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
Q

what does the iliotibial tract do

A

supports the knee joint

26
Q

what is the tensor fascia latae

A

muscular part of fascia lata

27
Q

what part of the fascia lata is the tensor fascia latae

A

proximal portion

28
Q

what are the nerve roots of the sciatic nerve

A

L4 to S3

29
Q

where is the sciatic nerve formed

A

lumbosacral plexus of pelvis

30
Q

where does the sciatic nerve emerge

A

middle gluteal region

31
Q

where does the sciatic nerve descend

A

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
Q

what can cause sciatica

A

lumbar “slipped discs”, entrapment of nerve due to hypertrophy or tightness of piriformis

33
Q

what are the spinal nerve roots of pudendal nerve

A

S2-4

34
Q

where is the pudendal nerve formed

A

sacral plexus of pelvis

35
Q

where does the pudendal nerve emerge

A

into the middle of the gluteal region

36
Q

what does the pudendal nerve supply

A

muscles, skin and fascia of much of the perineum

37
Q

what type of procedure is pudendal nerve block

A

obstetric

38
Q

where is the posterior cutaneous nerve of the thigh formed

A

S1-3 sacral plexus

39
Q

where does the posterior cutaneous nerve of the thigh emerge

A

middle of the gluteal region

40
Q

what does the posterior cutaneous nerve of the thigh supply

A

skin over posterior aspect of thigh

41
Q

what type of nerve is posterior cutaneous nerve of the thigh

A

somatic with sensory and sympathetic fibres

42
Q

what does a lumbar puncture test for

A

conditions affecting the brain, spinal cord or other nervous system conditions

43
Q

where are samples of cerebrospinal fluid taken from

A

subarachnoid space surrounding spinal cord

44
Q

how should the patient be positioned for lumbar puncture

A

patient on left side and fully flexed (knees to chin)

45
Q

the iliac crests should be identified and the pane between them visualised what level is this at

A

L3/4

46
Q

where does the spinal cord end in adults

A

L1/2

47
Q

what is the terminal part of the spinal cord called

A

conus medullaris