Duparc F, Thomine J M, Dujardin F, Durand C, Lukaziewicz M, Muller J M, Freger P
Laboratoire d'Anatomie, Faculté de Médecine de Rouen, Saint Etienne du Rouvray, France.
Surg Radiol Anat. 1997;19(2):61-7. doi: 10.1007/BF01628125.
The authors present a study of the intrinsic anatomy of the gluteus medius m, and of its innervation through the caudal branch of the superior gluteal n. The existence of an intramuscular tendon in the thickness of the gluteus medius was constantly prooved in 40 muscles. The relations of the intrinsic fibrous structure of the muscle and its innervation were studied. The authors deduce from that the topography of a gluteus medius incision, with respect to a safety area towards its innervation, which leads to an exposure of the acetabulum that is satisfying and gives opportunities of a sound repair after the surgery of the hip joint through the transgluteal approach. They propose the "anterior hemimyotomy of the gluteus medius m" designation.
作者们展示了一项关于臀中肌的内在解剖结构及其通过臀上神经尾支的神经支配的研究。在40块肌肉中均持续证实了臀中肌厚度内存在肌内肌腱。研究了该肌肉的内在纤维结构与其神经支配的关系。作者据此推断出臀中肌切口的局部解剖位置，相对于其神经支配的安全区域，这能实现令人满意的髋臼暴露，并为经臀入路的髋关节手术后进行可靠修复提供机会。他们提出了“臀中肌前半肌切开术”这一命名。
