The anatomical and functional relation between gluteus maximus and fascia lata

被引:81
作者
Antonio, Stecco [1 ]
Wolfgang, Gilliar [2 ]
Robert, Hill [3 ]
Fullerton, Brad [4 ]
Carla, Stecco [5 ]
机构
[1] Univ Padua, Dept Internal Med, Padua, Italy
[2] New York Coll Osteopath Med, New York Inst Technol, Dept Osteopath Manipulat Med, Old Westbury, NY USA
[3] New York Coll Osteopath Med, New York Inst Technol, Dept Anat, Old Westbury, NY USA
[4] Patient Physician Partnership, Austin, TX 78746 USA
[5] Univ Padua, Dept Mol Med, Padua, Italy
关键词
Gluteus maximus; Myofascial insertion; Fascia lata; Iliotibial band;
D O I
10.1016/j.jbmt.2013.04.004
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
There is not full agreement regarding the distal insertions of the gluteus maximus muscle (GM), particularly the insertions into the iliotibial band and lateral intermuscular septum. 6 cadavers, 4 males and 2 females, mean age 69 yr, were dissected to evaluate the insertions of the GM into the iliotibial band, fascia lata, lateral intermuscular septum and femur. The iliotibial band is a reinforcement of the fascia lata and cannot be separated from it. Its inner side is in continuity with the lateral intermuscular septum, which divides the quadriceps from the hamstring. In all subjects the gluteus maximus presented a major insertion into the fascia lata, so large that the iliotibial tract could be considered a tendon of insertion of the gluteus maximus. The fascial insertion of the gluteus maximus muscle could explain the transmission of the forces from the thoracolumbar fascia to the knee. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:512 / 517
页数:6
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