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What two nerves make up the internervous plane in the Smith-Petersen anterior hip approach?
There is no internervous plane
Femoral nerve and inferior gluteal nerve
Femoral nerve and superior gluteal nerve
Obturator nerve and superior gluteal nerve
Obturator nerve and inferior gluteal nerve
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The internervous plane in the Smith-Petersen anterior hip approach is made by the femoral nerve and superior gluteal nerve.
The anterior Smith-Petersen hip approach uses the superficial internervous plane between the sartorius (femoral nerve) and the tensor fascia latae (superior gluteal nerve). The deep plane for access to the hip joint capsule uses the same internervous plane but is between the rectus femoris (femoral nerve) and the gluteus medius (superior gluteal nerve). In this approach to the hip, one must be conscious to avoid damaging the lateral femoral cutaneous nerve.
Illustration A and B show the superficial and deep internervous plane.
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The ascending branch of the lateral femoral circumflex artery is at risk with which of the following surgical approaches?
The ascending branch of the lateral femoral circumflex artery is at risk during the Smith-Petersen approach to the hip. In this approach, an internervous interval between the femoral nerve (sartorius, superficial; rectus femoris, deep) and superior gluteal nerve (tensor fascia latae, superficial; gluteus medius, deep) is utilized.
The ascending branch of the lateral femoral circumflex artery runs proximally in the internervous plane between the two deep muscles.
Answer 1: http://www.orthobullets.com/approaches/12056/stoppa-approach-to-acetabulum
Answer 2: http://www.orthobullets.com/approaches/12015/posterior-approach-to-the-acetabulum-kocher-langenbeck
Answer 3: http://www.orthobullets.com/approaches/12016/ilioinguinal-approach-to-the-acetabulum
Answer 4: http://www.orthobullets.com/approaches/12021/hip-anterolateral-approach-watson-jones
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This is a video of the Smith-Peterson approach to the hip.
Ajoy Jana, MD, has been using an innovative surgical technique for hip replaceme...
A detailed run though with narration of a total hip arthroplasty performed throu...