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Common sites for intramuscular injections include the deltoid muscle of the upper arm and the gluteal muscle of the buttock. In infants, the vastus lateralis muscle of the thigh is commonly used. The injection site must be cleaned before administering the injection, and the injection is then administered in a fast, darting motion to decrease ...
The gluteus maximus arises from the posterior gluteal line of the inner upper ilium, and the rough portion of bone including the crest, immediately above and behind it; from the posterior surface of the lower part of the sacrum and the side of the coccyx; from the aponeurosis of the erector spinae (lumbodorsal fascia), the sacrotuberous ligament, and the fascia covering the gluteus medius.
The gluteal lines are three curved lines outlined from three bony ridges on the exterior surface of the ilium in the gluteal region. [1] They are the anterior gluteal line; the inferior gluteal line, and the posterior gluteal line. The gluteus minimus, medius, and maximus are muscles that arise from the gluteal lines.
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Trendelenburg's sign is found in people with weak or paralyzed abductor muscles of the hip, namely gluteus medius and gluteus minimus. [1] It is named after the German surgeon Friedrich Trendelenburg. It is often incorrectly referenced as the Trendelenburg test which is a test for vascular insufficiency in the lower extremities.
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 . 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.
It passes lateral-ward in between the gluteus medius muscle and the gluteus minimus muscle, [1] [5] accompanied by the deep branch of the superior gluteal artery. It divides into a superior branch and an inferior branch. [5] [1] The inferior branch continues to pass between the two muscles [5] to end in the tensor fasciae latae muscle. [1]
It is caused by weakness or ineffective action of the gluteus medius and gluteus minimus muscles. Gandbhir and Rayi point out that the biomechanical action involved comprises a class 3 lever , where the lower limb's weight is the load, the hip joint is the fulcrum, and the lateral glutei, which attach to the antero-lateral surface of the ...