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 Citations (Scopus)

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

Fingerprint

Penetrating Wounds
Gunshot Wounds
Wounds and Injuries
Femur
Blood Vessels
Stab Wounds
Buttocks
Retrospective Studies

ASJC Scopus subject areas

  • Surgery

Cite this

Anatomic Considerations in Penetrating Gluteal Wounds. / Mercer, David W.; Buckman, Robert F.; Sood, Rajiv; Kerr, Thomas M.; Gelman, Jack.

In: Archives of Surgery, Vol. 127, No. 4, 04.1992, p. 407-410.

Research output: Contribution to journalArticle

Mercer, David W. ; Buckman, Robert F. ; Sood, Rajiv ; Kerr, Thomas M. ; Gelman, Jack. / Anatomic Considerations in Penetrating Gluteal Wounds. In: Archives of Surgery. 1992 ; Vol. 127, No. 4. pp. 407-410.
@article{93fff6c1291341beb0876dbd12de96e9,
title = "Anatomic Considerations in Penetrating Gluteal Wounds",
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.",
author = "Mercer, {David W.} and Buckman, {Robert F.} and Rajiv Sood and Kerr, {Thomas M.} and Jack Gelman",
year = "1992",
month = "4",
doi = "10.1001/archsurg.1992.01420040049008",
language = "English (US)",
volume = "127",
pages = "407--410",
journal = "JAMA Surgery",
issn = "2168-6254",
publisher = "American Medical Association",
number = "4",

}

TY - JOUR

T1 - Anatomic Considerations in Penetrating Gluteal Wounds

AU - Mercer, David W.

AU - Buckman, Robert F.

AU - Sood, Rajiv

AU - Kerr, Thomas M.

AU - Gelman, Jack

PY - 1992/4

Y1 - 1992/4

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=0026523679&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026523679&partnerID=8YFLogxK

U2 - 10.1001/archsurg.1992.01420040049008

DO - 10.1001/archsurg.1992.01420040049008

M3 - Article

C2 - 1558492

AN - SCOPUS:0026523679

VL - 127

SP - 407

EP - 410

JO - JAMA Surgery

JF - JAMA Surgery

SN - 2168-6254

IS - 4

ER -