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Superior Gluteal Nerve
The superior gluteal nerve is a nerve that originates in the pelvis. It supplies the gluteus medius muscle, the gluteus minimus muscle, the tensor fasciae latae muscle, and the piriformis muscle. Structure The superior gluteal nerve originates in the sacral plexus. It arises from the posterior divisions of L4, L5 and S1. It leaves the pelvis through the greater sciatic foramen above the piriformis muscle. It is accompanied by the superior gluteal artery and the superior gluteal vein.''Thieme Atlas of Anatomy'' (2006), p 476 It then accompanies the upper branch of the deep division of the superior gluteal artery. It ends in the gluteus minimus muscle and tensor fasciae latae muscle. Function The superior nerve supplies: * tensor fasciae latae muscle.Platzer (2004), p 420 * gluteus minimus muscle. * gluteus medius muscle. * piriformis muscle. The superior gluteal nerve also has a cutaneous branch. Clinical significance Gait In normal gait, the small gluteal muscles on the sta ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Gluteus Medius
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. Structure The gluteus medius muscle starts, or "originates", on the outer surface of the ilium between the iliac crest and the posterior gluteal line above, and the anterior gluteal line below; the gluteus medius also originates from the gluteal aponeurosis that covers its outer surface. The fibers of the muscle converge into a strong flattened tendon that inserts on the lateral surface of the greater trochanter. More specifically, the muscle's tendon inserts into an oblique ridge that runs downward and forward on the lateral surface of the greater trochanter. Relations A bursa separates the tendon of the muscle from the surface of the trochanter over which it glid ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Thieme Medical Publishers
Thieme Medical Publishers is a German medical and science publisher in the Thieme Publishing Group. It produces professional journals, textbooks, atlases, monographs and reference books in both German and English covering a variety of medical specialties, including neurosurgery, orthopaedics, endocrinology, urology, radiology, anatomy, chemistry, otolaryngology, ophthalmology, audiology and speech-language pathology, complementary and alternative medicine. Thieme has more than 1,000 employees and maintains offices in seven cities worldwide, including New York City, Beijing, Delhi, Stuttgart, and three other cities in Germany. History Georg Thieme Verlag was founded in 1886 in Leipzig, Germany, by Georg Thieme when he was 26 years old. Thieme remains privately held and family-owned. The company received some early success in 1896 by publishing Wilhelm Röntgen's famous picture of his wife's hand in what is still one of Thieme's and Germany's oldest journals, the ''Deutsche ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Inferior Gluteal Nerve
The inferior gluteal nerve is the main motor neuron that innervates the gluteus maximus muscle. It is responsible for the movement of the gluteus maximus in activities requiring the hip to extend the thigh, such as climbing stairs. Injury to this nerve is rare but often occurs as a complication of posterior approach to the hip during hip replacement. When damaged, one would develop gluteus maximus lurch, which is a gait abnormality which causes the individual to 'lurch' backwards to compensate lack in hip extension. Anatomy The largest muscle of the posterior hip, gluteus maximus, is innervated by the inferior gluteal nerve.Skalak, A. F., et al. "Relationship of Inferior Gluteal Nerves and Vessels: Target for Application of Stimulation Devices for the Prevention of Pressure Ulcers in Spinal Cord Injury." Surgical and Radiologic Anatomy 30.1 (2008): 41-45. Print. It branches out and then enters the deep surface of the gluteus maximus, the principal extensor of the thigh, and ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Nephrectomy
A nephrectomy is the surgical removal of a kidney, performed to treat a number of kidney diseases including kidney cancer. It is also done to remove a normal healthy kidney from a living or deceased donor, which is part of a kidney transplant procedure. History The first recorded nephrectomy was performed in 1861 by Erastus B. Wolcott in Wisconsin. The patient had had a large tumor and the operation was initially successful, but the patient died fifteen days later. The first planned nephrectomy was performed by the German surgeon Gustav Simon on August 2, 1869, in Heidelberg. Simon practiced the operation beforehand in animal experiments. He proved that one healthy kidney can be sufficient for urine excretion in humans. Indications There are various indications for this procedure, including renal cell carcinoma, a non-functioning kidney (which may cause high blood pressure) and a congenitally small kidney (in which the kidney is swelling, causing it to press on nerves, which ca ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Intramuscular Injection
Intramuscular injection, often abbreviated IM, is the injection of a substance into a muscle. In medicine, it is one of several methods for parenteral administration of medications. Intramuscular injection may be preferred because muscles have larger and more numerous blood vessels than subcutaneous tissue, leading to faster absorption than subcutaneous or intradermal injections. Medication administered via intramuscular injection is not subject to the first-pass metabolism effect which affects oral medications. 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 discomfort to the individual. The volume to be injected in the muscle is usually limited to 2–5 milliliters, depending on in ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Myopathic Gait
Myopathic gait (or waddling gait) is a form of gait abnormality. The "waddling" is due to the weakness of the proximal muscles of the pelvic girdle. The patient uses circumduction to compensate for gluteal weakness. Conditions associated with a myopathic gait include pregnancy, congenital hip dysplasia, muscular dystrophies Muscular dystrophies (MD) are a genetically and clinically heterogeneous group of rare neuromuscular diseases that cause progressive weakness and breakdown of skeletal muscles over time. The disorders differ as to which muscles are primarily affe ... and spinal muscular atrophy. References See also * Myopathy Gait abnormalities {{med-sign-stub ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Duchenne De Boulogne
Guillaume-Benjamin-Amand Duchenne (de Boulogne) (September 17, 1806 in Boulogne-sur-Mer – September 15, 1875 in Paris) was a French neurologist who revived Galvani's research and greatly advanced the science of electrophysiology. The era of modern neurology developed from Duchenne's understanding of neural pathways and his diagnostic innovations including deep tissue biopsy, nerve conduction tests ( NCS), and clinical photography. This extraordinary range of activities (mostly in the Salpêtrière) was achieved against the background of a troubled personal life and a generally indifferent medical and scientific establishment. Neurology did not exist in France before Duchenne and although many medical historians regard Jean-Martin Charcot as the father of the discipline, Charcot owed much to Duchenne, often acknowledging him as "''mon maître en neurologie''" (my master in neurology). The American neurologist Dr. Joseph Collins (1866–1950) wrote that Duchenne found neurolo ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Trendelenburg's Sign
Trendelenburg's sign is found in people with weak or paralyzed abductor muscles of the hip, namely gluteus medius and gluteus minimus. 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 Trendelenburg sign is said to be positive if, when standing on one leg (the 'stance leg'), the pelvis severely drops on the side opposite to the stance leg (the 'swing limb'). The muscle weakness is present on the side of the stance leg. If the patient compensates for this weakness (by tilting their trunk/thorax to the affected side), then the pelvis will be raised, rather than dropped, on the side opposite to the stance leg. Ergo, in the same situation, the patient's hip may be dropped or raised, dependent upon whether the patient is actively compensating, as above, or not. Compensation shifts the centre of gravity to the affected side, and also decrea ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Trendelenburg Gait
Trendelenburg gait, named after Friedrich Trendelenburg, is an abnormal gait. It is caused by weakness or ineffective action of the gluteus medius muscle and the gluteus minimus muscle. 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 greater trochanter of the femur, provide the effort. The causes can thus be categorized systematically as failures of this lever system at various points. Signs and symptoms During the stance phase, or when standing on one leg, the weakened abductor muscles allow the pelvis to tilt down on the opposite side. To compensate, the trunk lurches to the weakened side to attempt to maintain a level pelvis throughout the gait cycle. When the hip abductor muscles (gluteus medius and minimus) are weak or ineffective, the stabilizing effect of these muscles during gait ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Gait Disturbance
Gait deviations are nominally referred to as any variation of standard human gait, typically manifesting as a coping mechanism in response to an anatomical impairment. Lower-limb amputees are unable to maintain the characteristic walking patterns of an able-bodied individual due to the removal of some portion of the impaired leg. Without the anatomical structure and neuromechanical control of the removed leg segment, amputees must use alternative compensatory strategies to walk efficiently. Prosthetic limbs provide support to the user and more advanced models attempt to mimic the function of the missing anatomy, including biomechanically controlled ankle and knee joints. However, amputees still display quantifiable differences in many measures of ambulation when compared to able-bodied individuals. Several common observations are whole-body movements, slower and wider steps, shorter strides, and increased sway. Presentation and causes Lower-limb amputations Over 185,0 ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Coronal Plane
The coronal plane (also known as the frontal plane) is an anatomical plane that divides the body into dorsal and ventral sections. It is perpendicular to the sagittal and transverse planes. Details The coronal plane is an example of a longitudinal plane. For a human, the mid-coronal plane would transect a standing body into two halves (front and back, or anterior and posterior) in an imaginary line that cuts through both shoulders. The description of the coronal plane applies to most animals as well as humans even though humans walk upright and the various planes are usually shown in the vertical orientation. The sternal plane (''planum sternale'') is a coronal plane which transects the front of the sternum. Etymology The term is derived from Latin ''corona'' ('garland, crown'), from Ancient Greek κορώνη (''korōnē'', 'garland, wreath'). The coronal plane is so-called because it lies in the direction of Coronal suture. Additional images File:Coronal plane CT scan of t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
