Lecture 27 (14-7-14) Flashcards
(39 cards)
1
Q
What is the demarcation betweent the gluteus and thigh?
A
gluteal fold.
2
Q
Gluteal Dermatomes
A
3
Q
What are the cutanteous nerves of gluteal
A
- Superior L1-3 Dorsal Rami
- Middle S1-3 dorsal rami
- inferior cluneal ventral rami S2,S3
4
Q
What are the superficial gluteal muscles and what do they do?
A
Extensors and aBductors
all the glutes and tensor fasa lata
5
Q
Gluteus maximus
A
- illium, sacrum, coccyx, sacrotuberous lig–> gluteal tuberosity of femor and illiotibial track
- inferior gluteal nerve L5-S2
- actions
- forceful extension of hte hip
- external rotation of extended thigh
- stabilixe the exteneded knee
6
Q
Gluteus Medius
A
- Lateral side of illium–> grater trochanter
- Superior gluteal nerve L4-S1
- actions
- abduction of hte hip
- internal rotate the thigh
- Level pelvis during walking
7
Q
Gluteus Minimis
A
- Inferior part of lateral illium–>greater trochanter
- Superior gluteal nerve.
- actions
- Abduct the hip
- internal rotate the thigh
- level pelvic during walking
8
Q
What is gerdies tubericle
A
9
Q
Tensor Fascia Lata
A
- ASIS, iliac crest–> IT tract, gerdys tubercle
- Superior gluteal n L4-S1
- actions
- abduction of the hip
10
Q
Superior Gluteal nerve injury
A
cannt contract os the the hip will pop up on one side
11
Q
A
12
Q
What are the deep Gluteal Muscles
A
EXXTERNAL HIP ROTATORS
13
Q
Piriformis Muscle
A
- –> greater trochanter
- Sacral plexus S1, S2
- Lateral rotators of the thigh
a deep gluteal muscle
14
Q
Superior Gemellus Muscle
A
- ischial spine–> medial side greater trochanter
- N. to obturator internus
- Lateral hip rotation
a deep gluteal muscle
15
Q
Obturator internus
A
- obturator foramne, membrane on medial side–> out through foramen, 90 degree angle–> out lesser sciatic–> greater trochanter
- N. to obturator internus (L5, S1, S2)
- same nerve roots and inferior gluteal nerve
- External thigh rotation
deep gluteal muscle
16
Q
Inferior Gemellus Muscle
A
- Ischial tuberosity–> greater trochanter
- N. to quadratus femoris (L4-L5-S1)
- same as superior gluteal nerve
a deep gluteal muscle
17
Q
Quadratus Femoris Muscle
A
- lateral border of ischial tuberos–> intertrochanteric crest
- N. to guadratus femoris
- lateral rotation of thigh
a deep gluteal muscle
18
Q
Obturator externus muscles
A
- obturator memebrane–>**trocanteric fossa
- obturatior posterior division L3-L4
- ER of hip
medial compartment
19
Q
Gluteal Bursae
A
-
Trochanteric bursa
- between gluteus maximus and greater trochangter
- B/c of repetitiev activities like climbing
-
Ischial bursa
- gluteus maximus and inscial tuberosity
-
Gluteafemoral bursa
- iliotibiial tract –> vastolateralis
20
Q
Pelvic Ligaments
A
- transform greater and lesser sciatic notches into foramens
-
Sacrotuberous lig
- ilium, sacrum and coccyx–> ischial tuberiosity
-
Sacrospinous ligament
- coccyx, sacrum–> ischial spine
21
Q
Openings from pelivc cavity to gluteal region
A
- **greater sciatic foramen **above and below piriformis
- Lesser sciatic foramen
- **obturator canal –> **go to medial thigh
22
Q
Gluteal Region Nerves and arteries where do they come from and go to (general)
A
- pelvic cavity– (greater sciatic foramen)–> gluteal region
- gluteal region– (lesser sciatic foramen)–> perineum
23
Q
Lumbosacral plexus
A
- Superior gluteal L4-S1
- Gluteus medius
- Gluteus minimus
- Tensor fascia lata
- Inferior gluteal L5-S2
- gluteus maximus
- L4,L5 S1-3 posteiror thigh leg foot plantar
- l4-S1
- inferor gemellus
- quadraus femorus
- dee
- superior gemellus
- opturator internus
- out w/ sciatic nerve
- inferior cluneal n nerves come off to go to cuteanous S2-S3 all somatic sensory nerve
- S2-4
24
Q
Posterior divisionInternal iliac artery
A
- Illiolimbar
- illiosacral
- sacrogluteal
25
Anterior branch of internal illiac artery
1. **umbilical** **a**
1. superior vesicale--\> sup bladder
2. **Obturatior a**
3. inferior vesicle a or vaginal (female)
4. middle rectal
5. uterine a (females) or deferentila
6. **inferior gluteal a**
7. **internal pudendal a**
26
Where do gluteal shots go?
outer upper quadrant
27
Hip Joint is what kind of joint?
What is the articulation
* ball and socket
* head of femur with acetabulum of hip bone
* lunate surface: w/ articular cartlidge
* transverse
*
* lined with synovial membrane
* **zona orbicularis**- thickened portion surrounding the femoral neck
*
28
Acetabulum
* Indintation is where the round ligament it attached
* transverse acetabular ligament --\> across aetabular notch
29
Ligaments of the hip joint
ligimentum terise--\> fove capitis
* iliofemoral ligament
* anterior ligament, strong, reinforece and streangthen joint
* twist and tightens when we **extend**
* strong
* pubofemoral ligament
* prevents hyper **abduction**
* splits
* ischiofemoral ligament
* weakest one
* against excessive **IR and Flexion**
30
Where are hip fractures most common?
normally femoral neck
31
Hip joint dislocation;
* What are the two kinds
* Congentital:
* acetabilium is shallow because it didnt form well
* normall bilateral
* more common in femalle
* aquired: more agressive, painful
* posterior
* sciatic nerve vonerable
* trendelengburg sign b/c femoral head is higher on affected side
32
Innervation of the hip joint:
1. Superior part
2. Inferior part
3. anterior part
4. Posterior part
1. Superior gluteal (
2. obturatior n (L2-L4)
3. Femoral Nerve (L2-L4)
4. N. to quadratus femoris (L4-S1)
33
Blood Supply to the hip
* lateral and medial circumflex femoral
* **medial circumflex**
* ****retinacular br--\> neck and head of femur
* **obturator**--\> head of the femor
* important in kids
## Footnote
****
34
Hip Flexors
* **Anterior thigh muscles**
* ****sartorius
* **illopsoas**
* Pectinus
* rectus femoris
* only quad muslce to do this
* add magnus adductor part (helps)
35
Hip Extensors
* Gluteal maximus
36
Hip Adductors
* **adductor longus**
* **adductor brevis**
* **adductor portion of adductor magnus**
* gracilis
* Sartrois
37
Hip Abductors
* Gluteus medius
* Gluteus minimus
* Tensor fascilara
38
Hip Lateral Rotators
* Sartoris
* gludeus maximus
* **deep gluteal mm**
* ****piriformis
* superior gemellus
* obturator internus
* inferior gemellus
* quadratus femors
* obturatos externus
39
Hip Internal Rotators
* PEctinus
* **Gluteal medius**
* **Gluteal minimus **
