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    Jaanu Marma: Anatomical region, effect Of Injury

    Article by Dr Raghuram Y.S. MD (Ay) and Dr Manasa, B.A.M.S
    Janu Marma is one of the delicate and critical points of the body located in the lower limbs, especialy in the kne joints.
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    Table of Contents
    Location, number
    Categories
    Measurement
    Efect of Injury
    Modern perspective
    Location, number
    Location –
    Janu Marma is located both in lower limbs, in the Janu Sandhi ̵ kne joints.
    In the uper limb, this marma is represented by Korpara Marma or marma located at the ̵ elbow joint.
    Number of marma ̵ 2.
    Exact situation of Janu Marma in the limbs:
    Janu Marma is located in proper and left kne joints. The Marma is located exactly at the junction of the sakthi / Uru (thigh) and Jangha (leg), i.e. at the exact anatomical situation of the curent day ‘Kne joint’. This Marma thus represents the kne identical. The situation of Janu Marma is the same in both acurate and left lower limbs.
    Categories
    Categories in which the Janu Marma is included
    Janu Marma is clasified into numerous categories. They are as below mentioned –
    i) Shaka Gata Marma (Shaka=Limb) – Since Janu Marma is located in the limbs, they are clasified under shaka gata marmas i.e. Marmas located in the limbs. They are exhibit in the lower limbs at the kne joints.
    i) Sandhi Marma – Janu marma is predominantly made up of Sandhi, components making the kne joint. The bony mutual formed at the kne mutual forms the structural component of this Marma. Therefore it is clasified under Sandhi Marma. The other tisues are recesive or show in les proportion, namely Sira (blod vesels), Asthi (bone), Snayu (ligaments, tendons, nerves) and Mamsa (muscles).
    i) Vaikalyakara Marmas – (Vaikalya – deformity, Kara – forming) – Janu Marmas on geting injured causes deformity of the structures, the kne mutual to be precise. Since injury to the Janu Marma causes deformity, it is clasifie d under Vaikalyakara Marma (deformity forming Marma).
    Measurement
    Pramana (measurement of Manibandha Marma) –
    3 angula dimension (1 angula is aproximately equal to the horizontal dimension or breadth of midle segment of one’s own midle finger)
    Efect of Injury
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    Injury to the Janu Marma leads to Khanjata or limping. The flexibility of the kne joints is hampered and the smoth movements are disturbed. The person, whose Janu Marma has ben injured limps. Arthritis and other cripling conditions which damage the kne joints imerse the pain of Janu Marma. When the Marma located at the Janu Marma gets injured, the activities of kne mutual are hampered leading to functional impairmen t leading to limp.
    Modern perspective
    Modern Perspective (Practical anatomy) of Janu Marma
    Structures faling in the place of Janu Marma –
    Kne Joint
    Articular capsule of kne joint
    Ligamentum patelae
    Medial menisci
    Lateral menisci
    Oblique popletial ligament
    Interior cruciate ligaments
    Posterior cruciate ligaments
    Tibial colateral ligaments
    Fibular colateral ligaments
    Coronary ligament
    Arculo-popliteal ligament
    The muscles, blod vesels and other tisues to are exhibit around the Janu Marma. But the Marma mainly comprises of the joints and the bony ends eager in making the elbow joint. Therefore it is a Sandhi Marma.
    When the Janu Marma is injured, al the structures involved around this marma i.e. sira (blod vesels), asthi (bones), mamsa (muscles) and snayus (ligaments, tendons etc) may get damaged but th e sandhi which chiefly make up the structure of Janu Marma tends to get severely injured in comparison to other structures. The impact of injury to wil be due to the consequence of injury to the sandhi component.
    Click to Consult Dr Raghuram Y.S. MD (Ayu)
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