Thickness and tension of the gluteal aponeurosis and the implications for subfascial gluteal augmentation.

Journal of Anatomy
Se Won HwangSeung Ho Han

Abstract

The aim of this study is to elucidate the thickness and tension of the gluteal aponeurosis (GA) as related to subfascial gluteal augmentation. Twenty buttocks from 10 Korean fresh cadavers (age range: 69-92 years, five men and five women) were dissected. Five radial lines were made from the greater trochanter (GT) to the highest point of origin of the gluteus maximus muscle (GM), the posterior inferior iliac spine (PSIS), the piriformis line (P), the coccyx (Co) and the ischial tuberosity (IT). The upper four lines were intersected by three curvilinear lines that divided them by a quarter, half and three-quarters ratios, and the lowest line was divided by a third ratio and a two-thirds ratio. At the 14 intersecting points, the force needed to break the 6 mm width of the GA was measured. The thickness of the GA was also measured with a digital caliper. The GA was widest at the GT-Co line (161.7±15.8 mm), and it was narrowest at the GT-IT line (106.5±21.2 mm). At most of the points (12 among the 14 points), the breaking strength of the GA was greater than 20 Newtons (N). The breaking strength of the GA did not vary significantly according to the locations (P=0.568, anova). The breaking strength of the males (22.8±6.6 N) was signi...Continue Reading

References

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Jul 5, 2006·Clinics in Plastic Surgery·J Abel de la PeñaMiriam T Garcés
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