February 07, 2012
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Gluteal Region

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MuscleOriginInsertionActionNerve
gluteus maximusposterior iliac crest, sacrum & coccyx & sacrotuberous ligamentiliotibial band (ITB) & gluteal tuberosity of femurextension of thigh (at hip); lateral rotation of thigh; upper fibers assist abduction of thigh, lower fiber assist in adduction; posterior pelvic tilt (at hip joint); fibers of IT band stabilize a fully extended kneeinferior gluteal nerve (L5, S1, S2)
gluteus mediusouter ilium (between anterior & posterior gluteal lines) greater trochanter (superior & lateral surface)abduction of thigh (at hip joint); flexion & medial rotation of thigh (anterior fibers); lateral rotation & extension of thigh (posterior fibers); stabilizes pelvis & prevents free limb from sagging during gaitsuperior gluteal nerve (L4, L5, S1)
gluteus minimusouter ilium (between anterior & inferior gluteal lines)greater trochanter (anterior surface)abduction of thigh (at hip joint); medial rotation & flexion of thigh (anterior fibers); lateral rotation & extension (posterior fibers); stabilizes pelvis & prevents free limb from dropping during gaitsuperior gluteal nerve (L4, L5, S1)
inferior gemellusischial tuberosity (superior aspect)greater trochanter (medial surface & intertrochanteric crest)lateral rotation of femur; abduction of thigh when hip is flexednerve to quadratus femoris (L5, S1)
obturator externusobturator foramen & obturator membrane (external surface)trochanteric fossa of femur lateral rotation of thigh (at hip joint); adduction of thigh (weak)obturator nerve (L2, L3, L4)
obturator internusinternal aspect of obturator foramen & obturator membranegreater trochanter (medial aspect)lateral rotation of femur; abduction of thigh when hip is flexednerve to obturator internus (L5, S1, S2)
piriformisanterior sacrum (occasionally sacrotuberous ligament)greater trochanter (superiomedial surface)lateral rotation of thigh (at hip joint); abduction of flexed thighnerve to piriformis (L5, S1, S2)
quadratus femorisischial tuberosity (lateral aspect)intertrochanteric crest of femurlateral rotation of thigh (at hip joint); adduction of thigh (weak)nerve to quadratus femoris (L4, L5, S1)
superior gemellusischial spine greater trochanter (medial surface) lateral rotation of femur; abduction of thigh when hip is flexednerve to obturator internus (L5, S1, S2)
©Dr. Nikita Vizniak. All Rights Reserved
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