Abstract

The elbow joint is a compound joint made of articulations in between the humerus, ulna and the radius. The coupling areas (joints) are of prime importance from the kinetic-biomechanical perspective and of potential inter-ethnic significance. These articulations can be affected by several pathologies that may require medical and surgical interference. This experimental analysis aims to infer data in relation to the morphometry of the proximal segment of the ulna and its articular surfaces represented by the greater sigmoid notch (trochlear notch) and lesser sigmoid notch (radial notch).A sample of fifty ulnae (n = 50, 27 right and 23 left) was studied in connection with; the surface area of the sigmoid notches (SA), weight of ulna, and the volume of proximal portion of ulna (including the olecranon process and reaching inferiorly to the lowest margin of the radial notch), the length of ulna (L). Longitudinal dimensional parameters were also studied including; the straight distance between the highest point (tip) of the olecranon and that of the coronoid process (OCD), and the mid-olecranon thickness in mediolateral (T1) and anteroposterior orientation (T2).It has been inferred that there were no significant differences in between right versus left ulnae and in relation to the majority of morphometric parameters with an exception for OCD (22.47 vs 20.75, p-value = 0.002). There was a positive correlation in between all the parameters, although the strongest associations were observed in between OCD, the area of the trochlear notch, and the weight of ulna.A precise conclusion was reached in relation to morphometry, volumetry and the pertinent biomechanics of the proximal segment of the ulna. Key findings are of value to biomedical engineers, medical professionals including orthopaedic surgeons and rheumatologists, evolutionary biologist, and physical anthropologist. Data from this study can be used to (reverse) engineer the perfect implant for the elbow joint.

Highlights

  • A liver surgery poses great challenge even for expert hands

  • The transverse diameter and anteroposterior diameter of porta hepatis (PH) were measured with Digital sliding Vernier Caliper

  • The contributing dimensions of six components viz. Left lobe, caudate lobe, caudate process, right lobe, fossa for gall bladder and quadrate lobe towards the formation of porta hepatis were measured with thread and scale. 2.1 Statistical method

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Summary

Introduction

A liver surgery poses great challenge even for expert hands. Hepatobiliary surgery requires comprehensive knowledge of anatomy of liver and surrounding structures. Porta Hepatis (PH) is a nonperitoneal deep fissure on the inferior aspect of liver which acts as a gateway for entry or exit of neurovascular structures. These structures include hepatic artery surrounded by autonomic plexus of nerves and the portal vein entering the liver, whereas hepatic ducts and some lymphatics emerge out of the liver. Hepatic surgery requires comprehensive knowledge of structures passing through porta hepatis. Conclusion: The dimensions and shape of porta hepatis; arrangement and number of structures at it is highly variable and its knowledge can be of great importance to hepato-billiary surgeons.

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