Gluteus Medius: Difference between revisions
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<br> '''Origin: '''External (gluteal) surface of ilium between anterior and posterior gluteal lines.<ref name="Palastanga et al, 2002" /> Reaches from iliac crest superiorly and as far as the sciatic notch inferiorly.<ref name="Palastanga et al, 2002" /> Superficial to gluteus maximus.<ref name="Drake et al, 2010" /> | <br> '''Origin: '''External (gluteal) surface of ilium between anterior and posterior gluteal lines.<ref name="Palastanga et al, 2002" /> Reaches from iliac crest superiorly and as far as the sciatic notch inferiorly.<ref name="Palastanga et al, 2002" /> Superficial to gluteus maximus.<ref name="Drake et al, 2010" /> | ||
<br> '''Insertion: '''Lateral surface of greater trochanter.<ref name="Drake et al, 2010" /> A bursa seperates the tendon from the greater trochanter. <ref>Diop M, Parratte B, Tatu L, Vuillier F, Faure A, Monnier G. Anatomical bases of superior gluteal nerve entrapment syndrome in the piriformis foramen. Surg Radiol Anat 2002; 24: 155-9.</ref> The SGN | <br>'''Insertion: '''Lateral surface of greater trochanter.<ref name="Drake et al, 2010" /> A bursa seperates the tendon from the greater trochanter. <ref>Diop M, Parratte B, Tatu L, Vuillier F, Faure A, Monnier G. Anatomical bases of superior gluteal nerve entrapment syndrome in the piriformis foramen. Surg Radiol Anat 2002; 24: 155-9.</ref> The SGN divides into several branches, supplying both the gluteus medius and minimus as it passes horizontally between them both. <ref name="Kenny et al, 1999">Kenny P, O’Brien CP, Synnott K, Walsh MG. Damage to the superior gluteal nerve after two different approaches to the hip. J Bone Joint Surg Br 1999; 81: 979-81.</ref> The nerve terminates where it supplies the tensor facsia latae. <ref name="Kenny et al, 1999" /> | ||
The area of skin covering the gluteus medius is supplied by dermatome at levels L1 & L2.<ref name="Palastanga et al, 2002" /> | The area of skin covering the gluteus medius is supplied by dermatome at levels L1 & L2.<ref name="Palastanga et al, 2002" /> | ||
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'''Blood Supply:''' Superior gluteal artery and superior gluteal vein.<ref name="Drake et al, 2010" /> Follow the same path as the superior gluteal nerve (See above). | '''Blood Supply:''' Superior gluteal artery and superior gluteal vein.<ref name="Drake et al, 2010" /> Follow the same path as the superior gluteal nerve (See above). | ||
<br> [[Image:Gluteus Medius.PNG|frame|center|250px|Gluteus Medius]] [[Image:Gluteal Nerve (Sacral Plexus).png|frame|center|250px|Superior Gluteal Nerve (Sacral Plexus - L4,5 & S1)]] [[Image:Dermatomes.PNG|frame|center|250px|Dermatomes (L1-2)]] | |||
= Palpation = | = Palpation = | ||
Revision as of 18:46, 25 June 2014
Anatomy
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The gluteus medius is one of three gluteal muscles (minimus, medius and maximus). It is a superficial, fan shaped and broad muscle that lies in the posterolateral aspect of the pelvis, inferior to the iliac crest.[1] The gluteus medius has a broad origin on the external (gluteal) ilium and its tendon inserts into the lateral aspect of the greater trochanter.[2] The muscle is overlapped by the gluteus maximus and covered with a strong layer of fascia.[1]
Origin: External (gluteal) surface of ilium between anterior and posterior gluteal lines.[1] Reaches from iliac crest superiorly and as far as the sciatic notch inferiorly.[1] Superficial to gluteus maximus.[2]
Insertion: Lateral surface of greater trochanter.[2] A bursa seperates the tendon from the greater trochanter. [3] The SGN divides into several branches, supplying both the gluteus medius and minimus as it passes horizontally between them both. [4] The nerve terminates where it supplies the tensor facsia latae. [4]
The area of skin covering the gluteus medius is supplied by dermatome at levels L1 & L2.[1]
Blood Supply: Superior gluteal artery and superior gluteal vein.[2] Follow the same path as the superior gluteal nerve (See above).
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Palpation[edit | edit source]
Function[edit | edit source]
Clinical Relevance[edit | edit source]
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.4 Palastanga N, Field D, Soames R. Anatomy and Human Movement, Structure and Function. 4th ed. Edinburgh: Butterworth Heinemann; 2002.
- ↑ 2.0 2.1 2.2 2.3 Drake RL, Vogl AW, Mitchell, AWM. Gray's Anatomy for Students. 2nd ed. Philadelphia: Churchill Livingstone; 2010.
- ↑ Diop M, Parratte B, Tatu L, Vuillier F, Faure A, Monnier G. Anatomical bases of superior gluteal nerve entrapment syndrome in the piriformis foramen. Surg Radiol Anat 2002; 24: 155-9.
- ↑ 4.0 4.1 Kenny P, O’Brien CP, Synnott K, Walsh MG. Damage to the superior gluteal nerve after two different approaches to the hip. J Bone Joint Surg Br 1999; 81: 979-81.
