Glute / Posterior Thigh Flashcards
Dilation of blood vessel due to weakness of walls
aneurysm
Cause(s) of gluteal gait
Injury to superior gluteal nerve, congenital dislocation of hip joint, or poliomyelitis. These paralyze the gluteus medius and minimum.
When someone with a gluteal gait is walking, which side tilts down?
Non-paralyzed size tilts down when foot of non-paralyzed leg is lifted.
What is a positive trendelenburg sign?
when lift opposite leg, pelvis tilts down on non-paralyzed opposite side
What courses between the gluteus minimus and gluteus medius?
Superior Gluteal Artery and Superior Gluteal Nerve
Innervation of gluteus maximus
inferior gluteal nerve
Actions of the gluteus maximus (3)
1) extend hip joint
2) laterally rotate hip joint.
3) keep leg extended via iliotibial tract
Origins of gluteus maximus (4)
1) ilium
2) sacrum
3) cocyx
4) sacrotuberous ligament
Origin of gluteus medius and minimus
ilium
Innervation of gluteus minimus and medius
superior gluteal nerve
Insertion of the gluteus maximus (2)
Femur and IT tract
Actions of the gluteus medius and minimus (2)
1) medially rotate leg **
2) abduct leg
Actions of tensor fascia lata (2)
abducts hip and maintains extension of leg
Insertion of tensor fascia lata
Iliotibial tract (you can find it attached on the practical)
Bags of fluid surrounded by connective tissue
bursae
What is found adjacent to both the ischial tuberosity and greater trochanter?
bursae
Separates gluteus maximus from greater trochanter of femur and vastus lateralis
trochanteral bursa
Separates gluteus maximus from ischial tuberosity
Ischial Bursa
What is Weaver’s Bottom
inflammation of ischial bursae
What is different when sitting as opposed to standing in regards to the ischial tuberosities
Gluteus maximus covers ischial tuberosities when standing but not when sitting. This can lead to inflammation of the ischial bursae (Weaver’s Bottom)
Starting from the piriformis, what are the four muscles inferior to it in the same plane
Superior Gemellus, Obturator Internus, Inferior Gemellus, Quadratus Femoris
Insertion of the piriformis and muscles below
Most insert on the greater trochanter
Action of the piriformis and associate muscles below
Laterally rotate femur. Also act like rotator cuff and hold head of femur in acetabulum
The two gluteal arteries branch off of…
internal iliac artery (leave pelvis via greater sciatic foramen)