Unit 1 Lecture 7: Muscles of the Hip & Thigh Flashcards
Muscles of Posterior Gluteal Region
Divided into 2 layers: superficial and deep.
Superficial muscles: Gluteus maximus Gluteus medius Gluteus minimus Tensor fasciae latae
Deep muscles:
Deep lateral rotators, including piriformis
What is the Posterior Gluteal Region?
The area between the iliac crests, the anterior superior iliac spine, the gluteal fold, and the greater trochanter
Gluteus Maximus
main extensor of the thigh via the hip joint.
Lateral rotation of hip
The only Superficial muscle of the Posterior Gluteal Region that is innervated by the Inferior Gluteal Nerve.
Origin
Posterior surface of ilium, sacrum, and coccyx
Insertion
Iliotibial tract of fascia lata
Gluteal tuberosity of femur
Action
Extension of thigh from the hip, backwards
Lateral rotation of thigh (hip)
Innervation
Inferior gluteal nerve
Superficial Muscle of Posterior Gluteal Region
Superficial Muscles of the Posterior Gluteal Region
Gluteus maximus
Gluteus medius
Gluteus minimus
Tensor fasciae latae
Important for hip movements and maintaining upright posture
Things that Gluteus Medius and Gluteus Minimus have in common
Origin:
External surface of ilium
Insertion:
Greater trochanter of femur
Action: Abducts thigh (at the hip joint)
Innervation:
Superior gluteal nerve
Both are Superficial Muscles of Posterior Gluteal Region
Fascia
refers to a band or sheet of connective tissue, primarily collagen, beneath the skin that attaches, stabilizes, encloses, and separates muscles and other internal organs.
Fascia help make muscular contraction more efficient; they keep the muscle from bulging out too far so that the force/movement stays focused and close to the body.
Veins in the lower limbs fight gravity as they carry blood, and veins are much lower pressure than arteries.
Fascia help push the muscles to push the blood in veins up towards the heart
Fascia is classified by layer, as superficial fascia, deep fascia, and visceral or parietal fascia, or by their function and anatomical location.
Fascia Lata
deep fascia that invest the thigh
The Gluteus Maximus inserts at the Iliotibial tract of fascia lata
Iliotibial Tract
the thickened lateral portion of the fascia lata
runs from the iliac crest to the knee
Helps stabilize the femur on top of the tibia
An insertion point for the gluteus maximus
Tensor fasciae latae
Origin: Anterior portion of iliac crest
Insertion: Iliotibial tract of fascia lata
Action: Flexes thigh (hip) Abducts thigh (hip)
Innervation: Superior gluteal nerve
Superficial Muscle of Posterior Gluteal Region
Located a bit laterally from the others
Deep Muscles of Posterior Gluteal Region
Responsible for LATERAL ROTATION of the thigh (at the hip)
Help STABILIZE hip joint (help hold the head of the femur in the acetabulum).
5 out of the 6 muscles in this group also abduct the thigh at the hip
Origin: ilium, sacrum, and ischium
Insertion: greater trochanter of the femur
Piriformis
A Deep Muscle of Posterior Gluteal Region
Triangular in shape
Origin:
Anterior surface of sacrum… (unlike the other deep muscles in this region, it originates inside the true pelvis, exits the pelvis through the greater sciatic foramen, and inserts onto the femur)
Insertion: Greater trochanter of femur
Action:
Lateral rotation of thigh (at the hip)
Innervation: NERVE to PIRIFORMUS
Piriformis is the ORGANIZER of this entire gluteal region because a lot of other items will pass through the greater sciatic foramen, and their passage will be relative to the Piriformus.
Passing superiorly to the Piriformus:
Superior Gluteal Artery and Nerve
Passing infirmly to the Piriformus:
Inferior Gluteal Artery and Nerve
Sciatic Nerve
This organization info is important because this is a region where people tend to get shots, but it’s full of nerves. You really, really don’t want to hit a nerve; it hurts the patient and can cause damage.
greater sciatic foramen
created by the greater sciatic notch. Ligaments came in and created a complete hole
The Piriformus descends through this
What does the Sciatic Nerve split into?
Tibial Nerve
Common Fibular Nerve
Muscles of the Anterior Hip
Iliac Region
These muscles lie over the anterior hip joint.
These muscles flex the hip joint; as a result they can flex the trunk or flex the thigh.
2 Major Anterior Hip Muscles:
Psoas Major
Iliacus
The Iliacus and the Psoas Major combine to form the Iliopsoas and intert together on the femur
The Iliosoas is responsible for most of the power in flexion of the thigh.
The strongest flexor of the thigh
Psoas major
Muscle of Anterior Hip
Origin:
All (5) lumbar vertebrae
Insertion:
Lesser trochanter of femur
Action:
Flexes hip joint, resulting in the flexion of the thigh and/or trunk
Innervation:
Lumbar spinal nerves
Iliacus
Muscle of Anterior Hip
Origin: Iliac fossa
Insertion: Lesser trochanter of femur
Action:
Flexes hip joint, resulting in the flexion of the thigh and/or trunk
Innervation: Femoral nerve
Muscles of the Thigh
3 muscle groups surround the femur and are divided from one another by connective tissue sheets.
The 3 muscles groups are the anterior, medial, and posterior femoral (thigh) muscles.
The leg muscle groups
anterior, posterior, lateral
The thigh muscle groups
anterior, posterior, medial
Muscles of the Anterior Thigh
ALL are innervated by the Femoral Nerve
Sartorius Rectus femoris Vastus lateralis Vastus medialis Vastus intermedius
The Quadriceps Femoris is composed of: Rectus femoris Vastus lateralis Vastus medialis Vastus intermedius