Recommendation of the Best Site Based on the Distribution Pattern of Extramuscular and Intramusular Nerves for Gluteal Muscle Injection

SUMMARY: To reveal the extra- and intramuscular nerve distribution patterns of the gluteus maximus, medius, and minimus, and to provide guidance for gluteal muscle injection in order to avoid nerve injury. Ten adult and 10 child cadavers were used. The superior and inferior gluteal nerves innervatin...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Wu,Junxi, Cai,Yanzhen, Cao,Ai, Bi,Yu, Hu,Xiangnan, Yang,Shengbo
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2020
Materias:
Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000400975
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:scielo:S0717-95022020000400975
record_format dspace
spelling oai:scielo:S0717-950220200004009752020-09-08Recommendation of the Best Site Based on the Distribution Pattern of Extramuscular and Intramusular Nerves for Gluteal Muscle InjectionWu,JunxiCai,YanzhenCao,AiBi,YuHu,XiangnanYang,Shengbo Gluteal muscle injection Sihler's staining Nerve distribution pattern Injection nerve injury Intramuscular injection site SUMMARY: To reveal the extra- and intramuscular nerve distribution patterns of the gluteus maximus, medius, and minimus, and to provide guidance for gluteal muscle injection in order to avoid nerve injury. Ten adult and 10 child cadavers were used. The superior and inferior gluteal nerves innervating the gluteus maximus, medius, and minimus were dissected, exposed, and sutured in-situ on the muscle. The three gluteal muscles were removed, and the distribution patterns of the intramuscular nerves were revealed by modified Sihler’s nerve staining. The nerve distribution pattern was returned to the corresponding position in the body, and the patterns in the four quadrants of the buttock were analyzed. There were 3-12 extramuscular nerve branches of the gluteus maximus, medius, and minimus. After entering the muscle, these nerve branches arborized and anastomosed to form an arc-shaped, nerve-dense zone. The nerve distribution was most dense in the inferomedial region of the superolateral quadrant and the inferolateral region of the superomedial quadrant of the buttocks. The nerve distribution was relatively dense in the inferolateral region of the superolateral quadrant, and the medial region of the inferomedial quadrant. An arc-shaped, nerve-sparse zone in the superolateral and superomedial quadrants near the lower iliac crest accounted for about two-fifths of the two quadrants’ limits. The arc-shaped, nerve-sparse zone in the superolateral quadrant is the preferred injection site, and the superomedial quadrant near the lower iliac crest is also recommended as a gluteal intramuscular injection region, free from nerve injury.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.38 n.4 20202020-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000400975en10.4067/S0717-95022020000400975
institution Scielo Chile
collection Scielo Chile
language English
topic Gluteal muscle injection
Sihler's staining
Nerve distribution pattern
Injection nerve injury
Intramuscular injection site
spellingShingle Gluteal muscle injection
Sihler's staining
Nerve distribution pattern
Injection nerve injury
Intramuscular injection site
Wu,Junxi
Cai,Yanzhen
Cao,Ai
Bi,Yu
Hu,Xiangnan
Yang,Shengbo
Recommendation of the Best Site Based on the Distribution Pattern of Extramuscular and Intramusular Nerves for Gluteal Muscle Injection
description SUMMARY: To reveal the extra- and intramuscular nerve distribution patterns of the gluteus maximus, medius, and minimus, and to provide guidance for gluteal muscle injection in order to avoid nerve injury. Ten adult and 10 child cadavers were used. The superior and inferior gluteal nerves innervating the gluteus maximus, medius, and minimus were dissected, exposed, and sutured in-situ on the muscle. The three gluteal muscles were removed, and the distribution patterns of the intramuscular nerves were revealed by modified Sihler’s nerve staining. The nerve distribution pattern was returned to the corresponding position in the body, and the patterns in the four quadrants of the buttock were analyzed. There were 3-12 extramuscular nerve branches of the gluteus maximus, medius, and minimus. After entering the muscle, these nerve branches arborized and anastomosed to form an arc-shaped, nerve-dense zone. The nerve distribution was most dense in the inferomedial region of the superolateral quadrant and the inferolateral region of the superomedial quadrant of the buttocks. The nerve distribution was relatively dense in the inferolateral region of the superolateral quadrant, and the medial region of the inferomedial quadrant. An arc-shaped, nerve-sparse zone in the superolateral and superomedial quadrants near the lower iliac crest accounted for about two-fifths of the two quadrants’ limits. The arc-shaped, nerve-sparse zone in the superolateral quadrant is the preferred injection site, and the superomedial quadrant near the lower iliac crest is also recommended as a gluteal intramuscular injection region, free from nerve injury.
author Wu,Junxi
Cai,Yanzhen
Cao,Ai
Bi,Yu
Hu,Xiangnan
Yang,Shengbo
author_facet Wu,Junxi
Cai,Yanzhen
Cao,Ai
Bi,Yu
Hu,Xiangnan
Yang,Shengbo
author_sort Wu,Junxi
title Recommendation of the Best Site Based on the Distribution Pattern of Extramuscular and Intramusular Nerves for Gluteal Muscle Injection
title_short Recommendation of the Best Site Based on the Distribution Pattern of Extramuscular and Intramusular Nerves for Gluteal Muscle Injection
title_full Recommendation of the Best Site Based on the Distribution Pattern of Extramuscular and Intramusular Nerves for Gluteal Muscle Injection
title_fullStr Recommendation of the Best Site Based on the Distribution Pattern of Extramuscular and Intramusular Nerves for Gluteal Muscle Injection
title_full_unstemmed Recommendation of the Best Site Based on the Distribution Pattern of Extramuscular and Intramusular Nerves for Gluteal Muscle Injection
title_sort recommendation of the best site based on the distribution pattern of extramuscular and intramusular nerves for gluteal muscle injection
publisher Sociedad Chilena de Anatomía
publishDate 2020
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022020000400975
work_keys_str_mv AT wujunxi recommendationofthebestsitebasedonthedistributionpatternofextramuscularandintramusularnervesforglutealmuscleinjection
AT caiyanzhen recommendationofthebestsitebasedonthedistributionpatternofextramuscularandintramusularnervesforglutealmuscleinjection
AT caoai recommendationofthebestsitebasedonthedistributionpatternofextramuscularandintramusularnervesforglutealmuscleinjection
AT biyu recommendationofthebestsitebasedonthedistributionpatternofextramuscularandintramusularnervesforglutealmuscleinjection
AT huxiangnan recommendationofthebestsitebasedonthedistributionpatternofextramuscularandintramusularnervesforglutealmuscleinjection
AT yangshengbo recommendationofthebestsitebasedonthedistributionpatternofextramuscularandintramusularnervesforglutealmuscleinjection
_version_ 1718445155291234304