The Dual Innervation of the Gluteus Maximus Associated with Other Anatomical Variations of the Gluteal Region
Punnapa RAVITEJA, Mrudula CHANDRUPATLA, Alka V BHINGARDEO, Surraj SUSAIAll India Institute of Medical Sciences Bibinagar, Department of Anatomy, Hyderabad, IndiaThe gluteus maximus (GM) is a big quadrilateral musculature that lines the rear portion of the pelvis. It is innervated by the inferior gluteal nerve. The sciatic nerve, inferior gluteal nerve, and posterior cutaneous nerve of the thigh are branches of the sacral plexus. The superior and inferior gluteal arteries are the chief arterial supply to the gluteal region. In the present case, there was a dual innervation of the GM. The superior gluteal artery and the superior gluteal nerve was piercing the piriformis and the inferior gluteal artery was running between the posterior cutaneous nerve of the thigh and the inferior gluteal nerve. According to our literature review, anatomical studies in which this cadaveric procedure has been performed have not been previously reported. The anatomical variations of the gluteal region are important to surgeons, physicians, anatomists, and nurses.
Keywords: Gluteus maximus, sciatic nerve, cadaver, dual innervation, piriformisGluteal Bölgenin Diğer Anatomik Varyasyonları ile İlişkili Gluteus Maksimusun İkili İnnervasyonu
Punnapa RAVITEJA, Mrudula CHANDRUPATLA, Alka V BHINGARDEO, Surraj SUSAIAll India Institute of Medical Sciences, Department of Anatomy, Hyderabad, IndiaGluteus maksimus (GM) pelvisin arka kısmını kaplayan büyük bir dörtgen kas sistemidir. İnferior gluteal sinir tarafından innerve edilir. Siyatik sinir, inferior gluteal sinir ve uyluğun posterior kutanöz siniri sakral pleksusun dallarıdır. Süperior ve inferior gluteal arterler gluteal bölgenin başlıca arteriyel beslenmesidir. Mevcut olguda, GM ve superior gluteal arterin ikili bir innervasyonu vardı. Superior gluteal sinir piriformisi delmekte ve inferior gluteal arter uyluğun posterior kutanöz siniri ile inferior gluteal sinir arasında seyretmekteydi. Literatür taramamıza göre, bu kadavra prosedürünün uygulandığı anatomik çalışmalar daha önce bildirilmemiştir. Gluteal bölgenin anatomik varyasyonları cerrahlar, hekimler, anatomistler ve hemşireler için önemlidir.
Anahtar Kelimeler: Gluteus maksimus, siyatik sinir, kadavra, çift innervasyon, piriformisCorresponding Author: Punnapa RAVITEJA, India
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