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Gluteal
The gluteal muscles, often called glutes, are a group of three muscles which make up the gluteal region commonly known as the buttocks: the gluteus maximus, gluteus medius and gluteus minimus. The three muscles originate from the ilium and sacrum and insert on the femur. The functions of the muscles include extension, abduction, external rotation, and internal rotation of the hip joint. Structure The gluteus maximus is the largest and most superficial of the three gluteal muscles. It makes up a large part of the shape and appearance of the hips. It is a narrow and thick fleshy mass of a quadrilateral shape, and forms the prominence of the buttocks. The gluteus medius is a broad, thick, radiating muscle, situated on the outer surface of the pelvis. It lies profound to the gluteus maximus and its posterior third is covered by the gluteus maximus, its anterior two-thirds by the gluteal aponeurosis, which separates it from the superficial fascia and skin. The gluteus minimus is t ...
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Inferior Gluteal Nerve
The inferior gluteal nerve is the main motor neuron that innervates the gluteus maximus muscle. It is responsible for the movement of the gluteus maximus in activities requiring the hip to extend the thigh, such as climbing stairs. Injury to this nerve is rare but often occurs as a complication of posterior approach to the hip during hip replacement. When damaged, one would develop gluteus maximus lurch, which is a gait abnormality which causes the individual to 'lurch' backwards to compensate lack in hip extension. Anatomy The largest muscle of the posterior hip, gluteus maximus, is innervated by the inferior gluteal nerve.Skalak, A. F., et al. "Relationship of Inferior Gluteal Nerves and Vessels: Target for Application of Stimulation Devices for the Prevention of Pressure Ulcers in Spinal Cord Injury." Surgical and Radiologic Anatomy 30.1 (2008): 41-45. Print. It branches out and then enters the deep surface of the gluteus maximus, the principal extensor of the thigh, and suppl ...
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Superior Gluteal Artery
The superior gluteal artery is the terminal branch of the posterior division of the internal iliac artery. It exits the pelvis through the greater sciatic foramen before splitting into a superficial branch and a deep branch. Structure Origin The superior gluteal artery is the largest and final branch of the internal iliac artery. It branches from the posterior division of the internal iliac artery; it represents the continuation of the posterior division. Course, relations and branches It is a short artery. It passes posterior-ward between the lumbosacral trunk and the first sacral nerve (S1). Within the pelvis, it gives branches to the iliacus, piriformis, and obturator internus muscles. Just prior to exiting the pelvic cavity, it also gives off a nutrient artery which enters the ilium. It exits the pelvis through the greater sciatic foramen superior to the piriformis muscle, then promptly divides into a superficial branch and a deep branch. Superficial branch The superfi ...
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Gluteus Maximus
The gluteus maximus is the main extensor muscle of the hip in humans. It is the largest and outermost of the three gluteal muscles and makes up a large part of the shape and appearance of each side of the hips. It is the single largest muscle in the human body. Its thick fleshy mass, in a quadrilateral shape, forms the prominence of the buttocks. The other gluteal muscles are the medius and minimus, and sometimes informally these are collectively referred to as the glutes. Its large size is one of the most characteristic features of the muscular system in humans,Norman Eizenberg et al., ''General Anatomy: Principles and Applications'' (2008), p. 17. connected as it is with the power of maintaining the trunk in the erect posture. Other primates have much flatter hips and cannot sustain standing erectly. The muscle is made up of muscle fascicles lying parallel with one another, and are collected together into larger bundles separated by fibrous septa. Structure The gluteus maxi ...
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Gluteus Maximus Muscle
The gluteus maximus is the main extensor muscle of the hip in humans. It is the largest and outermost of the three gluteal muscles and makes up a large part of the shape and appearance of each side of the hips. It is the single largest muscle in the human body. Its thick fleshy mass, in a quadrilateral shape, forms the prominence of the buttocks. The other gluteal muscles are the medius and minimus, and sometimes informally these are collectively referred to as the glutes. Its large size is one of the most characteristic features of the muscular system in humans,Norman Eizenberg et al., ''General Anatomy: Principles and Applications'' (2008), p. 17. connected as it is with the power of maintaining the trunk in the erect posture. Other primates have much flatter hips and cannot sustain standing erectly. The muscle is made up of muscle fascicles lying parallel with one another, and are collected together into larger bundles separated by fibrous septa. Structure The gluteus ma ...
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Gluteus Minimus
The gluteus minimus, or glutæus minimus, the smallest of the three gluteal muscles, is situated immediately beneath the gluteus medius. Structure It is fan-shaped, arising from the outer surface of the ilium, between the anterior and inferior gluteal lines, and behind, from the margin of the greater sciatic notch. The fibers converge to the deep surface of a radiated aponeurosis, and this ends in a tendon which is inserted into an impression on the anterior border of the greater trochanter, and gives an expansion to the capsule of the hip joint. Relations A bursa is interposed between the tendon and the greater trochanter. Between the gluteus medius and gluteus minimus are the deep branches of the superior gluteal vessels and the superior gluteal nerve. The deep surface of the gluteus minimus is in relation with the reflected tendon of the rectus femoris and the capsule of the hip joint. Variations The muscle may be divided into an anterior and a posterior pa ...
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Superior Gluteal Nerve
The superior gluteal nerve is a mixed (motor and sensory) nerve of the sacral plexus that originates in the pelvis. It provides motor innervation to the gluteus medius, gluteus minimus, tensor fasciae latae; it also has a cutaneous branch. Structure Origin The superior gluteal nerve originates in the sacral plexus. It arises from the posterior divisions of L4, L5 and S1. Course It exits the pelvis through the greater sciatic foramen superior to the piriformis muscle. It is accompanied by the superior gluteal artery and the superior gluteal vein.''Thieme Atlas of Anatomy'' (2006), p 476 It passes lateral-ward in between the gluteus medius muscle and the gluteus minimus muscle, accompanied by the deep branch of the superior gluteal artery. It divides into a superior branch and an inferior branch. The inferior branch continues to pass between the two muscles to end in the tensor fasciae latae muscle. Distribution Motor * tensor fasciae latae musclePlatzer (2004) ...
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Gluteus Minimus Muscle
The gluteus minimus, or glutæus minimus, the smallest of the three gluteal muscles, is situated immediately beneath the gluteus medius. Structure It is fan-shaped, arising from the outer surface of the ilium, between the anterior and inferior gluteal lines, and behind, from the margin of the greater sciatic notch. The fibers converge to the deep surface of a radiated aponeurosis, and this ends in a tendon which is inserted into an impression on the anterior border of the greater trochanter, and gives an expansion to the capsule of the hip joint. Relations A bursa is interposed between the tendon and the greater trochanter. Between the gluteus medius and gluteus minimus are the deep branches of the superior gluteal vessels and the superior gluteal nerve. The deep surface of the gluteus minimus is in relation with the reflected tendon of the rectus femoris and the capsule of the hip joint. Variations The muscle may be divided into an anterior and a posterior part, or ...
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Inferior Gluteal Artery
The inferior gluteal artery (sciatic artery) is a terminal branch of the anterior trunk of the internal iliac artery. It exits the pelvis through the greater sciatic foramen. It is distributed chiefly to the buttock and the back of the thigh. Anatomy Origin It is the smaller of the two terminal branches of the anterior trunk of the internal iliac artery. Course It passes posterior-ward within parietal pelvic fascia. It travels in between the S1 nerve and S2 (or S2-S3) nerve(s). It descends upon the nerves of the sacral plexus and the piriformis muscle, posterior to the internal pudendal artery. It passes through the inferior part of the greater sciatic foramen. It exits the pelvis inferior to the piriformis muscle, between piriformis muscle and coccygeus muscle. It then descends in the interval between the greater trochanter of the femur and tuberosity of the ischium. It is accompanied by the sciatic nerve and the posterior femoral cutaneous nerves, and covered by the glu ...
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Gluteus Medius
The gluteus medius, one of the three gluteal muscles, is a broad, thick, radiating muscle. It is situated on the outer surface of the pelvis. Its posterior third is covered by the gluteus maximus, its anterior two-thirds by the gluteal aponeurosis, which separates it from the superficial fascia and integument. Structure The gluteus medius muscle starts, or "originates", on the outer surface of the ilium between the iliac crest and the posterior gluteal line above, and the anterior gluteal line below; the gluteus medius also originates from its own fascia, the gluteal aponeurosis, that covers its outer surface. The fibers of the muscle converge into a strong flattened tendon that inserts on the lateral surface of the greater trochanter. More specifically, the muscle's tendon inserts into an oblique ridge that runs downward and forward on the lateral surface of the greater trochanter. Before the insertion the fibers cross from anterior to posterior and vice versa. Relations A ...
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