{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T20:07:43Z","timestamp":1790798863806,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,5,29]],"date-time":"2015-05-29T00:00:00Z","timestamp":1432857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,5,29]],"date-time":"2015-05-29T00:00:00Z","timestamp":1432857600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2015,5,29]],"date-time":"2015-05-29T00:00:00Z","timestamp":1432857600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To investigate the site of pudendal nerve compression and the relation between traction force and abduction angle regarding pressure levels at setup for hip arthroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 17 hips from 9 fresh\u2010frozen cadavers (6 male and 3 female cadavers) were used. The pudendal nerves were dissected, and 3 FlexiForce force sensors (Tekscan, Boston, MA) were implanted on the pudendal nerve where the inferior rectal nerve, perineal nerve, and dorsal nerve of the clitoris\/penis emerge. A custom\u2010made traction table in a supine position was used with a padded perineal post of 9\u00a0cm. Recordings were made at 0, 10, 20, 30, and 40\u00a0kg of traction at varying hip abduction angles of 0\u00b0, 15\u00b0, 30\u00b0, and 45\u00b0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The tuber ischiadicum (perineal nerve) and genital region (dorsal nerve of penis\/clitoris) had statistically higher pressure values when compared with the pudendal canal (inferior rectal nerve) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .05). There was a significant increase in forces acting on the pudendal nerve with increasing application of 0 to 40\u00a0kg of traction in steps of 10\u00a0kg, with the exception of the pudendal canal sensor and reading of the perineal nerve sensor at 45\u00b0 of hip abduction (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .004 with Bonferroni correction for significant values). On the contrary, hip abduction angle had no statistically significant effect on pudendal nerve compression. (All specific\n                      <jats:italic>P<\/jats:italic>\n                      values with Bonferroni correction were greater than .003.)\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To avoid nerve palsy completely, the etiopathogenesis of compressive neuropathy should be identified. The location for compression and relation between different traction positions and forces are clarified in this study. This information can be used for further research and prevention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>This study adds objective data on the etiopathogenesis of pudendal nerve compression, which potentially contributes to prevention of pudendal nerve palsy as a common complication of hip arthroscopy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2015.03.040","type":"journal-article","created":{"date-parts":[[2015,5,29]],"date-time":"2015-05-29T10:16:23Z","timestamp":1432894583000},"page":"1974","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["The Effect of Traction Force and Hip Abduction Angle on Pudendal Nerve Compression in Hip Arthroscopy: A Cadaveric Model"],"prefix":"10.1002","volume":"31","author":[{"given":"Hakan","family":"Kocao\u011flu","sequence":"first","affiliation":[{"name":"Department of Orthopedics Ankara Numune Training and Research Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerem","family":"Ba\u015far\u0131r","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Ankara University Faculty of Medicine Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramazan","family":"Akme\u015fe","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Ankara University Faculty of Medicine Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasemin","family":"Kaya","sequence":"additional","affiliation":[{"name":"Department of Anatomy Akdeniz University Antalya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muzaffer","family":"Sindel","sequence":"additional","affiliation":[{"name":"Department of Anatomy Akdeniz University Antalya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nurettin","family":"O\u011fuz","sequence":"additional","affiliation":[{"name":"Department of Anatomy Akdeniz University Antalya Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet S.","family":"Binnet","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Ankara University Faculty of Medicine Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,29]]},"reference":[{"key":"e_1_2_3_2_2","first-page":"86","article-title":"Complication of hip arthroscopy: Analysis of seventy three cases","volume":"29","author":"Lo Y.\u2010P.","year":"2006","journal-title":"Chang Gung Med 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