Superior gluteal nerve (L4–S1)

Nerves · L4 L5 S1

The only nerve to leave the greater sciatic foramen ABOVE piriformis, with the superior gluteal vessels. Runs laterally between gluteus medius and minimus and ends in tensor fasciae latae.

Traced from the start

  1. L4 anterior ramusL5 anterior ramus
  2. S1 anterior ramusS2 anterior ramus
  3. Lumbosacral trunk (L4–L5)Sacral plexus posterior divisions
  4. Superior gluteal nerve (L4–S1)

Detail

Motor
Gluteus medius, gluteus minimus, tensor fasciae latae — the hip abductors that hold the pelvis level in single-leg stance
Sensory
None

When it goes wrong

Injury in lateral or posterior hip arthroplasty, an intramuscular injection placed in the upper inner buttock, or an L5 root lesion

Positive Trendelenburg sign: standing on the affected leg, the pelvis drops on the opposite (unsupported) side; waddling Trendelenburg gait with the trunk lurching over the weak hip

Practise this structure

1 question in the bank tagged Superior Gluteal Nerve.