Jacobs L G, Buxton R A
Department of Anatomy, University of St. Andrews, Fife, Scotland.
J Bone Joint Surg Am. 1989 Sep;71(8):1239-43.
The superior gluteal nerve and its branches were dissected bilaterally in ten cadavera. The patterns of branching and the distribution of the branches were identified. The reference point for measurements was the mid-point of the superior border of the greater trochanter. Two patterns of neural branching were thus established. The points of termination of all branches formed an arcuate pattern along the middle one-third of the deep surface of the gluteus medius muscle. The so-called safe area of the gluteus medius muscle was found to be as much as five centimeters adjacent to the greater trochanter. If this distance is not exceeded by the intramuscular incision, the risk to the superior gluteal nerve and its branches will be minimum.
在十具尸体上双侧解剖臀上神经及其分支。确定了分支模式和分支分布。测量的参考点是大转子上缘的中点。由此建立了两种神经分支模式。所有分支的终止点沿臀中肌深面的中三分之一形成一个弧形模式。发现臀中肌的所谓安全区域在距大转子五厘米范围内。如果肌肉内切口不超过这个距离,臀上神经及其分支受损的风险将降至最低。