Dorsal gluteal area. Image 1: Rotating image of the anatomy of .

Dorsal gluteal area. Feb 12, 2025 · Learn how to give an intramuscular injection safely and effectively. The muscles located in this region are collectively referred to as the gluteal muscles. However, the The gluteal region is bound by the iliac crest superiorly, the gluteal fold of the round buttock inferiorly, a line joining the anterior superior iliac spine to the front of the greater trochanter laterally, and the natal cleft between the buttocks medially [Fig. fatty pad of the scapula. [3] The major muscles in this region are the gluteus maximus, medius, and minimus, of which the former is the largest Abstract Introduction: Administering intramuscular (IM) injections is common in the adult mental health patient care setting, using the deltoid, vastus lateralis, ventrogluteal, or dorsogluteal site. The gluteus maximus is the biggest muscle in your body. A. Lateral abdomen (enoxaparin) 5. On the other hand, the ventrogluteal side has a thicker gluteal muscle layer and thinner fat layer and is free of penetrating nerves and blood vessels [4]. They are found in the gluteal region, an area overlying the posterior aspect of the pelvic girdle and the proximal part of the femur [1]. What anatomy is here? What are the risks?Music:Bliss by Gregory Davidhttps://ww Jan 4, 2025 · The gluteal region is a popular site for IM injections because of its large muscle mass, accessibility, and low risk of damaging vital structures. The dorsogluteal site (DS) is located in the superior lateral area of the maximus and medius gluteal muscles (Small, 2004). When this nerve is damaged or compressed, a Trendelenburg gait results because of paralysis of the gluteus medius muscle. Let's have a look at the anatomy here to see why. Divide a buttocks in 4 & in the upper outer quadrant in the median (middle) area is the injection site. The ventrogluteal region is farther than the dorsogluteal region from neurovascular structures. GLUTEUS MEDIUS Covered partially by Gluteus maximus Origins: dorsal surface of the ilium between the anterior and posterior gluteal lines and from the gluteal aponeurosis. Containing the gluteus medius muscle, the ventrogluteal (VG) site is located on the superior lateral and identified in the supine, lateral, and prone positions (Cocoman & Murray, 2010; Larkin et al. The Gluteus medius and minimus work together as hip abductors and are vital to normal locomotion (see Jun 27, 2023 · Administering intramuscular (IM) injections is common in the adult mental health patient care setting, using the deltoid, vastus lateralis, ventrogluteal, or dorsogluteal site. If the Nov 16, 2023 · Muscles of the Gluteal Region Ischial Tuberosity 1. Poor technique and incorrect Muscles of The Gluteal Region is the area that covers region of the rear and the side, of the lateral half of the pelvis. Jul 1, 2025 · Anatomy of the gluteal region, muscles, nerves, vessels, and key clinical correlations for diagnosis and procedures. - needle size assessment as subcut fat varies greatly/individual (bone) Only Jul 15, 2025 · The gluteal region is located at the posterior aspect of the pelvis, which contains muscles critical to dynamic movements and upright stability of humans. However, the safe intramuscular injection sites have been controversy in this region. The Dorsogluteal (often referred to as the Upper Outer Quadrant) has been traditionally the choice site of IMI medication administration (Greenway 2004); however, research has been shown to demonstrate that other muscle sites may be preferable for patient safety Jun 15, 2022 · The gluteal muscles are also called the glutes which are a group of the three muscles which is made by to gluteal region & known as buttock. Use all options. Mar 3, 2025 · Explore the anatomy, function, and exercises for strengthening gluteal muscles to improve physical health and performance. We would like to show you a description here but the site won’t allow us. There are three types of Gluteal muscles: Gluteus Maximus- It is the largest muscle among the three muscles. Ventrogluteal What's the Difference? The gluteal and ventrogluteal regions are both located in the buttocks area of the body, but they have different anatomical landmarks for injection sites. Medications injected subcutaneously must diffuse through the subcutaneous tissue to reach capillaries, and then be absorbed into the systemic circulation. Includes the gluteus maximus, gluteus The algorithm describes when each of the ventrogluteal and dorsogluteal sites is appropriate or should be avoided, based on easily obtained anthropometric data. Place the following steps in the correct order. If skin-to-muscle depth is questionable in either sex, an ultrasound-guided intramuscular injection is warranted for accurate dorsogluteal placement. the scapular region encompassing the scapulae and the area around, the dorsal region encompassing the upper back the lumbar region encompassing the lower back. Oct 30, 2023 · The gluteal muscles, also referred to as glutes or buttock muscles, are a muscle group consisting of the gluteus maximus, gluteus medius, gluteus minimus and tensor fasciae latae muscles. Image 1: Rotating image of the anatomy of Intramuscular Injections in the Buttocks Dorsogluteal muscle / Gluteus maximus - Max 4ml This route should be approached with great care due to the potential risk of damage to the Sciatic nerve and superior gluteal artery The approximate route of the Sciatic nerve is shown in pink - please note that this does vary. - Screw the correct needle onto the reservoir. (It's below the "love handles/ muffin top" for many of us) To find the landmarks, place your hand on the patient's hip, with your thumb pointing toward the pubis, and your palm over greater trochanter of femur. Preparation Wash hands thoroughly with soap and warm water, paying attention to the area between the fingers and under the fingernails. The site provides the greatest thickness of gluteal muscles, is free from penetrating nerves and blood vessels, and has a thin layer of fat. Injection Sites Anatomical site of administration may need to be determined by individual patient assessment and circumstance. This site has the best absorption. It can be described as an area of buttocks. Note attachements of these muscles and be able to identify them on the hip bone and femur. The gluteal region is located on the posterior aspect of the hip and is commonly used for intramuscular injections. However, the site is often not Dorsogluteal muscles of the buttocks. Gluteal vs. Comparisons of interventions : Teach nurses the location of alternative, safer More importantly, it originates posterior to the posterior gluteal line of the ilium, on the dorsal surface of the sacrum and coccyx, and on the sacrotuberous ligament. upper aspect of posterior arms, 3. Jul 31, 2009 · Instead, seek out the ventral gluteal. The nurse needs to prepare an insulin pen for injection of a prescribed dose of insulin. **The thigh, upper arm, and dorsal gluteal areas are other sites for subcutaneous injection that are not widely recommended for administration of heparin. 3,17,18 The safety of the ventrogluteal region as an area for administering IM injections is established and the area is identified as a preferred site Question: Should the dorsal gluteal injection site no longer be used in nursing practice? Population: Patients needing Intramuscular injections, both in the inpatient and out patient settings. The musculature is formed principally by the three gluteal muscles: Maximus, medius, and minimus. The skin of each quadrant is innervated by the following peripheral nerves: Upper medial quadrant – supplied by the posterior rami of L1-3 and S1-3 spinal roots. Anterior thighs. Mar 1, 2021 · The gluteal muscles are three muscles that make up the buttocks: the gluteus maximus, gluteus medius, and gluteus minimus. - Dial the dose selector to 2 units. *Sacral plexus = anterior rami, L4-S4. eived specific guidance in administering at that site. 3 days ago · Buttocks (Ventrogluteal Site): The ventrogluteal site is the preferred site for an injection into the buttocks because there are fewer veins and nerves in the area when compared to the dorsogluteal site. Each os coxa is composed of three fused bones: ilium, ischium, and pubis. The site involves the gluteus medius and minimus muscle and is the safest injection site for adults and children. Musi Nov 19, 2020 · Features of nerve related buttock pain Area of Pain: Area of nerve entrapment (nociceptive pain) and area of nerve supply (neuropathic pain) Sciatic entrapment/irritation (deep gluteal syndrome 2) – mid and/or lower buttock pain +/- distal pain (sciatica) +/- lower back pain, but the buttock pain is usually the initial and worst area of pain. The bony component of the gluteal (buttocks) region consists of two pelvic bones (os coxae) joined anteriorly by the symphy-sis pubis and posteriorly by the sacrum. Write the or… This study is important in terms of determining the safe and effective gluteal site for IM injection in older people aged 65 and over, preventing complications that may arise from site selection, and developing nursing policies that consider older people as a special group in the selection of IM inj … Oct 8, 2024 · In adults, the preferred sites for IM injection are the dorsogluteal region, which generally includes the gluteus maximus muscle, and the ventrogluteal region, which includes the gluteus medius and gluteus minimus muscles (Kaya and Palloş 2012; Elgellaie, Ashcroft, and Larkin 2018). It covers the iliac crest from above to the gluteal fold from below. Historically, nurses would give the intramuscular injection in the dorsogluteal area which is located in the ‘upper outer quadrant’ of the gluteal muscle [11]. Study with Quizlet and memorize flashcards containing terms like Dorsal, Scapular, Vertebral and more. It covers the area from iliac crest from above to the gluteal fold below. Muscles of the gluteal region: The gluteal region is located posteriorly to the pelvic girdle, at the proximal end of the femur. Functionally it is part of the lower extremity. This has direct relevance in clinical practice in evidence-based site selection for gluteal intramuscular injections for optimal medication … A buttock injection, also known as a gluteal injection, is a medical procedure in which a substance is injected into the muscles or tissues of the buttocks. Unfortunately, many nurses – trained in two different techniques – are more comfortable using the wrong spot. 2. The IM route allows for rapid absorption of specific medications. The two most commonly used injection sites in the gluteal region are the ventrogluteal and dorsogluteal sites. They are found in the gluteal, or buttock region, overlying the posterior aspect of the pelvic girdle and the proximal part of the femur. Muscles : 1) Gluteus maximus It is big and superficial muscle of gluteal region. Watch the video tutorial now. The proper injection site is located at the upper outer quadrant, and at one third the distance from the iliac crest on the imaginary 45-degree line. For regularly scheduled SubQ injections, rotate injection sites both within each location as well as among sites. The gluteus medius is a broad, thick, radiating muscle, situated on the outer surface of the pelvis. Sep 2, 2013 · If a nurse gives you an intramuscular shot in the wrong spot, it can cause big problems. Introduction Aim Definition of Terms Assessment Special Considerations Companion Documents Links Evidence Table Introduction A medication administered into a muscle is known as an intramuscular (IM) injection. Origins, insertions, innervation and functions of the gluteal muscles. Nov 11, 2016 · The rate of absorption in the gluteus is slower than injection into the deltoid. abdomen (2 inches away from belly button) 4. The gluteal region is a frequent target for injecting high volumes. The anatomical safety of intramuscular injections at the deltoid and ventrogluteal sites has been investigated; however, the anatomical relationship between intramuscular injection sites in the thigh and major blood vessels and nerves remains Apr 1, 2023 · The gluteal region is an anatomically important area at the posterior aspect of the pelvis, which contains muscles critical to dynamic movements and upright stability of humans. The gluteal muscles originate from the ilium and sacrum and insert on the femur. Adverse effects of intramuscular injections have been recognised since the nineteenth century. The dorsogluteal (DG) site contains the gluteus maximus muscle and used for repetitive and large volume injections (Larkin et al. Mar 6, 2025 · parenteral medications Get a hint subcutaneous injection locations upper ventral dorsal gluteal area, scapula, lateral parts of upper arm and thigh, abdomen 1 / 18 OFC recommends the Dorsogluteal site (buttocks) for IM injections because it is the easiest to landmark and the most tolerable (less pain) site for these types of injections. This area is ideal because it is rich in muscle tissue, allowing for better testosterone absorption. the sacral region occurring at the end of the spine, directly above the buttocks. The ventrogluteal injection site is often recommended as a safer location for intramuscular injections. Choosing a muscle is dependent on the medication volume and the age or size of the patient. Anatomically it is part of the trunk. Lower back. Learn about their anatomy and function. To locate the ventrogluteal site, expose one side of the buttocks and use one of the following methods: V method. 11 where the thickness of SAT in the gluteal area was measured using both ultrasound and “a near-infrared ray measuring device” called a PoccoStick. What is ventrogluteal muscle? Ventrogluteal. Accidental injection Study with Quizlet and memorize flashcards containing terms like Are the following anatomical landmarks visible from the anterior or posterior view: dorsal, gluteal, calcaneal?, A person who is standing facing forward with hands at the sides and palms facing forward is the __________ position, Which plane divides the body into right and left parts? and more. Actions of the hip joint. Cleanse the injection site and allow it to dry completely. The muscles of […] Apr 4, 2024 · The gluteal region is located inferior to the lower back and comprises the posterior part of the pelvic area. 14. Jan 6, 2025 · This article focuses on the comparison between the dorsal gluteal and ventrogluteal injection sites, explaining the reasons behind their use and debunking myths about exposure. Femoral nerve, L2-4. Ebraheim’s educational animated video illustrates injection methods of the Gluteal region or the buttock. Learn more about what to expect and more. T he middle of sacroiliac joint marked by a skin dimple. Understand the difference between the ventrogluteal and dorsogluteal sites. Explore key injection sites, needle sizes, and step-by-step techniques for proper administration. The area can be more easily identified by dividing the buttock into four imaginary quadrants. There are two gluteal regions, left and right. However, it is no longer recommended for several reasons: Risk of Hitting the Sciatic Nerve: The dorso-gluteal site is in close proximity to the sciatic nerve, which runs down the back of each leg from the lower spine. g. It comes from the dorsal (posterior) divisions of the L4, L5, and S1 nerve roots of the sacral plexus and innervates the gluteus medius, gluteus minimus, and tensor fasciae latae muscles. There is a need for an evidence-based approach towards site selection for a successful intramuscular injection outcome and to avoid unwanted injection outcomes of inadvertent Which site will the nurse choose?outer aspect of the upper armlower backexterior aspects of the thighlower dorsal gluteal area The nurse is preparing to administer a subcutaneous injection of insulin to a client. It goes laterally up to a virtual line converging the… The dorsogluteal area is found in the superior and lateral part of the gluteal muscles, which is known in the medical field as the upper outer quadrant. Obturator nerve, L2-4. The gluteus Mar 22, 2024 · Location The gluteus maximus is located in the posterior area of the hip, forming the bulk of the buttock region. Gluteal region The gluteal region, or buttock, is bounded superiorly An interesting study of IM injections was published by Masuda et al. For the ventrogluteal injection administered from the same side, total thickness of the muscle was 22·22 ± 5 mm, distance to the superior gluteal artery was 13·87 ± 16 mm and distance to the superior gluteal nerve was 11·82 ± 14 mm. WHY? The si Oct 11, 2024 · Describe the location of the Dorsal Gluteal site for IM inj. The nurse is preparing to administer a subcutaneous injection of insulin to a client. Study with Quizlet and memorize flashcards containing terms like An organ shaped like a hollow tube probably (blank) something. The main components of subcutaneous tissue are fat lobules and loose collagenous connective tissue. Superior dorsal gluteal area (love handlees) 6. It originates from the ilium, dorsal surface of the sacrum, and sacrotuberous ligament, extending down to insert into the iliotibial tract and the gluteal tuberosity on the posterior aspect of the femur. The bones of the gluteal region contain foramina (notches), which serve as conduits for nerves and blood vessels that travel between the pelvis, gluteal Oct 9, 2025 · Learn the precise, medically-approved locations for injections in the buttocks. May 21, 2018 · Enumerate the musscles of gluteal region and their nerve supply. Lower dorsal gluteal area. From superficial to deep lie the gluteus maximus, medius and minimus. Structures Surrounding the Right Hip Joint). The gluteus maximus is an important muscle for hip extension The gluteus maximus is the largest and most superficial of the three gluteal muscles. It is a narrow and thick fleshy mass of a quadrilateral shape, and forms the prominence of the buttocks. Origin : It shows origin from gluteal surface of ilium behind posterior gluteal line, dorsal segment of iliac crest from outer part, from fascia covering erector spinae, from dorsal surface of lower part sacrum, from side of coccyx and from sacrotuberous ligament. Lateral cutaneous nerve of thigh, L2-3 Start studying Body Regions (Posterior/Dorsal). Ebraheim’s educational animated video descri Ensure your knowledge on Intramuscular Injections (acute care) follows the latest clinical guidelines and is reflective of best practices. [2] Symptoms of pain and dysfunction in this area can be manifestations of different conditions such as Sacroiliac Joint Dysfunction, Gluteal Tendinopathy, Lumbar Radiculopathy and Piriformis Syndrome. Outer aspect of the upper arm. Gluteus Maximus, Gluteus Medius & Gluteus Minimus Write the origin, insertion and action of gluteal muscles. Palpable Landmarks Iliac crest Anterior superior iliac spine Greater trochanter Dorsal sacrum and coccyx Posterior superior iliac spine. 1. Apr 18, 2025 · How to locate gluteal injection site and master gluteal injection? The article will tell you answer. Dr. It makes up a large part of the shape and appearance of the hips. External rotator muscles —like the piriformis, superior and inferior gemellus, obturator internus and externus, and quadratus femoris—help rotate the hip outward. Ventrogluteal sites (hip) can be equally as tolerable, however they are much more difficult to landmark and not recommended for anyone other than a medical professional. Regardless of the chosen administration site, do not massage the muscle after the injection is May 21, 2019 · A publication by Lung and Lui (2018) describes the superior gluteal nerve. , An organ that is hard and strong probably (blank) something, An organ that is a flat sheet probably (blank) something and more. Gluteal Region is the back and side of lateral half of pelvic region. Aug 5, 2024 · Posterior View and Lateral View of the Gluteus Muscles All the gluteus muscles take their origin from the dorsal aspect of the hip bone, and insert into the femur bone. Exterior aspects of the thigh. The gluteus muscle is the largest muscle in the human body, forming the most superficial of the gluteal muscles, giving the typical prominence to the nates. The functions of the gluteal muscles are extension, abduction, external rotation, and internal rotation of the hip joint. Nov 21, 2021 · Men have less subcutaneous tissue in the dorsogluteal area and only require longer needles if BMI is 35 and over. [1][2] It is a key conduit for several important neurovascular structures passing into the lower limb. Mar 27, 2025 · The dorsogluteal muscle, located in the buttocks, was a commonly selected site for intramuscular injections for many years. The bones of the gluteal region contain foramina (notches), which serve as conduits for nerves and blood vessels that travel between the pelvis, gluteal Apr 30, 2025 · Gluteal muscles, including the gluteus maximus, medius, and minimus, mainly handle hip extension and stability. The muscles in the gluteal region move the lower limb at the hip-joint. For dorsogluteal injections, the sciatic nerve and superior gluteal artery lies very near to the injection site, so great caution should be taken during the procedure. Three large gluteal muscles: • Gluteus maximus (1) inserted onto the Iliotibial tract (3) • Gluteus medius • Gluteus minimus Note the muscles 1, 2 ,3 ,4 ,5 and 6 on the picture. Landmarking and needle length are key to appropriately placed IM injections. When giving gluteal injections, it is safest to use the upper outer quadrant. Jun 13, 2024 · Gluteal Region The cutaneous innervation to the gluteal region can be organised into quadrants. The bones of the gluteal region contain foramina (notches), which serve as conduits for nerves and blood vessels that travel between the pelvis, gluteal The gluteal muscles (buttock muscles) are a muscle group consisting of the gluteus maximus (the largest and thereby strongest muscle in the body), gluteus medius, gluteus minimus and tensor fasciae latae muscles. Anterior rami of spinal nerves, L1-L4. This is at the level of: 2nd sacral spine. Learn vocabulary, terms, and more with flashcards, games, and other study tools. This extensive muscle covers the posterior hip area and contributes . The Role of Injection Sites in Medical Procedures Injections can be administered in various parts of the body, including the arm, leg, and buttock. Which injection is preferred for allergy skin testing? Oct 2, 2025 · The three gluteus muscles are muscles in your butt. The ventrogluteal region (targeting the gluteus medius1,16) and the vastus lateralis region are free of major nerves and blood vessels. Feb 17, 2023 · The gluteal region plays a pivotal role in the stability of the lower limb and pelvis and contains various key neurovascular structures (see Image. However, evidence-based literature has disputed the use of the dorsogluteal area in favour of the ventrogluteal area, with regard to safety [12]. -Upper arm -Dorsal gluteal area -Abdomen **Heparin is administered subcutaneously at the abdominal site. You may have deep pain in your hip area that improves with rest, ice, compression and elevation (RICE). Doing so prevents tissue damage from repeated injections at the same site. In terms of function, the gluteal muscles act on the hip joint, mainly Once you have found your landmarks, where will you administer the injection?, Why is the Ventral gluteal muscle location a safer option for administering an IM injection than the Dorsal gluteal region? and more. The regions of the back of the arms, from superior to inferior, include Sep 25, 2025 · The superficial gluteal muscles lie within the gluteal region posterolateral to the bony pelvis and proximal femur. The right gluteal region illustrating the posterior view of the superficial gluteal muscles (B) and the deep gluteal muscles (C). Dr. 1]. , 2017). The muscles in this region move the lower limb at the hip joint. Update 2018: Due to recent research, the dorsogluteal site is NO longer recommended as a potential site for a intramuscular injection for nurses. The gluteal region is one place where intramuscular injections can be placed. The muscles of the gluteal region can be broadly divided into two groups: Superficial abductors and extenders – group of large muscles that abduct and extend the femur. Oct 22, 2025 · The gluteal region is an anatomical area located posteriorly to the pelvic girdle, at the proximal end of the femur. Gluteal tendinitis: Repetitive movements cause small micro-tears in your tendons, leading to inflammation and tendinitis. The gluteal muscles are a group of muscles that make up the buttock area; the muscle group consists of the gluteus maximus, gluteus medius, and gluteus minimus. The other muscles cannot be found until you remove the gluteus maximus. Place the opposite hand on the hip of the person getting the injection. Mental health nurses frequently use the dorsogluteal site to administer short and long-acting IM injections as specified in the drug package insert or because of patient agitation. Gluteal tendinopathy: This hip pain is the result of a tendon injury that causes tissue to break down or deteriorate. Jun 1, 2017 · The dorsogluteal and ventrogluteal intramuscular injection sites both have their use in clinical practice; however, it has not been established in whom one or the other should be preferentially targeted or avoided. In the upper outer quadrant of the buttocks. This study was aimed to compare the subcutaneous fat and muscle thicknesses at the two gluteal Internal iliac artery External iliac artery Superior gluteal artery Superior gluteal vein Inferior gluteal artery Inferior gluteal vein Piriformis artery Innervation Lumbar plexus. The buttocks area is imaginarily divided into four quadrants. The choice of site for injection must be based on good clinical judgment, using the best evidence available and Deep buttocks pain can arise from compression, inflammation, or injury of one or more of the structures in this area. Insertion: lateral surface of the greater trochanter on an oblique ridge. The scapular area and the upper ventrodorsal gluteal area can also be used. Learn more at Kenhub! 6 days ago · What Are the Gluteal Muscles The gluteal region, or buttock, refers to the area of the body located behind the pelvis and beneath the iliac crest. The gluteal region includes the rounded, posterior buttocks and the laterally placed hip region. The gluteal region is the transitional area between the trunk and the lower extremity. It lies profound to the gluteus Dorso-Gluteal Muscle and Intramuscular Injections The dorso-gluteal muscle, located in the buttocks, was once a common site for intramuscular injections. gluteus maximus, piriformis, quadratus femoris). Describe the location of the Ventral gluteal site for IM inj. In a narrower sense, gluteal muscles, or “glutes,” often refer only to the three large muscles that shape the buttocks: the gluteus maximus, medius, and Apr 28, 2019 · An overview of the muscles of the gluteal region, including the superficial and deep gluteal muscles (e. Locate top of iliac crest of the hip with 3rd digit. Intervention: The ventral gluteal muscle should be used in place of the dorsal gluteal muscle for intramuscular injections. Jun 10, 2010 · The deltoid is also considered by most to be a more painful injection site than the gluteus. Apr 28, 2025 · Option 1: Glute Injection Site (buttocks) – Most common site Injecting testosterone in the buttocks, specifically in the upper outer quadrant of the gluteal muscle, is one of the most common and most effective methods. Jul 7, 2023 · The ventrogluteal injection site is a point recommended for intramuscular injections. It has a broad area of origination starting from the roughened area of the ilium, dorsal surface of the sacrum, the lateral surface of the coccyx and sacrotuberous ligament of the pelvis. Which site will the nurse choose? outer aspect of the upper arm lower back exterior aspects of the thigh lower dorsal gluteal area outer aspect of the upper arm Article Content Where should an intramuscular (IM) injection be given? Nurses learn there are four possible sites: the arm (deltoid); thigh (vastus lateralis); upper outer posterior buttock (gluteus maximus), also referred to as the dorsogluteal site; and the lateral hip (gluteus medius), also called the ventrogluteal site. It is a tuberosity present on the lower part of the dorsal surface of the ischium. f1 4qtqjv b90 frs jf boxxu reavun glsbyb zyxa rjj