Ramesh M, O'Byrne J M, McCarthy N, Jarvis A, Mahalingham K, Cashman W F
Cork University Hospital, Ireland.
J Bone Joint Surg Br. 1996 Nov;78(6):903-6. doi: 10.1302/0301-620x78b6.1289.
We studied prospectively 81 consecutive patients undergoing hip surgery using the Hardinge (1982) approach. The abductor muscles of the hip in these patients were assessed electrophysiologically and clinically by the modified Trendelenburg test. Power was measured using a force plate. We performed assessment at two weeks, and at three and nine months after operation. At two weeks we found that 19 patients (23%) showed evidence of damage to the superior gluteal nerve. By three months, five of these had recovered. The nine patients with complete denervation at three months showed no signs of recovery when reassessed at nine months. Persistent damage to the nerve was associated with a positive Trendelenburg test.
我们对连续81例采用哈丁格（1982年）入路接受髋关节手术的患者进行了前瞻性研究。通过改良特伦德伦伯格试验对这些患者的髋外展肌进行了电生理和临床评估。使用测力板测量力量。我们在术后两周、三个月和九个月进行了评估。在两周时，我们发现19例患者（23%）有臀上神经损伤的证据。到三个月时，其中5例已经恢复。三个月时完全去神经支配的9例患者在九个月重新评估时没有恢复迹象。神经的持续损伤与特伦德伦伯格试验阳性相关。
