ArticleThe Journal of bone and joint surgery. American volume2015
Potential Risk to the Superior Gluteal Nerve During the Anterior Approach to the Hip Joint: An Anatomical Study.
Article in The Journal of bone and joint surgery. American volume, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Comparisons between Direct Anterior Approach and Lateral Approach for Primary Total Hip Arthroplasty in Postoperative Orthopaedic Complications: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2021Pooled it
- Nerve injury after total hip arthroplasty: etiology, preventive strategies and medico-legal considerations.Annals of medicine · 2025Review
- Preservation of the lateral femoral circumflex artery in total hip arthroplasty using the bikini-type direct anterior approach : effect on muscle status and clinical outcomes.Bone & joint open · 2025Article
- Observational
- High preservation rates of the ascending branch of the lateral femoral circumflex artery during total hip arthroplasty through the direct anterior approach.Journal of experimental orthopaedics · 2024Article
- [Advances in study of surgical approaches and MRI evaluation of total hip arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- Review
- Meralgia Paresthetica-An Approach Specific Neurological Complication in Patients Undergoing DAA Total Hip Replacement: Anatomical and Clinical Considerations.Life (Basel, Switzerland) · 2024Article
- Superior Gluteal Nerve Anatomy and Its Injuries: Aiming for a More Secure Surgical Approach of the Pelvic Region.Diagnostics (Basel, Switzerland) · 2023Article
- Gluteus Maximus Transfer following Total Hip Arthroplasty Does Not Improve Abductor Moment: A Case-Control Gait Analysis Study of 15 Patients with Gluteus Medius Disruption.Journal of clinical medicine · 2022Article
- Isolated pathologies of Tensor Fasciae Latae: Retrospective cohort analysis from a tertiary referral centre.Journal of clinical orthopaedics and trauma · 2022Article
- MRI Findings of Muscle Damage after Total Hip Arthroplasty Using the Complete Muscle Preserving Anterolateral Supine Approach.Medicina (Kaunas, Lithuania) · 2022Article
- Incidence of tensor fascia lata muscle atrophy after using the modified Watson-Jones anterolateral approach in total hip arthroplasty.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
- Does low body mass index constitute a risk of damage to the soft tissues during reaming for proximal femoral nailing? a cadaveric study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
- Facing complications of direct anterior approach in total hip arthroplasty during the learning curve.Acta bio-medica : Atenei Parmensis · 2020Article
- Triflange acetabular reconstruction for pelvic discontinuity through a direct anterior approach.Arthroplasty today · 2019Article
- The distance of the gluteal nerve in relation to anatomical landmarks: an anatomic study.Archives of orthopaedic and trauma surgery · 2018Article
- [Comparison of short-term effectiveness of staged bilateral total hip arthroplasty via different approaches].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2017Article
- [Mid-term effectiveness of total hip arthroplasty by direct anterior approach].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2017Article
- [Revision arthroplasty of the hip : Direct anterior approach].Der Orthopade · 2017Review
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe anterior approach to the hip joint is widely used in pediatric and adult orthopaedic surgery, including hip arthroplasty. Atrophy of the tensor fasciae latae muscle has been observed in some cases, despite the use of this internervous approach. We evaluated the nerve supply to the tensor fasciae latae and its potential risk for injury during the anterior approach to the hip joint.
methodsCadaveric hemipelves (n = 19) from twelve human specimens were dissected. The course of the nerve branch to the tensor fasciae latae muscle, as it derives from the superior gluteal nerve, was studied in relation to the ascending branch of the lateral circumflex femoral artery where it enters the tensor fasciae latae.
resultsThe nerve supply to the tensor fasciae latae occurs in its proximal half by divisions of the inferior branch of the superior gluteal nerve. The nerve branches were regularly coursing in the deep surface on the medial border of the tensor fasciae latae muscle. In seventeen of nineteen cases, one or two nerve branches entered the tensor fasciae latae within 10 mm proximal to the entry point of the ascending branch of the lateral circumflex femoral artery.
conclusionsCoagulation of the ascending branch of the lateral circumflex femoral artery and the placement of retractors during the anterior approach to the hip joint carry the potential risk for injury to the motor nerve branches supplying the tensor fasciae latae. CLINICAL RELEVANCE: During the anterior approach, the ligation or coagulation of the ascending branch of the lateral circumflex femoral artery should not be performed too close to the point where it enters the tensor fasciae latae. The nerve branches to the tensor fasciae latae could also be compromised by the extensive use of retractors, broaching of the femur during hip arthroplasty, or the inappropriate proximal extension of the anterior approach.
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