Greco Anthony J., Vilella Renato C.
LECOM
UNILAVRAS
Gluteus minimus is the smallest muscle of the glutei. It shares many similar characteristics with the gluteus medius, including structure and function, blood supply, and innervation. It is located just beneath the gluteus medius muscle. The gluteus minimus predominantly acts as a hip stabilizer and abductor of the hip. The muscle’s blood supply and innervation are from the superior gluteal artery and superior gluteal nerve, respectively. Damage to the nerve or muscle may result in sagging of the pelvis, also known as the Trendelenburg sign. A total hip arthroplasty (THA) may indirectly or directly affect the gluteus minimus by damage to the superior gluteal nerve or by heterotopic ossification (HO). Other clinically significant conditions include greater trochanteric pain syndrome (GTPS), characterized by tendinopathy of the gluteus minimus. Patients will usually present with tenderness along the greater trochanter on the affected side.
臀小肌是臀肌中最小的肌肉。它与臀中肌有许多相似的特征,包括结构和功能、血液供应和神经支配。它位于臀中肌下方。臀小肌主要作为髋关节的稳定肌和外展肌。该肌肉的血液供应和神经支配分别来自臀上动脉和臀上神经。神经或肌肉损伤可能导致骨盆下垂,也称为特伦德伦伯格征。全髋关节置换术(THA)可能通过损伤臀上神经或异位骨化(HO)间接或直接影响臀小肌。其他具有临床意义的病症包括以臀小肌腱病为特征的大转子疼痛综合征(GTPS)。患者通常会在患侧大转子处出现压痛。