DAMAGE TO THE SUPERIOR GLUTEAL NERVE AFTER THE HARDINGE APPROACH TO THE HIP

M. Ramesh; J. M. O’Byrne; N. McCarthy; A. Jarvis; K. Mahalingham; W. F. Cashman

doi:10.1302/0301-620X.78B6.0780903

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DAMAGE TO THE SUPERIOR GLUTEAL NERVE AFTER THE HARDINGE APPROACH TO THE HIP

M. Ramesh
J. M. O’Byrne
N. McCarthy
A. Jarvis
K. Mahalingham
W. F. Cashman

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DAMAGE TO THE SUPERIOR GLUTEAL NERVE AFTER THE HARDINGE APPROACH TO THE HIP

Ramesh M, O’Byrne JM, McCarthy N, Jarvis A, Mahalingham K, Cashman WF. DAMAGE TO THE SUPERIOR GLUTEAL NERVE AFTER THE HARDINGE APPROACH TO THE HIP. J Bone Joint Surg Br. 1996;78-B(6):903-906. doi:10.1302/0301-620X.78B6.0780903

Ramesh, M., et al. “DAMAGE TO THE SUPERIOR GLUTEAL NERVE AFTER THE HARDINGE APPROACH TO THE HIP.” The Journal of Bone & Joint Surgery British Volume, vol. 78-B, no. 6, 1996, pp. 903-906., https://doi.org/10.1302/0301-620X.78B6.0780903

Ramesh, M., O’Byrne, J. M., McCarthy, N., Jarvis, A., Mahalingham, K., & Cashman, W. F. (1996). DAMAGE TO THE SUPERIOR GLUTEAL NERVE AFTER THE HARDINGE APPROACH TO THE HIP. The Journal of Bone & Joint Surgery British Volume, 78-B(6), 903-906. https://doi.org/10.1302/0301-620X.78B6.0780903

Ramesh, M., O’Byrne, J. M., McCarthy, N., Jarvis, A., Mahalingham, K. and Cashman, W. F. (1996) “DAMAGE TO THE SUPERIOR GLUTEAL NERVE AFTER THE HARDINGE APPROACH TO THE HIP.” The Journal of Bone & Joint Surgery British Volume, 78-B(6), pp. 903-906. Available at: https://doi.org/10.1302/0301-620X.78B6.0780903

Ramesh, M., J. M. O’Byrne, N. McCarthy, A. Jarvis, K. Mahalingham, and W. F. Cashman. “DAMAGE TO THE SUPERIOR GLUTEAL NERVE AFTER THE HARDINGE APPROACH TO THE HIP.” The Journal of Bone & Joint Surgery British Volume 78-B, no. 6 (1996): 903-906. https://doi.org/10.1302/0301-620X.78B6.0780903

Ramesh M, O’Byrne JM, McCarthy N, Jarvis A, Mahalingham K, Cashman WF. DAMAGE TO THE SUPERIOR GLUTEAL NERVE AFTER THE HARDINGE APPROACH TO THE HIP. J Bone Joint Surg Br. 1996 Nov 1;78-B(6):903-906. https://doi.org/10.1302/0301-620X.78B6.0780903

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Abstract

We studied prospectively 81 consecutive patients undergoing hip surgery using the Hardinge (1982) approach. The abductor muscles of the hip in these patients were assessed electrophysiologically and clinically by the modified Trendelenburg test. Power was measured using a force plate. We performed assessment at two weeks, and at three and nine months after operation.

At two weeks we found that 19 patients (23%) showed evidence of damage to the superior gluteal nerve. By three months, five of these had recovered. The nine patients with complete denervation at three months showed no signs of recovery when reassessed at nine months. Persistent damage to the nerve was associated with a positive Trendelenburg test.

Correspondence should be sent to Dr J. M. O’Byrne.

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