Under this head will be described the muscles of the outer surface of
the pelvis and thigh, and those which form the posterior contour of the
latter. They are given in the order in which they may be conveniently
examined.
1. =Tensor fasciæ latæ= (Fig. 178).—This is the most anterior muscle of
the superficial layer. It is triangular in form, with its apex at the
external angle of the ilium.
_Origin._—The external angle of the ilium.
_Insertion._—The fascia lata, and thus indirectly to the patella, the
external straight ligament, and the crest of the tibia.
_Action._—To tense the fascia lata, flex the hip joint, and extend the
stifle joint.
_Structure._—The muscle arises by a rather small head, about two inches
(ca. 5 cm.) wide, on the antero-inferior eminence of the external angle
of the ilium. Below this the belly spreads out and terminates about
midway between the point of the hip and the stifle in the aponeurosis.
The belly fuses to a considerable extent with the superficial gluteus.
The aponeurosis fuses with the fascia lata, and detaches a lamina which
passes with the tendon of insertion of the superficial gluteus to the
external border of the femur.
_Relations._—Externally, the skin and fascia; internally, the obliquus
abdominis externus, the iliacus, superficial gluteus, rectus femoris,
and vastus externus, branches of the circumflex iliac, ilio-lumbar, and
iliaco-femoral arteries, and the anterior gluteal nerve; anteriorly, the
precrural lymph glands. A considerable quantity of connective tissue is
found between the deep face of the muscle and the abdominal wall.
_Blood-supply._—Circumflex iliac, ilio-lumbar, and iliaco-femoral
arteries.
_Nerve-supply._—Anterior gluteal nerve.
2. =Gluteus superficialis= (Figs. 178, 199) (Superficial gluteus;
gluteus externus).—This muscle lies behind and partly underneath the
tensor fasciæ latæ. It is triangular and consists of an anterior and a
posterior head united by the gluteal fascia.
_Origin._—(1) The external angle and the adjacent part of the external
border of the ilium (anterior head); (2) the gluteal fascia (posterior
head).
_Insertion._—The third (external) trochanter of the femur.
_Action._—To abduct the limb, flex the hip joint, and tense the gluteal
fascia.
_Structure._—The anterior head of the muscle is not completely separable
(except artificially) from the tensor fasciæ latæ. The attachment to the
border of the ilium is by means of an intermuscular septum, which passes
beneath the thick outer border of the gluteus medius. The posterior head
arises from the deep face of the gluteal fascia, and so indirectly from
the dorsal sacro-iliac ligament. The two heads unite and terminate on a
strong flat tendon, which is inserted into the edge of the third
trochanter of the femur, beneath the biceps femoris.
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