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Hip Region II Flashcards

(126 cards)

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1
Q

What bones make up the hip bone

A

Ilium ischium and pubis

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2
Q

What is the origin of gluteus maximus

A

Ileum - posterior to the posterior gluteal line + dorsal surface of sacrum and coccyx

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3
Q

What is the attachment of gluteus maximus

A

Lateral condyle of tibia

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4
Q

What is the innervation of gluteus maximus

A

Inferior gluteal nerve (L5 + S1,2)

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5
Q

What is the function of gluteus maximus

A

Extends and laterally rotates thigh

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6
Q

Describe gluteus maximus

A

O: ileum , posterior to the posterior gluteal line and the dorsal surface of the sacrum and coccyx
A: lateral condyle of the tibia
I: inferior gluteal nerve (L5 + S1,2)
Fun: extends and laterally rotates thigh

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7
Q

What is the origin of gluteus medius

A

Between anterior and posterior gluteal lines on the ileum

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8
Q

What is the attacment if the gluteus medius

A

Lateral surface of the greater trochanter of the femur

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9
Q

What is the innervation of the gluteus medius

A

Superior gluteal nerve (L4,5 S1)

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10
Q

What is the function of gluteus medius

A

Abduct + medially rotates thigh

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11
Q

Describe gluteus medius

A

O: between the anterior and posterior gluteal lines
A: lateral surface of the greater trochanter of femur
I: superior gluteal nerve (L4,5 S1)
Fun: abducts and medially rotates thigh

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12
Q

What is the origin of gluteus minimus

A

Between the anterior and inferior gluteal lines of the ileum

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13
Q

What is the attachment of gluteus minimus

A

Anterior surface of the greater trochanter of the femur

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14
Q

What is the innervation of the gluteus minimus

A

Superior gluteal nerve (L4,5 S1)

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15
Q

What is the function of gluteus minimus

A

Abduction and medial rotation of thigh

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16
Q

Describe gluteus minimus

A

O: between the anterior and inferior gluteal lines on the ileum
A: anterior surface of the greater trochanter of the femur
I: superior gluteal nerve (L4,5 and S1)
Fun: abducts and medially rotates thigh

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17
Q

What is the origin of tensor fasciae latte

A

ASIS

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18
Q

What is the attachment of tensor fascia latte

A

Iliotibial tract attaching to the condyle of the tibia

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19
Q

What is the innervation of tensor fascia latte

A

Superior gluteal nerve (L4,5 S1)

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20
Q

What is the function of tensor fascia latae

A

Flexion on thigh

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21
Q

What are the gluteal muscles

A 
Gluteus maximus medius and minimus
Tensor fascia latae
Piriformis
Obturator internus
Gemelli
Quadratics femoris
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22
Q

What are the lateral rotator gluteal muscles

A

Piriformis
Obturator internus
Gemelli
Quadratics femoris

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23
Q

What is the origin of piriformis

A

Ant surface of 2-4 sacral segments

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24
Q

What is the innervation of piriformis

A

Nerve to piriformis

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25
What is the function of piriformis
Laterally rotates extended thigh Abducts flexed thigh And steadies femoral head in acetabulum
26
Describe piriformis
``` O: 2-4 sacral segments A: N/A I: nerve to piriformis Function: laterally rotates extended thigh Abducts flexed thigh And steadies head in acetabulum ```
27
What is the origin of obturator internus
Pelvic surface of ilium and ischium and obturator membrane
28
What is the innervation of obturator internus
Nerve to obturator internus (L5S1)
29
What is the function of obturator internus
Laterally rotates extended thigh, abducts the flexed thigh, steadies femoral head in acetabulum
30
Describe obturator internus
O: pelivis surface of ilium ischium and obturator membrane A: N/A I: nerve to obturator membrane (L5, S1) Function: laterally rotates extended thigh, abducts flexed thigh and steadies femoral head in acetabulum
31
What is the origin of gemelli
Superior gemelli: ischial spine | Inferior: ischial tuberosity
32
What is the innervation of gemelli
Superior: nerve to obturator internus Inferior: nerve to quadratics femoris
33
What is the function of gemelli
Laterally rotates thigh and steadies femoral head in acetabulum
34
Describe gemelli
``` O: superior- ischial spine Inferior- ischial tuberosity A: N/A I: sup: nerve to obturator internus Inf: nerve to quadratus internus Function: laterally rotates thigh and steadies femoral head in acetabulum ```
35
What is the origin of quadratus femoris
Lateral border of ischial tuberosity
36
What is the innervation of quadratus femoris
Nerve to quadratus femoris
37
What is the function of quadratus femoris
Laterally rotates thigh and steadies head of femur in acetabulum
38
Describe quadratus femoris
O: lateral border of ischial tuberosity A: N/A I: nerve to quadratus femoris Function: laterally rotates thigh and steadies femoral head in acetabulum
39
What are the posterior thigh muscles
Semitendinous Semimembranous Biceps femoris
40
What is the origin of semitendinous
Ischial tuberosity
41
What is the attachment of semitendinous
Medial surface of superior part of tibia
42
What is the innervation of semitendinous
Tibial division of sciatica nerve (L5, S1,2)
43
What is the function of semitendinous
Extends thigh, flexes leg + rotates
44
Describe semitendinous
O: ischial tuberosity A: medial surface of superior part of tibia I: tibial division of sciatic nerve (L5, S1 + S2) Fn: extends thigh, flexes leg + rotates leg medially when knee is flexed
45
What is the origin of semimembranous
ischial tuberosity
46
What is the attachment of semimembranous
posterior part of medial head of medial condyle of tibia
47
what is the innervation of semimembranous
tibial division of sciatic nerve (L5, S1, S2)
48
what is the function of semimembranous
extends thigh, flexes leg, rotates leg medially when knee is flexed
49
Describe semimembranous
O: ischial tuberosity A: posterior part of medial condyle of tibia I: tibial division of sciatic nerve (L5, S1, S2) Fn: extends thigh, flexes knee, medial rotation of the leg when the knee is flexed
50
What is the origin of biceps femoris
long head: ischial tuberosity | short head: linea aspera + lateral supracondylar line of femur
51
What is the attachment of biceps femoris
lateral side of head of fibula + fibular collateral lig of knee
52
What is the innervation of biceps femoris
long head: tibial division of sciatic nerve (L5, S1, S2) | short head: common fibular division of sciatic nerve (L5, S1, S2)
53
What is the function of biceps femoris
flexes leg + rotates it laterally when knee is flexed
54
Describe biceps femoris
O: long head - ischial tuberosity short head - linea aspera + lateral supracondylar line of the femur A: lateral side of head of fibula + fibular collateral lig of knee I: long head - tibial division of sciatic nerve (L5, S1, S2) short head - common fibular division of sciatic nerve (L5, S1, S2) Fn: flexes leg + rotates it laterally when knee is flexed
55
What is trendelenbergs sign
a waddling gate; when the gluteus muscles don't hold your pelvis straight
56
What nerves pass through the greater sciatic foramen and how?
Superior gluteal nerve - superior to piriformis | inferior gluteal nerve, sciatic, pudendal nerve + perforating cutaneous nerve all inferior to piriformis
57
What arteries pass through the greater sciatic foramen and how?
Superior gluteal artery - superior to piriformis | inferior gluteal artery + internal pudendal artery pass inferior to piriformis
58
How do you know where to do gluteal intramuscular injections and why
Spread your hand out so that your forefinger is on the ASIS and your middle finger is on the iliac tubercle; the space between them is the safe area. The sciatic nerve runs under the gluteal muscles
59
What are the three: - compartments - neurovascular sets - openings in the thigh/ from the pelvis
compartments: anterior, medial + posterior NV sets: femoral nerve + vessels; obturator nerve + vessels; sciatic nerve Openings: femoral, obturator, greater sciatic foramen
60
What is the origin of pectineus
superior ramus of pubis
61
What is the attachment of pectineus
pectineal line of femur
62
What is the innervation of pectineus
femoral nerve (L2, L3)
63
What is the function of pectineus
adducts and flexes thigh
64
Describe pectineus
O: superior ramus of pubis A: pectineal line of femur I: femoral nerve (L2, L3) Fn: adducts and flexes thigh
65
What is the origin of psoas major
sides of T12 to L5
66
What is the attachment of psoas major
lesser trochanter of femur
67
What is the innervation of psoas major
ant. rami of lumbar nerves (L1-3)
68
What is the function of psoas major
flexes thigh
69
Describe psoas major
O: sides of T12 to L5 A: lesser trochanter of femur I: ant rami of lumbar nerves (L1-3) Fn: flexes thigh
70
What is the origin of iliacus
iliac crest, iliac fossa + ant sacroiliac ligaments
71
What is the attachment of iliacus
tendon to psoas major
72
What is the innervation of iliacus
femoral nerve (L2, 3)
73
What is the function of iliacus
flexes thigh
74
Describe iliacus
O: iliac crest, iliac fossa + ant sacroiliac ligaments A: tendon to psoas major I: femoral nerve L2,3 Fn: flexes thigh
75
What is the origin of sartorius
ASIS
76
What is the attachment of sartorius
superior part of medial surface of tibia
77
What is the innervation of sartorius
femoral nerve (L2, 3)
78
What is the function of sartorius
flexes, abducts + laterally rotates thigh at hip + flexes leg at knee
79
Describe sartorius
O:ASIS A: superior part medial surface of tibia I: femoral nerve (L2, 3) Fn: flexes, abducts + laterally rotates thigh at hip + flexes leg at knee
80
What is the origin of rectus femoris
ASIS
81
What is the attachment of rectus femoris
quadriceps tendon to base of patella
82
What is the innervation of rectus femoris
femoral nerve (L2, 3 4)
83
What is the fn of rectus femoris
extends leg at knee
84
Describe rectus femoris
O: ASIS A: quadriceps tendon to base of patella I: femoral nerve (L2, 3,4) Fn: extends leg at knee
85
What is the origin of vastus medialis
intertrochanteric line and medial lip of linea aspera
86
What is the attachment of vastus medialis
quadriceps tendon to base of patella
87
What is the innervation of vastus medialis
femoral nerve (L2, 3,4)
88
What is the function of vastus medialis
extends leg at the knee
89
Describe vastus medialis
O: intertrochanteric line and medial lip of linea aspera A: quadriceps tendon to base of patella I: femoral nerve (L2,3,4) Fn: extends leg at the knee
90
What is the origin of vastus lateralis
greater trochanter + lateral lip of linea aspera of femur
91
What is the attachment of vastus lateralis
quadriceps tendond to base of patella
92
What is the innervation of vastus lateralis
femoral nerve (L2,3,4)
93
What is the function of vastus lateralis
Extends leg at the knee
94
Describe vastus lateralis
O: greater trochanter and lateral lip of linea aspera of femur A: quadriceps tendon to base of patella I: femoral nerve (L2,3,4) Fn: extends leg at the knee
95
What are the muscles of the medial thigh
``` Adductor longus adductor brevis adductor magnus gracilis obturator externus ```
96
What is the origin of adductor longus
body of pubis inf to pubic crest
97
What is the attachment of adductor longus
middle 1/3 of linea aspera of femur
98
What is the innervation of adductor longus
obturator nerve (L2,3,4)
99
What is the function of adductor longus
adducts thigh
100
Describe adductor longus
O: body of pubis inf to pubic crest A: missle 1/3 of linea aspera of femue I: obturator nerve (L2,3,4) Fn: adducts thigh
101
What is the origin of adductor brevis
Body + inf ramus of pubis
102
What is the attachment of adductor brevis
pectineal line and prox part of linea aspera of femur
103
What is the innervation of adductor brevis
obturator nerve L2,3,4
104
What is the function of adductor brevis
adducts thigh
105
Describe adductor brevis
O: body and inf ramus of pubis A: pectineal line and prox part of linea aspera of femur I: obturator nerve L2,3,4 Fn: adducts thigh
106
What is the origin of adductor magnus
adductor part: inf ramus of pubis | hamstring part: ischial tuberosity
107
What is the attachment of adductor magnus
adductor part: gluteal tuberosity + linea aspera | hamstring part: adductor tubercle of femur
108
what is the innervation of adductor magnus
adductor part: obturator nerve (L2,3,4) | hamstring part: tibial part of sciatic nerve (L4)
109
What is the function of adductor magnus
adductor part: adducts thigh | hamstring part: extends thigh
110
Describe adductor magnus
O: adductor part - inf ramus of pubis hamstring part - ischial tuberosity A: adductor part - gluteal tuberosity hamstring part - adductor tubercle of femur I: adductor part - obturator nerve (L2,3,4) hamstring part - tibial part of sciatic nerve (L4) Fn: adductor part - adducts thigh hamstring part - extends thigh
111
What are the two parts to adductor magnus
adductor and hamstring part
112
What is the origin of gracilis
body and inf ramus of pubis
113
What is the attachment of gracilis
superior part of medial surface of tibia
114
What is the innervation of gracilis
obturator nerve (L2,3)
115
What is the function of gracilis
adducts thigh + medial rotation
116
Describe gracilis
O: body and inf ramus of pubis A: superior part of medial surface of tibia I: obturator nerve (L2,3) Fn: adducts thigh + medial rotation
117
What is the origin of obturator externus
margin of obturator foramen and membrane
118
What is the attachment of obturator internus
trochanteric fossa of femur
119
What is the innervation of obturator internus
obturator nerve (L3,4)
120
What is the function obturator internus
laterally rotates thigh
121
Describe obturator internus
O: margin of obturator foramen and membrane A: trochanteric fossa of femur O: obturator nerve (L3,4) Fn: laterally rotates thigh
122
What are the points of the femoral triangle
ASIS pubic tubericle + adductor tubercle
123
What does the femoral triangle contain
femoral nerve + femoral sheath (which contains femoral artery vein and deep inguinal lymph nodes)
124
What does the femoral sheath contain
femoral artery, vein and deep inguinal lymph nodes
125
What is the iliotibial tract
Combination of the tendons of tensor fascia lata and gluteus maximus which attaches into the lateral condyle of the tibia
126
What are the superficial and deep layers of gluteal muscles
Superficial: gluteus max, med + min + tensor fascia latae Deep: gemelli, obturator internus, quadratus femoris, piriformis

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