SESSION IV

Gluteal Region
GLUTEAL REGION (EXTENT)
SURFACE ANATOMY

Gluteal fold
Natal cleft
Ischial tuberosity
Greater trochanter
Posterior superior iliac spine
SURFACE ANATOMY

L4

S3 SPINE
 S2 SPINE

SURFACE
ANATOMY
INCISION
 DISSECTION
Cutaneous nerves
Muscles
Gluteus maximus
Gluteus medius
Gluteus minimus
Piriformis
Quadratus femoris
Obturator internus
Obturator externus
Superior gemelli
Inferior gemelli
Hamstrings
Nerves
Posterior cutaneous nerve of thigh
Sciatic nerve
Nerve to quadratus femoris
Nerve to obturator internus
Pudendal nerve
Superior & inferior gluteal nerve

Vessels
Superior & inferior gluteal vessels
Internal pudendal vessels
Medial circumflex femoral artery
First perforating artery
Bursae
Bursae under Gluteus maximus

Ligaments
Sacrotuberous & Sacrospinous
 Dorsal rami of
Lateral cutaneous
L1 2 3
br. of subcostal &
iliohypogastric
Dorsal rami of
CUTANEOUS S1 2 3
NERVES OF Perforating Post. br. of Lateral
cut. N. of thigh
GLUTEAL cutaneous

REGION
Br. Of Posterior
cut. N. of thigh

MEDIAL LATERAL
 Tubercle of iliac crest
Gluteus medius

Gluteus minimus

Gluteus maximus

Iliotibial tract

Fascia lata

DEEP FASCIA
MUSCLES OF GLUTEAL REGION (SUPERFICIAL LAYER)

GLUTEUS
MAXIMUS

TENSOR
FASCIA
LATA

MEDIAL LATERAL
 MUSCLES OF GLUTEAL REGION (INT. & DEEP LAYER)

LATERAL

MEDIAL LATERAL
MUSCLES
MUSCLES
 TRENDELENBURG SIGN
NORMAL LT. ABDUCTOR M. PALSY

SOUND SIDE SAGS

STRUCTURES DEEP TO
GLUTEUS MAXIMUS

Trochanteric
bursa

Vastus lateralis
bursa
BONES & LIGAMENTS-
 BURSAE
iu s
M ed
t eus
G lu

s
imu
Gluteus Minimus
Max
teus

Piri
form
is
Glu

Ischial Trochanteric
bursa bursa

s
imu
Max
teus

Hamstrings
Glu
 STRUCTURES DEEP TO
GLUTEUS MAXIMUS

Superior gluteal A.& N.

MEDIAL LATERAL

Pudendal N. &
Internal pudendal A.
N. to OI

Inferior gluteal A.&N.

Post.cut. N. of thigh

Sciatic N.
INTRAMUSCULAR INJECTION
 VENTRAL RAMI

VENTRAL DORSAL

L2,3,4 OBTURATOR FEMORAL

L4,5, S1 QUADRATUS FEMORIS SUPERIOR GLUTEAL

L5,S1,2 OBTURATOR INTERNUS INFERIOR GLUTEAL

S2,3,4 PUDENDAL
 VESSELS

MEDIAL LATERAL
 SESSION OBJECTIVES

Cutaneous nerve supply of gluteal region

Attachments, nerve supply & actions of:

Gluteus maximus
Piriformis & obturator internus
Superior & inferior gemelli
Quadratus femoris
Gluteus medius
Gluteus minimus
Origin, root value, course & distribution of:

Sciatic nerve
Superior gluteal nerve
Inferior gluteal nerve
Pudendal nerve
Nerve to obturator internus
Nerve to quadratus femoris
Origin, course, termination & branches of:

Superior gluteal artery

Inferior gluteal artery
Medial circumflex femoral artery