Gluteus medius

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Gluteus medius is one of the three gluteal muscles located on the outer surface of the pelvis. Its primary role is to act as a stabilizer of the hip and to facilitate movement such as abduction (movement away from the midline of the body), internal rotation, and external rotation of the thigh. The gluteus medius is crucial for the maintenance of proper posture and gait.

Anatomy

The gluteus medius muscle originates from the outer surface of the ilium, between the anterior and posterior gluteal lines. It inserts into the lateral aspect of the greater trochanter of the femur. This muscle is partially covered by the gluteus maximus on its posterior aspect and is situated superior to the gluteus minimus.

Function

The primary function of the gluteus medius is to abduct the thigh at the hip joint. It also plays a significant role in mediating both internal and external rotation of the thigh, depending on the position of the hip. During activities such as walking or running, the gluteus medius helps to stabilize the pelvis on the leg that is not bearing weight. This action prevents the dropping of the pelvis on the opposite side, a phenomenon known as the Trendelenburg sign, which indicates weakness or dysfunction of the gluteus medius.

Clinical Significance

Weakness or injury to the gluteus medius can lead to gait abnormalities and lower back, hip, or knee pain. Conditions such as Trendelenburg gait and hip bursitis are often associated with dysfunction of the gluteus medius. Physical therapy exercises aimed at strengthening the gluteus medius are commonly prescribed for individuals experiencing these issues.

Rehabilitation and Strengthening

Exercises such as side-lying leg lifts, single-leg squats, and hip abduction movements are effective in strengthening the gluteus medius. Proper technique and gradual progression of these exercises are important to avoid further injury and to ensure optimal muscle development.

See Also

• Gluteal muscles
• Hip joint
• Pelvis
• Trendelenburg gait
• Physical therapy