Anatomy and clinical significance of the uncinate process and uncovertebral joint: A comprehensive review

2014 ◽  
Vol 27 (3) ◽  
pp. 431-440 ◽  
Author(s):  
Jeffrey Hartman
Keyword(s):  
Clinical Significance ◽  
Uncinate Process ◽  
Comprehensive Review ◽  
Uncovertebral Joint

scholarly journals A Radiological Study of Anatomical Variations of Uncinate Process

2016 ◽  
Vol 9 (2) ◽  
pp. 59-61
Author(s):  
Shrinath D Kamath Patla ◽  
Pretty Rathnakar ◽  
Vadisha S Bhat ◽  
Jayaramesh LNU
Keyword(s):  
Clinical Significance ◽  
Paranasal Sinuses ◽  
Intraoperative Complications ◽  
Anatomical Variations ◽  
Uncinate Process ◽  
Ct Scans ◽  
Radiological Study ◽  
Lamina Papyracea ◽  
Endoscopic Surgeon ◽  
Coronal Section

ABSTRACT Aim (a) To study the variations in the superior attachment of uncinate process. (b) Incidence of pneumatization of uncinate process was also studied. Materials and methods A total 200 sides of 100 CT scans of paranasal sinuses coronal section were studied for variations in the superior insertion of uncinate process using Landsberg and Friedman classification. Incidence of pneumatization of uncinate process was also studied. Results In our study out of 200 sides, type 6 attachment was commonest (41%) followed by types 1 and 2. Pneumatization of the uncinate was seen in very small percentage of cases. Conclusion Lateral insertion of uncinate (lamina papyracea + aggar nassi) is the commonest variant followed by the insertion into the skulbase. Pneumatization of uncinate is rare. Clinical significance Though the inferior attachment of the uncinate is almost constant the superior attachment has several variations, the knowledge of which is very important for the endoscopic surgeon to avoid intraoperative complications. How to cite this article Patla SDK, Rathnakar P, Bhat VS, Jayaramesh. A Radiological Study of Anatomical Variations of Uncinate Process. Clin Rhinol An Int J 2016;9(2):59-61.

scholarly journals Partial uncinatectomy combined with anterior cervical discectomy and fusion for the treatment of one-level cervical radiculopathy: analysis of clinical efficacy and sagittal alignment

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Haimiti Abudouaini ◽  
Tingkui Wu ◽  
Hao Liu ◽  
Beiyu Wang ◽  
Hua Chen ◽  
...  
Keyword(s):  
Clinical Efficacy ◽  
Sagittal Alignment ◽  
Cervical Radiculopathy ◽  
Fusion Rate ◽  
Uncinate Process ◽  
Anterior Cervical Discectomy ◽  
Cervical Discectomy ◽  
Cervical Sagittal Alignment ◽  
Uncovertebral Joint

Abstract Background Biomechanical studies have demonstrated that uncovertebral joint contributes to segment mobility and stability to a certain extent. Simultaneously, osteophytes arising from the uncinate process are a common cause of cervical spondylotic radiculopathy (CSR). For such patients, partial uncinatectomy (UT) may be required. However, the clinical efficacy and sagittal alignment of partial UT during anterior cervical discectomy and fusion (ACDF) have not been fully elucidated. Methods A total of 87 patients who had undergone single level ACDF using a zero-profile device from July 2014 to December 2018 were included. Based on whether the foraminal part of the uncovertebral joint was resected or preserved, the patients were divided into the ACDF with UT group (n = 37) and the ACDF without UT group (n = 50). Perioperative data, radiographic parameters, clinical outcomes, and complications were compared between the two groups. Results The mean follow-up was 16.86 ± 5.63 and 18.36 ± 7.51 months in the ACDF with UT group and ACDF without UT group, respectively (p > 0.05). The average preoperative VAS arm score was 5.89 ± 1.00 in the ACDF with UT group and 5.18 ± 1.21 in the ACDF without UT group (p = 0.038). However, the average VAS arm score was 4.22 ± 0.64, 4.06 ± 1.13 and 1.68 ± 0.71, 1.60 ± 0.70 at 1 week post operation and at final follow up, respectively, (p > 0.05). We also found that the C2-7 SVA and St-SVA at the last follow-up and their change (last follow-up value − preoperative value) in the ACDF with UT group were significantly higher than ACDF without UT group (p < 0.05). No marked differences in the other cervical sagittal parameters, fusion rate or complications, including dysphagia, ASD, and subsidence, were observed. Conclusions Our result indicates that ACDF using a zero-p implant with or without partial UT both provide satisfactory clinical efficacy and acceptable safety. However, additional partial UT may has a negative effect on cervical sagittal alignment.

scholarly journals A Comprehensive Review of the Sternal Foramina and its Clinical Significance

Cureus ◽  
2017 ◽  
Author(s):  
Paul J Choi ◽  
Joe Iwanaga ◽  
R. Shane Tubbs
Keyword(s):  
Clinical Significance ◽  
Comprehensive Review

scholarly journals A Review on Phytoconstituents and Therapeutic Properties of Ancient Plant: Terminalia arjuna (Roxb)

2021 ◽  
pp. 624-629
Author(s):  
. Harshita ◽  
Reena Sharma
Keyword(s):  
Clinical Significance ◽  
Crucial Role ◽  
Terminalia Arjuna ◽  
Comprehensive Review ◽  
Antifungal Properties ◽  
Therapeutic Properties ◽  
Mineral Ions ◽  
Different Parts

Terminalia arjuna also known as arjun or arjuna, is a member of Combretaceae family. Medicinal or therapeutic plant plays a crucial role to cure various diseases and Terminalia arjuna is one such therapeutic plant. This comprehensive review helps in studying various aspects like phytochemical, pharmacological, ethnomedical, phytological and clinical significance. Alkaloids, flavonoids, triterpenoids, glycosides and mineral ions present in different parts of the plant are discussed. Terminalia arjuna is used mainly in cardiovascular treatment, shows antibacterial, antimicrobial and antifungal properties.

scholarly journals A comprehensive review of the anatomical variations in the right atrium and their clinical significance

2019 ◽  
Vol 17 ◽  
pp. 100046
Author(s):  
Rafik Shereen ◽  
Sang Lee ◽  
Sonja Salandy ◽  
Wallisa Roberts ◽  
Marios Loukas
Keyword(s):  
Clinical Significance ◽  
Right Atrium ◽  
Anatomical Variations ◽  
Comprehensive Review ◽  
The Right

scholarly journals Glioneuronal Tumor With Features of Ganglioglioma and Neurocytoma Arising in the Fourth Ventricle: A Report of 2 Unusual Cases and a Review of Infratentorial Gangliogliomas

2019 ◽  
Vol 78 (9) ◽  
pp. 780-787 ◽  
Author(s):  
William Harrison ◽  
Aladine A Elsamadicy ◽  
J Tanner McMahon ◽  
Gustavo Chagoya ◽  
Raymond A Sobel ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Clinical Significance ◽  
Fourth Ventricle ◽  
Surgical Excision ◽  
Glioneuronal Tumor ◽  
Low Grade ◽  
Dysplastic Gangliocytoma ◽  
Comprehensive Review ◽  
Papillary Glioneuronal Tumor ◽  
Cerebellar Liponeurocytoma

Abstract Infratentorial glioneuronal neoplasms are overall quite rare and are more commonly low-grade with surgical excision usually being curative. Multiple distinct histologic entities have been described including rosette-forming glioneuronal tumor, papillary glioneuronal tumor, neurocytoma, dysplastic gangliocytoma of the cerebellum (Lhermitte-Duclos disease), cerebellar liponeurocytoma, and ganglioglioma. While each of these entities has distinct findings, in some instances a tumor may demonstrate overlapping histologic features with mixed components. Herein, we report 2 unusual adult cases of a fourth ventricular glioneuronal tumor with features of ganglioglioma and neurocytoma, with one coming from a surgical resection and one found incidentally at autopsy. To the best of our knowledge, this specific histologic combination has not previously been described. As such, the clinical significance is unknown although in both cases the neoplasms were circumscribed and appeared to be low grade. The presence of the gangliogliomatous component was of particular interest since these are extremely rare occurrences in the fourth ventricle and we provide a comprehensive review of infratentorial gangliogliomas.

scholarly journals A comprehensive review of motor innervation of the hand: variations and clinical significance

2017 ◽  
Vol 40 (3) ◽  
pp. 259-269 ◽  
Author(s):  
Sacha Wynter ◽  
Lakal Dissabandara
Keyword(s):  
Clinical Significance ◽  
Motor Innervation ◽  
Comprehensive Review
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