Gluteal Region Anatomy Quiz

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Questions and Answers

Which nerve is responsible for supplying the gluteus maximus muscle?

  • Inferior gluteal nerve (correct)
  • Femoral nerve
  • Sciatic nerve
  • Superior gluteal nerve

What is the unique anatomical feature of the superior gluteal nerve in relation to the piriformis muscle?

  • It passes above the piriformis muscle (correct)
  • It passes below the piriformis muscle
  • It traverses through the piriformis muscle
  • It does not enter the gluteal region

Which of the following muscles is NOT supplied by the superior gluteal nerve?

  • Gluteus maximus (correct)
  • Tensor fasciae latae
  • Gluteus minimus
  • Gluteus medius

Where does the sciatic nerve enter the gluteal region?

<p>Inferior to the piriformis muscle (D)</p> Signup and view all the answers

What is the primary function of the sciatic nerve?

<p>Innervates all muscles in the posterior compartment of the thigh and muscles affecting the ankle and foot (C)</p> Signup and view all the answers

What structure forms the superior boundary of the gluteal region?

<p>Iliac crest (D)</p> Signup and view all the answers

Which of the following muscles is part of the superficial group in the gluteal region?

<p>Tensor fasciae latae (C)</p> Signup and view all the answers

Which nerve is responsible for innervating the gluteus maximus?

<p>Inferior gluteal nerve (A)</p> Signup and view all the answers

What action is associated with the gluteus maximus muscle?

<p>Hip extension (B)</p> Signup and view all the answers

Which two muscles are included in the deep group of gluteal muscles?

<p>Obturator internus and superior gemellus (D)</p> Signup and view all the answers

Which gluteal nerve is involved in the innervation of the piriformis muscle?

<p>Sciatic nerve (B)</p> Signup and view all the answers

What is the primary action of the quadratus femoris muscle?

<p>Lateral rotation of the hip (D)</p> Signup and view all the answers

Which of the following vessels supplies blood to the gluteal region?

<p>Superior gluteal vessels (A)</p> Signup and view all the answers

Which nerve enters the gluteal region through the greater sciatic foramen and innervates the quadratus femoris muscle?

<p>Nerve to Quadratus Femoris (C)</p> Signup and view all the answers

What anatomical structure separates the pudendal nerve from the sciatic nerve in the gluteal region?

<p>Piriformis muscle (A)</p> Signup and view all the answers

The posterior cutaneous nerve of the thigh supplies sensory innervation to which area?

<p>Posterior thigh and proximal leg (C)</p> Signup and view all the answers

What is the main function of the pudendal nerve?

<p>Somatic innervation of the perineum (A)</p> Signup and view all the answers

Which of the following contains the gemellus superior muscle innervation?

<p>Nerve to Obturator internus (B)</p> Signup and view all the answers

Which structure is considered the major route for passing between the pelvis and the gluteal region?

<p>Greater sciatic foramen (B)</p> Signup and view all the answers

Which nerve has no branches in the gluteal region?

<p>Pudendal nerve (D)</p> Signup and view all the answers

What lies anterior to the plane of the deep muscles in the gluteal region?

<p>Nerve to Quadratus Femoris (D)</p> Signup and view all the answers

Which of the following nerves is responsible for supplying skin in a larger area compared to other cutaneous nerves?

<p>Posterior cutaneous nerve of thigh (B)</p> Signup and view all the answers

What does the lesser sciatic foramen primarily connect?

<p>Pelvis and perineum (C)</p> Signup and view all the answers

Which nerve is responsible for innervating the gluteus medius and minimus muscles?

<p>Superior gluteal nerve (A)</p> Signup and view all the answers

What is the primary function of the iliotibial tract?

<p>Stabilization of the hip joint (C)</p> Signup and view all the answers

Which artery originates from the posterior trunk of the internal iliac artery?

<p>Superior gluteal artery (A)</p> Signup and view all the answers

Which of the following muscles is innervated by the nerve to quadratus femoris?

<p>Gemellus inferior (C)</p> Signup and view all the answers

What is the insertion point for the tensor fasciae latae?

<p>Lateral surface of the upper tibia (D)</p> Signup and view all the answers

Which muscle is primarily responsible for laterally rotating the extended femur?

<p>Quadratus femoris (D)</p> Signup and view all the answers

Which nerve innervates the piriformis muscle?

<p>Nerve to piriformis (B)</p> Signup and view all the answers

What anatomical feature serves as the origin for the gluteus maximus?

<p>Crest of the sacrum (B)</p> Signup and view all the answers

Where does the inferior gluteal artery primarily supply blood?

<p>Adjacent gluteal muscles and posterior thigh (C)</p> Signup and view all the answers

Which of the following actions does the gluteus minimus primarily perform?

<p>Abduction and medial rotation of the hip (A)</p> Signup and view all the answers

Flashcards

What is the Gluteal Region?

The gluteal region is the transitional area between the trunk and the lower limb.

What is the superior boundary of the gluteal region?

The superior boundary of the gluteal region is the iliac crest.

What is the medial boundary of the gluteal region?

The medial boundary of the gluteal region is the intergluteal cleft.

What is the inferior boundary of the gluteal region?

The inferior boundary of the gluteal region is the skin fold underlying the buttock, known as the gluteal fold.

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What are the key structures found in the gluteal region?

The gluteal region contains muscles, blood vessels, and nerves.

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Name some of the muscles found in the gluteal region.

The three glutei muscles (Gluteus Maximus, Medius, and Minimus), Tensor fasciae latae, piriformis, quadratus femoris, obturator internus, and two gemelli are all located in the gluteal region.

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Which muscles belong to the superficial group of gluteal muscles?

The superficial group of gluteal muscles consists of Gluteus Maximus, Gluteus Medius, Gluteus Minimus, and Tensor Fasciae Latae.

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Which muscles make up the deep group of gluteal muscles?

The deep group of gluteal muscles consists of Piriformis, Obturator Internus, Superior Gemellus, Inferior Gemellus, and Quadratus Femoris.

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What does the superior gluteal nerve innervate?

The superior gluteal nerve (L4,5,S1) passes above the piriformis muscle through the greater sciatic foramen, supplying the gluteus medius, gluteus minimus, and tensor fasciae latae muscles.

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What does the inferior gluteal nerve innervate?

The inferior gluteal nerve (L5,S1,2) passes below the piriformis muscle through the greater sciatic foramen, supplying the gluteus maximus muscle.

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Where does the sciatic nerve pass through?

The sciatic nerve (L4,5,S1,2,3) is the largest nerve in the body and passes through the greater sciatic foramen, inferior to the piriformis muscle.

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What does the sciatic nerve innervate?

The sciatic nerve supplies all the muscles in the posterior thigh, as well as those that control ankle and foot movements.

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Where does the sciatic nerve travel after the gluteal region?

The sciatic nerve descends between the deep and superficial groups of gluteal muscles before entering the posterior thigh.

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Gluteus Maximus

A large, powerful muscle that allows for extension, external rotation and abduction of the hip joint.

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Gluteus Medius

This muscle is located beneath the Gluteus Maximus and assists in hip abduction and medial rotation.

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Gluteus Minimus

This muscle lies beneath the Gluteus Medius and is a key player in the hip's abduction and medial rotation.

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Iliotibial Tract

This band of tissue is a powerful extensor and stabilizer of the knee.

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Superior Gluteal Nerve

This nerve supplies the Gluteus Maximus, Gluteus Medius, Gluteus Minimus, and Tensor Fasciae Latae.

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Inferior Gluteal Nerve

This nerve supplies the Piriformis, Obturator Internus, Superior Gemellus, Inferior Gemellus, and Quadratus Femoris muscles.

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Superior Gluteal Artery

Originates in the pelvic cavity and supplies blood to the Gluteus Maximus, Gluteus Medius, and Gluteus Minimus.

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Inferior Gluteal Artery

Originates in the pelvic cavity and supplies blood to the Piriformis, Obturator Internus, Superior Gemellus, Inferior Gemellus, and Quadratus Femoris.

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Piriformis

This muscle is involved in external rotation and abduction of the hip.

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Obturator Internus

This muscle helps with medial rotation of the femur.

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Which nerve supplies the Obturator Internus?

The nerve to the obturator internus (L5,S1) enters the gluteal region through the greater sciatic foramen, lies inferior to the piriformis muscle, and passes between the posterior cutaneous nerve of the thigh and the pudendal nerve. It supplies a small branch to the gemellus superior and then passes over the ischial spine and through the lesser sciatic foramen to innervate the obturator internus muscle.

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Which nerve supplies the Quadratus Femoris?

The nerve to the quadratus femoris (L5,S1) enters the gluteal region through the greater sciatic foramen, lying inferior to the piriformis muscle and deep to the sciatic nerve. Unlike other nerves in the gluteal region, it lies anterior to the plane of the deep muscles. It penetrates and innervates the quadratus femoris and gives a small branch to the gemellus inferior.

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Which nerve supplies the skin of the posterior thigh?

The posterior cutaneous nerve of the thigh (S1,2,3) enters the gluteal region through the greater sciatic foramen, passing inferior to the piriformis muscle and immediately medial to the sciatic nerve. It supplies more skin than any other cutaneous nerve, providing branches to the buttock, perineum, posterior thigh, and proximal leg.

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Which nerve is the major somatic nerve of the perineum?

The pudendal nerve (S2,3,4) enters the gluteal region through the greater sciatic foramen, lying inferior to the piriformis muscle and medial to the sciatic nerve. It passes over the sacrospinous ligament and immediately passes through the lesser sciatic foramen to enter the perineum. This nerve is the major somatic nerve of the perineum and has no branches in the gluteal region.

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What structures pass through the greater sciatic foramen?

The greater sciatic foramen is formed on the posterolateral pelvic wall, serving as the major route for structures passing between the pelvis and the gluteal region of the lower limb. The margins of the foramen are formed by the greater sciatic notch, parts of the upper borders of the sacrospinous and sacrotuberous ligaments, and the lateral border of the sacrum.

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What structures pass through the lesser sciatic foramen?

The lesser sciatic foramen is located inferior to the greater sciatic foramen on the posterolateral pelvic wall, also lying inferior to the lateral attachment of the pelvic floor. It connects the gluteal region with the perineum.

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What structures pass through the greater sciatic foramen?

Structures passing through the greater sciatic foramen include: the piriformis muscle, superior and inferior gluteal nerves and vessels, sciatic nerve, pudendal nerve, internal pudendal vessels, posterior cutaneous nerve of the thigh, nerve to the obturator internus, and nerve to the quadratus femoris.

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What structures pass through the lesser sciatic foramen?

Structures passing through the lesser sciatic foramen include: the tendon of the obturator internus, the pudendal nerve, and internal pudendal vessels.

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What is the difference between the greater and lesser sciatic foramina?

The greater sciatic foramen is a large opening in the pelvis, while the lesser sciatic foramen is a smaller opening located inferior to it. Both foramina allow for structures to pass between the pelvis and the lower limb.

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Study Notes

Gluteal Region Musculoskeletal System

  • The gluteal region is a transitional area between the trunk and the free lower limb.
  • Boundaries:
    • Superiorly: Iliac crest
    • Medially: Intergluteal cleft
    • Inferiorly: Gluteal fold (groove) under the buttock.

Structures in the Gluteal Region

  • Muscles:
    • Three gluteus muscles (maximus, medius, minimus)
    • Tensor fasciae latae
    • Piriformis
    • Quadratus femoris
    • Obturator internus
    • Two gemelli muscles
  • Blood Vessels:
    • Superior gluteal vessels
    • Inferior gluteal vessels
  • Nerves:
    • Superior gluteal nerve
    • Inferior gluteal nerve
    • Nerve to the quadratus femoris
    • Nerve to the obturator internus
    • Posterior cutaneous nerve of the thigh
    • Pudendal nerve

Muscles of the Gluteal Region (Groups)

  • Superficial Group: Gluteus maximus, Gluteus medius, Gluteus minimus, and Tensor fasciae latae
  • Deep Group: Piriformis, Obturator internus, Superior gemellus, Inferior gemellus, and Quadratus femoris

Muscle Origins, Insertions, Innervation, and Actions

  • Detailed table of muscles' characteristics is provided. Refer to the image of the table for specific information on each muscle.

Iliotibial Tract

  • A thickened band of fascia lata running down the thigh and into the upper tibia.
  • It connects tensor fasciae latae and the upper and superficial portions of gluteus maximus to the lateral surface of the tibia.
  • Function: Stabilizes the hip joint and knee in extension.

Gluteal Blood Vessels

  • Superior Gluteal Artery: Branches from internal iliac artery; supplies gluteus maximus. Has superficial and deep branches.
  • Inferior Gluteal Artery: Branches from internal iliac artery; supplies gluteus maximus, nearby muscles and a branch to the sciatic nerve.

Gluteal Nerves

  • Superior Gluteal Nerve: Passes above piriformis. Supplies gluteus medius, gluteus minimus, and tensor fasciae latae.
  • Inferior Gluteal Nerve: Passes below piriformis. Supplies gluteus maximus.

Sciatic Nerve

  • One of the largest nerves in the body.
  • Enters the gluteal region inferior to the piriformis, and descends, innervating posterior thigh muscles.
  • Supplies the muscles of the posterior compartment of the thigh and foot, also innervates a large area of skin in the lower limb.

Nerve to Obturator Internus

  • Supplies some nearby muscles.

Nerve to Quadratus Femoris

  • Lies anteriorly to the deep muscles, penetrating and innervating quadratus femoris, with a small branch to the inferior gemellus muscle.

Posterior Cutaneous Nerve of Thigh

  • Enters gluteal region, immediately medial to sciatic nerve.
  • Supplies a greater area of skin compared to nearby nerves.

Pudendal Nerve

  • Enters the gluteal region, medial to sciatic nerve.
  • Supplies the perineum, and has no branches within the gluteal region.

Greater Sciatic Foramen

  • Formed by the greater sciatic notch, sacrospinous ligament, sacrotuberous ligament, and lateral border of sacrum.
  • A primary passageway for nerves and vessels between the pelvis and gluteal region.

Lesser Sciatic Foramen

  • Inferior to the greater sciatic foramen.
  • Allows passage of tendon of obturator internus, pudendal nerve, and internal pudendal vessels.

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