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  1. Book: Grant's Atlas of Anatomy

    Agur, Anne M. R. / Dalley II, Arthur F.

    2024  

    Keywords medical anatomy ; Anatomy textbook ; Human anatomy atlas ; Grant's anatomy ; Medical anatomy guide ; Anatomy illustrations ; Anatomy reference book ; Gross anatomy atlas ; Anatomy diagrams ; Medical student resource ; Anatomical illustrations
    Language English
    Size 874 p.
    Edition 16
    Publisher Lippincott Williams
    Document type Book
    Note PDA Manuell_25
    Format 234 x 275 x 41
    ISBN 9781975193447 ; 197519344X
    Database PDA

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  2. Book: Moore's clinically oriented anatomy

    Dalley, Arthur F. / Agur, Anne M. R. / Moore, Keith L.

    2023  

    Title variant Clinically oriented anatomy
    Author's details Arthur F. Dalley II, Anne M.R. Agur
    Keywords Anatomy
    Language English
    Size xxxviii, 1160 Seiten, Illustrationen
    Edition Ninth edition. International edition
    Publisher Wolters Kluwer Health
    Publishing place Philadelphia
    Publishing country United States
    Document type Book
    Accompanying material Zugang zu Lippincott®Cinnect über Code
    HBZ-ID HT021389394
    ISBN 978-1-975154-12-7 ; 1-975154-12-6 ; 9781975154080 ; 1975154088
    Database Catalogue ZB MED Medicine, Health

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    2022 A 832 available for loan (reading room) Lesesaal EG
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  3. Book: Fischer's Mastery of Surgery. (2 Vol Sets)

    Ellison, E. Christopher / Galandiuk, Susan / Pawlik, Timothy M. / Chapman, William C. / Poulose, Benjamin Kuttikatt / Henke, Peter K. / Mohr, Alicia / Islam, Mirza Saleem / Agur, Anne M. R. / Scott-Conner, Carol E. H. / Renton, David / Upchurch, Gilbert R. / Efron, Philip Alexander / Wexner, Steven D. / Perrier, Nancy D. / Klimberg, V. Suzanne / Stewart, John H. / Rusch, Valerie W. / Gould, Jon C.

    2023  

    Keywords Surgery ; Surgical textbook ; General surgery reference ; Surgical techniques ; Surgical procedures ; Surgical education ; Surgical training ; Surgical skills ; Surgical knowledge ; Surgical practice ; Surgical principles ; Surgical specialties ; Surgical subspecialties ; Operative procedures ; Surgical cases ; Surgical guidelines ; Surgical best practices ; Surgical reviews ; Surgical updates ; Surgical board exams
    Language English
    Size 2810 p.
    Edition 8
    Publisher Lippincott Williams
    Document type Book
    Note PDA Manuell_24
    Format 237 x 301 x 147
    ISBN 9781975176433 ; 197517643X
    Database PDA

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  4. Article ; Online: Distribution, course, and spatial relationships of the saphenous nerve: A 3D neuroanatomical map for nerve stimulation.

    Peng, Michael / Yoo, Paul B / Agur, Anne M R

    PloS one

    2024  Volume 19, Issue 2, Page(s) e0297680

    Abstract: The overall objective of this study was to construct a 3D neuroanatomical map of the saphenous nerve based on cartesian coordinate data to define its course in 3D space relative to bony and soft tissue landmarks. Ten lower limb embalmed specimens were ... ...

    Abstract The overall objective of this study was to construct a 3D neuroanatomical map of the saphenous nerve based on cartesian coordinate data to define its course in 3D space relative to bony and soft tissue landmarks. Ten lower limb embalmed specimens were meticulously dissected, digitized, laser scanned, and modelled in 3D. The course of the main branches, number of collateral branches, and relationship of saphenous nerve to the great saphenous vein were defined and quantified using the high-fidelity 3D models. In 60% of specimens, the saphenous nerve was found to have three branches in the leg, infrapatellar, anterior, and posterior. In 40% of specimens, the posterior branch was absent. Three landmarks were found to consistently localize the anterior branch: the medial border of tibia at the level of the tibial tuberosity, the medial border of tibia at the level of the mid-point of leg, and the mid-point of the anterior border of the medial malleolus. The posterior branch, when present, had variable branching patterns but did not extend as far distally as the medial malleolus in any specimen. Anatomically, the anterior and posterior branches at the level of the tibial tuberosity could be most advantageous for nerve stimulation due to their close proximity to the bifurcation of the saphenous nerve where the branches are larger and more readily localizable than distally. Additionally, the tibial tuberosity is a prominent landmark that can be easily identified in most individuals and could be used to localize the anterior and posterior branch using ultrasound or other imaging modalities. These findings will enable implementation of highly realistic computational models that can be used to simulate saphenous nerve stimulation using percutaneous and implanted devices.
    MeSH term(s) Humans ; Lower Extremity ; Tibia ; Ankle Joint ; Femoral Vein ; Saphenous Vein/diagnostic imaging ; Cadaver
    Language English
    Publishing date 2024-02-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0297680
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Book: Grant's atlas of anatomy

    Grant, John C. Boileau / Agur, Anne M. R. / Dalley, Arthur F.

    2021  

    Title variant Atlas of anatomy
    Author's details Anne M.R. Agur, Arthur F. Dalley II
    Keywords Anatomy
    Language English
    Size xix, 874 Seiten, Illustrationen
    Edition Edition 15, International edition
    Publisher Wolters Kluwer
    Publishing place Philadelphia
    Publishing country United States
    Document type Book
    Note Includes bibliographical references and index
    Accompanying material Zugang zur Online-Ausgabe über Code
    HBZ-ID HT020473344
    ISBN 978-1-975138-78-3 ; 978-1-975138-70-7 ; 1-975138-78-3 ; 1-975138-70-8
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

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    2020 A 776 available for loan (reading room) Lesesaal EG
    Zugang zur Online-Ausgabe über Code aus lizenzrechtlichen Gründen nicht verfügbar

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  6. Article ; Online: Measuring Shear Wave Velocity in Adult Skeletal Muscle with Ultrasound 2-D Shear Wave Elastography: A Scoping Review.

    Stiver, Mikaela L / Mirjalili, Seyed Ali / Agur, Anne M R

    Ultrasound in medicine & biology

    2023  Volume 49, Issue 6, Page(s) 1353–1362

    Abstract: Ultrasound 2-D shear wave elastography (US 2D-SWE) is a non-invasive, cost-effective tool for quantifying tissue stiffness. Amidst growing interest in US 2D-SWE for musculoskeletal research, it has been recommended that shear wave velocity (SWV) should ... ...

    Abstract Ultrasound 2-D shear wave elastography (US 2D-SWE) is a non-invasive, cost-effective tool for quantifying tissue stiffness. Amidst growing interest in US 2D-SWE for musculoskeletal research, it has been recommended that shear wave velocity (SWV) should be reported instead of elastic moduli to avoid introducing unwanted error into the data. This scoping review examined the evolving use of US 2D-SWE to measure SWV in skeletal muscle and identified strengths and weaknesses to guide future research. We searched electronic databases and key review reference lists to identify articles published between January 2000 and May 2021. Two reviewers assessed the eligibility of records during title/abstract and full-text screening, and one reviewer extracted and coded the data. Sixty-six studies met the eligibility criteria, of which 58 were published in 2017 or later. We found a striking lack of consensus regarding the effects of age and sex on skeletal muscle SWV, and widely variable reliability values. Substantial differences in methodology between studies suggest a pressing need for developing standardized, validated scanning protocols. This scoping review illustrates the breadth of application for US 2D-SWE in musculoskeletal research, and the data synthesis exposed several notable inconsistencies and gaps in current literature that warrant consideration in future studies.
    MeSH term(s) Elasticity Imaging Techniques/methods ; Reproducibility of Results ; Ultrasonography ; Muscle, Skeletal/diagnostic imaging ; Muscle, Skeletal/physiology ; Elastic Modulus
    Language English
    Publishing date 2023-03-21
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 186150-5
    ISSN 1879-291X ; 0301-5629
    ISSN (online) 1879-291X
    ISSN 0301-5629
    DOI 10.1016/j.ultrasmedbio.2023.02.005
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  7. Article ; Online: Extra- and intramuscular innervation of the masseter: Implications for facial reanimation.

    Bikey, Daryn / Agur, Anne M R / Fattah, Adel Y

    Journal of plastic, reconstructive & aesthetic surgery : JPRAS

    2023  Volume 85, Page(s) 508–514

    Abstract: Purpose: Irreversible facial paralysis results in significant functional impairment. The motor nerve to the masseter is a reconstructive option, but despite its clinical importance, there are few parametric anatomic studies of the masseteric nerve. The ... ...

    Abstract Purpose: Irreversible facial paralysis results in significant functional impairment. The motor nerve to the masseter is a reconstructive option, but despite its clinical importance, there are few parametric anatomic studies of the masseteric nerve. The purpose of this study was to investigate the extra- and intramuscular innervation of the masseter in 3D to determine the relationship of the nerve to the muscle heads and identify landmarks to aid identification.
    Materials and methods: The nerve was dissected throughout its entire course in eight formalin-embalmed cadaveric specimens (mean age 84.9 ± 12.2 years). The nerve was digitized at 1-2 mm intervals using a MicroScribe™ digitizer and modeled in 3D in Autodesk® Maya®.
    Results: Two or three extramuscular nerves were found to enter the deep head (DH) of the masseter: one main "primary" nerve (n = 8) and one (n = 4) or two (n = 4) smaller primary nerve(s). The main primary nerve supplied both the deep and superficial heads, whereas the smaller primary nerve(s) only supplied the DH. Surgical landmarks for masseter nerve localization were quantified.
    Conclusions: Comprehensive mapping of the innervation of the masseter muscle throughout its volume revealed neural partitioning that could provide a basis for safety planning for muscle flaps and donor nerve identification and explain why masseter functional loss is not incurred by donor nerve sacrifice. Quantified landmarks correlate to previous studies and support the constant anatomy of this nerve. Our results provide a basis to optimize surgical approaches for donor nerve and muscle flap surgery.
    MeSH term(s) Humans ; Aged ; Aged, 80 and over ; Masseter Muscle/innervation ; Plastic Surgery Procedures ; Surgical Flaps/surgery ; Facial Paralysis/surgery ; Mandibular Nerve/surgery ; Nerve Transfer/methods ; Facial Nerve/surgery
    Language English
    Publishing date 2023-07-17
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2217750-4
    ISSN 1878-0539 ; 1748-6815 ; 0007-1226
    ISSN (online) 1878-0539
    ISSN 1748-6815 ; 0007-1226
    DOI 10.1016/j.bjps.2023.07.003
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  8. Article ; Online: Fatty infiltration of gastrocnemius-soleus muscle complex: Considerations for myosteatosis rehabilitation.

    Hatzantonis, Catherine / Satkunam, Lalith / Rabey, Karyne N / Hocking, Jennifer C / Agur, Anne M R

    Journal of anatomy

    2024  

    Abstract: Although previous studies have reported fatty infiltration of the gastrocnemius-soleus complex, little is known about the volumetric distribution and patterns of fatty infiltration. The purpose of this anatomical study was to document and quantify the ... ...

    Abstract Although previous studies have reported fatty infiltration of the gastrocnemius-soleus complex, little is known about the volumetric distribution and patterns of fatty infiltration. The purpose of this anatomical study was to document and quantify the frequency, distribution, and pattern of fatty infiltration of the gastrocnemius-soleus complex. One hundred formalin-embalmed specimens (mean age 78.1 ± 12.3 years; 48F/52M) were serially dissected to document the frequency, distribution, and pattern of fatty infiltration in the medial and lateral heads of gastrocnemius and soleus muscles. Fatty infiltration was found in 23% of specimens, 13 unilaterally (8F/5M) and 10 (5M/5F) bilaterally. The fatty infiltration process was observed to begin medially from the medial aspect of the medial head of gastrocnemius and medial margin of soleus and then progressed laterally throughout the medial head of gastrocnemius and the marginal, anterior, and posterior soleus. The lateral head of gastrocnemius remained primarily muscular in all specimens. Microscopically, the pattern of infiltration was demonstrated as intramuscular with intact aponeuroses, and septa. The remaining endo-, peri-, and epimysium preserved the overall contour of the gastrocnemius-soleus complex, even in cases of significant fatty replacement. Since the external contour of the calf is preserved, the presence of fatty infiltration may be underdiagnosed in the clinic without imaging. Myosteatosis is associated with gait and balance challenges in the elderly, which can impact quality of life and result in increased risk of falling. The findings of the study have implications in the rehabilitation management of elderly patients with sarcopenia and myosteatosis.
    Language English
    Publishing date 2024-02-16
    Publishing country England
    Document type Journal Article
    ZDB-ID 2955-5
    ISSN 1469-7580 ; 0021-8782
    ISSN (online) 1469-7580
    ISSN 0021-8782
    DOI 10.1111/joa.14025
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  9. Article ; Online: Quantification of needle angles for lumbar medial branch denervation targeting the posterior half of the superior articular process: an osteological study.

    Tran, John / Campisi, Emma S / Agur, Anne M R / Loh, Eldon

    Pain medicine (Malden, Mass.)

    2023  Volume 25, Issue 1, Page(s) 13–19

    Abstract: Background: Lumbar medial branch radiofrequency ablation (RFA) is a common intervention to manage chronic axial low back pain originating from the facet joints. A more parasagittal approach targeting the posterior half of the lateral neck of superior ... ...

    Abstract Background: Lumbar medial branch radiofrequency ablation (RFA) is a common intervention to manage chronic axial low back pain originating from the facet joints. A more parasagittal approach targeting the posterior half of the lateral neck of superior articular process (SAP) was previously proposed. However, specific needle angles to achieve parallel placement at this target site have not been investigated.
    Objective: To quantify and compare the needle angles, on posterior and lateral views, to achieve parallel placement of electrodes along the medial branch at the posterior half of the lateral neck of SAP at each lumbar vertebral level (L1-L5) and sacrum.
    Design: Osteological Study.
    Methods: Twelve disarticulated lumbosacral spines (n = 72 individual bones) were used in this study. Needles were placed along the periosteum of the posterior half of the lateral neck of SAP, bilaterally and photographed. Mean needle angles for each vertebral level (L1-L5) and sacrum were quantified, and statistical differences were analyzed.
    Results: The posterior view provided the degrees of lateral displacement from the parasagittal plane (abduction angle), while the lateral view provided the degrees of declination (cranial-to-caudal angle) of the needle. Mean needle angles at each level varied, ranging from 5.63 ± 5.76° to 14.50 ± 14.24° (abduction angle, posterior view) and 40.17 ± 7.32° to 64.10 ± 9.73° (cranial-to-caudal angle, lateral view). In posterior view, a < 10-degree needle angle interval was most frequently identified (57.0% of needle placements). In lateral view, the 40-50-degree (L1-L2), 50-60-degree (L3-L5), and 60-70-degree (sacrum) needle angle intervals occurred most frequently (54.2%, 50.0%, and 41.7% of needle placements, respectively).
    Conclusions: Targeting the posterior half of the lateral neck of SAP required <10-degree angulation from parasagittal plane in majority of cases. However, variability of needle angles suggests a standard "one-size-fits-all" approach may not be the optimal technique.
    MeSH term(s) Humans ; Lumbar Vertebrae/surgery ; Lumbosacral Region ; Zygapophyseal Joint/surgery ; Low Back Pain/surgery ; Denervation
    Language English
    Publishing date 2023-08-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 2015903-1
    ISSN 1526-4637 ; 1526-2375
    ISSN (online) 1526-4637
    ISSN 1526-2375
    DOI 10.1093/pm/pnad105
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    Zs.A 6119: Show issues Location:
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  10. Article ; Online: Dissection, digitization, and three-dimensional modelling: a high-fidelity anatomical visualization and imaging technology.

    Arakawa, Takamitsu / Campisi, Emma / Tran, John / Agur, Anne M R

    Anatomical science international

    2023  Volume 98, Issue 3, Page(s) 337–342

    Abstract: Technological advances have enabled the development of a novel technique of dissection, digitization and three-dimensional modelling of skeletal muscle and other tissues including neurovascular structures as in situ over the last 25 years. Meticulous ... ...

    Abstract Technological advances have enabled the development of a novel technique of dissection, digitization and three-dimensional modelling of skeletal muscle and other tissues including neurovascular structures as in situ over the last 25 years. Meticulous serial dissection followed by digitization is used to collect Cartesian coordinate data of the contractile and connective tissue elements throughout the entire muscle volume. The Cartesian coordinate can then be used to construct high-fidelity three-dimensional models that capture the spatial arrangement of the contractile and connective tissue elements as in situ enabling detailed studies of the arrangement of the fiber bundles and their attachment sites to aponeuroses, tendon, and bone. In the laboratory, we have concurrently developed a computational methodology to quantify architectural parameters, including fiber bundle length, pennation angle, volume, physiological cross-sectional area in three-dimensional space. In this paper, a flexor digitorum superficialis specimen will be used to demonstrate the high-fidelity outcomes of dissection, digitization, and three-dimensional modelling. This three-step methodology provides a unique opportunity to study muscle architecture in three dimensions, as in situ. Knowledge translation from the anatomy laboratory to the clinical setting has been highly successful.
    MeSH term(s) Muscle, Skeletal/diagnostic imaging ; Muscle, Skeletal/anatomy & histology ; Muscle Contraction/physiology ; Forearm/anatomy & histology ; Tendons/diagnostic imaging ; Dissection ; Imaging, Three-Dimensional/methods
    Language English
    Publishing date 2023-05-15
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 2079994-9
    ISSN 1447-073X ; 1447-6959 ; 0022-7722
    ISSN (online) 1447-073X
    ISSN 1447-6959 ; 0022-7722
    DOI 10.1007/s12565-023-00725-7
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