{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T05:16:02Z","timestamp":1791522962261,"version":"4.3.4"},"reference-count":81,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T00:00:00Z","timestamp":1733184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Anatomy"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The superior gluteal nerve (SGN) is a mixed nerve of the sacral plexus that arises from the posterior divisions of the L4, L5, and S1 nerve roots. Its motor branch plays a crucial role in innervation of hip muscles, which allows for physiological gait or walk\u2010pattern. As for its sensory branch, it provides innervation for the hip joint capsule, especially its superior part. The understanding of this nerve is crucial as it may be injured during many operations involving mostly pelvic surgery, both arthroscopic and open procedures. The risk of injury is especially high during total hip arthroplasty (THA). These lesions often result in the presentation of major walk\u2010pattern abnormalities. The most classical and commonly known would be the Trendelenburg sign, which presents with pelvic instability characterized by having the patient standing on one leg whereby the pelvis on the contralateral side will be dropping, resulting in a positive sign. The aim of this meta\u2010analysis was to obtain all relevant data on SGN and its variations, in order to emphasize its anatomical, physiological, as well as clinical implications. A large\u2010scale search was conducted in all major databases (PubMed, Embase, Science Direct, Google Scholar, and Web of Science) in order to determine and pool all available and relevant SGN data. No restrictions were applied to date or language. The data collection was categorized by prevalence, branching, patterns, course, origin, and distance from anatomical landmarks. A total of 41 studies (<jats:italic>n<\/jats:italic>\u2009=\u2009869 hemipelves) were included in our analysis. The most common branching pattern of SGN was a spray pattern, 70.4% (95% CI: 54.4\u201396.8; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) of the general population. We found that the closest branch to the greater trochanter of the femur and concurrently the most at risk during surgery was a muscular branch to gluteus minimus muscle. As the trend of pelvic surgeries, especially THA continues to rise, SGN lesions are now more than ever at risk. Yet to the authors' knowledge, this does not seem to be reflected in the current literature thereby making this the first meta\u2010analysis concerning this important anatomical structure. The authors believe it is paramount for surgeons, especially in the orthopedic specialty, to thoroughly understand the SGN with its anatomical variability and clinical tie\u2010ins.<\/jats:p>","DOI":"10.1111\/joa.14174","type":"journal-article","created":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T21:25:43Z","timestamp":1733261143000},"page":"467-478","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Variability and clinical anatomy of the superior gluteal nerve\u2014A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"246","author":[{"given":"Jonasz","family":"Tempski","sequence":"first","affiliation":[{"name":"International Evidence\u2010Based Anatomy Working Group  Krak\u00f3w Poland"},{"name":"Department of Anatomy Jagiellonian University Medical College  Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aneta","family":"Kotlarek","sequence":"additional","affiliation":[{"name":"Jagiellonian University Medical College, Faculty of Medicine  Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7623-997X","authenticated-orcid":false,"given":"Jakub","family":"P\u0119kala","sequence":"additional","affiliation":[{"name":"International Evidence\u2010Based Anatomy Working Group  Krak\u00f3w Poland"},{"name":"Department of Anatomy Jagiellonian University Medical College  Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6109-453X","authenticated-orcid":false,"given":"Grzegorz","family":"Fibiger","sequence":"additional","affiliation":[{"name":"Department of Anatomy Jagiellonian University Medical College  Krak\u00f3w Poland"},{"name":"Jagiellonian University Medical College, Faculty of Medicine  Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1398-3256","authenticated-orcid":false,"given":"Eirik","family":"Krager","sequence":"additional","affiliation":[{"name":"International Evidence\u2010Based Anatomy Working Group  Krak\u00f3w Poland"},{"name":"Department of Anatomy Jagiellonian University Medical College  Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0444-5472","authenticated-orcid":false,"given":"Dominik","family":"\u0141azarz","sequence":"additional","affiliation":[{"name":"International Evidence\u2010Based Anatomy Working Group  Krak\u00f3w Poland"},{"name":"Department of Anatomy Jagiellonian University Medical College  Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateusz","family":"Rosa","sequence":"additional","affiliation":[{"name":"Jagiellonian University Medical College, Faculty of Medicine  Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinga","family":"Gl\u0105dys","sequence":"additional","affiliation":[{"name":"Jagiellonian University Medical College, Faculty of Medicine  Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerzy A.","family":"Walocha","sequence":"additional","affiliation":[{"name":"International Evidence\u2010Based Anatomy Working Group  Krak\u00f3w Poland"},{"name":"Department of Anatomy Jagiellonian University Medical College  Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Przemys\u0142aw","family":"P\u0119kala","sequence":"additional","affiliation":[{"name":"International Evidence\u2010Based Anatomy Working Group  Krak\u00f3w Poland"},{"name":"Department of Anatomy Jagiellonian University Medical College  Krak\u00f3w Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(08)80090-3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ar.1092380114"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000147581"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ar.1092330417"},{"issue":"2","key":"e_1_2_9_6_1","first-page":"98","article-title":"The functional anatomy of hip abductors","volume":"68","author":"Al\u2010Hayani A.","year":"2009","journal-title":"Folia Morphologica"},{"key":"e_1_2_9_7_1","first-page":"619","volume-title":"Chapter\u00a046 \u2010 anatomy of the sacral plexus L4\u2010S4","author":"Ali Mirjalili S.","year":"2015"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2004.07.052"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20665"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22057"},{"key":"e_1_2_9_11_1","first-page":"47","article-title":"Abductor function after total hip replacement. 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