ArticleArchives of orthopaedic and trauma surgery2018
The distance of the gluteal nerve in relation to anatomical landmarks: an anatomic study.
Article in Archives of orthopaedic and trauma surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- The anatomical course of the sciatic nerve in relation to different approaches in total hip arthroplasty.International orthopaedics · 2024Article
- Superior Gluteal Nerve Anatomy and Its Injuries: Aiming for a More Secure Surgical Approach of the Pelvic Region.Diagnostics (Basel, Switzerland) · 2023Article
- Cadaveric Analysis of Key Anatomic Structures of Athletic Pubalgia.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2023Article
- The anatomical features of the lateral femoral cutaneous nerve with total hip arthroplasty: a comparative study of direct anterior and anterolateral supine approaches.BMC musculoskeletal disorders · 2022Article
- The morphometrical and topographical evaluation of the superior gluteal nerve in the prenatal period.PloS one · 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
- Do Acetabular Buttress Augment Pose Risk to the Superior Gluteal Nerve? A Cadaveric Study.Arthroplasty today · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionGluteal insufficiency is of concern with lateral approaches to total hip arthroplasty. Damage to the branches of the superior gluteal nerve may cause degeneration of the innervated muscles. The direct anterior approach exploits the intermuscular and internerval interval between tensor fasciae latae laterally and sartorius and rectus femoris muscle medially. In this study, the distance of the superior gluteal nerve in relation to anatomical landmarks was determined. MATERIALS AND
methodsTwo experienced surgeons implanted trial components in 15 alcohol glycerol fixed cadavers with 30 hips. The trials were removed, and the main branch of the superior gluteal nerve and muscular branches of the nerve were exposed from lateral.
resultsNo visual damage to the main nerve branches and the location of the nerve in relation to the greater trochanter were noted by an experienced surgeon. The superior gluteal nerve and its muscular branches crossed the muscular interval between the gluteus medius and tensor fasciae latae muscles at a mean distance of 39 mm from the tip of the greater trochanter.
conclusionsThe direct anterior approach for total hip arthroplasty minimizes the risk of injuring the superior gluteal nerve, which may result in a gluteal insufficiency. Special care should be paid on avoiding overstretching the tensor fasciae latea muscle using minimum force on retractors during surgery and by taking care of the entrance point of the superior gluteal nerve to the tensor fasciae latae.
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