The Gluteus Medius Muscle - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video teaches the anatomy of the Gluteus Medius muscle with simple images, this video also provides you with all you need to know about this muscle, its innervation, action, and function. Animation of the gluteus medius video .gluteus medius anatomy, gluteus medius pain and gluteus medius stretch, gluteus medius gait.
The gluteus medius muscle is a favorite item which appears on exam.
Origin: it arises from the dorsal ilium inferior to the iliac crest from the posterior gluteal line to the anterior gluteal line.
The gluteus medius muscle from the middle layer of the gluteal muscles.
Insertion: it inserts into the lateral aspect of the greater trochanter of the proximal femur.
The caudal portion of the gluteus medius tendon is close to the piriformis muscle.
The gluteus medius muscle covers the entire gluteus minimus muscle.
Remember: the gluteus medius muscle runs from the ilium to the greater trochanter of the proximal femur.
The gluteus medius muscle is supplied by the superior gluteal nerve (L4, L5, S1 predominantly L5).
The blood supply comes from the superior gluteal artery which runs above the piriformis muscle.
This artery may become injured due to acetabular fractures either due to the trauma or by the surgery.
This may lead to compromise of the abductor muscles.
Function: Hip abduction: the gluteus medius muscle is the most powerful abductor of the hip joint.
What muscles abduct the hip? Gluteus medius muscle and Gluteus minimus muscle
Gluteus medius muscle: the abductor muscles play an important role in stabilization of the pelvis, the anterior fibers of the gluteus medius muscle provide some internal rotation of the hip and the posterior fibers provide some external rotation of the hip, there is many clinical situations that involve the gluteus medius muscle.
The superior gluteal nerve may be injures due to the Watson- Jones or lateral approach to the hip if the incision extends more than 5 cm above the acetabulum, surgeons like the lateral approach (Hardinge approach) better compared to the posterior approach to the hip because the rate of hip dislocation is less, the superior gluteal nerve will limit the proximal extent of the gluteus medius split.
The superior gluteal nerve is approximately 5 cm proximal from the tip of the greater trochanter.
If you split the gluteus medius muscle about this point, then you run the risk of injuring the superior gluteal nerve and compromise the muscle function.
If injury occurs to the gluteus to the gluteus medius muscle, there will be weakness of hip abduction.
Weakness of the muscle could be seen early after total hip replacement.
The patient will be sent to therapy to regain the strength of the muscle.
Occasionally there is an occult injury or rupture of the muscle itself that goes unrecognized.
Injury to the muscle may sometimes be mistaken for trochanteric bursitis but it is really an occult rupture of the tendon.
MRI may be needed to check for a rupture.
MRI is good even if metal is present around the hip.
Injury may or may not result from surgery I this area.
If there is gluteus medius muscle weakness, the trendelenburg gait may occur.

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[nickibanks]

Very informative & in a way I can actually understand. Clear & precise. I thank you for this video🙂

[superatech]

You did a wonderful job. Very informative and excellent visuals. Thank you!

[JoyceSnell-muju]

Very good information. Explains alot.!!

[bombasticborneo]

Thank you for sharing such precious info🙏🏿🙏🏿

[jeffreymartin]

At 6:57 he talks about the L4-L5 disk affecting the L5 nerve root, but the L4 nerve root is colored red. Because there is no spinal cord at this level the L4-L5 disk can effect any of the nerves of the cauda equina passing at that spot. It is not uncommon for the L4-L5 disk to spare the L4 nerve and affect the L5 nerve, but inside the canal.

[daschundloverable]

I wish I could find a doctor like you.

[Nk-gide]

Thank you very much Nabil thank you thank you, i learn so much from you 🙏🏼

[MrKen]

Very information and wonderful graphical explanation. Thank you. Would hope to learn how to treat the pain and get recovered.

[marcinp]

Thank That explain my L5 nerve and foot pain, and the feeling of longer leg and shorther. 4 years pain in the brain and back. Now i will go train medius and all ass muscles 😅 to much sitting on job!

[muhammadishtiyaque]

very very informative and easy for non English doctors

[aldosuarez]

Excelente video. It is my case. Should I strengthen the weak part so that the healthy part doesn't hurt as much.

[muhammedmikhi]

your videos are amazing, you made me love orthopedics

[mosheeeer]

Thank you very much Dr. Ibraheim
I wish to do fellowship under your supervision.

[Venusencarnate]

Make a video explaining the gluteus minimus

[petulia]

Would severe bone on bone arthritis of the hip cause constant pain where these muscles are? The upper buttock area?

[cwills]

How do you know if this muscle is damaged?

[RichRich]

ATHLEAN-X says it's notoriously the weakest muscle in the body

[randomnezzz]

Can you explain what types of injuries there will be to the obdurator externus muscle and how it relates to the bones it attaches.

[hadastadele]

Hello my name is Hadas i have 4 babys the second one is 17 years old he have hip di location and scoliosis he was 14 times operation his hip 5 times his spin 9 times one of his leg is short now he needs help How can help him Please Please 🙏🙏🙏🙏🙏🙏 i have his Xray and picture Please Please Please 🙏🙏🙏🙏 help my son

[aroundandround]

If someone’s flat butted, would we say he is gluteally minimussed?