Penetrating gluteal injuries.

A review of 60 patients admitted with penetrating gluteal trauma during a 4-year period supports the concept that these wounds constitute a distinct group of injuries with a potential for serious, or even lethal, damage to a spectrum of organ systems. A plan of evaluation and management is presented. A high index of suspicion, repeated careful evaluation, and aggressive operative management of these injuries are mandatory to achieve a low morbidity and mortality.