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Published byPriscilla Nicholson Modified over 6 years ago
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Gluteal muscles
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Iliotibial tract Definition: strong thickened deep fascia on the lat side of thigh. Attachments: from tubercle of iliac crest to front of lat condyle of tibia. Receives insertion of superficial ¾ of glut maximus & tensor fascia lata. Helps in maintenance of erect position by stabilization of the hip on femur & the femur on tibia.
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Sup gluteal N Sacral plexus, L4,5,S1.
Passes through greater sciatic foramen. Supplies gluteus medius, gluteus minimus & tensor fascia lata.
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Inf gluteal N Sacral plexus, L5,S1,2.
Passes through greater sciatic foramen. Supplies gluteus maximus.
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Sacrotuberous ligament
Attached from sacrum, coccyx, PSIS & PIIS to ischial tuberosity. Sacrospinous lig Deep to sacrotuberous ligament. It is the dorsal fibrosed surface of coccygeus muscle. Attached from S5 and 1st Coccygeal vertebrae to ischial spine. Sacrotuberous & Sacrospinous ligaments transmit greater & lesser sciatic notches into foraminae.
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Greater sciatic foramen
Boundaries: Greater sciatic notch. Sacrotuberous & sacrospinous ligaments.
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Structures passing through it
Piriformis muscle. Sup glut N and vessels (the only structures above piriformis). Inf glut N and vessels. Sciatic N. N to quadratus femoris (sacral plexus, L4,5,S1). Post cutaneous N of thigh. N to obturator internus (sacral plexus, L5,S1,2). Internal pudendal vessels. Pudendal N (sacral plexus, S2,3,4).
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Lesser sciatic foramen
Boundaries: Lesser sciatic notch. Sacrotuberous & sacrospinous ligaments.
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Structures passing through it
Tendon of obturator internus. N to obturator internus. Internal pudendal vessels. Pudendal N.
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Structures passing from greater to lesser sciatic notches
N to obturator internus. Internal pudendal vessels. Pudendal N.
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