Anatomical and functional study of the musculus psoas major and nervus femoralis in correlation with pelvic diameters
Background/Aim. The iliopsoas muscle [musculus (m.) iliopsoas] originates from the Greek word psóa, which means loin and represents the only muscle in the body with anatomical preconditions to simultaneously and directly contribute to the stability and movement of the trunk, pelvis, and legs. M. ili...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Military Health Department, Ministry of Defance, Serbia
2023-01-01
|
| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300025V.pdf |
| _version_ | 1797393704961441792 |
|---|---|
| author | Vojvodić Aleksandar Matić Aleksandar Mihailović Jelena Bjelogrlić Predrag Puškaš Laslo Stijak Lazar Aleksić Dubravka Filipović Branka Vukomanović-Đurđević Biserka Kapor Slobodan |
| author_facet | Vojvodić Aleksandar Matić Aleksandar Mihailović Jelena Bjelogrlić Predrag Puškaš Laslo Stijak Lazar Aleksić Dubravka Filipović Branka Vukomanović-Đurđević Biserka Kapor Slobodan |
| author_sort | Vojvodić Aleksandar |
| collection | DOAJ |
| description | Background/Aim. The iliopsoas muscle [musculus (m.) iliopsoas] originates from the Greek word psóa, which means loin and represents the only muscle in the body with anatomical preconditions to simultaneously and directly contribute to the stability and movement of the trunk, pelvis, and legs. M. iliopsoas belongs to the inner thigh muscle group and forms part of the posterior abdominal wall. This muscle is the major flexor of the hip joint, and it is functionally essential for proper posture, walking, running, and other physical activities. The aim of this study was to determine the relationship between the anatomical parameters of the pelvis and nervus (n.) femoralis, as well as the relationship between the same pelvic parameters and m. psoas major. Methods. The study was conducted at the Faculty of Medicine, University of Belgrade, on cadaveric material of the Institute of Anatomy “Niko Miljanić”. For measurement purposes, 14 cadavers were used, seven of which were male and seven female, aged 67–79 years. The measuring instruments used in this study were a ruler and an electronic digital caliper (measuring range 0–500 mm, resolution 0.01 mm). Statistical data processing was performed in the SPSS 11.0 program using the Mann-Whitney U test. Results. The results of this study indicate a significant statistical difference in pelvic width between male and female cadavers, which was observed in the reduction of the bituberal line in females, while the parameters of the bispinal line showed no significant difference between the two genders. The decrease of the bituberal line in females was followed by an increase in the width of the proximal origin with a statistically significant decrease in the length of the proximal origin of the m. psoas major. Furthermore, the vertical distance of n. femoralis from the exit point of the muscle to the bispinal line was significantly reduced in the male cadavers. Conclusion. Based on our results, we can assume that, in most cases, due to the smaller bituberal and bispinal line or narrower pelvis, a shorter proximal attachment of the m. psoas major will occur with greater width (L2–L5 level) in the female than in the male gender, resulting in a longer vertical distance of n. femoralis. Such results indicate a close correlation between the anatomical parameters of the m. psoas major, which may affect the distance of n. femoralis exit from the muscle. |
| first_indexed | 2024-03-09T00:07:40Z |
| format | Article |
| id | doaj.art-ed768271813842c4b3d823e9044c1dce |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-03-09T00:07:40Z |
| publishDate | 2023-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-ed768271813842c4b3d823e9044c1dce2023-12-12T13:09:36ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202023-01-01801081482010.2298/VSP221129025V0042-84502300025VAnatomical and functional study of the musculus psoas major and nervus femoralis in correlation with pelvic diametersVojvodić Aleksandar0Matić Aleksandar1https://orcid.org/0000-0001-9843-4357Mihailović Jelena2Bjelogrlić Predrag3Puškaš Laslo4Stijak Lazar5https://orcid.org/0000-0003-1669-4759Aleksić Dubravka6https://orcid.org/0009-0001-7499-2888Filipović Branka7Vukomanović-Đurđević Biserka8Kapor Slobodan9https://orcid.org/0000-0002-6695-6393Clinical Center of Zemun, Department of Orthopedic Surgery, Belgrade, SerbiaUniversity of Kragujevac, Faculty of Medical Sciences, Department of Orthopedic Surgery, Kragujevac, SerbiaMayo Clinic, Department of Radiology, Rochester, USAUniversity of St Andrews, Faculty of Medicine, Department of Anatomy and Clinical Skills, Scotland, UKUniversity of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Hospital Center “Dr Dragiša Mišović – Dedinje“, Department of Gastroenterology, Belgrade, SerbiaUniversity of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Institute of Anatomy “Niko Miljanić”, Belgrade, SerbiaBackground/Aim. The iliopsoas muscle [musculus (m.) iliopsoas] originates from the Greek word psóa, which means loin and represents the only muscle in the body with anatomical preconditions to simultaneously and directly contribute to the stability and movement of the trunk, pelvis, and legs. M. iliopsoas belongs to the inner thigh muscle group and forms part of the posterior abdominal wall. This muscle is the major flexor of the hip joint, and it is functionally essential for proper posture, walking, running, and other physical activities. The aim of this study was to determine the relationship between the anatomical parameters of the pelvis and nervus (n.) femoralis, as well as the relationship between the same pelvic parameters and m. psoas major. Methods. The study was conducted at the Faculty of Medicine, University of Belgrade, on cadaveric material of the Institute of Anatomy “Niko Miljanić”. For measurement purposes, 14 cadavers were used, seven of which were male and seven female, aged 67–79 years. The measuring instruments used in this study were a ruler and an electronic digital caliper (measuring range 0–500 mm, resolution 0.01 mm). Statistical data processing was performed in the SPSS 11.0 program using the Mann-Whitney U test. Results. The results of this study indicate a significant statistical difference in pelvic width between male and female cadavers, which was observed in the reduction of the bituberal line in females, while the parameters of the bispinal line showed no significant difference between the two genders. The decrease of the bituberal line in females was followed by an increase in the width of the proximal origin with a statistically significant decrease in the length of the proximal origin of the m. psoas major. Furthermore, the vertical distance of n. femoralis from the exit point of the muscle to the bispinal line was significantly reduced in the male cadavers. Conclusion. Based on our results, we can assume that, in most cases, due to the smaller bituberal and bispinal line or narrower pelvis, a shorter proximal attachment of the m. psoas major will occur with greater width (L2–L5 level) in the female than in the male gender, resulting in a longer vertical distance of n. femoralis. Such results indicate a close correlation between the anatomical parameters of the m. psoas major, which may affect the distance of n. femoralis exit from the muscle.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300025V.pdfanatomyfemoral nervepelvispsoas musclessex factors |
| spellingShingle | Vojvodić Aleksandar Matić Aleksandar Mihailović Jelena Bjelogrlić Predrag Puškaš Laslo Stijak Lazar Aleksić Dubravka Filipović Branka Vukomanović-Đurđević Biserka Kapor Slobodan Anatomical and functional study of the musculus psoas major and nervus femoralis in correlation with pelvic diameters Vojnosanitetski Pregled anatomy femoral nerve pelvis psoas muscles sex factors |
| title | Anatomical and functional study of the musculus psoas major and nervus femoralis in correlation with pelvic diameters |
| title_full | Anatomical and functional study of the musculus psoas major and nervus femoralis in correlation with pelvic diameters |
| title_fullStr | Anatomical and functional study of the musculus psoas major and nervus femoralis in correlation with pelvic diameters |
| title_full_unstemmed | Anatomical and functional study of the musculus psoas major and nervus femoralis in correlation with pelvic diameters |
| title_short | Anatomical and functional study of the musculus psoas major and nervus femoralis in correlation with pelvic diameters |
| title_sort | anatomical and functional study of the musculus psoas major and nervus femoralis in correlation with pelvic diameters |
| topic | anatomy femoral nerve pelvis psoas muscles sex factors |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300025V.pdf |
| work_keys_str_mv | AT vojvodicaleksandar anatomicalandfunctionalstudyofthemusculuspsoasmajorandnervusfemoralisincorrelationwithpelvicdiameters AT maticaleksandar anatomicalandfunctionalstudyofthemusculuspsoasmajorandnervusfemoralisincorrelationwithpelvicdiameters AT mihailovicjelena anatomicalandfunctionalstudyofthemusculuspsoasmajorandnervusfemoralisincorrelationwithpelvicdiameters AT bjelogrlicpredrag anatomicalandfunctionalstudyofthemusculuspsoasmajorandnervusfemoralisincorrelationwithpelvicdiameters AT puskaslaslo anatomicalandfunctionalstudyofthemusculuspsoasmajorandnervusfemoralisincorrelationwithpelvicdiameters AT stijaklazar anatomicalandfunctionalstudyofthemusculuspsoasmajorandnervusfemoralisincorrelationwithpelvicdiameters AT aleksicdubravka anatomicalandfunctionalstudyofthemusculuspsoasmajorandnervusfemoralisincorrelationwithpelvicdiameters AT filipovicbranka anatomicalandfunctionalstudyofthemusculuspsoasmajorandnervusfemoralisincorrelationwithpelvicdiameters AT vukomanovicđurđevicbiserka anatomicalandfunctionalstudyofthemusculuspsoasmajorandnervusfemoralisincorrelationwithpelvicdiameters AT kaporslobodan anatomicalandfunctionalstudyofthemusculuspsoasmajorandnervusfemoralisincorrelationwithpelvicdiameters |