Osteo nd Gluteal

Question 1

what makes the hip bone

Answer 1

ilium, ischium, pubis

Question 2

what is the acetabulum

Answer 2

meeting point of 3 bones - y shaped

Question 3

the hip bones are equivalent of what in the UE

Answer 3

clavicle and scapula

Question 4

articulation of hip bones

Answer 4

post - sacroiliac joint
ant - symphysis pubis

Question 5

what level is the iliac crest

Answer 5

L4

Question 6

parts of iliac crest

Answer 6

ASIS - PSIS
iliac tubercle 2 in. behind ASIS

Question 7

at what level is anesthesia given

Answer 7

L4 - bc if above L1 it will cause paralysis

Question 8

sit bone

Answer 8

ischial tuberosity

Question 9

attachment for hamstring musckes

Answer 9

ischial tuberosity

Question 9

significance of ischial spine

Answer 9

lig attachement - measurement of pelvic oppening - pointed = too narrow for delivery

Question 10

greater and lesser sciatic notches are converted into greater and lesser sciatic foramina by the presence of

Answer 10

sacrospinous and sacrotuberous ligaments

Question 11

articulation of superior ramus of symphysis pubis

Answer 11

illium and ischium

Question 12

articulation of inferior ramus of symphysis pubis

Answer 12

ischial ramus - below obtu for

Question 13

what is pubic crest

Answer 13

upper border of body of pubis; lat - pubic tubercle

Question 14

acetabulum contributions

Answer 14

ischium
ilium
pubis

Question 15

what shape is acetabulum

Answer 15

horseshoe

Question 16

significance of acetabular notch

Answer 16

passage of nerves nd bv to hip

Question 17

articulation of sacrum

Answer 17

sacroiliac - plane - glide

Question 18

what is sacral promontory

Answer 18

S1 - becomes posterior margin of pelvic inlet

Question 19

what is sacral hiatus

Answer 19

S4/5 fail to meet at midlind

Question 20

what is fovea capitis

Answer 20

– small depression at the center of the head for attachment of ligamentum teres; contains blood supply to the head of femur coming from obturator artery

Question 21

normal angle if incline

Answer 21

125 deg

Question 22

coxa vara vs valga

Answer 22

vara - less than 120
valga - above 135

Question 23

significance of intertrochanteric line

Answer 23

attachment of iliofemoral lig - separates greater nd lesser trochanter

Question 24

medial supracondylar ridge

Answer 24

adductor tibercle

Question 25

attachment off gluteus maximus

Answer 25

gluteal tuberosity

Question 26

separates lateral and medial condyles

Answer 26

intercondylar notch

Question 27

largest sesamoid bone

Answer 27

patella

Question 28

large wight bearing bone of leg

Answer 28

tibia

Question 29

largest bone of the foot

Answer 29

calcaneum

Question 30

boundaries of glutes

Answer 30

sup - iliac crest inf - gluteal fold of the buttock

Question 31

sensory supp of buttocks

Answer 31

UM - Posterior rami of first 3 lumbar and first 3 sacral n. LM - Posterior cutaneous n. of thigh ( S1-3) UL - Lateral branch of iliohypogastric (L1 and T12 – anterior rami) LL - Lateral cutaneous n. of thigh (L2 & L3)

Question 32

what supplies the coccyx and cleft

Answer 32

Small branches of sacral and coccygeal nerves

Question 33

compare the fascia in glutes

Answer 33

Superficial fascia Thick Large quantity of fat Responsible for prominence of buttock Deep fascia Continuous with deep fascia of thigh or fascia lata Splits to enclose the gluteus maximus On lateral surface it thickens to form a strong wide band, iliotibial tract (from tubercle of iliac crest to the lateral condyle of tibia) Iliotibial tract forms the sheath for tensor fasciae latae muscle

Question 34

what are the branches of lumbrar plexus

Answer 34

Branches: - L1 – iliohypogastric, ilioinguinal - L1-2 – genitofemoral - L2 – 3 – Lateral femoral cutaneous - L2,3,4 – Obturator nerve - L2,3,4 – Femoral nerve

Question 35

branches of lumbosacral plexus

Answer 35

Branches: *Sciatic nerve (L4-S3) *Superior gluteal n. (L4-S1) *Inferior gluteal n.(L5-S2) *N. to quadratus femoris (L4-S1) *N. to obturator internus (L5-S2) *Posterior cutaneous n. of thigh (S1-3) *Pudendal n. (S2,3,4) *N. to piriformis (S1-2)

Question 36

what type of joint is the hip joint

Answer 36

Multiaxial Ball and socket joint

Question 37

describe the iliofemoral lig

Answer 37

Y lig of bigelow - prevents hyper ex nd lat rot - strongest

Question 38

describe the pubofemoral lig

Answer 38

triangular - limits ext nd abd

Question 39

ischiofemoral lig

Answer 39

spiral - limits ext

Question 40

ligamentum teres

Answer 40

flat and triangular - limits add - pathway for bv to enter head of femur

Question 41

transverse acetabular lig

Answer 41

bridges acetabular - tunnel where bv nd nerves enter hip joint

Question 42

muscles for hip flexion

Answer 42

Iliopsoas (strongest flexor), sartorius, rectus femoris, pectineus, adductor longus, adductor brevis, adductor magnus and gracilis

Question 43

muscles for hip extension

Answer 43

hamstring, adductor magnus, gluteus maximus

Question 44

muscles for hip abduction

Answer 44

gluteus medius and minimus, assisted by sartorius, tensor fasciae latae and piriformis

Question 45

muscles for hip adduction

Answer 45

adductor longus, brevis, magnus, assisted by gracilis & pectineus

Question 46

medial rotation of hip

Answer 46

g. medius and minimus, tensor fascia lata

Question 47

lat rotation of hips

Answer 47

obturator externus & internus, gemelli, piriformis, quadratus femoris and is assisted by g. maximus

Question 48

what type of joint is sacroiliac joint

Answer 48

plane

Question 49

fucntion of sacroiliac joint

Answer 49

shock absorber for the spine above and converts torque from the lower extremities into the rest of the body

Question 50

ligs of sacroiliac joint

Answer 50

Anterior sacroiliac Ligament Posterior sacroiliac Ligament Interosseous ligament Sacrospinous and sacroiliac ligament

Question 51

what nerve passes sacroiliac joint

Answer 51

superior gluteal

Question 52

what is the func of sacrococcygeal joint

Answer 52

Forward and backward movement

Question 53

ligs of sacrococcygeal

Answer 53

Anterior Sacrococcygeal Ligament Posterior Sacrococcygeal Ligament Lateral Sacrococcygeal Ligament Interarticular Ligaments wo bones

Question 54

nerve of sacrococcygeal

Answer 54

pudendal

Question 55

what are the cartiligenous jints of the hu=ip

Answer 55

sacrococcygeal symphysis pubis

Question 56

ligs of symphysis pubis

Answer 56

Anterior pubic ligament Posterior pubic ligament Superior pubic ligament Arcuate pubic ligament

Question 57

nerve of symphysis pubis

Answer 57

branches from the iliohypogastric, ilioinguinal and pudendal nerves.

Question 58

what are the movements of symhysis pubis during birth

Answer 58

angulation, rotation and displacement

Question 59

+ trendelenburgs is weakness of

Answer 59

gluteus medius nd minimus