|
Year |
2001 |
|---|---|
|
Question Number |
101. |
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Category |
Select |
Question
An anterior (Smith-Peterson) approach to the hip joint uses what internervous plane?
1. Superior gluteal and femoral
2. Superior gluteal and inferior gluteal
3. Femoral and obturator
4. Sciatic and superior gluteal
5. Sciatic and femoral
Figures
Answer (click for answer)
Preferred Response: (1)
Discussion:
The anterior approach to the hip ". . . exploits the internervous plane between the sartorius (femoral nerve) and the tensor fasciae latae (superior gluteal nerve) to penetrate the outer layers of the joint musculature." Hoppenfeld 2nd Ed. (1994) Surgical Exposures in Orthopaedics goes on to relate that the superficial surgical plane is per above while deeper traveling between rectus femoris (femoral nerve) and gluteus medius (superior gluteal nerve). As is illustrated in the diagram, the Smith-Peterson (anterior approach) respects the internervous plane between the femoral and superior gluteal nerves (response #1 is correct).
Reference: