The gluteal sling: an anatomical study

Isik C., Apaydin N., Acar H. I., Zahar A., Bozkurt M.

SURGICAL AND RADIOLOGIC ANATOMY, vol.36, no.6, pp.595-599, 2014 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 36 Issue: 6
  • Publication Date: 2014
  • Doi Number: 10.1007/s00276-013-1231-0
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.595-599
  • Ankara Yıldırım Beyazıt University Affiliated: No


Sciatic nerve palsy is a devastating complication which may be seen after acetabular exposure in total hip resurfacing via a posterior approach. An anatomical structure termed as the "gluteal sling" was suggested to play a role in sciatic nerve palsies during this operation. "Gluteal sling" is formed by the attachment of the deep fibers of the inferior part of the gluteus maximus on the gluteal tuberosity of the femur and the lateral intermuscular septum. It is suggested to be released to avoid such compressive injuries. The purpose of this study is to demonstrate how much of the gluteal sling should be released to decrease the tension on sciatic nerve during posterior hip arthroplasties. We also aimed to study the anatomical structures at risk during releasing procedure.