Gluteus medius

Last updated
Gluteus medius
Gluteus medius muscle08.png
Position of gluteus medius muscle (shown in red). Posterior view.
Posterior Hip Muscles 3.PNG
The gluteus medius and nearby muscles.
Details
Origin Gluteal surface of ilium, under gluteus maximus, Aponeurosis glutea
Insertion Greater trochanter of the femur
Artery Superior gluteal artery
Nerve Superior gluteal nerve (L4, L5, S1 nerve roots)
Actions Abduction of the hip; preventing adduction of the hip. Medial/internal rotation and flexion of the hip (anterior fibers). Extension and lateral/external rotation of the hip (posterior fibers)
Antagonist Adductors
Identifiers
Latin musculus glutaeus medius
TA98 A04.7.02.007
TA2 2599
FMA 22315
Anatomical terms of muscle

The gluteus medius, one of the three gluteal muscles, is a broad, thick, radiating muscle. It is situated on the outer surface of the pelvis.

Contents

Its posterior third is covered by the gluteus maximus, its anterior two-thirds by the gluteal aponeurosis, which separates it from the superficial fascia and integument.

Structure

The gluteus medius muscle starts, or "originates", on the outer surface of the ilium between the iliac crest and the posterior gluteal line above, and the anterior gluteal line below; the gluteus medius also originates from its own fascia, the gluteal aponeurosis, that covers its outer surface.

The fibers of the muscle converge into a strong flattened tendon that inserts on the lateral surface of the greater trochanter. More specifically, the muscle's tendon inserts into an oblique ridge that runs downward and forward on the lateral surface of the greater trochanter. Before the insertion the fibers cross from anterior to posterior and vice versa. [1]

Relations

A bursa, the Bursa trochanterica m. glutaei medii, separates the tendon of the muscle from the surface of the trochanter over which it glides. [2]

Variations

The posterior border may be more or less closely united to the piriformis, or some of the fibers end on its tendon.

Function

The posterior fibres of gluteus medius contract to produce hip extension, lateral rotation and abduction. During gait, the posterior fibres help to decelerate internal rotation of the femur at the end of swing phase.

Together with the gluteus minimus and other short pelvi-trochanteric muscles it centers and stabilises the hip. Thus, its preservation and the accurate anatomical reconstruction of the femoral offset and anteversion is of quintessential importance for the result of surgical hip replacement. [5]

Clinical significance

Dysfunction of the gluteus medius or the superior gluteal nerve can potentially be indicated by a positive Trendelenburg's sign.

Additional images

See also

Related Research Articles

<span class="mw-page-title-main">Human leg</span> Lower extremity or limb of the human body (foot, lower leg, thigh and hip)

The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula. The thigh is between the hip and knee, while the calf (rear) and shin (front) are between the knee and foot.

<span class="mw-page-title-main">Gluteus maximus</span> Largest and most superficial of the three gluteal muscles

The gluteus maximus is the main extensor muscle of the hip in humans. It is the largest and outermost of the three gluteal muscles and makes up a large part of the shape and appearance of each side of the hips. It is the single largest muscle in the human body. Its thick fleshy mass, in a quadrilateral shape, forms the prominence of the buttocks. The other gluteal muscles are the medius and minimus, and sometimes informally these are collectively referred to as the glutes.

<span class="mw-page-title-main">Gluteus minimus</span> Smallest of the three gluteal muscles

The gluteus minimus, or glutæus minimus, the smallest of the three gluteal muscles, is situated immediately beneath the gluteus medius.

<span class="mw-page-title-main">Greater trochanter</span> Quadrilateral part of the thigh bone

The greater trochanter of the femur is a large, irregular, quadrilateral eminence and a part of the skeletal system.

<span class="mw-page-title-main">Piriformis muscle</span> Hip muscle in the lateral rotator group

The piriformis muscle is a flat, pyramidally-shaped muscle in the gluteal region of the lower limbs. It is one of the six muscles in the lateral rotator group.

<span class="mw-page-title-main">Hip</span> Anatomical region between the torso and the legs, holding the buttocks and genital region

In vertebrate anatomy, the hip, or coxa in medical terminology, refers to either an anatomical region or a joint on the outer (lateral) side of the pelvis.

The biceps femoris is a muscle of the thigh located to the posterior, or back. As its name implies, it consists of two heads; the long head is considered part of the hamstring muscle group, while the short head is sometimes excluded from this characterization, as it only causes knee flexion and is activated by a separate nerve.

<span class="mw-page-title-main">Quadratus lumborum muscle</span> Muscle in the lower back

The quadratus lumborum muscle, informally called the QL, is a paired muscle of the left and right posterior abdominal wall. It is the deepest abdominal muscle, and commonly referred to as a back muscle. Each is irregular and quadrilateral in shape.

<span class="mw-page-title-main">External obturator muscle</span> One of six small hip muscles in the lateral rotator group

The external obturator muscle or obturator externus muscle is a flat, triangular muscle, which covers the outer surface of the anterior wall of the pelvis.

<span class="mw-page-title-main">Adductor magnus muscle</span> Muscle in the thigh

The adductor magnus is a large triangular muscle, situated on the medial side of the thigh.

The semimembranosus muscle is the most medial of the three hamstring muscles in the thigh. It is so named because it has a flat tendon of origin. It lies posteromedially in the thigh, deep to the semitendinosus muscle. It extends the hip joint and flexes the knee joint.

<span class="mw-page-title-main">Tensor fasciae latae muscle</span> Muscle of the thigh

The tensor fasciae latae is a muscle of the thigh. Together with the gluteus maximus, it acts on and is continuous with the iliotibial band, which attaches to the tibia. The muscle assists in keeping the balance of the pelvis while standing, walking, or running.

<span class="mw-page-title-main">Gluteal muscles</span> Group of three muscles which make up the buttocks

The gluteal muscles, often called glutes, are a group of three muscles which make up the gluteal region commonly known as the buttocks: the gluteus maximus, gluteus medius and gluteus minimus. The three muscles originate from the ilium and sacrum and insert on the femur. The functions of the muscles include extension, abduction, external rotation, and internal rotation of the hip joint.

Trendelenburg gait, named after Friedrich Trendelenburg, is an abnormal human gait. It is caused by weakness or ineffective action of the gluteus medius muscle and the gluteus minimus muscle.

<span class="mw-page-title-main">Muscles of the hip</span> Causes movement in the hip

In human anatomy, the muscles of the hip joint are those muscles that cause movement in the hip. Most modern anatomists define 17 of these muscles, although some additional muscles may sometimes be considered. These are often divided into four groups according to their orientation around the hip joint: the gluteal group; the lateral rotator group; the adductor group; and the iliopsoas group.

<span class="mw-page-title-main">Superior gluteal artery</span>

The superior gluteal artery is the terminal branch of the posterior division of the internal iliac artery. It exits the pelvis through the greater sciatic foramen before splitting into a superficial branch and a deep branch.

<span class="mw-page-title-main">Hip bone</span> Bone of the pelvis

The hip bone is a large flat bone, constricted in the center and expanded above and below. In some vertebrates it is composed of three parts: the ilium, ischium, and the pubis.

<span class="mw-page-title-main">Pelvis</span> Lower torso of the human body

The pelvis is the lower part of the trunk, between the abdomen and the thighs, together with its embedded skeleton.

<span class="mw-page-title-main">Gluteal lines</span> Lines of the human ilium

The gluteal lines are three curved lines outlined from three bony ridges on the exterior surface of the ilium in the gluteal region. They are the anterior gluteal line; the inferior gluteal line, and the posterior gluteal line.

References

PD-icon.svgThis article incorporates text in the public domain from page 474 of the 20th edition of Gray's Anatomy (1918)

  1. Hermann Braus, Curt Elze: Anatomie des Menschen. Ein Lehrbuch für Studierende und Ärzte. Erster Band. Bewegungsapparat. 3. Auflage. Julius Springer, Berlin 1954. Digitalisat der Universität Heidelberg. p. 459 – 461.
  2. Hahn von Dorsche, Herwig; Dittel, Reinhard (2006). Anatomie des Bewegungssystems (in German) (2nd ed.). Bad Hersfeld: Neuromedizin Verlag. pp. 269, 277–278, 289–290. ISBN   978-3-930926-18-3.
  3. Schünke, M., Schulte, E., Schumacher, U., Ross, L. M., & Lamperti, E. D. (2006). Thieme atlas of anatomy. Stuttgart: Thieme. page 424
  4. Siegfried Mollier: Plastische Anatomie. Die konstruktive Form des menschlichen Körpers. Bergmann, München 1924.
  5. Adalbert Kapandji: Funktionelle Anatomie der Gelenke. Übersetzt von Jürgen Koebke (Erstausgabe in 3 Bänden, Ferdinand Enke, 1984). Deutschsprachige Gesamtausgabe durch Stefan Rehart. Thieme, Stuttgart 2016. Band 2, S. 50 – 57, 66 – 69, 74 – 75.