Lateral Rotator Group
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Lateral Rotator Group
The lateral rotator group is a group of six small muscles of the hip which all externally (laterally) rotate the femur in the hip joint. It consists of the following muscles: piriformis, gemellus superior, obturator internus, gemellus inferior, quadratus femoris and the obturator externus. All muscles in the lateral rotator group originate from the hip bone and insert on to the upper extremity of the femur. The muscles are innervated by the sacral plexus ( L4- S2), except the obturator externus muscle, which is innervated by the lumbar plexus. Individual muscles Other lateral rotators This group does not include all muscles which aid in lateral rotation of the hip joint: rather it is a collection of ones which are known for primarily performing this action. Other muscles that contribute to lateral rotation of the hip include: *Gluteus maximus muscle (lower fibres) *Gluteus medius muscle and gluteus minimus muscle when the hip is flexed (become medial rotators when hip is exte ...
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Gluteus Minimus Muscle
The gluteus minimus, or glutæus minimus, the smallest of the three gluteal muscles, is situated immediately beneath the gluteus medius. Structure It is fan-shaped, arising from the outer surface of the ilium, between the anterior and inferior gluteal lines, and behind, from the margin of the greater sciatic notch. The fibers converge to the deep surface of a radiated aponeurosis, and this ends in a tendon which is inserted into an impression on the anterior border of the greater trochanter, and gives an expansion to the capsule of the hip joint. It is also a local stabilizer for the hip. Relations A bursa is interposed between the tendon and the greater trochanter. Between the gluteus medius and gluteus minimus are the deep branches of the superior gluteal vessels and the superior gluteal nerve. The deep surface of the gluteus minimus is in relation with the reflected tendon of the rectus femoris and the capsule of the hip joint. Variations The muscle may be divid ...
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Piriformis Muscle
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. The piriformis muscle has its origin upon the front surface of the sacrum, and inserts onto the greater trochanter of the femur. Depending upon the given position of the leg, it acts either as external (lateral) rotator of the thigh or as abductor of the thigh. It is innervated by the piriformis nerve. Structure The piriformis is a flat muscle, and is pyramidal in shape. Origin The piriformis muscle originates from the anterior (front) surface of the sacrum by three fleshy digitations attached to the second, third, and fourth sacral vertebra. It also arises from the superior margin of the greater sciatic notch, the gluteal surface of the ilium (near the posterior inferior iliac spine), the sacroiliac joint capsule, and (sometimes) the sacrotuberous ligament (more specifically, the superior part of the pelvic sur ...
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Anatomical Terms Of Location
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of anatom ...
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Lumbar Plexus
The lumbar plexus is a web of nerves (a nervous plexus) in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the Ventral ramus of spinal nerve, divisions of the first four lumbar nerves (L1-L4) and from contributions of the subcostal nerve (T12), which is the last Thoracic nerves, thoracic nerve. Additionally, the ventral rami of the fourth lumbar nerve pass communicating branches, the lumbosacral trunk, to the sacral plexus. The nerves of the lumbar plexus pass in front of the hip joint and mainly support the anterior part of the thigh.''Thieme Atlas of anatomy'' (2006), pp 470-471 The plexus is formed lateral to the intervertebral foramina and passes through Psoas major muscle, psoas major. Its smaller motor branches are distributed directly to psoas major, while the larger branches leave the muscle at various sites to run obliquely down through the pelvis to leave under the inguinal ligament with the exception of the obturator n ...
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Sacral Spinal Nerve 2
The sacral spinal nerve 2 (S2) is a spinal nerve of the sacral segment.American Medical Association
Nervous System -- Groups of Nerves It originates from the from below the 2nd body of the


Muscles

S2 supplies many muscles, either directly or through nerves originating from S2. They are not innervated with S2 as single origin, but partly by S2 and partly by other spinal nerves. They are most ...
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Lumbar Nerves
The lumbar nerves are the five pairs of spinal nerves emerging from the lumbar vertebrae. They are divided into posterior and anterior divisions. Structure The lumbar nerves are five spinal nerves which arise from either side of the spinal cord below the thoracic spinal cord and above the sacral spinal cord. They arise from the spinal cord between each pair of lumbar spinal vertebrae and travel through the intervertebral foramina. The nerves then split into an anterior branch, which travels forward, and a posterior branch, which travels backwards and supplies the area of the back. Posterior divisions The middle divisions of the posterior branches run close to the articular processes of the vertebrae and end in the multifidus muscle. The outer branches supply the erector spinae muscles. The nerves give off branches to the skin. These pierce the aponeurosis of the greater trochanter. Anterior divisions The anterior divisions of the lumbar nerves ( la, rami anteriores) increase ...
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Sacral Plexus
In human anatomy, the sacral plexus is a nerve plexus which provides motor and sensory nerves for the posterior thigh, most of the lower leg and foot, and part of the pelvis. It is part of the lumbosacral plexus and emerges from the lumbar vertebrae and sacral vertebrae (L4-S4).''Thieme Atlas of Anatomy'' (2006), pp 470-471 A sacral plexopathy is a disorder affecting the nerves of the sacral plexus, usually caused by trauma, nerve compression, vascular disease, or infection. Symptoms may include pain, loss of motor control, and sensory deficits. Structure The sacral plexus is formed by: * the lumbosacral trunk * the anterior division of the first sacral nerve * portions of the anterior divisions of the second and third sacral nerves The nerves forming the sacral plexus converge toward the lower part of the greater sciatic foramen, and unite to form a flattened band, from the anterior and posterior surfaces of which several branches arise. The band itself is continued as the sc ...
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Upper Extremity Of Femur
The upper extremity, proximal extremity or superior epiphysis of the femur is the part of the femur closest to the pelvic bone and the trunk. It contains the following structures: * Femoral head including the fovea * Femur neck * Greater trochanter * Lesser trochanter * Intertrochanteric line * Intertrochanteric crest * Trochanteric fossa * Linea quadrata * Quadrate tubercle The head of femur, which articulates with the acetabulum of the pelvic bone, composes two-thirds of a sphere. It has a small groove or fovea, connected through the round ligament to the sides of the acetabular notch. The head of the femur is connected to the shaft through the neck or ''collum''. The neck is 4–5 cm. long and the diameter is smallest front to back and compressed at its middle. The collum forms an angle with the shaft in about 130 degrees. This angle is highly variant. In the infant it is about 150 degrees and in old age reduced to 120 degrees in average. An abnormal increase in the an ...
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Hip Bone
The hip bone (os coxae, innominate bone, pelvic bone or coxal bone) is a large flat bone, constricted in the center and expanded above and below. In some vertebrates (including humans before puberty) it is composed of three parts: the Ilium (bone), ilium, ischium, and the Pubis (bone), pubis. The two hip bones join at the pubic symphysis and together with the sacrum and coccyx (the pelvic part of the vertebral column, spine) comprise the human skeleton, skeletal component of the pelvis – the pelvic girdle which surrounds the pelvic cavity. They are connected to the sacrum, which is part of the axial skeleton, at the sacroiliac joint. Each hip bone is connected to the corresponding femur (thigh bone) (forming the primary connection between the bones of the lower limb and the axial skeleton) through the large ball and socket joint of the hip joint, hip. Structure The hip bone is formed by three parts: the Ilium (bone), ilium, ischium, and Pubis (bone), pubis. At birth, these three ...
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Anatomical Terms Of Muscle
Anatomical terminology is used to uniquely describe aspects of skeletal muscle, cardiac muscle, and smooth muscle such as their actions, structure, size, and location. Types There are three types of muscle tissue in the body: skeletal, smooth, and cardiac. Skeletal muscle Skeletal muscle, or "voluntary muscle", is a striated muscle tissue that primarily joins to bone with tendons. Skeletal muscle enables movement of bones, and maintains posture. The widest part of a muscle that pulls on the tendons is known as the belly. Muscle slip A muscle slip is a slip of muscle that can either be an anatomical variant, or a branching of a muscle as in rib connections of the serratus anterior muscle. Smooth muscle Smooth muscle is involuntary and found in parts of the body where it conveys action without conscious intent. The majority of this type of muscle tissue is found in the digestive and urinary systems where it acts by propelling forward food, chyme, and feces in the forme ...
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External Obturator Muscle
The external obturator muscle, obturator externus muscle (; OE) is a flat, triangular muscle, which covers the outer surface of the anterior wall of the pelvis. It is sometimes considered part of the medial compartment of thigh, and sometimes considered part of the gluteal region. Structure It arises from the margin of bone immediately around the medial side of the obturator membrane and surrounding bone, viz., from the inferior pubic ramus, and the ramus of the ischium; it also arises from the medial two-thirds of the outer surface of the obturator membrane, and from the tendinous arch which completes the canal for the passage of the obturator vessels and nerves. The fibers springing from the pubic arch extend on to the inner surface of the bone, where they obtain a narrow origin between the margin of the foramen and the attachment of the obturator membrane. The fibers converge and pass posterolateral and upward, and end in a tendon which runs across the back of the neck o ...
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Quadratus Femoris Muscle
The quadratus femoris is a flat, quadrilateral skeletal muscle. Located on the posterior side of the hip joint, it is a strong external rotator and adductor of the thigh, but also acts to stabilize the femoral head in the acetabulum. Quadratus femoris use in the Meyer's muscle pedicle grafting to prevent avascular necrosis of femur head. Course It originates on the lateral border of the ischial tuberosity of the ischium of the pelvis. From there, it passes laterally to its insertion on the posterior side of the head of the femur: the quadrate tubercle on the intertrochanteric crest and along the quadrate line, the vertical line which runs downward to bisect the lesser trochanter on the medial side of the femur. Along its course, quadratus is aligned edge to edge with the inferior gemellus above and the adductor magnus below, so that its upper and lower borders run horizontal and parallel. At its origin, the upper margin of the adductor magnus is separated from it by th ...
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