Manual 106 -113: Osteology and Arthrology Pelvis/Gluteal Flashcards

1
Q

not articular fossa of acetabulum

A

acetabular fossa

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2
Q

articular portion of acetabulum

A

lunate surface

- peripheral acetabulum

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3
Q

two names for external surface of ilium

A

wing/ala

dorsum ilii

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4
Q

gluteus maximus origin is posterior to what line

A

posterior gluteal on ala

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5
Q

gluteus medius origin is between

A

posterior and anterior gluteal line

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6
Q

gluteus minimu origin is between..

A

anterior gluteal line and inferior gluteal line

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7
Q

origin between inferior gluteal line and margin acetabulum

A

rectus femoris

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8
Q

attachments external lip iliac crest

A

fascia lata

tensor fascia latae

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9
Q

attachments internal lip iliac crest

A

iliac fascia

iliacus

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10
Q

attachments to ASIS

A

SITI

sartorius
iliacus
tensor fascia latae m
inguinal ligaments

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11
Q

attachments to AIIS

A

SIP

straight head rectus femoris
iliofemoral ligament
portion of iliacus m

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12
Q

attachment to groove medial to AIIS

A

psoas major/ iliacus

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13
Q
  • site of fusion b/w pubis/ilium

- medial to groove for iliopsoas

A

iliopectineal eminence

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14
Q

attachment to PSIS

A

sacroiliac ligament

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15
Q

attachment to iliac fossa

A

iliacus m

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16
Q

articulation b/w sacrum and ilium

A

sacroiliac joint

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17
Q

takes origin from internal surface of body of ilium

A

obturator internus

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18
Q

does the ilium have a ramus?

A

no

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19
Q

body and wing of ilium are separate internally by …

A
  • arcuate line

- externally by the margin acetablulum

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20
Q

the greater sciatic notch is formed by

A
  • both ischium and ilium
  • proximal is inferior to PIIS
  • distal ends ischial spine
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21
Q

strongest most inferior hip bone

A

ischium

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22
Q

separates greater and lesser sciatic notches

A

ischial spine

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23
Q

attachments to ischial spine

A
  • sacrospinalis ligament

- superior gemellus m

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24
Q

attachments to ischial tuberosity

A
  • quadratus femoris [lateral tuberosity tear-dropped facet]
  • inferior gemellus [superomedial tuberosity]
  • semimebranosus [ upper lateral quadrilateral portion]
  • long head biceps femoris [ below oblique line quadrilateral portion]
  • semitendinosus [ below oblique line quadrilateral portion]
  • addcutor magnus [traingular portion ]
  • sacrotuberous ligament [triangular portion]
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25
Q

separates hamstring origins

A

oblique line

  • semimebranosus to upper lateral
  • long head biceps femoris and semitendinosus below
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26
Q

attachments to qudrilateral portion of ischial tuberosity

A
  • oblique line separates the hamstring origins
  • semimembranosus on upper lateral portion
  • long head biceps femoris and semitendinosus below
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27
Q

attachments to triangular portion of ischial tuberosity

A
  • adductor magnus

- sacrotuberous ligament

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28
Q

attachment to internal surface of ischium

A

obterator internus

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29
Q

direction of ischial ramus

A

directed anteriorly from ischial tuberosity and joins the inferior pubic ramus

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30
Q

attachments to external surface of ischial ramus

A

adductor magnus

obturator externus

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31
Q

attachments to internal surface of ischial ramus

A

obturator itnernus

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32
Q

forms margin of obturator foramen

A

lateral border of ischial ramus

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33
Q

what attaches to medial border of ischial ramus

A

perineum attachments

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34
Q

what attaches to the body of the pubis

A

gracilis
adductor longus
adductor brevis

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35
Q

attachments to superior rami of pubis

A
inguinal ligament (pubic tubercle)
pectineus (pectin pubis)
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36
Q

feature lateral to pubic crest on superior rami of pubis

A

pubic tubercle

- inguinal ligament attachment

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37
Q

feature lateral to pubic tubercle

A

pectin pubic

- pectineus attaches

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38
Q

lateral extension of pubic crest

A

iliopectineal line

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39
Q

direction of inferior rami of pubis

A

directed posterolateral from pubic symphysis

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40
Q

adductor compartment attachments to inferior rami of pubis

A
  • gracilis
  • adductor brevis
  • adductor magnus
  • obturator externus
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41
Q

how many primary ossification centers in pelvis?

A

3

  • ilium above sciatic notch 8th wk
  • ischium in body 4th month
  • pubis in superior pubic ramus 4-5 month
  • all mett at acetabulum to fuse at 13/14 yrs
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42
Q

how many secondary ossification centers in pelvis?

A

5

  • pubic symphysis
  • iliac crest
  • ischial tuberosity
  • ASIS
  • inferior portion of acetabulum
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43
Q

the base of the sacrum articulates with..

A

5th lumbar vertebra

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44
Q

anterior 3/4 of each ala on sacrum =

A

costal process

45
Q

posterior 1/4 of each ala on sacrum =

A

transverse proces

46
Q

apex of sacrum

A
  • inferior end that articulates with coccyx
47
Q

what m take origin from anterior/pelvic surface of sacrum

A

iliacus - superolateral

pififormis - segments 1-4

48
Q

shape of posterior surface of sacrum

A

convex

narrower than anterior

49
Q

midlie longitudinal ridge on sacrum

A

middle sacral crest

- rudimentary spinous processes of sacral vertebrae

50
Q

between middle sacral crest and articular crest on sacrum

A
  • sacral gooves

- laminae of the vertebrae

51
Q

longitudinal ridge of articular processes on sacrum

A

articular crest

52
Q

foramina lateral to articular crests

A

posterior sacral foramina

53
Q

auricular surface of sacrum articulates with…

A

ilium at sacroliliac joint

- covered by hyaline cartilage

54
Q

3 depressions on sacral tuberosity are for…

A

dorsal sacroiliac ligament

55
Q

attachments to thin inferior lateral portion of sacrum

A
  • gluteus maximus
  • sacrospinous
  • sacrotuberous
56
Q

ossification of the sacrum

A
  • primary center and 2 epiphyseal plates for the body on each sacral vertebra
  • 2 ossification centers for each vertebral arch
  • 2 epiphyseal centers on each lateral surface
  • 1 ossification center on lateral portion each upper 3 vertebrae
57
Q

how many vertebrae in coccyx

A

4 usually range 3-5

58
Q

does the coccyx have laminae, pedicles, spinous processes

A

NO

does have lateral rpocesses

59
Q

attachments to lateral processes of cocyx

A

sacrotuberous lig
sacrospinous lig
gluteus maximus

60
Q

attachment to anterior surface of coccyx

A

sacrococcygela ligament

61
Q

shape of anterior surface of coccyx

A

concave

62
Q

large pair of superior articular processes on posterior surface of coccyx

A

cocygeal cornua

63
Q

ossification of coccyx

A

1st: 1-4 yr
2nd: 5-10 yr
3rd: 10-15 yr
4th: 15-20 yr

64
Q

pelvis m v w : pubic angle

A

wider in women

65
Q

pelvis m v w: sacrum

A

shorter/wider in women

66
Q

pelvis m v w: size

A

larger in men

67
Q

pelvis m v w: pelvis inlet

A

larger in women

68
Q

pelvis m v w: shape

A

oval in women

heart in men

69
Q

pelvis m v w: obturator famina

A

smaller, triangular in women

70
Q

pelvis m v w: ilia

A

less sloped in women

71
Q

pelvis m v w: ASIS

A

wider in women

72
Q

pelvis m v w: sciatic notch

A

wider in women

73
Q

pelvis m v w: ischial spines

A

women point less

74
Q

type of joint hip joint

A

ball/socket

75
Q

breakdown of acetabulum

A

1/5 pubis - medial
2/5 ischium - lateral
2/5 ilium - superior

76
Q

deepest non-articular portion of the hip joint

A

acetabular fossa

- primarily ischium

77
Q

articular, cartilage covered surface of hip joint

A

lunate surface

78
Q

attaches to lateral margin and synovial membrane to deepen the acetabulum

A

acetabular labrum (fibrocartilaginous ring)

79
Q

the lunate surface is not complete _________

A

inferiorly - here is the acetabular notch

80
Q

ligament bridging the acetabular notch

A

transverse acetabular ligament

81
Q

direction of head of femur

A

superior/medial

82
Q

rough depression in head of femur

A

fovia capitis femoris

83
Q

what attaches to fovia capitis femoris

A

ligament capitus femoris

84
Q

attachments of the articular capsule

A

margins of acetabulum few mm from labum

  • laterally to medial side of greater trochanter
  • anteriorly to itnertrochanteric line
  • posteriorly 1 cm above itnertrochanteric crest

fibers over the neck of femur are greater than over acetabular rim

85
Q

the articular capsule inferiorly blend with

A

transverse acetabular ligament

86
Q

where is articular capsule thick/thin

A
  • thick anterior/superior

- thin posterior/inferior

87
Q

the articular capsule distally becomes

A

zona obicularis

- ligament around neck of femur

88
Q

the articular capsule proximally becomes

A

iliofemoral, pubofemoral, ischiofemoral ligaments

89
Q

shape of acetabular labrum

A

tirangular

90
Q

longest, widest, strongest ligament around hip joint

A

iliofemoral

91
Q

shape of iliofemoral ligament

A

inverted Y shape

  • stem = ilium belwo AIIS
  • base 1 = anterior part of greater trochanter (iliotrochanteric ligament)
  • base 2 = intertrochanteric line
92
Q

what transverses the iliofemoral ligament?

A

articular branch of deep branch of medial femoral circumflex

93
Q

the pubofemoral ligament is ________ to iliofemoral

A

anterior

94
Q

origin of pubofemoral ligament

A

obturator crest
superior ramus of pubis (anteiror iliopectineal eminence)

distal attachment to neck of femur and blend with iliofemoral

95
Q

direction of pubofemoral ligament

A

inferiorlateral

96
Q

shape of ischiofmeoral ligament

A

triangular

97
Q

origin and distal attachment ischiofemoral ligament

A

origin = posterior body of ischium and inferior acetabulum
- direction superior lateral in spiral course
distal attachment: posterosuperior pat neck of femur below greater trochanter

98
Q

how long is ligament capitus femoris

A

4 cm

99
Q

proximal and distal attachment of ligament capitus femoris

A

2 lateral bands fixed to margins of acetabular notch
medial band blends with transverse acetabular ligament

distal: fovea capitus on femur

100
Q

acetabulum corses _____ transverse acetabular ligament to the acetabular fossa

A

over

101
Q

nerves to the hip joint

A
  • femoral
  • obturator
  • accessory obturator
  • inferior gluteal n
102
Q

blood vessels to hip joint

A
  • medial/lateral femoral circumflex
  • superior/inferior gluteal
  • obturator
  • 1st perforating
    (heavy ligaments avascular)
103
Q

type of joint sacroiliac joint

A

synovial joint

104
Q

sacroiliac joint formed by

A

auricular sacrum and ilium at 1st three sacral vertebrae

105
Q

ligaments of the sacroiliac joint

A
  • anterior sacroiliac [ventrolateral surface sacrum to margins of auricular surface of ilium]
  • posterior sacroiliac [2sets of fibers]
  • interosseous
106
Q

deep/short fibers of posterior sacroiliac joint

A

origin: tuberosity of ilium and PIIS
passes inferomedially
attach: posterolateral sacrum

107
Q

superficial/long fibers of posterior sacroililac joint

A

origin: PSIS
oblique
attach: third tubercle of sacrum
blend with sacrotuberous ligament

108
Q

suspends sacrum b/w two iliac bones

A

interosseous ligament

- blends with superficial posterior sacroiliac ligament