Download Peritrochanteric and Deep Gluteal Space

Peritrochanteric and Deep Gluteal Space: Anatomy ISHA Annual Meeting September 15-­‐17, 2016 San Francisco, CA Hal David Martin, DO Dallas, TX Peritrochanteric Space • Tensor fasciae latae • Peritrochanteric Space • Gluteus maximus • Vastus lateralis • Gluteus maximus -­‐ Vastus lateralis • Gluteus medius • Gluteus minimus • Greater trochanter facets • Greater trochanter insertions • Bursas • Gluteus medius insertion • Trochanteric bursa variation • Variation • Greater trochanteric bursa supply • Inferior gluteal artery and nerve • Greater trochanter bursae Deep Gluteal Space • Anatomical limits
o linea aspera (lateral); the sacrotuberous ligament and falciform
fascia (medial); the inferior margin of the greater sciatic notch
(superior); the distal border of the ischial tuberosity (inferior).
sacrotuberous and sacrospinous ligaments
• Muscles
o Piriformis, gemellus superior, obturator internus, gemellus inferior,
quadratus femoris, long head of biceps femoris, semitendinosus,
and semimembranosus
• Neural and vascular structures
o posterior femoral cutaneous nerve, superior gluteal nerve, inferior
gluteal nerve, nerve to obturator internus, nerve to quadratus
femoris muscle, pudendal nerve and sciatic nerve.
o superior gluteal vessels, inferior gluteal vessels, and internal
pudendal vessels, and medial circumflex femoral artery.