Gluteal and Pelvic Region Flashcards
What is the insertion of the obturator internus?
Greater trochanter of femur
What is the innervation of the obturator internus?
Nerve to obturator internus
What is the action of obturator internus?
Lateral rotation of hip
Abducts flexed femur at hip joint
What is the origin of gemellus superior?
Ischial spine
What is the insertion of gemellus superior?
Greater trochanter of femur
What is the nerve supply to gemellus superior?
Nerve to obturator internus
What is the action of gemellus superior?
Lateral rotation of hip
Abducts flexed femur at hip
What is the origin of gemellus inferior?
Ischial tuberosity
What is the insertion of gemellus inferior?
greater trochanter of femur
What is the nerve supply to gemellus inferior?
Nerve to quadratus femoris
What is the action of gemellus inferior?
Lateral rotation of hip
Abducts flexed femur at hip
What is the origin of quadratus femoris?
lateral ischium
What is the insertion of quadratus femoris?
Intertrochanteric crest of femur
What is the nerve supply to quadratus femoris?
nerve to quadratus femoris
What is the action of quadratus femoris?
lateral rotation of hip
What is the origin of the obturator internus?
Antero-lateral pelvis
What is the origin of psoas major?
T12-L4
What is the insertion of psoas major?
Lesser trochanter of femur
What is the origin of psoas minor?
T12, L1
What is the insertion of psoas minor?
Iliopectineal eminence of pelvis
Which muscle is often absent in the pelvic region?
Psoas minor
Where is the trochanteric bursa?
Situated between gluteus maximus and the greater trochanter
Where is the ischiogluteal bursa?
Near the ischial tuberosity (sitting down can inflame it)
Name the superficial gluteal muscles
Gluteus maximus
Gluteus medius
Gluteus minimus
What is the origin of gluteus maximus?
Iliac crest, sacrum and coccyx
What is the insertion of gluteus maximus?
Iliotibial tract
Which nerve supplies the gluteus maximus?
Inferior gluteal nerve
What is the arterial supply to gluteus maximus?
Superior and inferior gluteal arteries
What is the action of gluteus maximus?
Standing up (extends the hip from a flexed position) Lateral rotation
Where do gluteus medius and minimus both arise?
Posterior, lateral ilium
Where do gluteus minimus and medius insert?
Greater trochanter of femur
What are the actions of the gluteus medius and minimus?
Medial rotation
Abduction
Stabilise the pelvis when standing on one leg
What are the deep muscles of the gluteal region?
Piriformis Superior gemellus Inferior gemellus Obturator internus Quadratus femoris
What is the origin of the piriformis?
Anterior sacrum
What is the insertion of the piriformis?
Greater trochanteric of femur
What is the origin of the gemelli?
Ischium
What is the origin of quadratus femoris?
Ischial tuberosity
What is the insertion of quadratus femoris?
Intertrochanteric crest of femur
Describe the route of the sciatic nerve
Passes posteriorly through the greater sciatic foramen
Passes inferior to piriformis
Passes behind the long head of biceps femoris
Where would you perform a dorsogluteal injection?
Upper lateral quadrant
Attempt to avoid sciatic nerve damage
What is the origin of tensor fascia lata?
Anterior iliac crest
What is the insertion of tensor fascia lata?
iliotibial tract
What is the action of tensor fascia lata?
Abduction and medial rotation of thigh
What is the nerve supply to tensor fascia lata?
Superior gluteal nerve
Why is the piriformis an important landmark?
Divides the gluteal region into an inferior and superior part
What is the iliotibial tract?
Longitudinal thickening of fascia lata
Strengthened by fibres from gluteus maximus
Extends from iliac tubercle to lateral tibial condyle