GLUTEAL REGION

GLUTEAL REGION
GLUTEAL FOLD BUTTOCK

NATAL CLEFT

TENSOR FASCIAE LATAE

DORSAL SEGMENT OF ILIAC CREST

GLUTEUS MAXIMUS ILIOTIBIAL TRACT

GLUTEAL TUBEROSITY

Action of gluteus maximus

Powerful extensors of the hip joint . It is used extensively during walking , running, in lifting heavy weights from the floor & in rising from the sitting

posture.
Abduction & Lateral rotation of hip joint. Along with Iliotibial tract & Tensor fascia lata extension of knee joint. Stabilizes the pelvis on the thigh.

GLUTEUS MEDIUS

ILIAC CREST

ANTERIOR GLUTEAL LINE

POSTERIOR GLUTEAL LINE

LATERAL SURFACE OF GREATER TROCHANTER

ANTERIOR GLUTEAL LINE GLUTEUS MINIMUS

ANTERIOR SURFACE OF GREATER TROCHANTER

INFERIOR GLUTEAL LINE

Action of gluteus medius & gluteus minimus

Powerful abductors of the thigh at the hip joint

Anterior fibres are medial rotators. Prevent the unsupported side of the pelvis from sagging downwards during locomotion.

TRENDELENBURGS SIGN

IN PARALYSIS OF GLUTEUS MEDIUS & MINIMUS

CONGENITAL DISLOCATION OF HIP JOINT

FRACTURE OF THE NECK OF FEMUR

INTRA MUSCULAR INJECTIONS

SACROTUBEROUS LIGAMENT

PIRIFORMIS

APEX OF GREATER TROCHANTER

SUPERIOR GEMILLUS ISCHIAL SPINE

GREATER TROCHANTER

OBTURATOR INTERNUS

INFERIOR GEMILLUS

GREATER TROCHANTER

QUADRATUS

FEMORIS

ISCHIAL TUBEROSITY

QUADRATE TUBERCLE

OBTURATOR

EXTERNUS

TROCHANTERIC FOSSA

OBTURATOR

FORAMEN

ACTIONS
PIRIFORMIS

OBTURATOR INTERNUS WITH GEMILLI

QUADRATUS FEMORIS

G Me G Mi P

Muscles under Gluteus maximus

1. Gluteus medius. 2. Gluteus minimus 3. Piriformis 4. Superior gemellus. 5. Tendon of obturator internus. 6. Inferior gemellus 7. Quadratus femoris

OI&G

QF

N. TO O.I L5 S1,2

PUDENDAL NERVE S2,3,4

SUPERIOR GLUTEAL NERVE L4,5 S1 INFERIOR GLUTEAL NERVE L5 S1,2 N. TO Q.F L4,5 S1

SCIATIC NERVE

L4,5 S1,2,3

POSTERIOR CUT. N. OF THIGH S1,2,3

NERVES OF THE GLUTEAL REGION Sciatic nerve. Superior gluteal nerve. Inferior gluteal nerve.

Posterior femoral cutaneous nerve

Nerve to quadratus femoris.

Nerve to obturator internus.

Pudendal nerve.

SUPERIOR GLUTEAL ARTERY

INFERIOR GLUTEAL ARTERY

STRUCTURES PASSING THROUGH THE GREATER SCIATIC FORAMEN

PIRIFORMIS DIVIDES IT INTO UPPER AND LOWER PARTS

1.Superior gluteal vessels. 2. Superior gluteal nerve. 3.Sciatic nerve. 4. Inferior gluteal vessels. 5. Inferior gluteal nerve. 6. Posterior femoral cutaneous nerve 7. Nerve to quadratus femoris. 8. Nerve to obturator internus. 9. Internal pudendal vessels.
10. Pudendal nerve.

Structures coming out of the greater sciatic foramen and entering the lesser sciatic foramen Internal pudendal vessels Pudendal nerve Nerve to obturator internus.

These are also the structures in relation to the dorsal surface of the ischial spine.

TROCHANTERIC ANASTOMOSIS
Lower branch of superior gluteal artery Ascending branches of medial & lateral circumflex femoral artery Inferior gluteal artery

SITUATED NEAR THE TROCHANTERIC FOSSA OF THE FEMUR & SUPPLIES THE HEAD OF FEMUR

CRUCIATE ANASTOMOSIS
Anastomotic branch of inferior gluteal artery Ascending branch of Ist perforating artery

Medially - medial circumflex femoral artery

Laterally - lateral circumflex femoral artery

SITUATED AT THE LEVEL OF THE LESSER TROCHANTER.