what 4 actions do the gluteal region on posterior side of pelvis create? (4
-extend
-abducts
-medial rotates the thigh
-lateral rotates the thigh
what 2 actions do the posterior thigh muscles create?
extend the thigh and flex the leg
what are the 3 gluteal muscles?
-gluteus maximus
-gluteus medius
-gluteus minimus
what are the 5 lateral rotator muscles of the thigh?
-piriformis
-obturator internus
-superior and inferior gemelli
-obturator externus
-quadratus femoris
(gluteus maximus) origin (4)
-dorsal illium
-part of sacrum
-coxaes
-sacral tuberous ligament
(gluteus maximus) inserts
gluteal tuberosity of femur via iliotibial band
(gluteus maximus) innervated
inferior gluteal nerve
(gluteus maximus) action
-major extension of thigh
-assists in lateral rotation thigh
which is the most superficial gluteal muscle?
gluteus maximus
gluteus medius) origin
posterior side of ilium between anterior and posterior gluteal line
gluteus medius) inserts
lateral aspect of the greater trochanter
gluteus medius) innervated
superior gluteal nerve
gluteus medius) action (3)
-abdution of thigh
-medial rotation of thigh
***most important function is walking mechanism
gluteus minimus) origin
between inferior and anterior gluteal lines
gluteus minimus) inserts
anterior aspect of the greater trochanter
gluteus minimus) innervated
superior gluteal nerve
gluteus minimus) action (3)
-abduction of thigh
-medial rotation of thigh
*MOST IMPORTANT FUNCTION IS WALKING MECHANISM
What muscle covers gluteus minimus?
gluteus medius
what essential role do gluteus medius and minimus play for locomotion?
prevents the unsupported limb from dragging on the ground by keeping the pelvis leveled.
**basically when the right limb is unsupported, the left muscles contract to tilt the pelvis
when the weight is supported by one foot, what do the gluteus medius and minimus do?
these muscle that are on that same side hold the pelvis so it wont sag on the side that is unsupported
what is trendelenberg sign?
when gluteus medius and minimus are inactive due to injury to superior gluteal nerve, the supporting of these muscles are gone and the pelvis falls to the side of the unsupported limb
What nerve is superficial to the 6 lateral rotators?
gluteus maximus
(piriformis) origin
anterior surface of the sacrum
(piriformis) inserts
superior border of the greater trochanter
(piriformis) innervated
ventral rami
(piriformis) action (2)
-rotates thigh laterally
*primary action
-abduction of thigh when it is flexed
what group muscles are located inferior to the piriformis?
all other rotators
where does the (piriformis) exit from?
greater sciatic foramen
obturator internus) origin (3)
-inner surface of obturator membrane
-greater sciatic notch
-margins of obturator foramen
obturator internus) inserts
greater trochanter of femur
obturator internus) innervated
ventral rami
obturator internus) action
lateral rotation of thigh
where dles obturator internus) exit from?
lesser sciactic foramen
Superior Gemallus) origin
ischial spine
Superior Gemallus) inserts
obturator internus tendon that goes into the greater trochanter
Superior Gemallus) innervated
ventral rami
Superior Gemallus) action
lateral rotation of thigh
inferior gemellus) origin
ischial tuberosity
inferior gemellus) insertion
obturator internus tendon that goes into the greater trochanter
inferior gemellus) innervated
ventral rami
inferior gemellus) action
lateral rotation of thigh
quadratus femoris) origin
ischial tuberosity
quadratus femoris) inserts (2)
-greater trochanter and
-trochanteric line
quadratus femoris) action
-strong lateral rotation of the thigh
quadratus femoris) what is this muscle located inferior to?
gemellus inferior
obturator externus) origin (2)
-outer surface of the obturator foramen
-outer rim of of obturator foramen itself
obturator externus) inserts
trochanteric line of femur
obturator externus) innervated
obturator nerve
obturator externus) action (2)
-lateral rotation of thigh
-holds the head of femur in acetabulum
IN which quadrant is it safe to have intragluteal injections?
upper lateral
which 3 muscles on posterior thigh are called hamstrings?
-biceps femoris
-semitendinosus
-semimembranousus
what 2 things do the hamstrings do?
-extensors of thigh
- flexors of the leg
biceps femoris) longhead) origin
ischial tuberosity
biceps femoris)Long head) inserts
combines with the other head to form a tendon to insert on the head of the fibula
biceps femoris) long head- innervated
tibial nerve of sciatic nerve
biceps femoris) long head- action (2)
-extend the thigh
-flex the knee
biceps femoris) short head- origin
-linea aspera of femur
biceps femoris) short head- inserts
combines with the other head of the biceps femoris to form a tendon to insert on the head of the fibula
biceps femoris) short head- inervaed
fibular nerve of sciatic nerve
biceps femoris) short head- action
-flex the knee
*to a lower extent lateral rotates
which head of biceps femoris crosses the hip and knee?
long head
which head is superficial to the other?
long head is superficial to the short head
semitendinosus) origin
ischial tuberosity
*along with the long head of biceps feoris
semitendinosus) inserts
medial condyle of tibia via PES ASENIRUS
*along with gracilis and sartorius
semitendinosus) INNERVATED
tibial protion of sciatic nerve
semitendinosus) action
-extension of thigh
-flexion of knee
-slight medial rotation of leg
semimebranosus) origin
ischial tuberosity
*along with long head and semitendinosus
semimebranosus) inserts (2)
-medial condyle of tibia and
-lateral condyle of tibia via oblique popliteal ligament
semimebranosus) innervated
sciatic nerve via tibial portion
semimebranosus) action (3)
-extension of thigh
-flexes knee
-medial rotation of the leg
where does the sciatic nerve enter?
popliteal fossa
what muscle is on the popliteal fossa?
popliteus
what ligaments are lovated on the popliteal fossa?
oblique popliteal ligament
in what type of activites are the hamstring injuries common in?