anatomy of the pelvis, SIJ, hip, Lumbosacral plexus Flashcards
Seven muscles are involved in hip flexion and four others assist: name them
Psoas Major
Iliacus
Tensor fascia latae
Sartorius
Rectus Femoris
Gluteus Medius (anterior fibres)
Gluteus Minimus
Adductor Longus (assists)
Pectineus assists
Adductor Brevis (assists)
Adductor Magnus (assists)
Six muscles are involved in hip extension: name them
Gluteus Maximus (all fibers)
Biceps Femoris (long head)
Semitendinosus
Semimembranosus
Adductor Magnus (posterior fibers)
Gluteus Medius (posterior fibres)
Eight muscles are involved in hip medial rotation and two others assist: name them
Gluteus Medius (anterior fibers)
Gluteus Minimus
Tensor fascia latae
Adductor Magnus
Adductor longus
Adductor Brevis
Pectineus
Gracilis
Semitendinosus (assists)
Semimembranosus (assists)
Eleven muscles are involved in hip lateral rotation and one other assists: name them
Gluteus Maximus (all fibers)
Piriformis
Quadratus Femoris
Obturator internus
Obturator externus
Gemellus Superior
Gemellus Inferior
Gluteus Medius (posterior fibres)
Psoas major
Iliacus
Sartorius
Biceps Femoris long head… assists)
Six muscles are involved in hip abduction: name them
Gluteus Maximus (all fibres)
Gluteus medius (all fibers)
Gluteus Minimus
Tensor fascia latae
Sartorius
Piriformis (when the hip is flexed)
Six muscles are involved in hip adduction: name them
adductor magnus
adductor longus
adductor brevis
pectineus
Gracilis
Gluteus Maximus (lower fibres)
Quadratus Femoris Group : actions and innervation
All fibers: extend the knee
Rectus femoris: flex the hip
innervated by Femoral L2, L3, L4
Quadratus Femoris Group : insertions
Rectus Femoris: ASIS
Vastus Medialis : medial lip of linea aspera
Vastus Lateralis: lateral lip of linea aspera, gluteal tuberosity, greater trochanter
Vastus Intermedius: anterior and lateral shaft of femur.
All insert at the tibial tuberosity via the patellar and patellar ligament
Biceps Femoris: actions and innervation
Flex the knee (tibiofemoral joint)
tilt the pelvis posteriorly
Laterally rotate the flexed knee (tibiofemoral joint)
The long head extends the hip (coaxal joint).
The long head assists to laterally rotate the hip (coxal joint)
innervated by: Long head - sciatic L5, S1, S2, S3
short head - sciatic L5, S1, S2
Biceps Femoris: insertions
Long Head ischial tuberosity; short head lateral lip of linea aspera
both insert on head of the fibula
Semitendinosus: actions and innervation
Flex the knee (tibiofemoral joint)
tilt the pelvis posteriorly
Medially rotating the flexed knee (tibiofemoral joint)
Extends the hip (coaxal joint).
assists in medially rotating the hip (coxal joint)
innervated by Sciatic (tibial branch) L4, L5, S1, S2
Semitendinosus: insertions
ischial tuberosity and proximal, medial shaft of tibia at per anserinus tendon
Semimembranosus: actions and innervation
Flex the knee (tibiofemoral joint)
tilt the pelvis posteriorly
Medially rotating the flexed knee (tibiofemoral joint)
Extends the hip (coaxal joint).
assists in medially rotating the hip (coxal joint)
innervated by Sciatic (tibial branch) L4, L5, S1, S2
Semitendinosus: insertions
ischial tuberosity and posterior aspect of the medial condyle of the tibia
Gluteus Maximus: actions and innervation
All fibers: extend the hip
laterally rotate the hip (coaxal joint)
Abduct the hip (coaxal joint)
lower fibers: adduct the hip (coaxal joint)
innervated by inferior gluteal L5, S1, S2
Gluteus Maximus: insertions
coccyx, edge of sacrum, posterior iliac crest, sacrotuberous and sacroiliac ligaments
inserting on the iliotibial tract (upper fibers) and gluteal tuberosity (lower fibers)
Gluteus Medius: actions and innervation
All fibers: abduct the hip
Anterior fibers:
flex the hip (coxal joint)
Medially rotate the hip (coaxal joint)
posterior fibers:
extend the hip (coxal joint)
laterally rotate the hip (coxal joint)
innervated by superior gluteal L4, L5, S1
Gluteus Medius: insertions
origin on the gluteal surface of ilium, between posterior and anterior gluteal lines, just above the iliac crest
inserting on lateral aspect of greater trochanter
Gluteus Minimus: actions and innervation
Abduct the hip (coxal joint)
medially rotate the hip (coxal joint)
Flex the hip (coxal joint)
innervated by Superior gluteal L4, L5, S1
Gluteus Minimus: insertions
the gluteal surface of the ilium between the anterior and inferior gluteal lines and
anterior aspect of greater trochanter
Adductor Magnus: actions and innervation
adduct the hip
medially rotate the hip (coxal joint)
assist to flex the hip (coxal joint)
posterior fibres: extend the hip
innervated by : obturator L2, L3, L4 and sciatic L4, L5, S1
Adductor Magnus: insertions and origin
inferior ramus of pubis; ramus of ischium and ischial tuberosity inserting on medial lip of linea aspera and adductor tubercle
Adductor Longus: actions and innervation
adduct the hip
medially rotate the hip (coxal joint)
assist in flexing the hip (coxal joint)
innervated by : obturator L2, L3, L4
Adductor Longus: insertions and origin
pubic tubercle and medial lip of linea aspera
Adductor Brevis: actions and innervation
adduct the hip
medially rotate the hip (coxal joint)
assist in flexing the hip (coxal joint)
innervated by : obturator L2, L3, L4
Adductor Brevis: insertions and origin
inferior ramus of pubis
inserts at the pectineal line and medial lip of linea aspera
Pectineus: actions and innervation
adduct the hip
medially rotate the hip (coxal joint)
assist in flexing the hip (coxal joint)
innervated by: femoral and obturator L2, L3, L4
Pectineus: insertions and origin
superior ramus of pubis
pectineal line of femur
Gracilis: actions and innervation
adduct the hip
medially rotate the hip (coxal joint)
flex the knee (tibiofemoral joint)
medially rotate the flexed knee (tibiofemoral joint)
innervated by: obturator L2, L3, L4
Gracilis: insertions and origin
inferior ramus of pubis and
the proximal, medial shaft of the tibia at pes anserinus tendon
Tensor Fascia Latae: actions and innervation
Flex the hip (coxal joint)
medially rotate the hip (coxal joint)
abduct the hip (coxal joint)
innervated by Superior gluteal L4, L5, S1
Tensor Fascia Latae: Origin and insertion
iliac crest, posterior to ASIS
iliotibial tract
Satorius: actions and innervation
Flex the hip (coxal joint)
laterally rotate the hip (coxal joint)
Abduct the hip (coxal joint)
Flex the knee (tibiofemoral joint)
Medially rotate the flexed knee (tibiofemoral joint)
innervated by Femoral L2, L3 L4
Sartorius: origin and insertion
anterior superior iliac spine
proximal medial shaft of tibia at pes anserinus tendon
Piriformis: actions and innervation
Laterally rotate the hip (coxal joint)
abduct the hip - when hip is flexed
innervated by sacral plexus L5, S1, S2
Piriformis: origin and insertion
anterior surface of sacrum
superior aspect of greater trochanter
Quadratus femoris: actions and innervation
Laterally rotate the hip (coxal joint)
innervated by sacral plexus L4, L5, S1, S2
Quadratus femoris: origin and insertion
lateral border of ischial tuberosity
intertrochanteric crest between greater and lesser trochanters
obturator Internus: actions and innervation
Laterally rotate the hip (coxal joint)
innervated by sacral plexus L5, S1, S2
obturator Internus: origin and insertion
obturator membrane and inferior surface of obturator foramen
medial surface of greater trochanter
obturator Externus: actions and innervation
Laterally rotate the hip (coxal joint)
innervated by obturator L3, L4
obturator Externus: origin and insertion
rami of pubis and ischium, obturator membrane
trochanteric fossa of femur
Gemellus Superior: actions and innervation
Laterally rotate the hip (coxal joint)
innervated by sacral plexus L5, S1, S2
Gemellus Superior: origin and insertion
ischial spine
medial surface of greater trochanter
Gemellus Inferior: actions and innervation
Laterally rotate the hip (coxal joint)
innervated by sacral plexus L4, L5, S1, S2
Gemellus Inferior: origin and insertion
ischial tuberosity
medial surface of greater trochanter
Psoas Major: actions and innervation
(with origin fixed) flex the hip (coxal joint)
laterally rotate the hip
with insertion fixed:
flex the trunk toward the thigh
tilt the pelvis anteriorly
assist to laterally flex the lumbar spine
innervated by lumbar plexus L1, L2,L3, L4
Psoas Major: origin and insertion
bodies of transverse processes of all lumbar vertebrae
lesser trochanter
Iliacus: actions and innervation
(with origin fixed) flex the hip (coxal joint)
laterally rotate the hip
with insertion fixed:
flex the trunk toward the thigh
tilt the pelvis anteriorly
innervated by femoral L1, L2,L3, L4
Iliacus: origin and insertion
iliac fossa
lesser trochanter
What are the borders of the femoral triangle?
Sartorius; Adductor longus; Inguinal Ligament
what is the name of the vein that empties into the femoral vein at the femoral triangle?
Great Saphenous Vein