279-8517
    Keywords: Surgical approach ; Cadaveric studies ; Dissection ; Gluteus medius muscle ; Superior gluteal nerve
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Résumé Les recours de plus en plus fréquent à la voie latérale directe de la hanche pour les prothèses totales ou cervico céphaliques nous a conduit à étudier la localisation du nerf glutéal supérieur (SGN) qui est exposé lors de l'incision transglutéale. Les rapports du SGN avec le sommet du grand trochanter (TT) et avec la crête iliaque ont été étudiés sur 20 cadavres embaumés. Nous avons eu recours à l'étude macroscopique, microscopique ainsi qu'au scanner. Dans 13 cas nous avons mis en évidence une branche très inférieure, donc plus distale, située 1 cm en moyenne en dessous de la branche inférieure habituelle de bifurcation du tronc principal. Il existait des variations importantes dans les trajets de ces deux branches inférieures. Afin de prévenir une lésion chirurgicale du nerf, l'incision transglutéale ne doit pas aller au delà de 3 cm du sommet du grand trochanter, de plus l'incision doit être confinée en dessous du tiers distal de la ligne joignant le grand trochanter à la crête iliaque.
    Notes: Summary In view of the increasing popularity of the direct lateral approach to the hip joint for hemi- or total hip arthroplasty, the location of the superior gluteal nerve (SGN) was studied. This nerve is in danger when using a transgluteal incision. In 20 embalmed specimens the relation of the SGN to the tip of the greater trochanter (TT) was studied as well as the relation to the iliac crest. For this purpose macroscopy, microscopy and CT were used. In 13 hips a so-called most inferior branch was found at an average of 1 cm distal to the inferior branch, the main trunk of the nerve. There was substantial variation in the course of both the inferior and the most inferior branch of the SGN. In order to prevent nerve damage, proximal extension of the transgluteal incision should be limited to 3 cm cranial to TT. Furthermore the incision has to be confined to the distal one third of the distance TT-iliac crest. In tall people extra care should be taken.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0932
    Keywords: Pelvis ; Ligament sacro-tubéral ; Muscle biceps fémoral ; Stabilité articulaire ; Articulation sacro-iliaque ; Pelvis ; Sacrotuberous ligament ; Biceps femoris muscle ; Joint Stability ; Sacroiliac joint
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary Sacroiliac joint dysfunction is often overlooked as a possible cause of low back pain. This is due to the use of reductionistic anatomical models. From a kinematic point of view, topographic anatomical models are generally inadequate, since they categorize pelvis, lower vertebral column and legs as distinct entities. This functional-anatomical study focuses on the question whether anatomical connections between the biceps femoris muscle and the sacrotuberous ligament are kinematically useful. Forces applied to the tendon of the biceps femoris muscle, simulating biceps femoris muscle force, were shown to influence sacrotuberous ligament tension. Since sacrotuberous ligament tension influences sacroiliac joint kinematics, hamstring training could influence the sacroiliac joint and thus low back kinematics. The clinical implications with respect to ‘short’ hamstrings, pelvic instability and walking are discussed.
    Notes: Résumé On pense rarement au dysfonctionnement de l'articulation sacro-iliaque comme cause possible de “lombalgie”. Cela est dû au fait que l'on a recours bien souvent à des modèles anatomiques incomplets. D'un point de vue cinématique, les modèles habituels d'anatomie topographique sont généralement insuffisants car ils individualisent le pelvis, la colonne lombaire inférieure et les membres inférieurs comme des entités distinctes. Cette étude anatomo-fonctionnelle centre son intérêt sur la question de savoir si les relations anatomiques entre le muscle biceps fémoral et le ligament sacro-tubéral sont cinématiquement utiles. Les forces appliquées au tendon du muscle biceps fémoral, semblent influencer la tension du ligament sacro-tubéral. Comme la tension du ligament sacro-tubéral influence la cinématique de l'articulation sacro-iliaque, l'entraînement des ischio-jambiers pourrait influencer l'articulation sacro-iliaque et ainsi la cinématique du rachis lombaire. Les applications cliniques concernant la rétraction des ischio-jambiers, l'instabilité pelvienne et la marche sont discutées.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    Cell & tissue research 136 (1973), S. 111-120 
    ISSN: 1432-0878
    Keywords: Median eminence ; Rat ; Granular vesicles ; Ultrastructure ; Quantitative evaluation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary In order to characterize different sub-zones in the palisade zone of the rat median eminence, quantitative ultrastructural parameters were applied to brains fixed in aldehyde-osmium tetroxide. The palisade zone has been subdivided in 4 successive sub-zones. Increasing numbers of granular vesicles (GV), especially those smaller than 110 nm, are observed from dorsal to ventral sub-zones. There also are more GV per unit area of nervous tissue in the perivascular than in the more dorsal sub-zones. The individual nerve profiles exhibit a larger size in the perivascular layer than in the more dorsal areas, whereas the number and size of nerve profiles devoid of vesicles diminish from dorsal to ventral. As a consequence more GV occur in the perivascular nerve profiles. In the GV containing nerve profiles the concentration of GV is, however, constant in the different sub-zones. A fluctuating size of the preterminal and terminal parts of the nerve fibres is suggested.
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Cell & tissue research 146 (1973), S. 501-515 
    ISSN: 1432-0878
    Keywords: Median eminence (Rat) ; Granular vesicles ; Ultrastructure ; Quantitative evaluation
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary A quantitative evaluation has been made of the sizes of neuronal granular vesicles (GV) in different (sub-)zones of the rat median eminence. On the basis of the frequency distribution of the mean sizes of the GV in the individual nerve profiles, at least 4 tentative categories of nerve profiles may be distinguished. However, available data do not permit characterization of nerve fibre categories in terms of neurohormone and/or neurotransmitter storage. From dorsal to ventral the palisade zone shows a decrease in mean size of GV; furthermore, the relative number of nerve profiles characterized by small GV (mean size smaller than 112 nm) increases. In contrast, the GV in the zona granulosa, that part of the external zone of the median eminence ventral to the palisade zone, are of relatively large size. Qualitative observations indicate that the zona granulosa may be regarded as an area for both storage and release of biologically active substances.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-0878
    Keywords: Median eminence ; Agranular and granular vesicles ; Horseradish peroxidase ; Castration ; Ultrastructure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary In the median eminence of male rats, nerve profiles in the immediate vicinity of portal capillaries have been divided into 4 categories on the basis of their vesicular content: profiles a with agranular “synaptic” vesicles of about 50 nm, b with similar agranular vesicles and also with granular vesicles of mainly 60–140 nm, c with granular vesicles alone and d without vesicles. Twenty-four hours after castration, the percentage of profiles of category a was significantly increased when compared with sham-operated animals, whereas the percentage of profiles of category b was significantly decreased. After intravenous injection of exogenous peroxidase, especially the nerve profiles located in direct contact with the outer basement membrane of the portal capillaries contained peroxidase positive “synaptic” vesicles. Injection off peroxidase after castration resulted in a significant increase in the percentage of nerve profiles containing both peroxidase positive and peroxidase negative “synaptic” vesicles (category a). It is suggested that, in certain nerve terminals, castration may lead to release off the content of granular vesicles, which may contain gonadotropin releasing factor. This release then may cause that nerve terminals with both agranular vesicles and granular vesicles (category b) change in their vesicular content and are therefore classified as terminals with only agranular vesicles (category a). An increased turnover rate in the ultrastructurally affected terminals may be reflected in increased uptake of exogenous peroxidase. The observations imply that certain neurones projecting to portal capillaries in the median eminence are, directly or indirectly, sensitive to changes in the level of gonadal steroids.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Cell & tissue research 131 (1972), S. 99-107 
    ISSN: 1432-0878
    Keywords: Median eminence ; Rat ; Exocytosis ; Micro-pinocytosis ; Releasing factors
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Exocytosis has been demonstrated by electron microscopy in the external zone of the median eminence of the rat. Exocytotic profiles have been observed in nerve fibres characterized by the presence of granular vesicles with median diameters of 90–103 nm and agranular vesicles of about 50 nm. In addition to the small agranular vesicles, coated vesicles of the same size have been found in many nerve fibres, suggesting that at least part of the agranular vesicles in the median eminence originate by micro-pinocytosis. The nature of the fibres showing exocytosis is discussed. Attention is drawn to the possibility of identifying types of fibres in the median eminence by the occurrence of exocytosis.
    Type of Medium: Electronic Resource
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  • 7
    ISSN: 1432-0878
    Keywords: Median eminence ; Agranular and granular vesicles ; Horseradish peroxidase ; Micro-pinocytosis ; Ultrastructure
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Summary Nerve profiles in the basal part of the palisade zone of rat median eminence have been divided into 4 categories on the basis of their vesicular content: profiles a with agranular vesicles of about 50 nm, b with similar agranular vesicles and also with granular vesicles of mainly 70–140 nm, c with granular vesicles alone and d without vesicles. After intravenous injection of exogenous peroxidase, castrated male rats showed, in comparison to sham-operated controls, a 3–5 fold increase in the percentage of nerve profiles of category a which contained peroxidase loaded vesicles of about 50 nm. In contrast, no significant change was observed for nerve profiles of other categories. It is concluded that exogenous peroxidase may be used to demonstrate changes in the activity of tuberoinfundibular nerve terminals at the ultrastructural level.
    Type of Medium: Electronic Resource
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