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 of femur
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
Trendelenburg’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 Stabilizes knee while leg is extended
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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)
Origin of piriformis
Anterior surface of sacrum
Sacrotuberous ligament
Insertion of piriformis
And what does it go through
Exits pelvis through greater sciatic foramen
Superior border of greater trochanter
Innervation of piriformis
Nerve to piriformis (s1/s2)
Actions of piriformis (3)
Externally rotates an extended thigh
Abducts a 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)
Actions of superior gemellus (3)
Externally rotates an extended thigh
Abducts a flexed thigh
Stabilizes femoral head in acetabulum
Obturator internus origin
Inner surface of obturator membrane and its bony boundaries
Muscles of triceps coxae
Obturator internus
Superior gemellus
Inferior gemellus
Obturator internus insertion
Medial surface of greater trochanter of femur
Obturator internus innervation
Nerve to Obturator internus (L5,S1)
Actions of obturator internus
Externally rotates an extended thigh
Abducts a flexed thigh
Stabilizes femoral head in acetabulum
Origin of inferior gemellus
Ischial tuberosity
Insertion of inferior gemellus
Medial surface of greater trochanter of femur
Innervation of inferior gemellus
Nerve to quadratus femoris
Actions of inferior gemellus
Externally rotates an extended thigh
Abducts a flexed thigh
Stabilizes femoral head in acetabulum
Origin of quadratus femoris
Lateral border of ischial tuberosity
Insertion of quadratus femoris
Quadrate tubercle on intertrochanteric crest of femur
Innervation of quadratus femoris
Nerve to quadratus femoris
Actions of quadratus femoris
Lateral rotation of thigh
Stabilizes femoral head in acetabulum
What are the cutaneous nerves of the gluteal region
Superior, middle and inferior clunial nerves
+ lateral branch of the iliohypogastric nerve
What cutaneous nerve supplies part of the lateral buttocks
lateral branch of the iliohypogastric nerve
What is sciatica
What are the symptoms
Treatment
Sciatic nerve impingement
Shooting pain down back of leg
Rest, anti-inflammatories, muscle relaxants
Sciatic nerve splits into…. and…. before exiting…..
Tibial nerve
Fibula nerve
The greater sciatic foramen
Anatomical variation of sciatic nerve
Some people have common fibula nerve passing through piriformis
Some people have common fibula nerve
passing superior to piriformis
Internal iliac artery supplies
Gluteal region and pelvic region
External iliac artery supplies
Thigh, leg + foot
The sacrospinous ligament runs from…. to….
Sacrum
ischial spine
Function of sacrospinous ligament
Stabilizes sacroiliac joint
The sacrotuberous ligament runs from….to….
Sacrum
Ischial tuberosity
Gluteal muscles
Superficial:
Gluteus Maximus
Gluteus medius
Gluteus minimus
Tensor fasciae latae
Deep:
Piriformis
Superior gemellus
Obturator internus
Inferior gemellus
Quadratus Femoris
Origin of gluteus Maximus (3)
Ilium posterior to posterior gluteal line Lateral part of posterior sacrum-coccyx
Sacrotuberous ligament
Insertion of gluteus Maximus
Iliotibial tract
Gluteal tuberosity on posterolateral femur
Innervation of gluteus Maximus
Inferior gluteal nerve
Actions of gluteus Maximus
Extends thigh
External rotation of femur