Xie-Xie Dr. Xiaoming Zhang, Professor Dr. Ji-cheng Li, and Professor Dr. Lizhong Du.

Slides:



Advertisements
Similar presentations
Hip Joint.
Advertisements

HIP JOINT By: Dr. Mujahid Khan.
GLUTEAL REGION Cutaneous nerve supply. Fascia. Ligaments. Muscles.
Hip Joint Rania Gabr.
Gluteal Compartment/ Lateral Compartment:
GLUTEAL REGION DR TAHIR HUSSAIN.
Lateral and Medial Hip Rotators
Hip joint and pelvic girdle
THE HIP JOINT.
Gluteal Region/ Post Thigh
Lumbosacral plexus IN 17 QUESTIONS Kaan Yücel M.D., Ph.D.
Muscles of Thigh Dr. Sama ul Haque.
The Lower Extremity The Hip
Hip (Iliofemoral) Joint
GLUTEAL REGION & BACK OF THIGH
A NATOMY of the Pelvis and Hip. B ONY A NATOMY OF THE H IP Hip is formed by the junction of the femur and the pelvic girdle This articulation, formed.
WINDSOR UNIVERSITY SCHOOL OF MEDICINE
Hip and Pelvis Ms. Bowman.
Chapter 10 Hip Injuries.
Pelvis + Perineum.
Chapter 9 The Hip Joint and Pelvic Girdle. Pelvic Girdle Anterior Gluteal Line External Surface Auricular Surface Iliopectineal Eminence Greater Sciatic.
Pelvis.
Muscles of Gluteal Region Arterial Supply Nerve Supply.
Iliofemoral Joint aka Hip Joint
THE HIP JOINT.
Review of the Hip.
Gluteal region D.Rania Gabr D.Sama. D.Elsherbiny.
Kinesiology for Manual Therapies
Bones of the gluteal region
Presentation Hip Joint By: Aaron White, Ashley Garbarino, Anna Mueller
Class #3. Pelvis Supports the trunk and organs in the lower abdomen (pelvic cavity) Absorbs stress from lower limbs when moving (walking/jumping) Female.
Muscles: Origins, Insertions, Actions, Nerve Supply, & Arterial Supply
Appendicular Skeleton
Anatomy Wokrshop Pelvis, hip and femur (myology 1) 분당서울대학교병원 정형외과 성기혁.
Hip Muscles. Anterior Muscles Sartorius O – ASIS I – Proximal anteromedial aspect of tibial condyle N – Femoral F – Hip FLx, ADD, ER Knee Flx & medial.
Hip & Pelvis.
Part (5) Hip External & Internal Rotation
The Gluteal Region (Buttock)
GLUTEAL COMPLEX. Bony Landmarks Ligaments of articulated pelvis: Ligaments of articulated pelvis: Obturator membrane. Sacrotuberous: Posterior iliac spine,
Anatomy lecture Gluteal Region
TENSOR FASCIA LATA Origin:
Gluteal region.
1 Dr. Vohra. 2 Gluteal Region & Important anastomosis in the thigh.
GLUTEAL REGION, POSTERIOR THIGH, KNEE
Gluteal Region Dr. Sama ul Haque. Objectives Identify the bony landmarks of the pelvis and hip on the articulated skeleton and bones. Enlist the prominent.
Gluteal region IN 10 QUESTIONS Kaan Yücel M.D., Ph.D.
Lecture By: Mrs. Sidra Hasan
Gluteal region S KIN AND FASCIA OF THE GLUTEAL REGION.
1. 2. (G. gloutos, buttocks) transitional region between trunk & lower limbs.
WINDSOR UNIVERSITY SCHOOL OF MEDICINE
The Hip Muscles BIO 238 Instructor: Dr. Gourdine 1.
Gluteal region Extends from the iliac crest above to the gluteal fold below. The superficial fascia is thick dense and fatty, the deep fascia is thick.
KH 2220 Laura Abbott, MS, LMT Day 20 Muscles of the Pelvis Quadratus Lumborum, Iliopsoas, Deep Six Hip Rotators, Gluteals.
GLUTEAL REGION & BACK OF THIGH
Sensory and motor innervation of the whole lower limb arises from the spinal roots L1-S4 Lumbal plexus Sacral plexus.
Following a car accident in which the patient received a deep laceration on the medial side of his right knee, the patient notices numbness along the lateral.
DEMO - IV DEMO - IV (Thigh and Gluteal Regions) Ali Jassim Alhashli Year IV – Unit VII – Musculoskeletal System.
Muscles of the Lower Limb.
Muscles and Fascia of Pelvic Wall
Gluteal Region and Back of Thigh
ANATOMY OF THE LOWER LIMB
Gluteal muscles Iliotibial tract Definition: strong thickened deep fascia on the lat side of thigh. Attachments: from tubercle of iliac crest to.
Topographical Views 2 Topographical Views.
Muscles of Gluteal Region
LOWER LIMB HIP JOINT.
GLUTEAL REGION & BACK OF THIGH
GLUTEAL REGION & BACK OF THIGH
Presentation transcript:

Xie-Xie Dr. Xiaoming Zhang, Professor Dr. Ji-cheng Li, and Professor Dr. Lizhong Du

Teaching ObjectivesTeaching Objectives Gluteal Region Discuss the functional and clinical importance of the gluteal regionDiscuss the functional and clinical importance of the gluteal region Illustrate the muscles, nerve supply, and vasculature of the gluteal region, in the context of their clinical importanceIllustrate the muscles, nerve supply, and vasculature of the gluteal region, in the context of their clinical importance

Functional and clinical importance of the gluteal region?Functional and clinical importance of the gluteal region? Gluteal Region LocomotionLocomotion Site for intramuscular injectionSite for intramuscular injection Site for nerve injurySite for nerve injury Gateway for neurovascular structures to the perineumGateway for neurovascular structures to the perineum

LocationLocation Posterior region of the os coxae (pelvic bone or hip bone)Posterior region of the os coxae (pelvic bone or hip bone) Overview of the Gluteal Region

ContentsContents Gluteal muscles (three)Gluteal muscles (three) Nerves for the gluteal musclesNerves for the gluteal muscles Nerves for the lower limb, including the sciatic nerve (largest nerve in the body), and the perineumNerves for the lower limb, including the sciatic nerve (largest nerve in the body), and the perineum Vessels to the gluteal muscles and perineumVessels to the gluteal muscles and perineum

Gluteus maximusGluteus maximus Gluteus mediusGluteus medius Gluteus minimusGluteus minimus PiriformisPiriformis Superior gemellusSuperior gemellus Obturator internusObturator internus Inferior gemellusInferior gemellus Quadratus femorisQuadratus femoris Muscles of the Gluteal Region Gluteus maximus Gluteus medius

Deep musclesDeep muscles Gluteus minimusGluteus minimus PiriformisPiriformis Superior gemellusSuperior gemellus Obturator internusObturator internus Inferior gemellusInferior gemellus Quadratus femorisQuadratus femoris Muscles of the Gluteal Region

1. Gluteus maximus (cut) 2. Gluteus medius (cut) 3. Gluteus minimus Muscles of the Gluteal Region

Deep musclesDeep muscles 4. Piriformis 5. Superior gemellus 6. Obturator internus 7. Inferior gemellus 8. Quadratus femoris 8. Quadratus femoris Muscles of the Gluteal Region

Muscle Proximal attachment DistalattachmentActionInnervation Gluteus maximus Ilium behind the posterior gluteal line, sacrum, coccyx, and sacrotuberous ligament Iliotibial tract and gluteal tuberosity of the femur Powerfully extends the flexed femur at the hip joint; laterally stabilizes the hip and knee joints Inferior gluteal n. [L5,S1,S2] Gluteus medius Ilium between the anterior and posterior gluteal lines Greater trochanter Abduct the femur at the hip joint; hold the pelvis secure over the stance leg; prevent pelvic drop on the opposite swing side during walking; hip internal rotation Superior gluteal n. [L4,L5,S1] Gluteus minimus Ilium between the anterior and inferior gluteal lines Muscles of the Gluteal Region

Muscle Proximal attachment DistalattachmentActionInnervation Piriformis Anterior surface of the sacrum Greater trochanter Laterally rotate the hip joint N. to piriformis [S1,S2] Superior gemellus Ischial spine Superior gluteal n. [L4,L5,S1] Obturator internus Deep surface of the obturator membrane and surrounding bone Nerve to the obturator internus and sup. gemellus [L5,S1,S2] Inferior gemellus Ischial tuberosity Nerve to the inf. gemellus and quadratus femoris [L4,L5,S1] Quadratus femoris Lateral aspect of the ischium, just anterior to the ischial tuberosity Intertrochanteric crest Nerve to the inf. gemellus and quadratus femoris [L4,L5,S1] Muscles of the Gluteal Region

Functional and clinical importance of the gluteal regionFunctional and clinical importance of the gluteal region Gluteal Region LocomotionLocomotion Site for intramuscular injectionSite for intramuscular injection

Gluteal Region - Locomotion - Gluteus medius and minimus are key musclesGluteus medius and minimus are key muscles Hold the pelvis secure over the stance legHold the pelvis secure over the stance leg Prevent pelvic drop on the opposite swing-side during walkingPrevent pelvic drop on the opposite swing-side during walking

Gluteal Region - Site of Intramuscular Injection - Safe area for injections

Gluteal Region - Site of Intramuscular Injection - Tubercle of the iliac crest Anterior superior iliac spine Safe area (Gluteus medius) Location of the sciatic nerve

Gluteal Region Sciatic nerveSciatic nerve Largest nerve in the bodyLargest nerve in the body Located deep to the gluteus maximus and piriformis* musclesLocated deep to the gluteus maximus and piriformis* muscles * >87% of cadavers Spinal segments L4-S3Spinal segments L4-S3

Sciatic Nerve

Superior Gluteal Nerve

Functional and clinical importance of the gluteal regionFunctional and clinical importance of the gluteal region Gluteal Region LocomotionLocomotion Site for intramuscular injectionSite for intramuscular injection Site for nerve injurySite for nerve injury

Gluteal Region - Injury - Injury to the superior gluteal nerveInjury to the superior gluteal nerve Gluteus medius limp and gluteal gateGluteus medius limp and gluteal gate

Superior gluteal a and vSuperior gluteal a and v Inferior gluteal a and vInferior gluteal a and v Gluteal Vessels

Internal pudendal a and vInternal pudendal a and v Gluteal Vessels Internal pudendal a

Perineum - Today’s Word & Intellectual Challenge - The region that closes the pelvic outletThe region that closes the pelvic outlet Divided into two spaces (triangles)Divided into two spaces (triangles) Ischioanal (Anal) triangleIschioanal (Anal) triangle Urogenital (UG) triangleUrogenital (UG) triangle Means “modest or private”Means “modest or private” Relevant to the gluteal regionRelevant to the gluteal region Thoroughfare for the internal pudendal a and v, and pudendal nThoroughfare for the internal pudendal a and v, and pudendal n

Abdominopelvic Region Perineum

Perineum – 2 Triangles Sacrotuberous ligament

Coccyx Gluteus max m. Ext. anal sphincter m. Levator ani m. Sacrotuberous lig. Ischial tuberosity Scrotum Int. pudendal a. Pudendal n.

Park City, Utah, USA Jeremy Ranch (my home’s backyard) Wild moose Thank you!