It is important to assess the level of obesity by BMI, distribution of weight (waist circumference), and the extent of co-morbidity, in order to provide effective treatment and assess level of disease risk (Table 3). 7,11,12 Patient engagement as a central agent in management is fundamental.
Muscular sheath â forms a sheath for the tensor fascia lata muscle. Tensor Fascia Lata (TFL) The tensor fascia lata is a gluteal muscle that acts as a flexor, abductor and internal rotator of the hip. Its nomenclature however, is derived from its additional role in tensing the fascia lata. The muscle originates from the iliac crest, and descends down the superolateral thigh.
Origin: Outer surface of the anterior iliac crest, between the tubercle of the iliac spine. A thick fascia covers the outer surface of the muscle, making it appear to be sandwiched between the layers of fasciae latae. Insertion: By the iliotibial band anterior surface of the lateral condyle of the tibia. Action: Assists with flexion of the thigh at the hip, assists with adduction of the thigh at the hip.