Muscles of the gluteal region Flashcards

1
Q

What are the two groups of muscles of the gluteal region?

A

The superficial (bigger) and deep (smaller) muscles.

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2
Q

What muscles make up the deep muscle group?

A

The piriformis, obturator internus, quadratus femoris, gemellus superior, and gemellus inferior.

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3
Q

What muscles make up the superficial muscle group?

A

The maximus, medius, and minimus gluteus.

The tensor fascia latae.

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4
Q

What muscle is most superior of the deep group of muscles?

A

The piriformis.

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5
Q

What is the … sign that causes contralateral pelvis drop indicator when standing on one foot?

A

Trendelenberg sign is a sign that occurs when one stands on a leg and the contralateral side of the pelvis drops.

This indicates a weakness of the gluteus medius & minimus

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6
Q

What is the origin of the piriformis muscle?

A

The piriformis muscle originates from between the anterior foramina of the sacrum.

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7
Q

What is the insertion of the piriformis muscle?

A

The superior aspect of the greater trochanter of the femur.

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8
Q

What is the innervation of the piriformis muscle?

A

Branches of the S1 and S2.

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9
Q

What is the origin of the obturator internus muscle?

A

The inner obturator membrane and surrounding bone and anterolateral wall of true pelvis.

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10
Q

What is the insertion of the obturator internus muscle?

A

The superomedial of the greater trochanter.

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11
Q

What is the origin of gemellus superior?

A

External surface of ischial spine.

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12
Q

What is the origin of gemellus inferior?

A

Upper surface of ischial tuberosity.

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13
Q

What is the insertion of the gemellus?

A

Superomedial of the greater trochanter of the femur (like obturator internus).

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14
Q

What is the origin of quadratus femoris?

A

The lateral of the ischium (anterior to ischial tuberosity).

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15
Q

What is the insertion of quadratus femoris?

A

Quadrate tubercle of the intertrochanteric crest.

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16
Q

What is the innervation of the quadratus femoris?

A

L5-S1.

17
Q

What is the origin of the gluteus minimus?

A

Between the inferior and anterior gluteal lines.

18
Q

What is the insertion of the gluteus minimus?

A

Linear facet on the anterolateral surface of the greater trochanter.

19
Q

What is the innervation of gluteus minimus and medius?

A

L4-S1

20
Q

What is the origin of gluteus medius?

A

Between the anterior and posterior gluteal lines.

21
Q

What is the insertion of gluteus medius?

A

Elongate facet of the lateral surface of the greater trochanter.

22
Q

What is the origin of gluteus maximus?

A

Fascia covering gluteus medius, fascia covering erector spinae, external iliac surface behind posterior gluteal line, dorsal surface of sacrum, lateral surface of coccyx, sacrotuberous ligament.

23
Q

What is the insertion of gluteus maximus?

A

Posterior aspect of iliotibial tract and gluteal tuberosity.

24
Q

What is the innervation of gluteus maximus?

A

L5-S2

25
Q

What is the function of gluteus maximus?

A

Ekstensor kuat dari paha terfleksi di sendi genu, stabilizer lateral sendi genu dan lutut, rotasi lateral dan abduksi paha.

26
Q

What is the origin of the tensor fascia lata?

A

ASIS and the anterior of the iliac crest.

27
Q

What is the insertion of the tensor fascia lata?

A

The iliotibial tract.

28
Q

What is the function of the tensor fascia lata?

A

Stabilizes the knee in extension.

29
Q

How can you divide the zones in the gluteal region?

A

Vertical line that goes down from the highest point of the iliac crest

Two horizontal lines: 1) from the ischial tuberosity 2) midway between the highest point of the iliac crest and the ischial tuberosity.

30
Q

Where does the sciatic nerve reside in the gluteal region?

A

It resides in the upper lateral corner of the lower medial quadrant and medial margin of the lower lateral quadrant.

31
Q

True or false?

The sciatic nerve in some cases may pass above the piriformis muscle!

A

True, the sciatic nerve can branch into tibial and common fibular nerve in the pelvis, where the tibial in this case either pierces or goes above the piriformis muscle.