McBurney's point is anatomically described as being located at which of the following positions?
A Midpoint between the anterior superior iliac spine and umbilicus
B One-third distance from the umbilicus to the anterior superior iliac spine
C One-third distance from the anterior superior iliac spine to the umbilicus
D At the junction of the lateral and middle thirds of the inguinal ligament
Solution
Correct Answer: Option C
McBurney's point is clinically significant as it marks the most tender spot in acute appendicitis, corresponding to the base of the appendix. Anatomically, it is located at one-third the distance from the anterior superior iliac spine (ASIS) to the umbilicus. This specific location approximates the position where the appendix is attached to the cecum, guiding surgeons in making a muscle-splitting incision for appendectomy. Identifying this point minimizes tissue damage and allows direct access to the inflamed appendix. Hence, palpation at this precise landmark aids in diagnosis and surgical planning.
Reference: Bailey & Love’s Short Practice of Surgery, 27th Edition.