Inominate Flashcards

(51 cards)

1
Q

Important Role of the Pelvis

A
  1. Body support
  2. Locomotion
  3. Maintain stability by. distributing the effects of mass, gravity. and mechanical forces.
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2
Q

How is weight from upper and lower body direct?

A
  • weight of the. upper. body is directed through the spine and axial skeleton downward
  • and resistance to forces from below, forming a balance at the pelvis.
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3
Q

pelvis cradles what

A

GI system

GU system

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4
Q

How is the pelvis imporant in lymphatics and vascular shit?

A

Contains the vascular and lymphatic structures for all of the pelvic contents and circulatory pathways for structures below.

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5
Q

What are significant structures that influence LE circulation and drainage?

A

pelvic diaphragm

inguinal. area

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6
Q

Pelvis maintains a. critical role in:

A
    1. Biochemical function and balance; it is the foundation for body support and locomotion
    1. Reproduction (has our. genital structures)
    1. Elimination via out GI and GU syste,
    1. Vascular and lymphatic functions
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7
Q

Anatomy. of innominate

A
  1. Ilium
  2. Pubis
  3. Ischium
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8
Q

Acetabulum is made up of what?

A

bone from 3 different. ossification centers

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9
Q

What aer the joints of the pelvis?

A

SI,

Acetabulum (hip joint)

pubic symphysis

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10
Q

“True” ligaments

A

go from bone to bone

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11
Q

◦“Accessory” ligaments

A

attach at another

  • ligament,
  • tendon
  • fascia
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12
Q

Characteristics of of ligaments (4)

A
  1. Limit abnormal or excessive movements at a joint
  2. Permit normal motion
  3. Slightly elastic
  4. Prevent excessive movement as part of a reflex response
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13
Q

Major pelvic L located anterior

A
  1. Sacrospinous (sacrum -> ischial spine) -> blends in with sacrotuberous -> forms part of origin of coccygeus m.
  2. Iliolumbar
  3. Anterior sacroilac
  4. Inguinal L (ASIS -> superior pubic rami)
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14
Q

Major pelvic L located posterior

A
  1. Sacrotuberous (sacrum -> ischial tuberosity)
  2. Posterior sacroiliac L
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15
Q

Lumbosacral Ligaments (4)

A
  1. Iliolumbar
  2. Sacrospinous
  3. Sacrotuberous
  4. Posterior sacroiliac L.
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16
Q

name that L

  • glut max, tendon of the biceps formis attaches
  • connects with fascia of the pelvis.
A

glut max atta

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17
Q

Fx of iliolumbar L

A

Stabilizes L5

  • Stabilize anterior mtion of the lower lumbar spine
  • restrict anterior and rotary motion of L5
  • blends in with upper part of anterior SI L
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18
Q

It gives origin to the internal oblique and transversus abdominis muscles.

name that L

A

inguinal L

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19
Q

What. prevents the sacrum from popping out anteriorly?

A

Anterior SI L

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20
Q

major bond between the bones, filling the irregular space posterosuperior to the joint.

• Covered posteriorly by the posterior sacroiliac ligament.

A

Interosseous Sacroiliac Ligament

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21
Q

What forces skeep the symphysis together?

A

1. Extremely strong posterior L

2. Articulation at the SI joint.

22
Q

During. a heel strike, the right leg glides forward and this is aided by the right innominate rotating __________.

  • ◦ Contralateral innominate rotates _________
  • ◦ _______ and ________ were contracted to flex the LE at the hip
  • ◦ _________ contraction and motion of the swing phase both act upon the innominate to cause _______ rotation.
A
  1. posterior
  2. anterior
  3. Iliopsoas and quadriceps femoris

4. Iliopsoas

  1. Posterior
23
Q

During a toe off of the R leg:

The body does a controlled fall forward with the _____ leg gliding forwards and _______ rotation of the innominate is mainly a passive process.

  • ◦ Contralateral innominate rotates ________, mainly an active process
  • ◦ _________ relaxation allows anterior rotation of the innominate with _______ & ______ contraction to extend the LE at the hip
  • ◦ Ipsilateral _______and _______ aids anterior innominate rotation
A
  1. Left
  2. anterior
  3. Posterior
  4. Iliopasoas
  5. Glut max
  6. hamstrings
  7. erector spinae m.
  8. Quadratus lumborn
24
Q
  • Flexors – ___at the hip, ____act at hip and knee
  • External rotators – ___
  • Adductors – ____ (plus ___ minor)
  • Abductors – ____
  • Extensors – ___
A

•Flexors – 2 at the hip, 2 act at hip and knee

  • External rotators – 6
  • Adductors – 3 (plus 2 minor)
  • Abductors – 3

•Extensors – 4

25
Name the hip flexors
**2 major:** iliacus and psoas ms. **2 minor:** rectus femoris and sartorius
26
Something. wrong with. [**rectus femoris,** **iliacus** or i**psilateral adductor group**] can cause what?
1. **Anterior rotation of the innominate** 2. **inferior shear at pubes**
27
What are your **extensor ms**?
1. Glut max 2. Hamstrings * Biceps femoris * semitendinosis * semimembranous
28
Hamstring tention can cause what?
**Posteiror rotation** of innominate
29
Hip Adductors
5 Major Hip Muscle Groups ## Footnote • Major **1.Ad. Magnus** **2.Ad. Brevis** **3. Ad. Longus** • Minor **1.Gracilis** **2.Pectineus**
30
**Hip abductors**
**1. TFL** **2. Glut med.** **3. Glut min.**
31
**Trendelenburg’s Sign** is a test used to determine whether the patient has adequate hip ______ strength, particularly of the \_\_\_\_\_\_
**abductor** **gluteus medius**
32
What causes. a trendlenburg gait?
**weak abductor muscles** of LL: **glut med, glut min** which are supplied by the **superior gluteal N (L5)**
33
Hip external rotators
**1. Piriformis M.** **2. Obturator internus and externus m** **3. Supior and inferior gemellis** **4. Quadratus femoris m.**
34
What is the only. **hip rotator** that connectects DIRECTLY to the sacrum
piriformis m.
35
What are the fx of pirformis m.
Depends on the position of the hip: ## Footnote 1. When hip is **flexed** -\> it is a **aBDuctor** 2. When hip is **extended** -\>it is a **external rotator**
36
examples of secondary. m. attachments
**1. rectus abdominus** **2. Tranversus abdominis** **3. IO and EO** **4.. Quadratus lumborum**
37
What. forms the **ganglion impar**?
Sacral sympathteic trunk
38
What are the **autonomic nerves of the pelvis?**
**1. Sacral sympathetic trunk** **2. Pelvic splanchnic (s2-S4)** **3. inferior hypogastric plexus**
39
Lumbar plexus Sacral plexus Coccygeal plexys
Lumbar plexus (L1-L4) Sacral plexus (L5-S4) Coccygeal plexus (S5- coccygeal N)
40
what hapoens if we have dysfuntion of **quadratus lumborum**?
make us feel like we pulled a. groin or hernia, by irritation [ilioinguinal and iliohypostraic nerves (L1) aas they. pass anterior to the muscle.
41
What is the gravitational line?
1. auditory. meatus 2. acromium 3. Greater trochanter 4. Body of L3 5. Anteiror 1/3 os sacrum 5. Lateral condyle of the knee 6. Lateral malleous
42
what odes it. mean when innominate shears
one innominate moves superior or inferior relative to other one
43
least reliable antrioer palpatory landmark
heights of medial malleli
44
\_\_\_\_\_\_\_\_\_\_\_ required for diagnosis of pubic somatic dysfunction or subluxatio
pubic tubercles
45
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ are used in diagnosis when a **“small hemipelvis”** * one side of the pelvis is congenitally smaller than the other.
ischial tuberosities
46
What. tells us? ## Footnote Which side of the pelvis is dysfunctional?
LAterilization test: standing flexion or ASIS compression
47
What. tells us? What part of the pelvis is dysfunctional
**Iliac Crest ASIS Pubic Tubercles P** **SIS Medial malleoli** **Possible Ischial tuberosity** **palpation of landmarks**
48
Anterior Innominate Rotation
ASIS is inferior ◦ PSIS is superior ◦ Iliac Crest is level ◦ Medial Malleolus is inferior (long)
49
Posterior Innominate Rotation
ASIS is superior ◦ PSIS is inferior ◦ Iliac Crest is level ◦ Medial Malleolus is superior (short)
50
in an **innominate inflare,** the somatic side will have a \_\_\_\_\_ distance from ASIS -\> midline
shorter
51
for pubic shears palpate what?
Superior part of pubic ramus