Exam 3 Flashcards
Blood supply of hip joint/head of femur
Medial and lateral circumflex femoral arteries
Acetabular branch of the obturator artery
Retinacular arteries
Gluteus Maximus:
A, F, I
A: thoracolumbar fascia, ilium and sacrum, erector spinae, sacrotuberous lig, gluteal tuberosity of femur, iliotibial tract.
F: hip extension and adduction (especially in flexed position) and hip lateral rotation.
I: inferior gluteal nerve.
Tensor fascia lata:
A, F, I
A: ASIS, anterior part of iliac crest, IT tract, lateral condyle of tibia.
F: stabilizes hip and knee joints, hip flexion, hip medial rotation.
I: superior gluteal nerve
Gluteus Medius:
A, F, I
A: between posterior and anterior gluteal lines on ilium; greater trochanter of femur.
F: ant fibers abduct and medially rotate, post fibers abduct and laterally rotate.
I: superior gluteal nerve.
Gluteus Minimus:
A, F, I
A: between anterior and inferior gluteal lines on ilium; greater trochanter.
F: hip abduction
I: superior gluteal nerve.
Piriformis Muscle:
A, F, I
A: sacrum, sacrotuberous lig, greater trochanter; passes through greater sciatic foramen.
F: hip lateral rotation, femur stabilization.
I: nerve to piriformis.
Obturator Internus:
A, F, I
A: obturator membrane and bone, greater trochanter.
F: hip lateral rotation, stabilization of femur.
I: nerve to obturator internus.
Superior and Inferior Gemellus:
A, F, I
A: greater trochanter (both)
F: hip lateral rotation, stabilization of femur (both).
I: nerve to obturator internus (S); nerve to quadratus femoris (I).
Quadratus Femoris:
A, F, I
A: ischial tuberosity, intertrochanteric crest.
F: hip lateral rotation, stabilization of femur.
I: nerve to quadratus femoris.
Superior Gluteal Artery (5)
Internal Iliac artery-> posterior division-> SGA
Between lumbosacral trunk and S1.
Exits via greater sciatic foramen.
SF branch supplies gluteus maximus
Deep branch supplies gluteus medius and minimus and tensor fascia lata.
Inferior Gluteal Artery (4)
Internal iliac artery-> anterior division-> IGA
Typically between S2 and S3.
Exits pelvis via greater sciatic foramen.
Supplies gluteus maximus, obturator internus, quadratus femoris, and superior hamstrings.
Connections to the patella
Quadriceps tendon superiorly
Patellar ligament inferiorly
Sartorius Muscle:
A, F, I
A: ASIS, pes anserinus (medial knee)
F: flex hip and knee, laterally rotate femur (crossing legs)
I: femoral nerve
Rectus Femoris:
A, F, I
A: AIIS, quadriceps femoris tendon.
F: flex hip, extend knee (karate kick)
I: femoral nerve
Vastus Lateralis, Medialis, and Intermedius:
A, F, I
A: anterior femur, quad femoris tendon.
F: extend knee
I: femoral nerve
Psoas and Iliacus muscles
P: attached to T12 and down, innervated by upper lumbar nerves.
I: attached to medial surface of ilium/false pelvis, innervated by femoral nerve.
Both attach to lesser trochanter and flex the hip.
Borders and Contents of the Femoral Triangle
Superior: Inguinal ligament
Lateral: Sartorius
Medial: Adductor Longus
Floor: Iliopsoas and Pectineus
Contents: Fem N, Fem A, Fem V, Lymph nodes.
Femoral Sheath
Lateral compartment- fem artery
Intermed compartment- fem vein
Medial compartment- lymphatics/fem canal
Femoral Nerve is lateral to the sheath, NOT in the sheath.