Spigelian hernia Spigelian hernia A Spigelian hernia (or lateral ventral hernia) is a hernia through the Spigelian fascia, which is the aponeurotic layer between the rectus abdominis muscle medially, and the semilunar line laterally. These are generally interparietal hernias, meaning that they do not lie below the subcutaneous fat but penetrate between the muscles of the abdominal wall; therefore, there is often no notable swelling. Spigelian hernias are usually small and therefore risk of strangulation is high. Most occur on the right side. (4th–7th decade of life.) Compared to other types of hernias they are rare. Patients typically present with either an
Femoral-tibial angle "genu valgum" or "genu varum", the femoral-tibial angle is about 175 degrees. Femoral-tibial angle The femoral-tibial angle is the angle between the femur and tibia. In humans, the two femurs converge medially toward the knees, where they articulate with the proximal ends of the tibiae. The angle of convergence of the femora is a major factor in determining the femoral-tibial angle. In human females the femora converge more than in males because the pelvic bone is wider in females. In the condition "genu valgum" (knock knee) the femurs converge so much that the knees touch one another. The opposite extreme