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Gluteus maximus and powerful hip extension

Gluteus maximus, the largest of the gluteal muscles (the muscles of the buttock), is the main extensor of the hip, moving the thigh backwards.

Remember

The inferior gluteal nerve supplies gluteus maximus, the main extensor of the hip, which is used mainly when force is needed, such as rising from sitting or climbing stairs. Abduction and keeping the pelvis level belong to gluteus medius and minimus.

Gluteus maximus is the largest and most superficial of the gluteal muscles, and it gives the buttock its shape. It arises from the back of the ilium (the upper bone of the pelvis), the sacrum and the coccyx. It attaches to the femur at the gluteal tuberosity (a rough ridge on the upper femur) and to the iliotibial tract (a thick band of connective tissue down the outer thigh).

Its main job is hip extension: moving the thigh backwards, or bringing the trunk upright over a fixed thigh. Because the muscle runs behind the hip joint, contraction pulls the thigh backwards. It is called on mainly when force is needed, such as rising from a seated position, climbing stairs or sprinting, although it also contributes during normal walking. It gives some help with lateral rotation (turning the thigh outwards) as well.

The inferior gluteal nerve supplies the muscle. A deep wound over the back of the hip can injure the muscle or its nerve, and it then becomes hard to stand up from sitting or to climb stairs.

Do not confuse it with gluteus medius and gluteus minimus. They lie deep to it, abduct the hip (move the thigh out to the side), turn the thigh inwards, and keep the pelvis level when one foot is off the ground. They are supplied by the superior gluteal nerve. So when hip extension is weak but abduction and medial rotation are normal, think of gluteus maximus.

Key facts

Main action
powerful extension of the hip, moving the thigh backwards
Nerve supply
inferior gluteal nerve (L5, S1, S2)
Used mainly
when force is needed, such as rising from sitting, climbing stairs or sprinting, though it also contributes during normal walking
Secondary action
some help with lateral rotation, turning the thigh outwards
Attachments
the back of the ilium, sacrum and coccyx to the iliotibial tract and the femur
Do not confuse
gluteus medius and minimus abduct and medially rotate the hip and are supplied by the superior gluteal nerve

Exam traps

  • Abduction (moving the thigh out to the side) is produced mainly by gluteus medius and gluteus minimus, not gluteus maximus. The gluteal muscles are often grouped together as abductors and extenders, which makes it tempting, but gluteus maximus is chiefly the extensor.
  • Extension of the knee is the job of the quadriceps femoris on the front of the thigh. Gluteus maximus acts mainly at the hip joint, so sharing the word extension does not make it a knee extensor.
  • Iliopsoas does not extend the hip. It is the main hip flexor, lifting the thigh forwards, so it produces the opposite movement, even though it is strongly active in running.

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Last updated 6 November 2026. For medical education only, not clinical advice.