Abstract

ANATOMICAL STUDY OF KUKUNDAR MARMA

Khan Shazia Islamuddin* and A. N. Pandey

ABSTRACT

Marma are conglomeration of Mamsa, Sira, Snayu Asthi and Sandhi, and these are said to be the seat of prana. Kukundar Marma is one out of 107 Marma, located on Parshava Bhirbhage (dorso-lateral part of pelvis) and Pristhvansa Ubhayato (both side of vertebral column) and is classified as Vaikalyakara Marma. Trauma to Kukundar Marma results in loss of sensation and paraparesis of lower limb. It is classified as sandhi marma, and is closely associated with sacroiliac joint. Most of the Kukundar Marma Aghatjanya Lakshana has a resemblance with lumbosacral plexopathy and sciatic nerve injury. Vikalta caused by marmaghat can result in permanent disability over the course of time, or it can be reversed or cured if immediate and appropriate measures are taken. Here, marma aghat lakshans can act as predictors of the structures involved. The injury associated with marma site can be traumatic (punctured wound, fracture of pelvis), non-traumatic (lesion) or iatrogenic. The mortality rate of pelvic fracture is as high as 54%. In this study, scholar was trying to find out exact location of Kukundar Marma and its relationship with other anatomical entities (in circumference of this Marma) with the help of cadaveric study. As a final result the study concludes that Kukundar Marma may be considered as inferior part of sacroiliac joint.

Keywords: Marma, Kukundar, lumbosacral plexopathy.