Gluteal Region and Posterior Thigh Flashcards
The region that is posterior to the pelvis that is involved in extension, abduction, and medial and lateral rotation of the thigh
Gluteal Region
Group of muscles known as the hamstring that extend the thigh and flex the leg
Hamstrings
The most superficial of the gluteal muscles, largest and heaviest in gluteal region
Gluteus Maximus
Origin and insertion of gluteus maximus
Origin: Dorsal Ilium, Sacrum, Coxas, Sacrotuberous Ligament
Insertion: IT Band and Gluteal Tuberosity
Main action of the gluteus maximus
Extension and lateral rotation of the thigh
Innervation of the gluteus maximus
Inferior Gluteal Nerve
Gluteus Medius originates between what on the ala?
Posterior and anterior Line
Gluteus minimus originates between what on the ala?
Anterior and inferior Lines
Actions of the gluteus medius and minimus (locomotion
Abduct the thigh and medial rotation
Most important function is walking mechanism
What do the prevent happening during walking?
Sagging of the unsupported side for raising the unsupported foot
Origin of gluteus medius:
Insertion:
Origin: Between posterior and anterior gluteal lines side of ilium
Insertion Lateral aspect of greater trochanter
Origin of the gluteus minimus
Origin: Between anterior and inferior gluteal lines
Insertion: Anterior aspect of greater trochanter
Innervation of the gluteus medius and minimus
Superior Gluteal Nerve
When the gluteus medius and minimus are inactive owing to injury of the superior gluteal nerve, the supporting and steadying action of these muscles is lost and the pelvis falls to the side of the raised or unsupported limb. This is the
Trendelenberg Sign
Where do all of the lateral rotaters insert near or in?
Greater Trochanter
Lateral rotator that is narrow and triangular shaped and exits from the pelvis through the greater sciatic foramen
All other rotators are located inferior to the piriformis, sciatic nerve exits inferior.
Important for locating other structure
Piriformis
Origin and insertion of the piriformis
Origin: Anterior surface of the sacrum
Insertion: Greater trochanter
Innervation of the piriformis
Ventral rami of S1, S2, and L5
Action of the piriformis (primary and other action)
Lateral rotations and helps in abduction
The white tendon of this muscle is in the gluteal region, and the muscle is located inside the pelvis and exits the lesser sciatic foramen
Obturator Internus
Origin and insertion of the obturator internus
Origin: Obturator membrane in margins of obturator foramen
Insertion: Greater Trochanter
Innervation of the obturator internus
Ventral Rami of L5 and S1
Action of the obturator internus
Lateral rotation of the thigh
Muscles that insert into the obturator internus tendon that often cover the internus tendon
Gemullus superior and inferior
Origin and insertion of the superior gemellus
Origin: ischial spine
Insertion:Obturator internus tendon into greater trochanter
Origin and insertion of the inferior gemellus
Origin: Ischial Tuberosity
Insertion: Obturator internus tendon to greater trochanter
Innervation of the superior and inferior gemellus
Ventral Rami of L5 and S1
Action of superior gemellus and inferior gemellus
Lateral rotation
Square shaped muscle inferior to inferior gemellus
Quadratus femoris
Origin and insertion of the quadratus femoris
Ischial tuberosity
Greater trochanter and trochanteric crest
Innervation of the quadratus femoris
Ventral Rami of L5 and S1
What action is the quadratus femoris a strong participant in?
Lateral Rotation of the thigh
Muscle that arises from the outside of the pelvis anteriorly over the obturator foramen.
Obturator Externus
Origin and insertion of the obturator externus
Origin: Obturator foramen
Inserts: Trochanteric fossa of the femur
Innervation of the obturator externus
Obturator nerve (innervates adductor/medial compartment of the thigh)
Action of the obturator externus
Lateral rotation and stabilizing the femur in the acetabulum
Gluteomuscular injections occur because
The muscle is thick and large so it provides a large area for the absorption of drugs
be careful of sciatic nerve! Do it superiorly in upper outer quadrant
The 3 (or 4) muscles of the hamstrings
Biceps Femoris
Semimembranosus
Semitendinosus
Innervation of the hamstrings except the short head of the biceps femoris which is innervated by the common fibular nerve
Sciatic nerve
Laterally located muscle that has a long and short head.
Which head crosses the hip and knee joint?
Which head crosses only the knee joint?
Biceps femoris
Long head
Short head
Origin and insertion of the long head
Origin: Ischial tuberosity
Insertion:head of the fibula
Origin and insertion of the short head
Origin: Linea aspera
Insertion: head of the fibula
Innervation of short head and long head
Long head: sciatic
Short head: Common fibular
Action of long head
Action of short head
Extend the thigh and flex the knee
Flex the knee
Medially located muscle in the thigh with a long chord like tendon
Semitendinosus
Origin and insertion of the semitendinosus
Origin: Ischial tuberosity
Insertion: Medial side of tibia via pes anserinus
Innervation of the semitendinosus
Sciatic nerve
Action of the semitendinosus
Extension of the thigh and flexion of the knee, slight rotation too
`Muscle that lies deep to the semitendinosus, is a thicker muscle. Has a wide flat band of insertion
Semimembranosus
Origin and insertion of the semimembranosus
Origin: Ischial tuberosity
Insertion: Medial condyle of the tibia to form obliue popliteal ligament
What does the semimembranosus continue on to form?
Oblique popliteal ligament
Innervation of the semimembranosus
Sciatic nerve via tibial portion
Action of the semimembranosus
Extend the thigh, flex the knee, medial rotation (slight)