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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.