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The gluteal region is rich in neurovasculature that divides in predictable ways. Though these characteristic relationships can be helpful when orienting oneself to the gluteal region, it is especially useful to be aware of anatomical variations in this region. Knowledge of such differences allows for a better appreciation of nerve entrapments and neuropathies, and such awareness is critical during surgeries. In this case report, we explore an uncharacteristic relationship among the piriformis muscle, the sciatic nerve and its components, and the inferior gluteal and posterior femoral cutaneous nerves.
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http://dx.doi.org/10.7759/cureus.48694 | DOI Listing |
Morphologie
August 2025
Division of Anatomy, Department of Basic Medical Sciences, Manipal Academy of Higher Education, Manipal, India. Electronic address:
Variations of inferior gluteal nerve are very rare. Knowledge of its variations is of importance in plastic surgery and orthopedic surgery procedures of hip. We report a unique variation of inferior gluteal nerve.
View Article and Find Full Text PDFWorld J Clin Cases
August 2025
Department of Plastic and Reconstructive Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan-si 31116, Chungnam, South Korea.
Background: Patients with paraplegia are vulnerable to ischial pressure ulcers. Surgical treatments often lead to complications such as seroma and infection, necessitating repeated interventions that increase surgical difficulty. This case report aimed to introduce a novel treatment strategy combining negative pressure wound therapy (NPWT) with a fenestrated Penrose drain to manage refractory seroma in patients with a history of ischial pressure ulcers.
View Article and Find Full Text PDFZentralbl Chir
July 2025
Klinik für Plastische, Wiederherstellende und Handchirurgie, Klinikum Nürnberg Süd, Nürnberg, Deutschland.
Large and bulky soft tissue defects in the gluteal, perineal and sacral regions are a reconstructive challenge, especially if suitable local flaps are not available. In such cases, a free flap may be necessary, the choice of which depends on the size and depth of the defect and the available recipient vessels.In this study, different options for defect coverage in this area are analysed and evaluated.
View Article and Find Full Text PDFBMC Musculoskelet Disord
July 2025
H-HiP, Department of Orthopedic Surgery, Horsens Regional Hospital, Strandpromenaden 35, Horsens, 8700, Denmark.
Background: Insertional hip abductor tendon pathology (tendinopathy or tears of gluteus medius and/or minimus tendons) are increasingly recognized as the main cause of lateral hip pain. This study aims to evaluate generic health status in patients with lateral hip pain due to Magnetic Resonance Imaging (MRI) verified hip abductor tendon pathology using the EQ-5D-5L and compare these findings with a matched national population norm.
Methods: Data from patients with lateral hip pain, referred to our hospital from 2017-2023, was retrospectively reviewed.
JBJS Essent Surg Tech
July 2025
Department of Orthopaedic Surgery, Clínica RedSalud Providencia, Santiago, Chile.
Background: Fibrovascular bands are currently considered the most relevant cause of deep gluteal pain syndrome, according to various reports. This condition often exists concurrently with hypertrophic bursae in the peritrochanteric space due to the same inflammatory process because of the anatomical continuity between both spaces. In such cases, we perform bursectomy of the lateral space and resection of fibrovascular bands in the posterior space.
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