Anatomic Considerations in Penetrating Gluteal Wounds

David W. Mercer, Robert F. Buckman, Rajiv Sood, Thomas M. Kerr, Jack Gelman

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

A retrospective study of 81 patients with penetrating gluteal wounds was performed to determine if the site of penetration was useful in predicting the likelihood of associated vascular or visceral injury. There were 53 gunshot wounds and 28 stab wounds, including one impalement. The gluteal region was divided into upper and lower zones by determining whether entry occurred above or below the greater trochanters. Sixty-six percent of all penetrating gluteal wounds entered the upper zone. Thirty-two percent of patients with upper zone penetration had associated vascular or visceral injury. Only one of 27 patients with lower zone penetration sustained major injury. The site of entry plays a critical role in determining the likelihood of serious injury associated with penetrating gluteal wounds. Wounds penetrating above the greater trochanters demand thorough evaluation, especially gunshot wounds.

Original languageEnglish (US)
Pages (from-to)407-410
Number of pages4
JournalArchives of Surgery
Volume127
Issue number4
DOIs
StatePublished - Apr 1992

ASJC Scopus subject areas

  • Surgery

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