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Gluteus Medius Origin, Insertion, Action, Innervation

Gluteus Medius Anatomy

Gluteus Medius Muscle

Origin: Outer surface of the ilium, between the anterior and inferior gluteal lines, and the edge of the greater sciatic notch
Insertion: Posterolateral surface of the greater trochanter of the femur
Actions: Abduction and internal rotation of the thigh at the hip
Innervation: Superior gluteal nerve (L4, L5, S1)
Blood Supply: Superior gluteal artery from the internal iliac artery

To learn about the pain and symptoms visit The Gluteus Medius Pain Page.

Primary Actions of the Gluteus Medius Muscle

1. Abduction of the thigh at the hip

Agonists:

  • Gluteus maximus (upper fibers)
  • Gluteus minimus

Antagonists:

  • Gluteus maximus (upper fibers)
  • Gluteus medius
  • Gluteus minimus

2.  Internal rotation of the thigh at the hip

  Agonists:

  • Tensor fasciae latae
  • Gluteus minimus (anterior fibers)

  Antagonists:

  • Obturator internus,
  • Obturator externus
  • Gemellus superior
  • Gemellus inferior
  • Quadratus femoris

Adductor longus, adductor brevis, and adductor magnus (anterior part) assist with internal rotation of the thigh at the hip.

Secondary Actions of the Gluteus Medius:

1. Assists with external rotation of the thigh at the hip (posterior fibers)
Agonists:

  • Obturator internus
  • Obturator externus
  • Gemellus superior
  • Gemellus inferior
  • Quadratus femoris

Antagonists:

  • Tensor fasciae latae
  • Gluteus minimus (anterior fibers)
  • Gluteus medius (anterior fibers)

Piriformis, gluteus maximus, and sartorius may also assist with external rotation of the thigh at the hip.

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