Viewpoint: unrecognized values of dissection considered.
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Anatomy↗
Biomedical subjects
A H Weiglein
Publications and source records attributed to A H Weiglein.
Anatomical and safety considerations in establishing portals used for wrist arthroscopy.
Eight portals are used for wrist arthroscopy, five for the radiocarpal joint and three for the midcarpal space. These portals pass between important vessels and cutaneous nerves and the extensor tendons underlying the extensor retinaculum and permit access to the common pathologies of the wrist joints. The portals can be safely established making precise use of the external landmarks and are associated with little soft tissue damage and few complications when performed gently and through the dorsal side of the wrist.
Arthroscopy↗
The Graz learning and training model for arthroscopic surgery.
Up to 30% of all operative procedures in orthopaedic surgery are performed arthroscopically. Because of the steadily increasing number of residents, it seems to be difficult both to maintain high standards and to guarantee an adequate training in arthroscopic surgery. However, in contrast to many other surgical techniques it is possible to learn and practice arthroscopy using artificial models and cadaver joints, provided that experienced surgeons and anatomists act as supervisors and instructors. The aim of this paper is to assess practice models and training programs which should guarantee sufficient practical experience during the training period.
Arthroscopy↗
[Colliculus atlantis--a rarely observed anatomic structure--in a transoral roentgen image of the thoracic spine].
PURPOSE: To study the time and mode of the development of the colliculus atlantis, the rate of its occurrence, the causes for its absence, and the radiological-clinical importance in the analysis of open-mouth-view radiographs. MATERIAL AND METHODS: Retrospective analysis of standardized radiographs of the cervical spine in more than 20,000 adults and 100 children. Study of 234 human skeletons of different ages and of 38 isolated adult atlases. Cadaveric dissection of 42 adults (age 48-87). Axial radiographs of isolated atlases and analysis of the bony structures of the colliculus atlantis. RESULTS: The colliculus atlantis develops between age 10 and 13 years. It is always present after age 13 years. For the development of the colliculus atlantis a normal function of the craniocervical joints is necessary. In congenital dysmorphias of the craniocervical region with dysfunction of the craniocervical joints and in fractures of the dens axis before age 10 years with instable healing the colliculus atlantis is absent. CONCLUSIONS: The colliculus atlantis is developed at age 13 years apart from some rare exceptions as mentioned. Changes of the site and the structure of the colliculus atlantis allow an early diagnosis of certain traumatically and inflammatory diseases of this region. Furthermore, it serves as an additional parameter in functional analysis of the craniocervical joints.
Adolescent↗
The radio-anatomic importance of the colliculus atlantis.
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Adolescent↗
Plastination in the neurosciences. Keynote lecture.
Plastination is a unique technique of tissue preservation developed by Dr. Gunther von Hagens in Heidelberg, Germany, in 1978. In this process, water and lipids in biological tissues are replaced by curable polymers which are subsequently hardened, resulting in dry, odorless and durable specimens. In neuroanatomy silicone and polyester resins are used. Silicone rubber is used for whole brains and brain dissections resulting in natural looking specimens. Polyester resin is used for brain slices resulting in an excellent distinction between gray and white matter. The silicone S 10 standard technique and the polyester P 35 technique are described in detail. The advantages of plastinated specimens in neuroanatomy teaching and research are discussed.
Brain↗
Variations and topography of the arteries in the lesser omentum in humans.
Modern surgical techniques depend in part on knowledge of both the "normal" and the anomalous arterial blood supply. For instance, in liver transplantation, during surgery of the gallbladder, gastrectomy, and gastric lymphadenectomy, or when selective arterial chemotherapy is used for treatment of liver cancer, aberrant hepatic arteries can be a significant problem. A series of 138 cadavers with arterial latex injection were dissected and 10 corrosion casts were made to obtain an exact knowledge of the topography of the normal and anomalous arteries of the lesser omentum in humans. The so-called normal anatomy was found in only 9% (15 of 148 individuals), the remaining five-sixths presenting some variations from this, many of direct surgical importance. In these cases one or two aberrant hepatic arteries (37%), an artery in the free border of the hepatoduodenal ligament (19%), a right hepatic artery crossing the portal vein posteriorly (4%), the right hepatic artery entering the triangle of Calot anteriorly (29%) or not (7%), or an accessory left gastric artery branching off the left hepatic artery (2%) were found.
Aged↗
Anatomic basis of the lower trapezius musculocutaneous flap.
Differences in the description of the blood supply of the lower trapezius m. and the fact that all former findings are based on very few cases caused us to reinvestigate the arterial supply of the lower trapezius m. Based on the anatomic investigation of 70 human cadavers, the trapezial branch of the dorsal scapular a. was found to be the constant vessel to the lower trapezius m. The origin of the dorsal scapular a., however, was found to be very variable. In 45% it was a direct branch of either the subclavian a. or the costocervical trunk. In the remaining 55% the dorsal scapular a. formed different trunks with the superficial cervical a. and/or suprascapular a. branching off either the subclavian a., the thyrocervical trunk, or the internal thoracic a. Additional segmental musculocutaneous perforators also supply the lower part of the trapezius m. and the overlying skin. Consequently, the lower or ascending part of the trapezius m. has a vascular pattern type V. Thus, the lower trapezius musculocutaneous flap merits consideration in head and neck reconstruction.
Back↗
Postnatal development of the facial canal. An investigation based on cadaver dissections and computed tomography.
The anatomy of the facial nerve canal in the adult and the prenatal development of this canal are well described in the literature. It is divided into three segments (the labyrinthine segment, the tympanic segment and the mastoid segment). However, little is known of the facial canal anatomy in the newborn and almost nothing in the child. Postnatal changes in the development of the facial canal are directly connected with the postnatal development of the temporal bone. Particularly the development of the mastoid process and the bony external ear canal contribute to the development of the third (mastoidal) portion of the facial canal. Therefore, most of the postnatal changes in the facial canal are observed in this segment. However, the second (tympanic) portion also shows some postnatal changes in its direction caused by the changes of the squamous bone. The most significant changes take place during the first four years after birth. Provided with the anatomical description of the entire facial canal in the child, it is also easy to identify the canal on computed tomography scans. In summary, the first and the second part of the facial canal in the child are almost similar to the adult in length and in width; the only change from the newborn to the adult is in the direction of the second part which is more horizontal in the adult than during early childhood. The most significant changes are the changes in the length of the mastoidal part, the change in the position of the stylomastoid foramen and the change of the divergence of the chorda tympani.
Adolescent↗
A rare variant of thyroid gland vascularization.
Usually the thyroid gland obtains its blood via two paired arteries. One pair, the right and left superior thyroid aa., most commonly arises from the external carotid aa. and the second pair, the right and left inferior thyroid aa. commonly arises from the thyrocervical trunk of the subclavian a. In this particular case the right inferior thyroid a. was replaced by an artery branching off the right internal thoracic a.; the left inferior thyroid a. was replaced by an artery branching off the vertebral a. between the transverse process of the second and third cervical vertebrae. This finding might be explained by the suggestion that in the fetus there exists an anastomotic arterial chain ventral to the spinal column consisting of the thyrocervical trunk and the ascending cervical a. which itself is connected to the vertebral a.
Aged↗
Imaging of the facial canal by means of multiplanar angulated 2-D-high-resolution CT-reconstruction.
The facial canal containing the intratemporal portion of the facial nerve is very important for the otologist and radiologist concerning fractures and other lesions of the temporal bone. Axial and/or coronal standards are sufficient for imaging of the labyrinthine and the mastoidal segment of the facial canal. The sensitivity of visualization (sensitivity = number of identified structures per number of examinations) of the tympanic segment, however, is low and particularly the pyramidal segment (elbow, posterior knee) is not visualized in these standards. Based on anatomical considerations a new plain for imaging both the tympanic and mastoidal segment in continuity was obtained. The pyramido-longitudinal plain is achieved by a twice angulated 2-D-reconstruction based on axial high-resolution CT-scans.
Ear, Middle↗