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.

Slides:



Advertisements
Similar presentations
Hip Joint.
Advertisements

HIP Joint.
HIP JOINT By: Dr. Mujahid Khan.
GLUTEAL REGION Cutaneous nerve supply. Fascia. Ligaments. Muscles.
Hip Joint Rania Gabr.
Thigh and Buttock.
Lateral and Medial Hip Rotators
Hip joint and pelvic girdle
THE HIP JOINT.
PELVIS & HIP BONES 2 Bones or sides Connected by the Sacrum PARTS OF THE BONE Ilium Ischium Pubis BONES Illium Ishium Femur HIP JOINT Acetabulum + Femur.
Gluteal Region/ Post Thigh
Muscles of the Lower Appendage (Thigh, Leg, & Foot)
Lumbosacral plexus IN 17 QUESTIONS Kaan Yücel M.D., Ph.D.
Muscles of Thigh Dr. Sama ul Haque.
The Lower Extremity The Hip
GLUTEAL REGION & BACK OF THIGH
WINDSOR UNIVERSITY SCHOOL OF MEDICINE
Chapter 10 Hip Injuries.
 The Hip is a ball and socket joint like the shoulder, but because it is me stable it has less motion than the shoulder.
Chapter 9 The Hip Joint and Pelvic Girdle. Pelvic Girdle Anterior Gluteal Line External Surface Auricular Surface Iliopectineal Eminence Greater Sciatic.
Xie-Xie Dr. Xiaoming Zhang, Professor Dr. Ji-cheng Li, and Professor Dr. Lizhong Du.
Muscles of Gluteal Region Arterial Supply Nerve Supply.
Iliofemoral Joint aka Hip Joint
Review of the Hip.
THE HIP JOINT.
Review of the Hip.
Gluteal region D.Rania Gabr D.Sama. D.Elsherbiny.
Kinesiology for Manual Therapies
S.Sattari,MD Pelvis, Hip, and Thigh examination. pelvic ring protects vital internal structures.
Let’s look at some muscle anatomy in the pelvis on CT scans. What are these muscles? Psoas muscles.
Lecture 6 The Hip.
HIP JOINT Prof. Saeed Makarem.
Muscles: Origins, Insertions, Actions, Nerve Supply, & Arterial Supply
Ling Shucai Regional anatomy of lower limb Posterior region of lower limb.
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.
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 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.
LUMBOSACRAL PLEXUS Lufukuja G..
WINDSOR UNIVERSITY SCHOOL OF MEDICINE
Objectives Know the type and formation of hip joint. Differentiate the stability and mobility between the hip joint and shoulder joint. Identify the muscles.
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.
Gluteal Region and Back of Thigh
ANATOMY OF THE LOWER LIMB
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.
Gluteal muscles Iliotibial tract Definition: strong thickened deep fascia on the lat side of thigh. Attachments: from tubercle of iliac crest to.
Bones of the Hip.
Katrina Ducis Emily Gaare Mousumi Sircar Sarah Wall
Muscles of Gluteal Region
LOWER LIMB HIP JOINT.
GLUTEAL REGION & BACK OF THIGH
GLUTEAL REGION & BACK OF THIGH
Presentation transcript:

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 bony features of the femur. Identify the muscles of the gluteal region in terms of their origin, insertion, nerve supply and actions. Identify the superior gluteal and inferior gluteal nerves in relation to Piriformis muscle. Explain how the anatomical position affects the muscle function.

The Gluteal Region  It extends from the iliac crest (waist) above to the gluteal fold below.  Buttock: The lower part of the gluteal region which presents a rounded bulge due to fat is called buttock.  Hip: It is the anterosuperior part of the gluteal region.

Hip Bone

Bony Pelvis

Femur

Movements at Hip Joint

Muscles of gluteal region

Gluteus maximus (Chief extensor)  Most powerful & the bulkiest muscle of the body. (Anti-gravity muscle)  N.S: Inferior gluteal nerve (L 5, S 1, S 2 )  Actions:  Chief extensor of thigh at hip. Helps in rising from sitting, bending or squatting positions and in climbing upstairs & cycling.  Supports the extended knee through iliotibial tract  Lateral rotator of thigh.

Gluteus maximus

Gluteus medius & Gluteus minimus (Abductors)  Both fan shaped & lie under G. Maximus  N.S: Superior gluteal nerve (L 5, S 1,)  Actions:  Powerful abductor of thigh at hip joint.  Most important action is to prevent the opposite side of the pelvis tilting downwards as in walking & running.

Gluteus medius and minimus

Muscles of gluteal region

iliotibial tract Tensor Fasciae Latae Gluteus maximus Tensor Fascia Latae

Piriformis & Obturator Internus (Origin)

Femur Piriformis & Obturator Internus (Insertion)

Muscles of gluteal region

Gemellus Superior Gemellus Inferior Quadratus Femoris

Greater and Lesser Sciatic Foramen

Structures passing through greater sciatic foramen 1.Piriformis Muscle 2.Above Piriformis:  Superior gluteal nerve  Superior gluteal vessels 3. Below Piriformis:  Inferior gluteal nerve  Inferior gluteal vessels  Sciatic nerve  Post. Cutaneous nerve of thigh  Nerve to quadratus femoris  Nerve to obturator internus  Pudendal nerve  Internal Pudendal vessels

Structures passing through greater sciatic foramen

Structures passing through lesser sciatic foramen  Nerve to obturator internus  Pudendal nerve  Internal Pudendal vessels  Tendon of obturator internus The first three structures after coming out of the pelvis through greater sciatic foramen, re-enter the pelvis by passing through the lesser sciatic foramen.

Structures passing through greater sciatic foramen

Site for Intramuscular Injection

(A)Standing Position (B)During walk (C)Positive Trendelenburg Sign

Trendelenburg Sign Loss of abductor function (gluteus medius & minimus) causes the pelvis to tilt down when supporting the body on the affected side (*). (damage to superior gluteal nerve). This function of these muscles is called “stabilization of the pelvis”. Normal Positive sign *

Thank You