Skip to main content
SpringerLink
Log in

Anatomic basis of the transgluteal approach to the hip-joint by anterior hemimyotomy of the gluteus medius

Bases anatomiques de l'abord transglutéal de la hanche par hémimyotomie antérieure du muscle moyen fessier

  • Anatomic Bases Of Medical, Radiological And Surgical Techniques
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

The authors present a study of the intrinsic anatomy of the gluteus medius m. and of its innervation through the caudal branch of the superior gluteal n. The existence of an intramuscular tendon in the thickness of the gluteus medius was constantly prooved in 40 muscles. The relations of the intrinsic fibrous structure of the muscle and its innervation were studied. The authors deduce from that the topography of a gluteus medius incision, with respect to a safety area towards its innervation, which leads to an exposure of the acetabulum that is satisfying and gives opportunities of a sound repair after the surgery of the hip joint through the transgluteal approach. They propose the “anterior hemimyotomy of the gluteus medius m” designation.

Résumé

Les auteurs présentent une étude de l'anatomie intrinsèque du m. moyen fessier (MF) et de son innervation par le rameau caudal du n. glutéal supérieur (NGS). 40 muscles ont été étudiés. L'existence d'une lame tendineuse dans l'épaisseur du MF a été constamment mise en évidence. Les rapports entre les éléments de l'architecture fibreuse intrinsèque du muscle et son innervation ont été étudiés. Les auteurs en déduisent la topographie d'une incision du MF respectant une zone de sécurité vis à vis de son innervation, procurant une exposition acétabulaire satisfaisante et des possibilités de réparation solide après chirurgie de l'articulation coxo-fémorale par voie d'abord transglutéale, et proposent la dénomination “hémimyotomie antérieure du MF”.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Baker AS, Bitounis VC (1989) Abductor function after total hip replacement. An electromyographic and clinical review. J Bone Joint Surg [Br] 71-B: 47–50

    Google Scholar 

  2. Bos JL, Stuekart R, Klooswijk AIJ, van Linge B, Bahadoer R (1994) Surgical anatomy of the superior gluteal nerve and its relevance to the hip. Surg Radial Anat 16: 253–258

    Google Scholar 

  3. Bauer R, Kerschbaumer F, Poisel S, Oberthaler W (1979) The transgluteal approach to the hip joint. Arch Orthop Trauma Surg 95: 47–49

    Google Scholar 

  4. Bell SN (1985) Transgluteal approach for hemiarthrosplasty of the hip. Arch Orthop Trauma Surg 104: 109–113

    Google Scholar 

  5. Churchill MA, Brookes M, Spencer JD (1992) The blood supply of the greater trochanter. J Bone Joint Surg [Br] 74: 272–274

    Google Scholar 

  6. Courpied JP, Desportes G, Postel M (1991) Une nouvelle trochantérotomie pour l'abord postéro-externe de la hanche. Rev Chir Orthop 77: 506–512

    Google Scholar 

  7. Dall D (1986) Exposure of the hip by anterior osteotomy of the greater trochanter. J Bone Joint Surg [Br] 68-B: 382–386

    Google Scholar 

  8. Gardner E, Gray DJ, O'Ramilly R (1979) Anatomie. Doin, Paris

    Google Scholar 

  9. Gilot C (1965) Anatomie. Tronc et membres. Flammarion, Paris

    Google Scholar 

  10. Hardinge K (1982) The direct lateral approach to the hip. J Bone Joint Surg [Br] 64: 17–19

    Google Scholar 

  11. Jacobs LGH, Buxton RA (1989) The course of the superior gluteal nerve in the lateral approach to the hip. J Bone Joint Surg [Am] 71-A: 1239–1243

    Google Scholar 

  12. Lavigne P (1986) Voie postéro-externe transtrochantérienne. Ann Orthop Ouest 18: 77–79

    Google Scholar 

  13. Mc Farland B, Osborne G, Bourgeon A (1954) Approach to the hip: a suggested improvement on Kocher's method. J Bone Joint Surg [Br] 36-B: 364–367

    Google Scholar 

  14. Mercati E, Guary A, Myquel C, Bourgeon A (1972) Une voie d'abord postéro-externe de la hanche. Intérêt de la réalisation d'un m. digastrique. J Chir 103: 499–504

    Google Scholar 

  15. Nazarian S, Tisserand Ph, Bruet Ch, Muller ME (1987) Anatomic basis of the transgluteal approach of the hip. Surg Radiol Anat 9: 27–35

    Google Scholar 

  16. Pascarel X, Dumont D, Nemme B, Dubreuil JP, Honton JL (1989) Arthroplastie totale de la hanche par voie de hardinge. Résultat clinique de 63 cas. Rev Chir Orthop 75: 98–103

    Google Scholar 

  17. Paturet G (1951) Traité d'anatomie humaine, Tome II. Masson, Paris

    Google Scholar 

  18. Poirier P (1901) Traité d'anatomie humaine, Tome II. Bataille, Paris

    Google Scholar 

  19. Rouvière H, Delmas A (1979) Traité d'anatomie. Masson, Paris

    Google Scholar 

  20. Salmon M, Dor J (1933) Artères des muscles des membres et du tronc. Masson, Paris

    Google Scholar 

  21. Sappey PhC (1888) Traité d'anatomie descriptive, Tome II. Delahaye et Lecosnier, Paris

    Google Scholar 

  22. Srivastava HC, Joshi AD (1969) Insertions of piriformis, obturator internus and gluteus medius muscles on the femur. J Anat Soc India 18: 91–93

    Google Scholar 

  23. Sunderland S (1968) Nerves and nerve injuries. Livingstone, Edinburgh London

    Google Scholar 

  24. Testut L, Latarjet A (1948) Traité d'anatomie humaine, Tome II. Doin, Paris

    Google Scholar 

  25. Tillmann G (1979) Variations in the pathway of the inferior gluteal nerve. Anat Anz 145: 293–302

    Google Scholar 

  26. Theile FG (1843) Traité de myologie et d'angéiologie. Baillère, Paris

    Google Scholar 

  27. Vinciguerra B, Pascarel X, Mangione P, Honton JL, Chatelan JL (1993) La trochantérotomie digastrique dans les reprises de prothèse totale de hanche. Rev Chir Orthop 79: 200–204

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Laboratoire d'Anatomie, Faculté de Médecine de Rouen, 1, avenue de l'Université, F-76800, Saint Etienne du Rouvray, France

    F. Duparc, J. M. Muller & P. Freger

  2. Clinique Chirurgicale Orthopédique et Traumatologique, CHU de Rouen, 1, rue de Germont, F-76031, Rouen cedex, France

    F. Duparc, J. M. Thomine, F. Dujardin, C. Durand & M. Lukaziewicz

Authors
  1. F. Duparc
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. M. Thomine
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. F. Dujardin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Durand
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. M. Lukaziewicz
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. J. M. Muller
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. P. Freger
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Duparc, F., Thomine, J.M., Dujardin, F. et al. Anatomic basis of the transgluteal approach to the hip-joint by anterior hemimyotomy of the gluteus medius. Surg Radiol Anat 19, 61–67 (1997). https://doi.org/10.1007/BF01628125

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01628125

Key words

Search

Navigation