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Musculoaponeurotic Area of the Hip and Clinicophotographic Scaling System.

Mena-Chávez JA, Cárdenas-Camarena L - Plast Reconstr Surg Glob Open (2015)

Bottom Line: The borders were established using important anatomical points that determine the length and width of the area.The "clinicophotographic scaling system" was used to clinically calculate the length and width of the area.By examination and palpation, the borders and dimensions of this area could be determined.

View Article: PubMed Central - PubMed

Affiliation: Mexican Association of Plastic Esthetic and Reconstructive Surgery (AMCPER); International Confederation for Plastic Reconstructive and Aesthetic Surgery (IPRAS); International Society of Aesthetic Plastic Surgery (ISAPS); Iberolatinoamerican Plastic Surgery Federation (FILACP); Western Mexican Association of Plastic, Esthetic and Reconstructive Surgery (SCPERO); and Jalisco College of Plastic Surgeons.

ABSTRACT

Background: With the evolution of body contouring, few innovative alternatives have been developed for cosmetic treatment in the hip area.

Methods: A multicenter controlled study was conducted, including a prior review of the literature regarding the hip area. Dissections were performed on 4 male cadavers, outlining the "musculoaponeurotic area of the hip." The area was subdivided into anterior and posterior surfaces. A clinical study was conducted in 79 patients, obtaining a scale by using the most prominent points on the sides of both thighs as the main reference. With the lines marked on photographs and the measurements, a "clinicophotographic scaling system" was designed.

Results: The anterior surface corresponds to the tensor fasciae latae and its tendon as well as to the aponeurosis of the gluteus medius. The posterior surface corresponds with the iliotibial tract and the tendon insertions of the gluteus maximus. The average dimensions of the cadaver "musculoaponeurotic area of the hip" are as follows: length, 17.5 cm, and width, 11.5 cm. Using the "clinicophotographic scaling system," the dimensions are as follows: length, 14.9 cm, and width, 10.3 cm.

Conclusions: The "musculoaponeurotic area of the hip" was defined involving muscles, tendons, aponeurosis, fascia, subcutaneous cellular tissue, and skin. The borders were established using important anatomical points that determine the length and width of the area. The "clinicophotographic scaling system" was used to clinically calculate the length and width of the area. By examination and palpation, the borders and dimensions of this area could be determined.

No MeSH data available.


Related in: MedlinePlus

Determining the length (LA) and width (AN) using the “clinicophotographic scaling system.”
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Figure 5: Determining the length (LA) and width (AN) using the “clinicophotographic scaling system.”

Mentions: Holding the “modified vernier caliper” level with line I, we measured the width of the patient’s hips. We referred to this distance as the Trochanter-Trochanter or “TT” (expressed in centimeters). With a ruler, we measured this width on a photograph of the same patient and termed this distance “tt” (expressed in centimeters). We used these measurements to create the “clinicophotographic scaling system,” which consisted of the following: we divided TT by tt to obtain the “scale,” expressed in centimeters (Fig. 4). We then marked on the photographs the lines, A, P, S, and I, in accordance with the identical anatomical references on the cadaver. The distance between S and I was measured on the photograph and multiplied by the scale to obtain the length of the area (LA), expressed in centimeters. The distance between A and P (at the midpoint between S and I) was multiplied by the scale to obtain the width of the area (AN), expressed in centimeters (Fig. 5).


Musculoaponeurotic Area of the Hip and Clinicophotographic Scaling System.

Mena-Chávez JA, Cárdenas-Camarena L - Plast Reconstr Surg Glob Open (2015)

Determining the length (LA) and width (AN) using the “clinicophotographic scaling system.”
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4494493&req=5

Figure 5: Determining the length (LA) and width (AN) using the “clinicophotographic scaling system.”
Mentions: Holding the “modified vernier caliper” level with line I, we measured the width of the patient’s hips. We referred to this distance as the Trochanter-Trochanter or “TT” (expressed in centimeters). With a ruler, we measured this width on a photograph of the same patient and termed this distance “tt” (expressed in centimeters). We used these measurements to create the “clinicophotographic scaling system,” which consisted of the following: we divided TT by tt to obtain the “scale,” expressed in centimeters (Fig. 4). We then marked on the photographs the lines, A, P, S, and I, in accordance with the identical anatomical references on the cadaver. The distance between S and I was measured on the photograph and multiplied by the scale to obtain the length of the area (LA), expressed in centimeters. The distance between A and P (at the midpoint between S and I) was multiplied by the scale to obtain the width of the area (AN), expressed in centimeters (Fig. 5).

Bottom Line: The borders were established using important anatomical points that determine the length and width of the area.The "clinicophotographic scaling system" was used to clinically calculate the length and width of the area.By examination and palpation, the borders and dimensions of this area could be determined.

View Article: PubMed Central - PubMed

Affiliation: Mexican Association of Plastic Esthetic and Reconstructive Surgery (AMCPER); International Confederation for Plastic Reconstructive and Aesthetic Surgery (IPRAS); International Society of Aesthetic Plastic Surgery (ISAPS); Iberolatinoamerican Plastic Surgery Federation (FILACP); Western Mexican Association of Plastic, Esthetic and Reconstructive Surgery (SCPERO); and Jalisco College of Plastic Surgeons.

ABSTRACT

Background: With the evolution of body contouring, few innovative alternatives have been developed for cosmetic treatment in the hip area.

Methods: A multicenter controlled study was conducted, including a prior review of the literature regarding the hip area. Dissections were performed on 4 male cadavers, outlining the "musculoaponeurotic area of the hip." The area was subdivided into anterior and posterior surfaces. A clinical study was conducted in 79 patients, obtaining a scale by using the most prominent points on the sides of both thighs as the main reference. With the lines marked on photographs and the measurements, a "clinicophotographic scaling system" was designed.

Results: The anterior surface corresponds to the tensor fasciae latae and its tendon as well as to the aponeurosis of the gluteus medius. The posterior surface corresponds with the iliotibial tract and the tendon insertions of the gluteus maximus. The average dimensions of the cadaver "musculoaponeurotic area of the hip" are as follows: length, 17.5 cm, and width, 11.5 cm. Using the "clinicophotographic scaling system," the dimensions are as follows: length, 14.9 cm, and width, 10.3 cm.

Conclusions: The "musculoaponeurotic area of the hip" was defined involving muscles, tendons, aponeurosis, fascia, subcutaneous cellular tissue, and skin. The borders were established using important anatomical points that determine the length and width of the area. The "clinicophotographic scaling system" was used to clinically calculate the length and width of the area. By examination and palpation, the borders and dimensions of this area could be determined.

No MeSH data available.


Related in: MedlinePlus