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The anterolateral approach develops the interval between the tensor fasciae latae and the gluteus medius. The gluteus medius, gluteus minimus and hip capsule are detached from the anterior (front) for the greater trochanter and femoral neck and then repaired with heavy suture after the replacement.
These women shared before and after photos and the stories behind their neck lifts. Plastic surgeons also discussed the purpose, costs, recovery and risks of neck lifts.
It passes lateral-ward in between the gluteus medius muscle and the gluteus minimus muscle, [1] [5] accompanied by the deep branch of the superior gluteal artery. It divides into a superior branch and an inferior branch. [5] [1] The inferior branch continues to pass between the two muscles [5] to end in the tensor fasciae latae muscle. [1]
Superior gluteal nerve palsy causes injury to the superior gluteal nerve, which results in motor loss that manifests as a disabling gluteus medius limp. [5] The most common cause is an iatrogenic injury during hip surgery or an intramuscular injection. Lesions of the inferior gluteal nerve occur through iatrogenic injuries like surgery, trauma ...
The gluteus maximus has two insertion points: 1 ⁄ 3 superior portion of the linea aspera of the femur, and the superior portion of the iliotibial tractus. The masses of the gluteus maximus muscle are separated by an intermediate intergluteal cleft or "crack" in which the anus is situated.
The gluteus maximus arises from the posterior gluteal line of the inner upper ilium, and the rough portion of bone including the crest, immediately above and behind it; from the posterior surface of the lower part of the sacrum and the side of the coccyx; from the aponeurosis of the erector spinae (lumbodorsal fascia), the sacrotuberous ligament, and the fascia covering the gluteus medius.
Trendelenburg's sign is found in people with weak or paralyzed abductor muscles of the hip, namely gluteus medius and gluteus minimus. [1] It is named after the German surgeon Friedrich Trendelenburg. It is often incorrectly referenced as the Trendelenburg test which is a test for vascular insufficiency in the lower extremities.
The posterior approaches allow excellent visualization of the femoral shaft, thus are popular for revision joint replacement surgery in cases in which the femoral component needs to be replaced. The likelihood of damage to the inferior gluteal nerve is reported to be high when a muscle-splitting incision is made across the gluteus maximus as a ...