Manual 114-118: Muscles of Iliac and Gluteal Region Flashcards
origin psoas major
- transverse process lumbar vertebrae
- intervertebral discs last thoracic/all lumbar vertebrae
- tendinous arches
insertion psoas major
- lesser trochanter femur medial to iliacus
- bursa separates tendon from pubis and hip joint capsule
n psoas major
L2/3
function psoas major
flex hip and lumbar spine
where is psoas minor located?
anterior to psoas major
origin psoas minor
T12/L1 vertebrae and intervertebral disc
insertion psoas minor
iliopectineal eminence
iliac fascia
n psoas minor
L1
function psoas minor
flex lumbar spine
origin iliacus
- upper 2/3 iliac fossa
- iliac crest to ASIS/AIIS
- superolateral ala
- sacroiliac lig
- iliolumbar lig
insertion iliacus
base lesser trochanter femur
n iliacus
femoral
function iliacus
flex hip
sometimes there is an iliacus minor (detached portion iliacus)- where does it attach?
0: ASIS
I: intertrochanteric line femur or iliofemoral ligament
vertical fibers b/w iliac crest and superior gluteus maximus
gluteal aponeurosis
origin gluteus maximus
- posterior gluteal line on ilium
- posterior surface of coccyx
- aponeurosis sacrospinalis m
- sacrotuberous lig
- gluteal aponeurosis (covering m body)
insertion gluteus maximus
- IT band (proximal/superficial fibers)
- gluteal tuberosity (deep fibers)
3 bursae on deep surface of gluteus maximus
- greater trochanter (largest)
- ischial tuberosity (most commonly missing)
- b/w tendon gluteus maximus and vastus lateralis
n gluteus maximus
inferior gluteal n
function gluteus maximus
extend thigh
lateral rotate
abduct thigh
origin gluteus medius
- outer ilium b/w iliac crest adn posteriro gluteal line posteriorly
- anterior gluteal line anteriorly
insertion gluteus medius
oblique bony ridge greater trochanter (laterally)
n gluteus medius
superior gluteal n
function gluteus medius
- abduct thigh
- medially rotate an extended hip
- anterior fibers: flex/medial rotate hip
- posterior fibers: lateral rotate hip
- **stabilizes the pelvis in movement
what structures are b/w gluteus medius and minimus?
superior gluteal n and deep superior gluteal vessels
origin gluteus minimus
- outer ilium b/w anterior and inferior gluteal line
- greater sciatic notch
insertion gluteus minimus
- anterior greater trochanter (there is a bursa b/w tendon and greater trochanter)
n gluteus minimus
superior gluteal n
function gluteus minimus
- abduct hip
- medially rotate extended hip
- weak hip flexor
- ** stabilizes pelvis during motion
origin tensor fascia latae
anterior iliac crest near ASIS
insertion tensor fascia latae
IT tract just distal to level of greater trochanter
- the IT attaches to the inferior lateral tibial condyle and forms part of knee capsule
n tensor fascia latae
superior gluteal n
function tensor fascia latae
- medially rotate hip
- hip flexor
insertion piriformis
- superior greater trochanter posterior to obturator internus/gemelli
n piriformis
S2 or S1/2
function piriformis
- lateral rotator
- abductor of flexed hip
- assist hip extension
origin obturator internus
- superior/inferior pubic rami
- ischial ramus
- ilial/ischial wall of true pelvis
- obturator membrane
where are the two bursa associated with obturator internus?
- through lesser sciatic foramen, right angle over bone b/w spine/tuberosity of ischium
- b/w hip joint capsule and tendon
insertion obturator internus
medial greater trochanter anterior to trochanteric fossa
n obturator internus
n to obturator internus (L5-S1/2)
function obturator internus
- lateral rotator
- abductor of flexed hip
- hip extension
origin superior gemellus
outer surface ischial spine
partial fusion to obterator internus tendon
insertion superior gemellus
medial greater trochanter
n superior gemellus
n to obturator internus
function superior gemellus
lateral rotator of hip
larger of two gemelli
inferior gemellus
origin inferior gemellus
superomedial ischial tuberosity
partial fusion to obturator internus tendon
insertion inferior gemellus
medial greater trochanter
n inferior gemellus
n to quadratus femoris
function inferior gemellus
lateral rotator hip
quadratus femoris is located b/w what two muscles
inferior gemellus and adductor magnus
origin quadratus femoris
lateral edge ischial tuberosity
insertion quadratus femoris
quadrate tubercle femur
n quadratus femoris
n to quadratus femoris (L4-S1)
function quadratus femoris
lateral rotator of hip
adduct hip
m covering outer surface anterior pelvic wall
obturator externus
origin obturator externus
ischium/pubis surrounding medial margin obturator foramen/membrane
insertion obturator externus
trochnateric fossa femur
n obturator externus
posterior division obturator n
function obturator externus
lateral rotator hip
adduct hip