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Gluteal Fascia (Right)
Connective Tissue

Gluteal Fascia (Right)

Fascia glutea

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Structure

The gluteal fascia is a deep epimysial fascia that covers the gluteal muscles. It is thin over gluteus maximus muscle and thicker over the anterior two-thirds of gluteus medius muscle, where it is known as the gluteal aponeurosis.

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Anatomical Relations

Proximally, the superficial layer of the gluteal fascia is continuous with the superficial layer of the posterior layer of the thoracolumbar fascia, while its deeper layer is attached to the lateral border of the iliac crest (Huang et al., 2013). The anterior two thirds of gluteus medius muscle is covered by a thicker extension of the gluteal fascia known as the gluteal aponeurosis, which lies between the iliac crest and the superior border of the gluteus maximus muscle. Distally and laterally, both layers are continuous with the iliotibial tract, the fascia lata of the thigh, and the femur. It also attaches to the sacrum and coccyx medially.

Function

The gluteal fascia separates the superficial surfaces of the gluteal muscles from the overlying adipose tissue. It forms a plane that enables gliding between gluteus medius and maximus muscles, in spite of their different fiber orientation.

List of Clinical Correlates

—Proximal iliotibial syndrome

References

Huang, B. K., Campos, J. C., Michael Peschka, P. G., Pretterklieber, M. L., Skaf, A. Y., Chung, C. B. and Pathria, M. N. (2013) 'Injury of the gluteal aponeurotic fascia and proximal iliotibial band: anatomy, pathologic conditions, and MR imaging', Radiographics, 33(5), pp. 1437-52.

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Fascia

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The fascia is also defined as a “the fascial system consists of the three-dimensional continuum of soft, collagen containing, loose and dense fibrous connective tissues that permeate the body” by Fascia Nomenclature Committee (Bordoni and Whitte, 2018), an as “masses of connective tissue large enough to be visible to the unaided eye” by Gray’s Anatomy (Standring, 2016).

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