PMID- 24889272 OWN - NLM STAT- MEDLINE DCOM- 20150810 LR - 20141203 IS - 1286-0115 (Print) IS - 1286-0115 (Linking) VI - 98 IP - 323 DP - 2014 Dec TI - Mamillo-accessory notch and foramen: distribution patterns and correlation with superior lumbar facet structure. PG - 176-81 LID - S1286-0115(14)00046-0 [pii] LID - 10.1016/j.morpho.2014.03.002 [doi] AB - The mamillary (MP) and the accessory (AP) processes are two important anatomical landmarks in the lumbar vertebral morphology. These two processes form the mamillo-accessory notch (MAN) between them. In the living, the MP and the AP are connected together by the mamillo-accessory ligament (MAL). The medial branches of lumbar dorsal rami pass underneath the MAL. The MAL often undergoes varied degrees of ossification with diverse notching at the junction of these two processes, often with formation of a discrete foramen (MAF). Reports on the distribution of these notches (MAN) and foramina (MAF) are very few and most of them do not discuss such ossification in context of morphology of adjoining structures in the vertebrae. Lumbar vertebral and sacral specimens were screened for three different categories of narrowing at the mamillo-accessory junction: firstly >1/2 notch, secondly (3/4) notch, and thirdly MAF and their distribution patterns were mapped along the lumbar spine. Transverse dimensions of superior facet articulating surfaces [length (a)] and widths of MPs [length (b)] were recorded. Relative widths of the MPs were calculated as index M (a/b). Results suggest associations between the degrees of assimilation of the MPs into the facet joints, the index M values, and the different types of mamillo-accessory junctional anatomy. This study may help to understand if MAN and MAF related dorsal rami entrapment neuropathies arise merely due to osteoarthritic ossification of the MAL or could also be accounted for by facet dimensions or degree of MP-facet fusions that abut close to the mamillo-accessory junctions. CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved. FAU - Mahato, N K AU - Mahato NK AD - Department of Biological Sciences, Ohio Musculoskeletal and Neurological Institute, Ohio University, 45701 Athens, Ohio, United States. Electronic address: mahatonk@gmail.com. LA - eng PT - Comparative Study PT - Journal Article DEP - 20140602 PL - France TA - Morphologie JT - Morphologie : bulletin de l'Association des anatomistes JID - 9814314 SB - IM MH - Aged MH - Anthropometry MH - Female MH - Humans MH - Lumbar Vertebrae/*anatomy & histology MH - Male MH - Muscle, Skeletal/anatomy & histology MH - Nerve Compression Syndromes/etiology MH - Osteoarthritis/complications/pathology MH - Osteogenesis MH - Sacrum/anatomy & histology MH - Zygapophyseal Joint/anatomy & histology OTO - NOTNLM OT - Compressive neuropathy OT - Foramen mamillo-accessoire OT - Ligament mamillo-accessoire OT - Mamillary processes OT - Mamillo-accessory ligament OT - Neuropathies de compression OT - Ossification OT - Processus mamillaire OT - Zygapophyseal joint EDAT- 2014/06/04 06:00 MHDA- 2015/08/11 06:00 CRDT- 2014/06/04 06:00 PHST- 2013/03/02 00:00 [received] PHST- 2014/03/18 00:00 [revised] PHST- 2014/03/31 00:00 [accepted] PHST- 2014/06/04 06:00 [entrez] PHST- 2014/06/04 06:00 [pubmed] PHST- 2015/08/11 06:00 [medline] AID - S1286-0115(14)00046-0 [pii] AID - 10.1016/j.morpho.2014.03.002 [doi] PST - ppublish SO - Morphologie. 2014 Dec;98(323):176-81. doi: 10.1016/j.morpho.2014.03.002. Epub 2014 Jun 2.