The anatomical and functional relation between gluteus maximus and fascia lata
The anatomical and functional relation between gluteus maximus and fascia lata
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DOI：
10.1016/j.jbmt.2013.04.004
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发表时间：
2013-10-01
影响因子：
1.4
通讯作者：
Carla, Stecco
中科院分区：
文献类型：
--
作者：
Antonio, Stecco;Wolfgang, Gilliar;Carla, Stecco
关于臀大肌远端的止点，尤其是髂胫束和外侧肌间隔的止点，目前尚无完全一致的看法。解剖6具身体标本，男4具，女2具，平均年龄69岁，观察GM在髂胫束、阔筋膜、外侧肌间隔和股骨的植入情况。髂胫束是阔筋膜的加强，不能与其分离。其内侧与分隔股四头肌和腿筋的外侧肌间隔连续。在所有受试者中，臀大肌主要插入阔筋膜，如此之大，以至于髂胫束可以被认为是臀大肌的附着腱。臀大肌筋膜止点可以解释力量从胸腰筋膜到膝关节的传递。(C)2013爱思唯尔有限公司。保留所有权利。
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.