Gemellus Inferior: Difference between revisions

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<div class="editorbox"> '''Original Editor '''- [[User:User Name|Nikhil Benhur Abburi]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>
<div class="editorbox"> '''Original Editor '''- [[User:User Name|Nikhil Benhur Abburi]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>
== Description:  ==
Gemellus inferior is a small muscle along the lower border of the Tendon of the Obturator internus <ref>Häggström, Mikael (2014). "Medical gallery of Mikael Häggström 2014". ''WikiJournal of Medicine'' '''1''' (2). DOI:[https://doi.org/10.15347/wjm/2014.008 10.15347/wjm/2014.008]. ISSN [https://www.worldcat.org/issn/2002-4436 2002-4436]</ref>.


=== Origin: ===
Ischial tuberosity Lower part of lesser sciatic notch


=== Insertion: ===
== Description ==
Blends with tendon of obturator internus, and gets inserted into medial surface of greater trochanter of femur
[[File:Gluteal muscles gemelli.webp|alt=|thumb|620x620px]]
Gemellus inferior is the second of the '''gemelli''' '''muscles.'''<ref>Miniato MA, Varacallo M. Anatomy, Back, Lumbosacral Trunk. InStatPearls [Internet] 2019 Mar 9. StatPearls Publishing.</ref> It lies inferior to [[Gemellus Superior|gemellus superior]] and the [[Obturator Internus|Obturator internus]] tendon <ref>Häggström, Mikael (2014). "Medical gallery of Mikael Häggström 2014". ''WikiJournal of Medicine'' '''1''' (2). DOI:[https://doi.org/10.15347/wjm/2014.008 10.15347/wjm/2014.008]. ISSN [https://www.worldcat.org/issn/2002-4436 2002-4436]</ref>. It is a triangle-shaped muscle<ref name=":0">Lezak B, Massel DH. Anatomy, bony pelvis and lower limb, gemelli muscles.


=== Nerve supply: ===
</ref> found in the deep gluteal space<ref name=":1">Carro LP, Hernando MF, Cerezal L, Navarro IS, Fernandez AA, Castillo AO. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5193530/ Deep gluteal space problems: piriformis syndrome, ischiofemoral impingement and sciatic nerve release.] Muscles, ligaments and tendons journal. 2016 Jul;6(3):384.</ref>. The inferior gemellus joins the [[Gemellus Superior|superior gemellus]] and [[Obturator Internus|obturator internus]] as a conjoined tendon, the triceps coxae<ref name=":0" />.
Nerve to quadratus femoris (L4, L5, S1)


=== Artery : ===
== Origin ==
Supplied by medial circumflex femoral artery
[[Pelvis|Ischial tuberosity]]<ref name=":0" /> and lower part of lesser sciatic notch.


== Function: ==
== Insertion  ==
Lateral rotators of thigh at the hip joint
The inferior gemellus, together with the superior gemellus and obturator internus, insert on the greater trochanter of [[femur|femur.]]<ref name=":0" />


== Clinical relevance:  ==
== Nerve Supply ==
The nerve to Quadratus Femoris innervates the inferior gemellus (L4, L5, S1)<ref name=":0" /><ref>Honma S, Jun Y, Horiguchi M. The human gemelli muscles and their nerve supplies. Kaibogaku zasshi. Journal of anatomy. 1998 Aug;73(4):329-35.</ref>.


== Assessment:  ==
== Artery ==
It is supplied by the inferior gluteal artery<ref name=":0" />.


== Treatment: ==
== Function ==
The two gemelli's primary function is to externally (laterally) rotate and extend the [[hip]]<ref name=":0" />. It also contributes to hip abduction while the hip is in flexion<ref name=":0" />.


== References:   ==
{{#ev:youtube|SWuoa-XJPXg}}<ref>Kenhub - Learn human anatomy. Functions of the gemelli muscles (preview) - 3D Human Anatomy | Kenhub. Available from: https://www.youtube.com/watch?v=SWuoa-XJPXg [last accessed 25/07/2019]</ref>


== Clinical significance ==
Gemelli-obturator syndrome occurs when there is a dynamic compression of the sciatic nerve during stretching of the gemelii-obturator complex<ref name=":0" /><ref name=":1" />. It is a rare condition and is a possible diagnosis for [[Deep Gluteal Pain Syndrome|deep gluteal syndrome]].<ref name=":1" />Symptoms include pain and/or dysesthesias in the hip, buttock or posterior thigh, with or without non-discogenic radicular pain<ref name=":1" />.
== References  ==
<references />
<references />


[[Category:Anatomy]]  
[[Category:Anatomy]]  
[[Category:Muscles]]
[[Category:Muscles]]

Latest revision as of 19:11, 27 June 2023


Description[edit | edit source]

Gemellus inferior is the second of the gemelli muscles.[1] It lies inferior to gemellus superior and the Obturator internus tendon [2]. It is a triangle-shaped muscle[3] found in the deep gluteal space[4]. The inferior gemellus joins the superior gemellus and obturator internus as a conjoined tendon, the triceps coxae[3].

Origin[edit | edit source]

Ischial tuberosity[3] and lower part of lesser sciatic notch.

Insertion[edit | edit source]

The inferior gemellus, together with the superior gemellus and obturator internus, insert on the greater trochanter of femur.[3]

Nerve Supply[edit | edit source]

The nerve to Quadratus Femoris innervates the inferior gemellus (L4, L5, S1)[3][5].

Artery[edit | edit source]

It is supplied by the inferior gluteal artery[3].

Function[edit | edit source]

The two gemelli's primary function is to externally (laterally) rotate and extend the hip[3]. It also contributes to hip abduction while the hip is in flexion[3].

[6]

Clinical significance[edit | edit source]

Gemelli-obturator syndrome occurs when there is a dynamic compression of the sciatic nerve during stretching of the gemelii-obturator complex[3][4]. It is a rare condition and is a possible diagnosis for deep gluteal syndrome.[4]Symptoms include pain and/or dysesthesias in the hip, buttock or posterior thigh, with or without non-discogenic radicular pain[4].

References[edit | edit source]

  1. Miniato MA, Varacallo M. Anatomy, Back, Lumbosacral Trunk. InStatPearls [Internet] 2019 Mar 9. StatPearls Publishing.
  2. Häggström, Mikael (2014). "Medical gallery of Mikael Häggström 2014". WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.008. ISSN 2002-4436
  3. 3.0 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 Lezak B, Massel DH. Anatomy, bony pelvis and lower limb, gemelli muscles.
  4. 4.0 4.1 4.2 4.3 Carro LP, Hernando MF, Cerezal L, Navarro IS, Fernandez AA, Castillo AO. Deep gluteal space problems: piriformis syndrome, ischiofemoral impingement and sciatic nerve release. Muscles, ligaments and tendons journal. 2016 Jul;6(3):384.
  5. Honma S, Jun Y, Horiguchi M. The human gemelli muscles and their nerve supplies. Kaibogaku zasshi. Journal of anatomy. 1998 Aug;73(4):329-35.
  6. Kenhub - Learn human anatomy. Functions of the gemelli muscles (preview) - 3D Human Anatomy | Kenhub. Available from: https://www.youtube.com/watch?v=SWuoa-XJPXg [last accessed 25/07/2019]