Chapter 7 Flashcards
Paired bones located on the sides of the sacrum and coccygeal bones in the pelvis and join together in front of the symphysis pubis
Hip
Upper part, called ala (wing), lower part, called the body.
Ilium
Iliac crest is palpable and can be used for ______
Red bone marrow
Has a body and a ramus and joins the ilium and pubic bone at acetabulum
Ischium
Body, as well as a superior and inferior ramus.
Pubis
Part of vertebral column that’s located in the pelvis
Sacrum
Ligaments-Extends between the ischial spine and the sacrum, enclosed greater sciatic notch and converts to greater sciatic foramen
Sacrospinous ligament
Ligaments: Extends between the ischial tuberosity and the sacrum
Sacrotuberous ligament
Sacrospinous and sacrotuberous ligaments cross each other and form lesser ________, which obturator internus muscles and pudendal nerve and vessels pass.
Sciatic foramen
Covers obturator foramen but leaves a small opening called obturator canal
Obturator membrane
Piriformis muscle and sciatic nerve pass through this foramen.
Greater sciatic foramen
Fibrocartilage tissue between the symphysial surfaces of the pubic bones, reinforced by superior and inferior pubic ligaments
Symphysis pubis
Sacrum articulates with hip bones on both sides at sacroiliac joints, reinforced by several ligaments called
Dorsal, ventral, interosseous sacroiliac ligaments
Important and strong ligament, lies between transverse process if lumbar vertebra and the iliac crest, supports connection of vertebrae to the hip bone
Iliolumbar ligament
Measured across middle of the pelvic inlets
Transverse diameter
Distance between right sacroiliac joint and opposite iliopubic eminence
Oblique diameter
Between upper border of symphysis pubis to middle of promontory
Anatomical conjugate
Subtracting approximately 1.5 from diagonal conjugate
True conjugate
Female pelvis
- pelvic inlet is wider and oval shaped from side to side
- pelvic outlet is wider, ischial tuberosities are shorter, farther apart, and everted
- iliac fossa is shallower
- pubic arch is greater than 90
- ischial spine points posteriorly
- obdurate foramen is oval
Male pelvis
Pelvic inlet (brim)-is more narrow and heart shaped
- pelvic outlet is more narrow, ischial tuberosities are longer, sharper and point more medially
- ilia fossa is deeper
- pubic arch is less than 90 degrees
- acetabulum is diverted laterally
- ischial spine points medially
- obturator foramen is round
Between two ischial spines and is crucial distance
Interspinous diameter
Distance between inferior border of symphysis pubis to inferior border of sacrum
Median conjugate
Extends from inferior border of symphysis pubis to tip of coccyx, distance is variable due to the flexibility and slight movement of coccyx
Straight conjugate
Diameters between lateral aspects of the two iliac crests
Intercristal distance
Between superior border of symphysis pubis and L5 spinous process
External conjugate
Long bone in the upper leg that consists of a body, neck, a proximal end, and a distal end
Femur
Neck of the femur follows the head, connecting to the body (shaft) at a 126 angle in adults called the ______. Angle is usually wider (145) in _____. And smaller (126) in ______.
Angle of inclination. Small children and older people
A ball and socket synovial joint, located between head of femur and acetabulum of hip bone
Hip joint
Large sesamoid bone that develops in the tendon of the muscles
Patella
Tissue between patella and tibial tuberosity
Patellar ligament
Medial and lateral collateral ligaments, laterally and idiotically tract supports
Joint capsule support the joint
Intrinsic ligaments, anterior and posterior cruciate ligaments, meniscofemoral ligaments, and transverse ligament of knee that’s beneath the ____
Fibrous capsule
Anterior cruciate ligament prevents
Backward slipping of the femur, produces medial rotation, and locks the knee in extension
Posterior cruciate ligament prevents
Femur from forward slipping
Long bone that has a body (shaft), proximal end, and a distal end, is one of the bones of the lower leg
Tibia
Deltoid ligament medially, anterior and posterior talofibular ligamens and calcaneofibular ligament support
ankle joint
Since Plexus passes close to the abdominal and pelvic structures, more prone to damage. Trauma following surgery such as hysterectomy, during labor, may injure plexus
Lumbosacral plexus syndrome
Quadriceps femoris function
Quadriceps femoris is the powerful extensor of the knee joint, rectus femoris can also flex the hip joint
Quadriceps femoris innervation
Femoral nerve
Quadriceps femoris contains
Rectus femoris, vastus lateralis, vastus intermedius, vastus medialis
Sartorius function
Acts on two joints, flexor at both hip and knee joints
Sartorius innervation
Femoral nerve
Illiopsoas function
Strong flexor of the hip, psoas major can flex the body laterally
Illiopsoas innervation
Lumbar plexus innervated the psoas muscle, femoral nerve innervates the illacus nerve
Iliopsoas muscles contains
Psoas major (deep abdominal muscles), illacus muscle
Adductors of thigh are
Gracilis, pectineus, adductor brevis, longus and Magnus
Gracilis function
Adductor of the thigh, flexor at the hip and knee joints
Adductor longus function
Adduction of the thigh, hip flexion
Adductor brevis function
Adductor of thigh and flexor of hip joint
Adductor brevis and longus innervation
Obturator nerve
Pectineus function
Adductor of thigh and flexor of hip joint
Pectineus innervation
Femoral nerve and obturator nerve
Adductor Magnus function
Extensor of hip (thigh) and strong adductor of the leg at th hip joints. Part of the adductor Magnus inserts to the Linea aspera is a lateral rotator of the thigh, part of it inserts to adductor tubercle and is medial rotator of the leg
Adductor Magnus innervation
Adductor part innervates tibial nerve and Linea aspera innervated obturator
Dorsal hip muscles are
Gluteus Maximus, tensor fasciae latae, gluteus medius and gluteus minimus
Gluteus Maximus function
Powerful extensor of hip joints and lateral rotator and abductor of the hip. Adduction of the hip and is active in rising, sitting and climbing
Gluteus Maximus innervation
Inferior gluteal nerve
Tensor fasciae latae function
Abduction, medial rotation, and flexion of thigh n supports the knee joint
Tensor fasciae latae innervates
Superior gluteal nerve
Gluteus medius function
Abduction and medial rotation of the thigh,also helps in lateral rotation and flexion of hip. Gluteus medius keeps pelvis level when opposite leg is raised