Potential Risk to the Superior Gluteal Nerve During the Anterior Approach to the Hip Joint: An Anatomical Study

The Journal of Bone and Joint Surgery. American Volume
Karl GrobMarkus Kuster

Abstract

The 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. Cadaveric 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. The 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. Coagulation of the ascending branch of the lateral circumflex femoral artery and t...Continue Reading

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Citations

Apr 19, 2020·JBJS Reviews·Dimitrios A FlevasAndreas F Mavrogenis
Jan 14, 2017·Der Orthopäde·M Krismer, M Nogler
Nov 28, 2017·Archives of Orthopaedic and Trauma Surgery·David PutzerMichael Nogler
May 28, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Mehmet Mesut SonmezCemil Erturk
Feb 6, 2020·JBJS Reviews·Sravya P VajapeyAndrew H Glassman
Oct 12, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ryohei TakadaAtsushi Okawa
Dec 23, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Ahmed SiddiqiAtul F Kamath
Sep 1, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Nirav K PatelGregory J Golladay

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