Advertisement

Surgical Approaches to the Posterior Hip

  • Bernardo Aguilera-Bohórquez
  • Miguel Eduardo Sanchéz-Otamendi
Chapter

Abstract

An extensive knowledge of the anatomy is required when performing surgical approaches to the posterior hip; this will allow for an accurate identification of the anatomical landmarks and their structural relationship with internal organs. Traditionally, pathologies or injuries of the posterior hip had been described separately. This chapter aims to summarize all these isolated topics in one compilation. The chapter is divided into three sections: (a) intra-articular, (b) deep gluteal space, and (c) sacrum, which allows us to describe and analyze all approaches in a detailed manner.

Keywords

Hip Sciatic nerve Hip joint Ischiofemoral impingement Gluteal region Hip fractures Endoscopy Hamstring repair Lesser trochanterplasty 

References

  1. 1.
    Farrell C, et al. Motor nerve palsy following primary total hip arthroplasty. J Bone Joint Surg. 2005;87-A(12):2619–25.CrossRefGoogle Scholar
  2. 2.
    Carr J, Leach P. Small-incision surgical exposure for select fractures of the acetabulum: the gluteus maximus-splitting approach. J Orthop Trauma. 2006;20(8):573–5.CrossRefPubMedGoogle Scholar
  3. 3.
    Matta J. Operative indications and choice of surgical approach for fractures of the acetabulum. Tech Orthop. 1986;1:13–21.CrossRefGoogle Scholar
  4. 4.
    Rommens P. Abordaje de Kocher-Langenbeck para el tratamiento de las fracturas acetabulares. Tec Quir Ortop Traumatol. 2004;13(3):120–31.Google Scholar
  5. 5.
    Crenshaw A. General principles. Chapter 1 Surgical techniques and approaches. In: Canale ST, Beaty JH, editors. Campbell’s operative orthopaedics. 11th ed. Philadelphia: Mosby; 2007. p. 90–1.Google Scholar
  6. 6.
    Matta J. Operative indications and choice of surgical approach for fractures of the acetabulum. Tech Orthop. 1986;13–21.Google Scholar
  7. 7.
    Fowler TT, et al. The posterior approach to pelvic ring injuries: a technique for minimizing soft tissue complications. Injury. 2013;44:1780–6.CrossRefPubMedGoogle Scholar
  8. 8.
    Moed BR. The modified Gibson approach to the acetabulum. Oper Orthop Traumatol. 2014;26(6):591–602.  https://doi.org/10.1007/s00064-011-0111-1.CrossRefPubMedGoogle Scholar
  9. 9.
    Chechik O, et al. Surgical approach and prosthesis fixation in hip arthroplasty world wide. Arch Orthop Trauma Surg. 2013;133:1595–600.  https://doi.org/10.1007/s00402-013-1828-0.CrossRefPubMedGoogle Scholar
  10. 10.
    White R, Archibeck M. Abordaje posterolateral. In: Barrack & Rosenberg editores. Master en Cirugía Ortopédica: Cadera. 2nd ed. Madrid: España Marban Libros; 2009. p. 29–41.Google Scholar
  11. 11.
    Gardner RC. An improved technic of coccygectomy. Clin Orthop Relat Res. 1972;85:143–5.CrossRefPubMedGoogle Scholar
  12. 12.
    Gómez-Hoyos J, et al. Dry endoscopic-assisted mini-open approach with neuromonitoring for chronic hamstring avulsions and ischial tunnel syndrome. Arthrosc Tech. 2015;4(3):e193–9.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Dierckman B, Guanche C. Endoscopic proximal hamstring repair and ischial bursectomy. Arthrosc Tech. 2012;1(2):e201–7.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Domb B, et al. Endoscopic repair of proximal hamstring avulsion. Arthrosc Tech. 2013;2(1):e35–9.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Jackson T, et al. Endoscopic transtendinous repair for partial-thickness proximal hamstring tendon tears. Arthrosc Tech. 2014;3(1):e127–30.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Young Ian J, et al. Surgical release for proximal hamstring syndrome. Am J Sports Med. 2008;36(12):2372–8.CrossRefPubMedGoogle Scholar
  17. 17.
    Howse E, et al. Ischiofemoral space decompression through posterolateral approach: cutting block technique. Arthrosc Tech. 2014;3(6):e661–5.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Jobe Mark T, Martinez Santos F. Peripheral nerve injuries: sciatic nerve. Volume IV, Part XVI, Chapter 59. In: Canale ST, Beaty JH, editors. Campbell’s operative orthopaedics. 11th ed. Philadelphia: Mosby; 2007. p. 3691–2.Google Scholar
  19. 19.
    Benson ER, Schutzer SF. Posttraumatic piriformis syndrome: diagnosis and results of operative treatment. J Bone Joint Surg Am. 1999;81:941–9.CrossRefPubMedGoogle Scholar
  20. 20.
    Patil PG, Friedman AH. Surgical exposure of the sciatic nerve in the gluteal region: anatomic and historical comparison of two approaches. Oper Neurosurg. 2005;56(1):165–71.  https://doi.org/10.1227/01.NEU.0000144169.84261.9D.CrossRefGoogle Scholar
  21. 21.
    Martin HD, et al. The endoscopic treatment of sciatic nerve entrapment/deep gluteal syndrome. Arthroscopy. 2011;27(2):172–81.CrossRefPubMedGoogle Scholar
  22. 22.
    Shafik A. Pudendal canal syndrome. Description of a new syndrome and its treatment: report of 7 cases. Coloproctology. 1991;13:102–10.Google Scholar
  23. 23.
    Shafik A, et al. Surgical anatomy of the pudendal nerve and its clinical implications. Clin Anat. 1995;8:110–5.CrossRefPubMedGoogle Scholar
  24. 24.
    Robert R, et al. Decompression and transposition of the pudendal nerve in pudendal neuralgia: a randomized controlled trial and long-term evaluation. Eur Urol. 2005;47:403–40.CrossRefPubMedGoogle Scholar
  25. 25.
    Ould-Slimane M, et al. Sacro-iliac joint arthroscopy for arthrodesis after traumatic dislocation. Cadaver and clinical feasibility study. Orthop Traumatol Surg Res. 2014;100:159–63.CrossRefPubMedGoogle Scholar
  26. 26.
    Nathan T, Fisher BE, Robert CS. Coccydynia. A review of pathoanatomy, aetiology, treatment and outcome. J Bone Joint Surg. 2010;92-b(12):1622–7.CrossRefGoogle Scholar
  27. 27.
    Beaton LE, Anson BJ. The relation of the sciatic nerve and its subdivisions to the piriformis muscle. Anat Rec.1937;70:1–5.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Bernardo Aguilera-Bohórquez
    • 1
  • Miguel Eduardo Sanchéz-Otamendi
    • 1
  1. 1.Orthopaedics and TraumatologyCentro Médico Imbanaco de Cali, Young Adult Hip Arthroscopy and Preservation UnitCaliColombia

Personalised recommendations