Nazarian S, Tisserand P, Brunet C, Müller M E
Surg Radiol Anat. 1987;9(1):27-35. doi: 10.1007/BF02116851.
In order to define the technical modalities of the so-called transgluteal approach to the hip, the authors studied the structure and topography of the anatomic features encountered in this approach. The gluteus medius, gluteus minimus and vastus lateralis muscles are anatomically continuous by way of their tendinous fibers. The gluteus minimus muscle winds over the cranial and then anterolateral aspect of the capsule, to which it is bound by fibrous tracts and tendinous expansions; its terminal tendon blends its fibers with the anterior part of the tendon of the gluteus medius and enters into continuity with the superficial tendinous fibers of the anterior part of the vastus lateralis. The zone of junction of the three muscle structures is closely bound to the anterior aspect of greater trochanter. The caudal neurovascular trunk of the space between the gluteus medius and vastus lateralis is situated at a distance of 3 to 5 cm from the greater trochanter. The practical surgical implications are discussed, particularly as regards the methods of dissecting the anterior margin of the transgluteal incision, exposure of the capsule and preservation of the neurovascular pedicle, with reference to concepts published previously in studies elsewhere.
为了明确所谓经臀入路至髋关节的技术方式，作者研究了该入路中所涉及的解剖结构的结构和局部解剖。臀中肌、臀小肌和股外侧肌通过其腱纤维在解剖学上是连续的。臀小肌在关节囊的头侧然后是前外侧缠绕，通过纤维束和腱性扩展与之相连；其终末腱将其纤维与臀中肌腱的前部融合，并与股外侧肌前部的浅表腱纤维连续。这三个肌肉结构的交界区域与大转子的前侧紧密相连。臀中肌和股外侧肌之间间隙的尾侧神经血管干位于距大转子3至5厘米处。讨论了实际手术意义，特别是关于经臀切口前缘的解剖方法、关节囊的暴露以及神经血管蒂的保留，并参考了此前其他地方研究中发表的概念。
