LAUSR.org creates dashboard-style pages of related content for over 1.5 million academic articles. Sign Up to like articles & get recommendations!

Intramuscular innervation of the tensor fascia latae: application to total hip arthroplasty: Tenser fascia latae muscle innervation.

Photo from wikipedia

The aims of this study were to clarify the extra- and intramuscular branching patterns of the tensor fascia latae (TFL) with reference to surface landmarks on the thigh and to… Click to show full abstract

The aims of this study were to clarify the extra- and intramuscular branching patterns of the tensor fascia latae (TFL) with reference to surface landmarks on the thigh and to thus suggest a safe approach for total hip arthroplasty. Sixteen fixed and four fresh cadavers were dissected and subjected to the modified Sihler's staining method to reveal the extra- and intramuscular innervation patterns, and the findings were matched with surface landmarks. The landmarks were measured from the anterior superior iliac spine (ASIS) to the patella and divided into 20 parts along the total length. The average vertical length of the TFL was 15.92±1.61 cm, which was 38.79±2.73% when converted to a percentage. The entry point of the superior gluteal nerve (SGN) was an average of 6.87±1.26 cm (16.71±2.55%) from the ASIS. In all cases, the SGN entered parts 3 to 5 (10.1-25%). As the intramuscular nerve branches traveled distally, they had a tendency to innervate more deeply and inferiorly. In all cases, the main SGN branches were intramuscularly distributed in parts 4 and 5 (15.1-25%). Most tiny SGN branches were found inferiorly in parts 6 and 7 (25.1-35%). In three of ten cases, very tiny SGN branches were observed in part 8 (35.1-38.79%). We did not observe SGN branches in parts 1 to 3 (0-15%). When information on the extra- and intramuscular nerve distributions was combined, we found that the nerves were concentrated in parts 3 to 5 (10.1-25%). We propose that damage to the SGN can be prevented if parts 3 to 5 (10.1-25%) are avoided during surgical treatment, particularly during the approach and incision. This article is protected by copyright. All rights reserved.

Keywords: innervation; tensor fascia; fascia latae; total hip; hip arthroplasty

Journal Title: Clinical anatomy
Year Published: 2023

Link to full text (if available)


Share on Social Media:                               Sign Up to like & get
recommendations!

Related content

More Information              News              Social Media              Video              Recommended



                Click one of the above tabs to view related content.