Search PubMed⌕ Search

Biomedical subjects

Aycicek Cecen

Publications and source records attributed to Aycicek Cecen.

4 recordsLinked to original sources

Morphometric study of the nerves entering into the coracobrachialis muscle.

The nerves entering into the coracobrachialis muscle are the musculocutaneous nerve (MC) and the nerve (usually consists of several thin branches) branches to the coracobrachialis. These thin branches enter the coracobrachialis proximal to the MC. The thin branches and the MC are susceptible to injury during coracoid process transfer. The purpose of this study is (1) to reveal the number and origin of the thin branches and (2) especially to report the morphometric information about the two distances between the coracoid process and the points where the first thin branch and the MC enter the coracobrachialis. These distances were named as the "distance T1" and the "distance D," respectively. Forty-two cadaver upper extremities were used and the distance between the coracoid process and the medial epicondyle of the humerus as the "arm length" was measured. The "ratio T1" was calculated by dividing the distance T1 by the arm length. The "ratio D" was calculated by dividing the distance D by the arm length. The number of the thin branches varied between one and four. In the most common type, there were two thin branches (45%). All of the thin branches originated from the MC. The mean distance T1, distance D and arm length were found as 41.5, 62 and 304.5 mm, respectively. The mean ratio T1 and ratio D were determined as 0.13 (approximately 1/8) and 0.20 (=1/5), respectively. The findings about the number and origin of the thin branches may contribute to the anatomy of the nerve to the coracobrachialis. The shoulder surgeon may calculate the predicted distance T1 and distance D of any upper extremity, dividing its arm length by eight and five, respectively.

Adult↗

Anatomic and morphometric study of the arcade of Frohse in cadavers.

The most superior part of the superficial layer of the supinator muscle is named as the arcade of Frohse (AF). The deep branch of the radial nerve runs under this arch. The AF is reported to be the most common structure causing entrapment neuropathy of the deep branch of the radial nerve. The aim of our study was to reveal the anatomical properties and especially morphometric measurements of the AF in cadavers. This study was performed on 55 cadaver upper extremities. The AF was classified macroscopically as either tendinous or membranous. The width, length and thickness of the AF were measured as the dimensions of the AF. The "distance AF" between the lateral epicondyle of the humerus and the AF was measured. The "forearm length" between the lateral epicondyle of the humerus and the styloid process of the radius was measured. The distance AF was divided by the forearm length to find the "ratio AF". In 87% of the extremities the AF was tendinous, and in 13% it was membranous. The mean width, length and thickness of the AF were 10.13, 8.60 and 0.77 mm, respectively. The mean distance AF and forearm length were 46.23 and 233.17 mm, respectively. The mean ratio AF was 0.199 (approximately 1/5). These measurements of the dimensions of the AF may contribute to the anatomy of the AF. The surgeon may find the predicted distance AF of any upper extremity by dividing its forearm length by 5.

Adult↗

Morphometric evaluation of subaxial cervical vertebrae for surgical application of transpedicular screw fixation.

STUDY DESIGN: A morphometric evaluation of pedicle projections in 29 cervical spinal columns (C3-C7) for three-dimensional surgical anatomy for safe surgery was proposed. OBJECTIVE: In this study, pedicles and intimate structures of the subaxial vertebrae from C3 to C7 were evaluated to provide some morphometric data for cervical transpedicular screw fixation. SUMMARY OF BACKGROUND DATA: Detailed knowledge of surgical anatomy and variation of the subaxial vertebrae is a must for safe and effective surgery of the region. Although there are several clinical studies of transpedicular fixation, few studies have been performed on cervical pedicle measurements and their projection. METHODS: In 29 dried bone cervical spinal columns (C3-C7), pedicle dimensions (pedicle height, width, length), measurements of lateral mass and pedicle length distance and pedicle axis length, investigation of distances of superior facet-midpedicle axis and inferior facet-midpedicle axis, and transverse and sagittal angles of the pedicles were performed in linear and angular measurements. RESULTS: The obtained data from the series revealed that the mean values were approximately ranging from 6.7 to 7.2 mm for pedicle height, 4.4 to 4.9 mm for pedicle width, 5.3 to 6.2 mm for pedicle length, 15.3 to 16.0 mm for lateral mass and pedicle length, 22.2 to 27.7 mm for pedicle axis length, 3.8 to 5.3 mm for superior facet-midpedicle axis distance, 9.9 to 12.0 mm for inferior facet-midpedicle axis distance, 42.3 degrees to 51.5 degrees for transverse angle, and 5.2 degrees to 14.1 degrees for sagittal angle. CONCLUSIONS: Linear measurements of pedicle dimensions and also axial angles from horizontal and vertical planes may provide some anatomic limitations for subaxial cervical transpedicular screw fixation, and also contribute to the safety of the surgical procedure. One should also rely on tomographic data and computer-assisted guidance systems.

Anthropometry↗

[Self migrating intracranial bullets].

We report herein two patients in whom bullets migrated into adjacent lateral ventricles in the brain and moved freely as a consequence of gravity. A rewiew ofthe literature suggests that spontaneous migration ofintracerebral bullets is being eased by cerebral softness, specific gravity of the bullet compared with brain tissue. ln patients undergoing the surgical removal of intracerebral or intraventricular bullets, an x-ray is recommended after final positioning.

Brain↗