Gluteal Region

Question 1

What does the Pelvic Girdle consist of?

Answer 1

Sacrum, Coccyx, Hip Bone (Os Coxae), Femur

Question 2

What three fused bones make up the Pelvis Bone?

Answer 2

Ilium, Pubis, and Ischium that come to get her in the acetabulum

Question 3

Structures in the Ilium?

Answer 3

Posterior, Anterior Inferior- Gluteal lines
PSIS- posterior superior iliac spine
PIIS- posterior inferior iliac spine
ASIS- Anterior Superior Iliac Spine
Greater Sciatic notch
Iliac Crest

Question 4

Structures of the Ischium?

Answer 4

Ischial Spine
Lesser Sciatic Notch
Ischial Tuberosity
Obturator Foramen

Question 5

Structure of the Acetabulum?

Answer 5

Articular surface
Acetabular fossa
Acetabular notch

Question 6

Structures on the Proximal Femur?

Answer 6

Greater Trochanter
Lesser Trochanter
Intertrochanteric line

Question 7

Attachments for Tensor Fasciae Latae?

Answer 7

ASIS, anterior iliac crest

IT tract-lateral condyle of femur

Question 8

Attachments for G Max?

Answer 8

Posterior to Posterior gluteal line, sacrum/coccyx, sacrotuberous ligament

IT tract and gluteal tuberosity of femur

Question 9

Attachments for G Med?

Answer 9

B/T anterior and posterior gluteal lines

Lateral surface of the greater trochanter

Question 10

Attachments for G Min

Answer 10

B/T anterior and posterior gluteal lines

Anterior surface of greater trochanter

Question 11

Attachments for Piriformis?

Answer 11

Goes through greater sciatic foramen, takes up a majority of space.
Anterior sacrum, anterior margin of greater sciatic notch and sacrotuberous ligament
Superior border of greater trochanter

Question 12

Attachments for Obturator Internus?

Answer 12

Passes through lesser sciatic foramen
Pelvis surface of ilium and Ishiguro, Obturator membrane
Medial surface of greater trochanter

Question 13

Attachments for Gemelli brothers?

Answer 13

Superior: ischial spine
Inferior: ischial tuberosity
Medial surface of greater trochanter

Question 14

Attachments for Quad. Femoris?

Answer 14

Lateral border of ischial tuberosity

Intertrochanteric crest

Question 15

What are the action of G Max?

Answer 15

Extension, Latéral rotation, AB diction, adduction

Question 16

What are the actions of G-G-T?

Answer 16

ABduction
Medial rotation
Levels pelvis

Question 17

Actions of P-GOGO-Q?

Answer 17

Lateral rotation
Extend hip joint- PGOG
Some ABduction- P+ obturator internus
Stabilize hip joint

Question 18

What do the gluteal Bursae do/

Answer 18

Flattened membranous sacs containing synovial fluid

Located in areas of increased friction- b/t muscle and bony prominence

Question 19

What to the Trochanteric bursa do?

Answer 19

Separate inferior gluteus max from greater trochanter

Question 20

What do the Ischial bursae do?

Answer 20

Separate inferior gluteus max from ischial tuberosity

Question 21

What does the GLuteofemoral bursae do?

Answer 21

Separate the IT tract from the superior part of the ordinal attachment of the Vastus Lateralis

Question 22

What is the Lumbar plexus?

Answer 22

T12-L4
Iliohypogastric, genital branch of the genitofemoral, ilioinguinal, lateral cutaneous nerve of the thigh, femoral nerve, obturator nerve

Question 23

What is the Sacral Plexus?

Answer 23

L4- S4

Superior gluteal, inferior gluteal posterior cutaneous nerve of the thigh, sciatic and pudendal

Question 24

Roots of iliohypogastric nerve?

Answer 24

T12, L1

Question 25

Roots of Ilioinguinal nerve?

Answer 25

L1

Question 26

Roots of Genitofemoral nerve?

Answer 26

L1, L2

Question 27

Roots of Lateral femoral cutaneous nerve?

Answer 27

L2, L3. Posterior divisions

Question 28

Roots of femoral nerve?

Answer 28

L2, L3, L4. Posterior Divisions

Question 29

Roots of Obturator nerve?

Answer 29

L2, L3, L4 Anterior divisions

Question 30

Roots of the Lumbosacral trunk?

Answer 30

L4, L5

Question 31

Roots of the Superior Gluteal Nerve?

Answer 31

L4, L5, S1 Posterior divisions

Question 32

Roots of the Inferior gluteal nerve?

Answer 32

L5, S1, S2 posterior divisions

Question 33

Roots of the Common perineal division of the sciatic nerve?

Answer 33

L4, L5, S1, S2- posterior divisions

Question 34

Roots of the Tibial division of the sciatic nerve?

Answer 34

L4, L5, S1, S2, S3- anterior divisions

Question 35

Roots of the Posterior femoral cutaneous nerve?

Answer 35

S1, S2, S3 anterior and posterior divisions

Question 36

Roots of the Pudendal nerve?

Answer 36

Posterior divisions of S2, S3 | All of S4

Question 37

Roots of Sciatic nerve?

Answer 37

L4, L5, S1, S2, S3

Question 38

Roots of Superior gluteal nerve?

Answer 38

L4, L5, S1

Question 39

Roots of inferior gluteal nerve?

Answer 39

L5, S1, S2

Question 40

Roots of the nerve to Quad. Femoris?

Answer 40

L4, L5, S1

Question 41

Roots to the Pudendal nerve?

Answer 41

S2, S3, S4

Question 42

Roots to the nerve to obturator internus?

Answer 42

L5, S1, S2

Question 43

Where do you give intragluteal injections?

Answer 43

Intramuscular injections Large volumes ONLY the superolateral quadrant

Question 44

What can happen with an injury to the Superior Gluteal Nerve?

Answer 44

Loss of function to the G Medius, G Minimus Positive Trendelenburg Test

Question 45

What can cause a Positive Trendelenburg Test?

Answer 45

Femoral neck fractures, dislocated hip joint Ex. Left side drop, right side damage Pt lifts leg, contralateral muscles can’t keep pelvis level, so there is a drop Can be compensated for by shifting the weight of trunk to nerve damaged side

Question 46

What is Sacrospinous Fixation (Illeococcygeus suspension)?

Answer 46

Procedure where the apex of vagina is sutured to the sacrospinous ligament to stop the uterus from prolapsing