Anatomy 2 (gluteal region) Flashcards

1
Q

what is the superior border of the gluteal regions

A

iliac crest

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2
Q

what is the inferior border of the gluteal region

A

gluteal fold/sulcus

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3
Q

what marks the lateral extent of the gluteal region

A

greater trochanter of the femur

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4
Q

what are the three superficial muscles of the gluteal regions

A

gluteus maximus, medius and minimus

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5
Q

what is the most superficial of the gluteal muscles

A

gluteus maximus

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6
Q

where does the gluteus maximus attach proximally

A

iliac crest, sacrum, sacrotuberous ligament and coccyx

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7
Q

where does the gluteus maximus attach to distally

A

iliotibial tract and some fibres attach distally to the gluteal tuberosity of the femur

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8
Q

what is the function of the gluteus maximus

A

extensor of the hip (most powerful)

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9
Q

what other function does the gluteus maximus have along with the superficial fascia overlying it

A

defines gluteal fold

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10
Q

where do the gluteus medius and minimus attach to

A

external/posterior/gluteal aspect of ilium and anterolateral; aspect of greater trochanter of femur

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11
Q

what is the function of the gluteus medius and minimus

A

abduct and medially (internally) rotate thigh at hip joint

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12
Q

what nerve supplies the gluteus medius and minimus

A

superior gluteal nerve (L5, S1 and 2)

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13
Q

what is the test for damage to the superior gluteal nerve

A

Trendelenburgs

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14
Q

what does the inferior gluteal neurovascular bundle contain

A

inferior gluteal artery, vein and nerve (L5, S1 and 2)

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15
Q

what does the inferior gluteal neurovascular bundle supply

A

gluteus maximus

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16
Q

where is the inferior gluteal neurovascular bundle

A

deep to the gluteus maximus

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17
Q

what does the superior gluteal neurovascular bundle contain

A

superior gluteal artery, vein and nerve (L5, S1 and 2)

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18
Q

what does the superior gluteal neurovascular bundle supply

A

gluteus medius and minimus

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19
Q

where is the superior gluteal neurovascular bundle

A

deep two gluteus medius

20
Q

what is the function of the deep layer of muscles

A

lateral rotation of lower limb at the hip joint and also help to stabilise the head of the femur in the acetabulum

21
Q

how do the deep muscles of the gluteal region run

A

arranged in strips running approximately transversely from medial tot lateral between sacrum, ilium and ischial spine and tuberosity medially and mainly the greater trochanter of the femur laterally

22
Q

what is the iliotibial tract also called

A

fascia lata

23
Q

what is the iliotibial tract

A

thickening of the deep fascia of the thigh

24
Q

what does the iliotibial tract run between

A

ASIS to the lateral aspect of the lateral tibial condyle at the Gerdy tubercle

25
what does the iliotibial tract do
supports the knee joint
26
what is the tensor fascia latae
muscular part of fascia lata
27
what part of the fascia lata is the tensor fascia latae
proximal portion
28
what are the nerve roots of the sciatic nerve
L4 to S3
29
where is the sciatic nerve formed
lumbosacral plexus of pelvis
30
where does the sciatic nerve emerge
middle gluteal region
31
where does the sciatic nerve descend
leaves the middle gluteal region and enters the posterior compartment of the thigh, the branches descend through the popliteal fossa and posterior and lateral compartments of the leg into the foot
32
what can cause sciatica
lumbar "slipped discs", entrapment of nerve due to hypertrophy or tightness of piriformis
33
what are the spinal nerve roots of pudendal nerve
S2-4
34
where is the pudendal nerve formed
sacral plexus of pelvis
35
where does the pudendal nerve emerge
into the middle of the gluteal region
36
what does the pudendal nerve supply
muscles, skin and fascia of much of the perineum
37
what type of procedure is pudendal nerve block
obstetric
38
where is the posterior cutaneous nerve of the thigh formed
S1-3 sacral plexus
39
where does the posterior cutaneous nerve of the thigh emerge
middle of the gluteal region
40
what does the posterior cutaneous nerve of the thigh supply
skin over posterior aspect of thigh
41
what type of nerve is posterior cutaneous nerve of the thigh
somatic with sensory and sympathetic fibres
42
what does a lumbar puncture test for
conditions affecting the brain, spinal cord or other nervous system conditions
43
where are samples of cerebrospinal fluid taken from
subarachnoid space surrounding spinal cord
44
how should the patient be positioned for lumbar puncture
patient on left side and fully flexed (knees to chin)
45
the iliac crests should be identified and the pane between them visualised what level is this at
L3/4
46
where does the spinal cord end in adults
L1/2
47
what is the terminal part of the spinal cord called
conus medullaris