14: Musculo-neuro-vascular systems of gluteal region Flashcards
Origin of gluteus medius
External iliac surface between anterior and posterior gluteal lines
Insertion of gluteus medius
Lateral surface of greater trochanter
innervation of gluteus medius
Superior gluteal nerve ( L5,S1)
Actions of gluteus medius
*Abducts femur at hip joint
*Internally rotates femur at hip joint
*Stabilises pelvis in coronal plane
Origin of gluteus minimus
External iliac surface between anterior and inferior gluteal lines
Insertion of gluteus minimus
Anterior surface of greater trochanter
Innervation of gluteus minimus
Superior gluteal nerve ( L5,S1)
Actions of gluteus minimus
*Abducts femur at hip joint
*Internally rotates femur at hip joint
*Stabilises pelvis in coronal plane
Weakness of hip abductors
Trendelenburg sign
Tendelenburg’s gait
When standing on one leg, hip abductors are unable to counteract gravity
Opposite side of pelvis tilts inferiorly
Patient leans to the same side as weak hip abductors
Tensor fasciae Latae origin
ASIS + Anterior iliac crest
Tensor fasciae Latae insertion
Iliotibial tract
Tensor fasciae Latae innervation
Superior gluteal nerve (L5 - S1)
Actions of Tensor fasciae Latae (3)
Abducts, flexes + internally rotates thigh at hip joint
Tightens iliotibial tract (stabilizes knee while leg is extended)
Keeps pelvis level when standing on ipsilateral limb
Actions of tensor fasciae latae
Abducts, flexes, internally rotates thigh at hip joint
Tightens iliotibial tract which stabilizes knee while leg is extended
Keeps pelvis level when standing on ipsilateral limb
Origin of piriformis
Anterior surface of sacrum
Sacrotuberous ligament
Insertion of piriformis
Exits pelvis through greater sciatic foremen
Superior border of greater trochanter
Innervation of piriformis (S1/S2)
Nerve to piriformis (S1/S2)
Actions of piriformis
Externally rotates extended thigh
Abducts flexed thigh
Stabilizes femoral head in acetabulum
Origin of superior gemellus
Ischial spine
Insertion of superior gemellus
Medial surface of greater trochanter of femur
Innervation of superior gemellus
Nerve to obturator internus (L5,S1)