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Anatomy of the Gluteal Region
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Anatomy of the Gluteal Region

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Questions and Answers

Which nerve is responsible for hip abduction, medial rotation, and keeping the pelvis level in weightbearing?

  • Lateral cutaneous nerve of thigh
  • Gluteus medius nerve
  • Superior clunial nerve (correct)
  • Inferior clunial nerve
  • Which muscle is innervated by the inferior gluteal nerve and is responsible for hip extension and lateral rotation?

  • Gluteus maximus (correct)
  • Gluteus medius
  • Tensor fasciae latae
  • Piriformis
  • Which nerve innervates the piriformis muscle?

  • Superior clunial nerve
  • Nerve to piriformis (correct)
  • Inferior gluteal nerve
  • Lateral cutaneous nerve of thigh
  • Which structure marks the lower boundary of the gluteal region?

    <p>Greater trochanter</p> Signup and view all the answers

    Which muscle is responsible for keeping the pelvis level in weightbearing?

    <p>Gluteus medius</p> Signup and view all the answers

    Which nerve provides cutaneous innervation to the lateral aspect of the thigh?

    <p>Lateral cutaneous nerve of thigh</p> Signup and view all the answers

    Which muscle is responsible for lateral rotation, abduction in flexed hip, and stabilization of the hip joint in the acetabulum?

    <p>Obturator internus</p> Signup and view all the answers

    What test can be used to identify trochanteric bursitis?

    <p>Resisted hip abduction</p> Signup and view all the answers

    Which nerve is responsible for innervating the quadratus femoris and the obturator internus muscles?

    <p>Nerve to quadratus femoris (L5, S1)</p> Signup and view all the answers

    What is the primary cause of trochanteric bursitis?

    <p>Repetitive actions involving the gluteus maximus</p> Signup and view all the answers

    Which muscle is NOT involved in causing a positive Trendelenburg sign when affected?

    <p>Iliopsoas</p> Signup and view all the answers

    What contributes to the development of gluteal gait or 'waddling' in patients?

    <p>Weakness of the abductor muscles</p> Signup and view all the answers

    Which structure is responsible for reducing friction and permitting free movement of overlying structures?

    <p>Bursa</p> Signup and view all the answers

    What is the primary function of the superior gemellus muscle?

    <p>Lateral rotation of the hip joint</p> Signup and view all the answers

    What is a common symptom of trochanteric bursitis?

    <p>Pain in the lateral thigh region</p> Signup and view all the answers

    What movement is affected when a patient shows a positive Trendelenburg sign?

    <p>Hip abduction on the unaffected side</p> Signup and view all the answers

    Gluteal region extends from the iliac crest down to the gluteal ______

    <p>fold</p> Signup and view all the answers

    The superior clunial nerves are derived from the posterior primary rami of spinal nerves -

    <p>L1-L3</p> Signup and view all the answers

    The nerve to piriformis is derived from spinal nerves -

    <p>S1, S2</p> Signup and view all the answers

    The superior gluteal nerve is responsible for hip abduction, medial rotation, and maintaining pelvic stability in ______

    <p>weightbearing</p> Signup and view all the answers

    The tensor fasciae latae muscle is innervated by the ______ gluteal nerve

    <p>superior</p> Signup and view all the answers

    The coccyx is located at the lower end of the gluteal region, serving as an attachment site for various ______ muscles

    <p>muscles</p> Signup and view all the answers

    The gluteal muscles are responsible for hip ______ and abduction in flexed hip

    <p>rotation</p> Signup and view all the answers

    The nerve to obturator internus innervates the obturator internus and ______ muscles

    <p>quadratus femoris</p> Signup and view all the answers

    Bursae reduce friction and permit free movement of overlying structures by acting as a fluid filled sac lined by ______ membrane

    <p>synovial</p> Signup and view all the answers

    Trochanteric bursitis is characterized by deep diffuse pain in the ______ thigh region

    <p>lateral</p> Signup and view all the answers

    A positive Trendelenburg sign is indicated by pelvis dropping on the ______ side during walking

    <p>contralateral</p> Signup and view all the answers

    A patient compensates for gluteal gait or 'waddling' by leaning to the affected side during ______

    <p>walking</p> Signup and view all the answers

    Superior gemellus and inferior gemellus muscles contribute to the lateral ______ of the hip joint in the acetabulum

    <p>rotation</p> Signup and view all the answers

    The bursa can become irritated and inflamed, resulting in a condition known as ______

    <p>bursitis</p> Signup and view all the answers

    The tensor fasciae latae muscle is responsible for maintaining tension in the ______ tract

    <p>iliotibial</p> Signup and view all the answers

    The superior gluteal nerve injury affects the gluteus medius and ______ muscles

    <p>minimus</p> Signup and view all the answers

    Study Notes

    Hip Function and Innervation

    • The superior gluteal nerve facilitates hip abduction, medial rotation, and stabilization of the pelvis during weightbearing.
    • The inferior gluteal nerve innervates the gluteus maximus, which is crucial for hip extension and lateral rotation.
    • The nerve to piriformis muscle derives from spinal nerves S1-S2.
    • The superior clunial nerves are sourced from the posterior primary rami of spinal nerves L1-L3.

    Musculoskeletal Structures and Functions

    • The coccyx marks the lower boundary of the gluteal region and serves as an attachment point for multiple muscles.
    • Tensor fasciae latae is innervated by the superior gluteal nerve and maintains tension in the iliotibial tract.
    • The quadratus femoris and obturator internus muscles are innervated by the nerve to obturator internus.
    • The superior gemellus muscle plays a role in lateral rotation of the hip joint.

    Pathology and Clinical Significance

    • Trochanteric bursitis results from irritation and inflammation of the bursa, characterized by deep diffuse pain in the lateral thigh area.
    • A positive Trendelenburg sign manifests when the pelvis drops on the contralateral side while walking, indicating weak hip abductors.
    • Gluteal gait or 'waddling' occurs when the patient leans towards the affected side to compensate for hip instability.
    • Common symptoms of trochanteric bursitis include pain during activities involving hip movement and tenderness over the greater trochanter.

    Miscellaneous Facts

    • Bursae reduce friction in the hip region by acting as fluid-filled sacs lined by a synovial membrane.
    • The gluteal muscles contribute to hip extension and facilitate abduction when the hip is flexed, supporting hip stability in the acetabulum.
    • The inferior gemellus muscle assists in lateral rotation, offering support alongside the superior gemellus to stabilize the hip joint during motion.
    • Spinal nerves L5-S2 contribute to innervation in the gluteal region, particularly affecting major muscle groups in hip movement.

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    Description

    Test your knowledge of the anatomy of the gluteal region with this quiz covering structures from the iliac crest down to the gluteal fold. Identify key anatomical landmarks and muscles in this region.

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