Week 6 Lecture Material Flashcards

1
Q

what are the boundaries of the gluteal region

A

superior: crest of ilium
median: sacrum and coccyx
inferior: sacrotuberous ligament and ischial tuberosity.
laterally: greater trochanter

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2
Q

the top of the iliac crest is at about which vertebral level

A

L3-L4.

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3
Q

what are some things that attach to the ASIS

A

the sartorius, internal oblique, transverse abdonimus and ilioinguinal ligament

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4
Q

what comes out of the greater sciatic foramen

A

the superior and inferior gluteal arteries

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5
Q

cutaneous innervation?

A
superior cluneals from dorsal rami L1-3
middle cluneals from dorsal rami S1-3
inferior cluneals from posterior femoral cutaneous nerve
braches subcostal (T12), iliohypogastric and lateral femoral cutaneous nerve.
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6
Q

T12-L1 are the ____

Cluneals are the ___

A

hips, butt

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7
Q

muscles of the butt region are primarily involved with

A

abduction and lateral rotation of the thigh.

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8
Q

what innervates the butt muscles

A

inferior and superior gluteal nerves

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9
Q

what are the inferior and superior gluteal nerves branches off of

A

the lumbosacral plexus

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10
Q

what are some rotators

A

quadratus femoris and obturator internus.

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11
Q

sacrotuberous ligament

A

from the PIIS, sacrum, coccyx to the ischial tuberosity

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12
Q

sacrospinous ligament

A

from sacrum and coccyx to ischial spine.

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13
Q

which ligament is more anterior? the sacrospinous of tuberous

A

sacrospinous

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14
Q

the sacrospinous ligament and the sacrotuberous ligament transform the what into foramina

A

the greater and lesser sciatic notches.

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15
Q

Gluteus maximus

A

O: ilium posterior to gluteal line, sacrum, sacrotuberous ligament and coccyx
I: gluteal tuberosity and ITB
N: inferior gluteal nerve
A: extends hip run/climb and sit to stand, and laterally rotates.

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16
Q

Piriformis

A

O: pelvic surface of sacrum
I: grater trochanter
N: nerve to piriformis
A: lat rotation and extension.

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17
Q

from superficial to deep, how do the butt muscles go

A

maximus, medius, minimus.

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18
Q

where does the inferior gluteal nerve go

A

through the greater sciatic notch under the piriformis.

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19
Q

Gluteus medius

A

O: ilium (between iliac crest and sup. gluteal line)
I: greater trochanter
N: superior gluteal nerve
A: abducts and medially rotates hip

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20
Q

Obturator internus

A

O: obturator membrane
I: greater trochanter
N: nerve to obturator internus
A: laterally rotates and extends thigh.

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21
Q

obturator internus is sandwiched underneath what

A

the gemellus muscles

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22
Q

Superior Gemellus

A

O: ischial spine
I: greater trochanter
N: nerve to obturator internus
A: lat rotate and extend thigh

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23
Q

Inferior Gemellus

A

O: ischial tuberosity
I: greater trochanter
N: nerve to quadratus femoris
A: laterally rotate and extend thigh

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24
Q

Quadratus femoris

A

O: ischial tuberosity
I: intertrochanteric crest
N: nerve to quadratus femoris
A: laterally rotate and extend thigh.

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25
Q

Gluteus minimus

A

O: ilium between superior and inferior gluteal lines
I: greater trochanter
N: superior gluteal nerve
A: abduct and medially rotate

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26
Q

Obturator Externus

A

O: obturator membrane
I: trochenteric fossa
N: obturator nerve
A: adduct and laterally rotate thigh

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27
Q

Tensor Fascia Lata

A

O: iliac crest
I: ITB
N: superior gluteal nerve
A: abducts and flexes thigh

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28
Q

How does the ITB and fascia lata interact

A

the FL in sandwiched between the layers of the ITB

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29
Q

what bone does the ITB attach

A

the tibia

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30
Q

Superior gluteal nerve and vessels pass through the ____ just ___ to the piriformis

A

greater sciatic foramen superior to the piriformis

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31
Q

what do the superior gluteal vessels provide to

A

the superficial gluteal Maximus. also pass between the glut med and min to reach the TFL

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32
Q

inferior gluteal nerve and vessels exit the ___ just __ to the piriformis. innervate what

A

grater sciatic foramen just inferiorly. innervate the deep surface of the gluteal Maximus

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33
Q

Where does the sciatic nerve pass though. inferior or superior to piriformis?

A

the greater sciatic foramen and inferior to piriformis

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34
Q

what muscles does the sciatic nerve run posterior to

A

the obturator interns, gemelli and quadrates femoris

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35
Q

posterior femoral cutaneous nerve. how does it run, where does it supply cutaneous info to and what does it give off

A

runs medial to sciatic nerve
supplies cutaneous of posterior thigh
gives off inferior cluneals which is the bottom of the butt.

36
Q

in what percent of people does the sciatic nerve pass under the piriformis

A

87.3%

37
Q

which of the two nerves in the sciatic nerve may pass either in or above the piriformis? by what percents?

A

the common peroneal (12.2 through, and 0.5% above).

38
Q

what nerve runs in through the greater sciatic foramen and out of the lesser sciatic foramen

A

pudendal nerve

39
Q

what muscles does the obturator internus nerve supply

A

the obturator internus and the superior gemelli.

40
Q

the nerve to the quadratus femoris also supplies what

A

the inferior gemelli.

41
Q

cluneals means….

A

BUTT

42
Q

the superior gluteal artery and vein give rise to what? where are they?

A

the superficial branch of the superior gluteal branch and the deep gluteal branch. Superficial goes to gluteal max (superficial). the deep goes between the medius and minimus

43
Q

the medial femoral circumflex anastomoses with the ___

A

inferior gluteal artery and vein

44
Q

the circumflex arteries wrap around…

A

the head and neck of femur

45
Q

what are the superficial gluteal muscles

A

the glut max, med and min.

46
Q

deep gluteal muscles

A

piriformis, gemelli, obturator internus and externes.quadratus femoris.

47
Q

TFL is superficial or deep?

A

superficial

48
Q

what does the TFL do

A

Abducts

49
Q

what nerves innervate the skin of the posterior thigh and popliteal fossa

A

the posterior femoral cutaneous (S1-3) ventral primary rami.

50
Q

Biceps femoris Long Head and Short head

A

O: ischial tuberosity (long) linea aspera (short)
I: head of fibula and tibia
N: tibial portion sciatic (long) and common peroneal of sciatic for short head
A: extend thigh and flex knee.

51
Q

the bicep femoris is supplied by what nerve

A

the sciatic. Long head = tibial short head = common peroneal

52
Q

the semitendinosis is more like a tendon ___ and the semimembranosis if more like a tendon ___

A

distally

proximally.

53
Q

which head of the biceps femoris is more superficial

A

the long head

54
Q

Semitendinosis

A

O: ischial tuberosity
I: medical surface of tibia (inf. to condyle)
N: tibial portion sciatic
A: extend thigh, flex leg and medially rotate knee

55
Q

Semimembranosis

A

O: ischial tuberosity
I: medial condyle of the tibia
N: Tibial portion sciatic
A: extend thigh, flex knee, medially rotate knee.

56
Q

When looking at a cross sectional area of the leg, the sciatic nerve has two branches. The bigger one is the __ portion

A

tibial portion. the other one is the common peroneal.

57
Q

the femur is rounded anteriorly and pointed posteriorly. why?

A

linea aspera

58
Q

the profound femoris is kinda smashed between the

A

adductor longus, brevis and the vastus medialis.

59
Q

popliteal fossa boundaries

A

superior lateral: biceps femoris
superior medial: semitendinosis and membranosis
inferior lateral: lateral head gastroc
inferior medial: medial head gastroc

60
Q

the medial head of the gastroc goes __- than the lateral

A

higher

61
Q

the common peroneal nerve is on the medial of lateral side of the tibia portion of the sciatic

A

lateral

62
Q

whats the roof of the popliteal fossa

A

fascia lata, branches of the posterior femoral cutaneous nerve and the lesser saphenous.

63
Q

what is the floor of the popliteal fossa

A

politeal surface of femur. capsule of the knee joint, and oblique popliteal ligament

64
Q

what is housed in the popliteal fossa

A
  • the tibial nerve (dead center),
  • common peroneal nerve (lateral side),
  • political vessels and
  • origins of the sural nerve (cutaneous nerve to the posterior leg and lateral aspect of the dorsal side of foot)
65
Q

popliteal artery

A

continuation of the femoral artery after is passes the adductor hiatus in the adductor Magnus.

66
Q

what does the popliteal artery divide into

A

the anterior tibial artery and the posterior tibial artery

67
Q

what does the anterior tibial artery supply

A

the anterior compartment of leg (DF and toe extensors)

68
Q

what does the posterior tibial artery supply

A

posterior compartment of the leg, gives rise to the peroneal artery (post and lateral parts of leg)

69
Q

the posterior tibial artery divides into the

A

tibial (medial) and peroneal (lateral) arteries

70
Q

profunda femoris is on what muscle

A

the adductor magnus

71
Q

genicular refers to the…

A

knee

72
Q

under the adductor hiatus, the adductor magnus is called the ___ portion

A

hamstring.

73
Q

Genicular anastomoses are the branches of what artery

A

the popliteal

74
Q

what do genicular arteries supply

A

the knee capsule, patella and surrounding bone

75
Q

what nerves go through the popliteal fossa

A

the sciatic nerve

76
Q

at the beginning of the popliteal fossa what happens to the sciatic nerve

A

branches into the tibial and common peroneal (lateral) nerves

77
Q

what muscles do the tibial nerve supply

A

the semimembranosis, semitendinosis and biceps femoris long head

78
Q

what muscle does the common peroneal nerve supply

A

short head biceps femoris

79
Q

what is the most superficial component of the popliteal fossa

A

the tibial nerve

80
Q

tibial nerve branches to form __ nerves that supply the knee

A

genicular.

81
Q

the tibial nerve gives off the ___ nerve to help form the ___ nerve

A

medial sural cutaneous nerve to form the sural nerve.

82
Q

the peroneal (___) nerve leaves the popliteal fossa superficially to the ___ head of the ___

A

fibular. lateral head of the gastroc.

83
Q

as the peroneal nerve passes over the head of the fibula, what does it branch into

A

the superficial peroneal nerves and the deep peroneal nerved

84
Q

what do the superficial peroneal nerves supply

A

the lateral compartment of the leg (EVERTERS)

85
Q

what does the inferior peroneal nerves supply

A

the anterior compartment (DF and toe extension)

86
Q

what nerves provide genicular branches to the knee

A

common peroneal nerve