Gluteal Region By Dr Samar
Boundaries
SUPERIORLY iliac crest INFERIORLY Fold of buttock Gluteal muscles Thick layer of fascia skin
The skin
Posterior and Anterior rami of spinal nerves
Fascia
Superficial thick large amount of fat Deep fascia lata splits to in close gluteus maximus .then covers as single layer outer surface of medius . Becomes attached to iliac crest .on the lateral side forms iliotibeal tract which covers tensor fascia lata
Ligaments of gluteal region
Sacrotuberous sacrospinous
Foramina
Greater sciatic Lesser sciatic
Muscles
Superficial Gluteus max,med, mini Tensor fasciae latae
Deep
Piriformis Obturator internus Superior and inferior gemelli Quadratus femoris
Clinical
Poliomyelitis Intramuscular injections bursitis
Nerves
Sciatic Posterior cutaneous nerve of thigh Superior gluteal nerve Inferior gluteal nerve Nerve to quadratus femoris Pudendal nerve Nerve to obturator internus
Arteries
Superior gluteal Inferior gluteal Trochanteric anastomosis Cruciate anastomosis
lymphatic
Lateral group of superficial inguinal lymph nodes
The back of thigh
Skin Posterior cutaneous nerve of thigh Lymphatic vertical group of superficial inguinal lymph nodes Small saphenous veins
Muscles
Biceps femoris Hamstrings
Blood supply
Perforating branches from profunda femoris Veins accompany arteries
Nerve supply
Sciatic nerve Tibial Common peroneal muscular