Lecture 17:hip And Gluteal Region Flashcards
(113 cards)
1
Q
Understand the overall surface anatomy of the gluteal region
A
,
2
Q
What two bones make up the hip joint
A
Proximal femur and the pelvis
3
Q
Greater trocamter is lateral or medial
A
Lateral
4
Q
The femoral head sits in where in the hip joint
A
In the acetabulum
5
Q
The acetabular fossa holds what structure
A
The proximal femur head
6
Q
What holds the head of the femur in the acetabulum
A
Ligament of the head of the femur that passes thru the fovea
7
Q
Ligament of the head of the femur passes thru what structure
A
The fovea
8
Q
What is the joint classification of the hip joint
A
Ball and socket
Multiracial joint
9
Q
What does acetanulum stand for
A
Vinegar cup
10
Q
The acetabulum is lined with what articulatar surface
A
Acetabular labrum
11
Q
What are the main movements of the hip at the hip joint
A
Flexion/extension
Abduction(adduction
And circumduction
Medial and lateral rotation
12
Q
Explain the orientation of flexion and extension in the hip
A
I’m saggital plane, around transverse axis
13
Q
Explain the orientation of abduction and adduction in the hip
A
In coronal plane, arepind sagital axis when. Standing
14
Q
Circumduction is a mix of what motion
A
Flexion extension
Abduction and Adduction
15
Q
Medial and lateral rotation is important for what in the lower limb
A
Bipedal gait
16
Q
The Charleston is medial or lateral rotation
A
Medial
17
Q
Be able to know the diff movements of the hip
A
Q
18
Q
What are the main stabilizers of the hip joint (3)
A
Iliofemoral
Pubofemoral
Ischiofemoral
19
Q
What is the function of iliofemoral
A
Prevents hyper extension during standing and limits lateral rotation
20
Q
What is the function of pubofemoral
A
Prevents over abduction
21
Q
What is the function of ischiofemoral lig
A
Limits medial rotation
22
Q
Which of these limits medial rotation: ischofemoral or pubofemoral
A
Ischoofemoral
23
Q
Which of these prevents over abduction : ischiofemoral or pubofemoral
A
Pubofemoral
24
Q
Internal illiac goes to the true or false pelvis
A
True pelvis
25
External illiac travels along blank and under blank
Along pelvis brim and under inguinal ligament
26
What is the first big branch off the femoral arterial
Deep femoral a
27
What artery gives source to the femoral head and neck (
Deep femoral (through circumflex)
28
Medial femoral circumflex artery goes to where
To head and neck (via ring)
29
Lateral circumflex femoral artery goes to where
Arterial ring and greater trochanter
30
Deep femoral artery gives up what branches that go to the head and neck
Medial and lateral femoral circumflex artery
31
Arterial ring of the limb from deep femoral supplies what
Neck and head
32
Medial and lateral femoral circumflex anastomose to form what
Arterial ring
33
Head and neck of femur supplies by what vessel
34
Nutrient arteries near the head and neck of femur branch off what artery
Medial femoral circumflex artery
35
Foveal artery comes from what artery
Obturstor a
36
Foveal a supplies what
acetabulum
37
Where is the Foveal a located
Within ligament of head of femur
38
Hip dislocations and femoral neck fractures can lead to what
A vascular necrosis of femoral head
= death of tissue due to lack of vascualture which leads to collapse of femoral head
39
What are the ligaments of the pelvis
Sacrospinous
Sacrotuberous
40
What is the function of the ligaments of the pelvis
To prevent upward tilting of the distal sacrum, pulls the pelvis down (ie hells anchor sacrum to hip bones)
41
Sacrotuberous and sacrospinous ligaments help to form what
They greater and lesser sciatic foramina (from notches)
42
Understand location of Sacrotuberous and sacrospinous ligaments and the notches
43
What is the biggest muscle in the body
Glute max
44
What is the proximal attachment of the glute max
Posterior sacroiliac ligament, Sacrotuberous ligament
45
What is the distal attachment of the glute max
Gluteal tubercoity and IT band
46
What is the function of the glute max
Extension and lateral rotation of the hip
47
What is the origin of the TFL
Asis
48
What is the insertion of the tfl
Lateral tibial condyle via IT BAND
49
What is the function of the tfl
Abducts and medially rotates hip, stabilizes pelvis while standing , tenses IT BAND
50
What is the iliotibial band
Lateral thickening of the fascia lata of the thigh
51
Where does the it band insert
On lateral tibial condole
52
What are the 2 main hip abductors
Glute med and min
53
What is the origin of the glute med
Posterior surface of ilium
54
What is the insertion of the glute med
Superior aspect of the greater trochanter
55
What is the function of the glute med
Hip abduction
56
What is the origin of the glute min
Posterior surface of ilium
57
What is the insertion of the glute min
Anterior aspect of greater trochanter
58
What is the function of glute min
Medial rotation and abduction, accessory flexor of the hip
59
True or false: the glute min is an accessory flexor of the hip
True
60
Hip abductors keeps hits blank
Straight
61
What are the lateral rotators of the thigh (6)
Piriformins
Superior gemellis
Inferior gemeluus
Quadratus feminist
Obturstor interned
Obturstor external
62
Piriformis exits via what
Greater sciatic foramen
63
What is the origin of the piriformis
Anterior sacrum
64
What is the insertion of the oiriformis
Greater trochanter
65
What is the origin of the superior gemellis
Ischial spine
66
What is the insertion of the superior gemmelus
Greater trochanter
67
What tendon lies between the two gemellis muscle
Tendon of Obturstor internsus
68
What is the origin of the inferior gemellis
Ischium
69
What is the insertion of the inferior gemellis
Greater trochanter
70
What is the origin of the quadratus femoris
Ischium
71
What is the quadratus femoris insertion
Intertrochsnteric crest
72
What is the origin of the Obturstor internus
Bony borders of the obturstor foramen inside the pelvis
73
What is the insertion of the obturator internus
Greater trochanter (exits pelvis through lesser sciatic foramen)
74
How does the Obturstor internus exit the pelvis
Through lesser sciatic foramen
75
Locate the lateral rotators of the hip
76
What is the origin of the Obturstor external
Bony rim of Obturstor foramen external to pelvis
77
What is the insertion of the obturator externus
Intertrochanteric crest
78
What is the function of the obturator externus
Lateral rotation of the hip
79
Which lateral rotator of hip serves as a landmark for neurovascular structures
Piriformis
80
Superior gluteal innervates what
Glute med and minimus
Tensor fascia lata
81
Where does the superior gluteal n exit the pelvis
Exits pelvis via greater sciatic foramen ABOVE Piriformis
82
True or false; superior gluteal n exits pelvis via greater sciatic foramen below Piriformis
False, above
83
What spinal levels does superior gluteal come from
L4 - s1
84
Inferior gluteal n innervates what
Glute max
85
Where does the inferior gluteal n exit pelvis
Via the greater sciatic foramen below the Piriformis
86
Which of these two exits below Piriformis:
sup gluteal n
inf gluteal n
Inferior gluteal
87
What spinal levels does the inferior gluteal come from
L5-s2
88
What provides cuteanous Innervation to posterior thigh
Posterior femoral cutaneous n
89
Whate spinal level does sciatic n come from
L4 to s3
90
Understand the location of the neurovascular supply of glute region
91
Most lateral rotators get innervation directly from what
Sacral nerves
92
what are the lateral rotators that get their innervation directly from the sacral nerves
piriformis, gemelli, obturator internus, quadratus femoris
93
what is the only lateral rotator not innervated by the sacral nerves
the obturator externus (obturator n)
94
what is the obturator externus innervatedby
obturator n
95
what is the common variant for how the sciatic nerve exits near the piriformis
passes under the piriformis nerve
96
what are the othre rare variants of how the sciatic n exits near the piriformis
splittling of tibial and common fibular divisions of the sciatic nevre
1) common fibular above the piriformins and tibial n below the piriformis
2) common fibular pierces the piriformis n
97
sciatic n divides into what at the piriformis
common fibular (more lateral)
tibial n
98
sciatic n is derived from what spinal n
L4-S3
99
what are the nerves that supply sensory innervation to the skin of the gluteal region
superior cluneal n
medial cluneal n
inferior cluneal n
posterior femoral cutaneous n
100
superior cluneal n is derived from what spinal n
L1 L3 dorsal rami
101
inferior cluneal n is derived from what spinal n
D/V rami S1-S3
102
medial cluneal n is derived from what spinal n
S1-S3 dorsal rami
103
which nerve provides innervation to the posterior thigh
posterior femoral cutaneous n
104
posterior femoral cutaneous n is derived from what spinal n
D/V rami s1-s3
105
be able tolocate the different sensory nerves for the glute region/
.
106
common illiac divides into what
external and internal illiac
107
when does external illiac become femoral a
after inguinal ligament
108
what are the important branches off the internal illiac a that supply the gluteal region
superior gluteal n
inferior gluteal n
obturator artery
109
understand the blood supply to the gluteal region
/
110
what is function of the cruciate anastomsis
important vascular anastomosis to help redirect blood to the distal lower limb in the event of a blockage between the femoral and external iliac aa
111
which vessels form the cruciate anastomosis
inferior gluteal a and lateral circumflex femoral a
medial femoral circ and 1st perforating
112
if there is a blockage of the of the femoral artery how can blood from the lower limb be redirected
through the cruciate anastomosis
113
what are the branches of the deep femoral that wrap around the humerus
1-4th perforating a
