Posterior Hip & Thigh Flashcards

1
Q

The Inguinal Ligament runs from the

A

anterior superior iliac sine to the pubic tubercle

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2
Q

the sacroiliac joint is formed between the

A

ilium and sacrum

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3
Q

the sacroiliac joint permits

A

minimal movement and is designed to transfer force from the pelvis to the sacrum

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4
Q

the femur is the

A

strongest & longest bone in the body

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4
Q

extreme hip flexion is accompanied by

A

posterior pelvic tilt

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4
Q

Hip joint degrees of flexion & extension

A

flexion: 110-120
extension: 10-15

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4
Q

hip joint degrees of abduction & adduction

A

abduction: 30-50
adduction 25-30

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5
Q

hip joint degrees of internal & external rotation

A

internal rotation: 40-60
external rotation 30-40

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6
Q

extreme hip extension is accompanied by

A

anterior pelvic tilt

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7
Q

Collum/inclination angle

A

the angle between the femoral shaft and the neck
- 125/130* is normal
- larger in tall people

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8
Q

Coxa Valga

A

increased collum/inclination angle, femoral head is facing superiorly (140*)

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9
Q

Coxa vera

A

decreased collum/inclination angle, femoral head is facing inferiorly (115*)

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10
Q

Angle of anteversion/femoral torsion

A

angle that the femoral neck makes with the acetabulum in the transverse plane
- normal = 5-15*

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11
Q

Infants are born with a larger

A

angle of anteversion/femoral torsion
~30*

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12
Q

Excessive anteversion

A

femoral torsion or anteversion angle greater than 15*

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13
Q

retroversion

A

femoral torsion or anteversion angle less than 5*

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14
Q

The hip is a

A

ball & socket joint
- stability over mobility
- deep socket enclosing the femoral head
- surrounded by many muscles
- reinforced by multiple intrinsic ligaments

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15
Q

Foveal ligament

A

two bands that originate on the ischial and pubic sides of the acetebular notch on the fovea capitis of the femoral head

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16
Q

Extracapsular ligaments that reinforce the hip joint

A
  • iliofemoral ligament
    -pubofemoral ligament
    -ischiofemoral ligament
17
Q

The ligaments that convert the geater and lesser sciatic notches into foramina

A
  • sarcospinous ligament
  • sacrotuberous ligament
18
Q

The sacrotuberous ligament

A
  • fan shaped
  • extends from the PSIS/ dorsolateral sacrum & coccyx to the ischial tuberosity
19
Q

The sacrospinous ligament

A
  • smaller
  • attached from the ischial spine to the lateral sacrum & coccyx
20
Q

Fascia Lata

A

deep fascia of the thigh

21
Q

Crural Fascia

A

deep fascia of the leg

22
Q

The fascia lata is thick laterally forming the

A

Iliotibial tract

23
Q

Common cause of lateral knee pain

A

iliotibial tract (band) syndrome (ITBS)
- friction of the IT tract against the lateral epicondyle of the femur with flexion/extension

24
Q

Sacral Plexus

A

L4-S4, innervates the gluteal region and entire lower limb

25
Q

Femoral and Obturator nerves arise from

A

the lumbar plexus (L2-L4)

26
Q

The lumbosacral plexus nerves exit through

A

the greater sciatic foramen

27
Q

Gluteus Maximum OIAI

A

O: thoracolumbar fascia, gluteal fossa of the iliac wing, sacrotuberous ligament, posterior/inferior sacrum & coccyx

I: gluteal tuberosity of the femur, ITB

A: external rotation, extension, abduction of the thigh at the hip

I: inferior gluteal nerve

28
Q

Gluteus maximum & tensor fasciae latae form a

A

large muscular complex with the Iliotibial tract

29
Q

Tensor Fascia Latae OIAI

A

O: ASIS
I: iliotibial tract
A: flexes, internally rotates, abducts the thigh at the hip
I: superior gluteal nerve

30
Q

Gluteus Medius OIAI

A

O: gluteal fossa of the iliac wing
I: greater trochanter of the femur
A: abduction, internal rotation (anterior fibres), external rotation (posterior fibres) of the thigh at the hip
I: superior gluteal nerve

31
Q

Gluteus Minimus OIAI

A

O: gluteal fossa of the iliac wing
I: greater trochanter of the femur
A: internal rotation, abduction of the thigh at the hip
I: Superior gluteal nerve

32
Q

Piriformis OIAI

A

O: anterior surface of the sacrum
I: greater trochanter of the femur
A: external rotation, abduction of the thigh at the hip
I: branches of the sacral plexus

33
Q

Piriformis clinical function

A

close to superior/inferior gluteal nerve and the pudendal nerve which are detrimental to sexual function

34
Q

Superior Gemellus OIAI

A

O: spine of the ischium
I: greater trochanter of the femur
A: external rotation, abduction of the thigh at the hip
I: branches of the sacral plexus

35
Q

Inferior Gemellus OIAI

A

O: tuberosity of the ischium
I: greater trochanter of the femur
A: external rotation, abduction of the thigh at the hip
I: branches of the sacral plexus

36
Q

Obturator Internus OIAI

A

O: obturator membrane
I: greater trochanter of the femur, trochanteric fossa
A: external rotation of the thigh at the hip
I: branches of the sacral plexus

37
Q

Quadratus Femoris OIAI

A

O: tuberosity of the ischium
I: intertrochanteric crest of the femur
A: external rotation, adduction of the thigh at the hip

38
Q

Biceps Femoris long head OIAI

A

O: tuberosity of the ischium
I: head of the fibula, lateral condyle of the tibia
A: extension of the thigh at the hip, flexes leg at the knee, laterally rotates a fixed leg
I: tibial nerve

39
Q

Biceps Femoris short head OIAI

A

O: linea aspera
I: head of the fibula, lateral condyle of the tibia
A: flexes the leg at the knee, laterally rotates a fixed leg
I: common peroneal nerve

40
Q

Semitendinosus OIAI

A

O: tuberosity of the ischium, sacrotuberous ligament
I: pes anserinus
A: extends the thigh at the hip, flexes/internally rotates the leg at the knee
I: tibial nerve

41
Q

Semimebranosus OIAI

A

O: tuberosity of the ischium
I: medial condyle of the tibia
A: extends the thigh at the hip, flexes/internally rotates the leg at the knee
I: tibial nerve

42
Q

Lateral femoral intermuscular septum seperates

A

the anterior and posterior compaterments of the thigh

43
Q

Posteromedial femoral intermuscular septum seperates

A

the medial and posterior compartment of the thigh

44
Q

anteromedial femoral intermuscular septum seperates

A

the medial and anterior compartments of the thigh