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Denervation of the sensory branches of the obturator and femoral nerves using PRF was performed in all the patients.
The extra-pelvic branches of the obturator nerve, the anterior and posterior divisions, were not in close proximity to the retractor following their emergence through the obturator canal.
The sensory nerves supplying the hip joint include the articular branches of the obturator, femoral, and superior gluteal nerves from the sciatic nerve.
The anterior and posterior branches of the obturator nerve were defined, following their emergence through the obturator canal and their relationship to the body of the examined retractor.
After administration of local anesthesia (2% lidocaine), a 22-gauge 10-mm active tip RF cannula (NeuroTherm) 10 cm in length was inserted and advanced toward the articular branches of the obturator and femoral nerves.
Although several studies have reported that PRF and CRF on sensory branches of the obturator and femoral nerves are effective for chronic hip pain, 1– 6 none used a control group.
Similar(49)
The integrity of both the superior gluteal branch and the acetabular branch of the obturator artery were maintained in all 7 osteotomy cases.
The most important blood supply to the bladder is from the inferior vesicle, superior vesicle, and a vesical branch of the obturator artery.
In Figs. 60 and 61 you see a branch of the anterior crural nerve passing to the hip-joint; a branch of the obturator going to the capsular ligament and to the ligamentum teres; and a branch proceeding to the posterior aspect of the hip-joint from the sacral plexus which supplies the gemelli, the quadratus femoris, and the obturator internus.
Their main reasons for such a superficial plane are to prevent cutaneous anesthesia or paresthesia; to preserve the ilioinguinal nerve, the cutaneous branch of the obturator, and the anterior femoral cutaneous nerves; and to avoid residual lymphoedema from damaged vessels and lymphatics.
The inflammation or a diseased condition of this ligament necessarily involves the little branch of the obturator nerve, and a "sympathetic" pain is produced at the other end of the same nerve, on the inner side of the knee or within the knee-joint.
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