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    • #1744
      Nabeel Chaudhry

      Hi Steve,

      I got a referral for ?divarication. What would be your protocol you would use? Is it necessary to document the length of the divarication down the linea alba or just the lenght between the right and left abdo recti?


    • #1746
      Stephen Bird

      Hi Nabeel,

      A few things to consider,

      Firstly you need to exclude a defect in the line alba which would represent a ventral hernia

      Then use the panoramic mode with the patient relaxed and measure the width of the linea alba between the rectus abdomens muscles

      Then ask the patient to do a small sit up and repeat the process measuring the width.

      The length of the linea alba is not important here.

      Then I would look at the rectus abdominus muscle bellies and comment on any atrophy or fibro-fatty replacement features.

      I would have a look up and down the spigelian line and check out the lateral abdominal wall muscles ( TA, EO, IO ) again looking for hernia and muscle atrophy change.

      that should about do it,



    • #1758
      Nabeel Chaudhry

      Great, Thanks Steve.

    • #1867
      Sally Stabler

      Hi Steve,

      Thanks for the tips. Just curious about the linea Alba width measurement with a sit up…I thought that this measurement would stay the samec with valsalva…just bulges anteriorly? Also is there a guideline on normal/ abnormal measurement you use for >2.5cm Linda Alba width?

      Thanks Steve.

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