Gluteus medius: origin, insertion, nerve supply and action
Quick answer
The gluteus medius is a fan-shaped muscle on the outer surface of the ilium beneath the gluteus maximus. It inserts on the lateral surface of the greater trochanter and is supplied by the superior gluteal nerve. It abducts the thigh and keeps the pelvis level when walking.
Key facts
Origin
Outer surface of the ilium between the anterior and posterior gluteal lines.
Insertion
Lateral surface of the greater trochanter of the femur.
Innervation
Superior gluteal nerve (L4-S1).
Blood supply
Superior gluteal artery.
Action
Abducts the thigh; anterior fibres medially rotate and posterior fibres laterally rotate; stabilises the pelvis during single-leg stance.
3D model: BodyParts3D (CC BY 4.0), adult male reference anatomy. Highlighted structure shown with nearby bones for context.
About the gluteus medius
During walking, the gluteus medius on the standing side stops the pelvis from dropping toward the swinging leg.
Clinical relevance
Weakness or superior gluteal nerve injury produces a positive Trendelenburg sign, in which the pelvis drops on the side opposite the weak muscle when standing on one leg.
The upper outer buttock is used for intramuscular injections to avoid the sciatic nerve.
Frequently asked questions
What is the Trendelenburg sign?
A drop of the pelvis on the unsupported side during single-leg stance, caused by weakness of the gluteus medius and minimus on the standing side.