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Additional Nerve Supply of Gluteus Maximus by Common Peroneal Nerve

Authors: Khayati Sant Ram; Aggarwal, Anjali; Tulika Gupta; Gupta, Richa; Sahini, Daisy;

Additional Nerve Supply of Gluteus Maximus by Common Peroneal Nerve

Abstract

{"references": ["1. Beaton LE, Anson BJ. The relation of the sciatic nerve and of its subdivisions to the piriformis muscle. Anat Rec 1937;70:1-5.", "2. Sinha MB, Aggarwal A, Sahani D, Kaur H. Morphological variations of sciatic nerve and piriformis muscle in gluteal region during fetal period. Eur J Anat 2014;18:4.", "3. Bhattacharya S, Chakraborty P, Majumdar S, Das gupta H. Different neuromuscular variations in the gluteal region. Int J Anat Var 2013; 6: 136-39.", "4. Sumalatha S, Sylvan d souza A, Yadav JS, Mittalsk, Singh A, and Kotian SR.An unorthodox innervation of the gluteus maximus muscle and other associated variations: a case report. Australas Med J 2014;7(10): 419-22.", "5. Farrell CM, Springer BD, Haidukewych GJ, Morrey BF. Motor nerve palsy following primary total hip arthroplasty. J Bone Joint Surg Am 2005; 87(12):2619-25.", "6. Lazansky MG. Complications revisited. The debit side of total hip replacement.Clin Orthop 1973;(95):96-103", "7. Nercessian OA, Macaulay W, Stinchfield FE. Peripheral neuropathies following total hip arthroplasty. J Arthroplasty 1994;9(6):645-51.", "8. Sense FM, Campus R,Becchetti F, Catena N. Sciatic nerve injection palsy in the child : early microsurgical treatment and long term results. Microsurgery 2009;29:443-48.", "9. Sosna A, Pokorny D, Jahoda D. Sciatic nerve palsy after total hip replacement. J Bone Joint Surg Br 2005;87-B:1140-41", "10. Pokorny D,Jahoda D, Veigl D, Pinskerova V, Sonsa A. Topographic variations of relationship of sciatic nerve and the piriformis muscle and its relevance to palsy after total hip arthroplasty. Surg Radiol Anat 2006:28:88-91"]}

During routine dissection, variation of sciatic nerve was discovered bilaterally. Sciatic nerve emerged from the pelvis through greater sciatic foramen. On both sides, it divided into common peroneal nerve and tibial nerve. Common peroneal nerve pierced the piriformis muscle with resultant splitting of the muscle into two parts. Tibial nerve emerged at the lower border of muscle, thus two divisions of sciatic nerve were separated by the inferior belly of the piriformis muscle. On the left side common peroneal nerve from its medial edge gave branches which innervated gluteus maximus muscle from its deeper aspect. On the right side both common peroneal nerve and tibial nerve gave branches to gluteus maximus muscle. In addition, bilaterally gluteus maximus was innervated by inferior gluteal nerve.

Keywords

TN (tibial nerve), TN (tibial nerve), gluteus maximus muscle, CPN (common peroneal nerve), SN (sciatic nerve), innervation

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