Gluteal area Flashcards

1
Q

what type of joint is the hip joint

A

multiaxial ball and socket type of synovial joint

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2
Q

What bones form the hip joint?

A

head of femur + acetabulum of pelvic bone

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3
Q

What ligaments make up the hip joint?

A

transverse acetabular ligament lig of head of femur

round / ronde ligament

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4
Q

Ligaments around the hip joint

A

Capsule around the joint:

Iliofemoral lig
Pubofemoral lig
Ischiofemoral lig

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4
Q

Ligaments around the hip joint

A

Capsule around the joint:

Iliofemoral lig
Pubofemoral lig
Ischiofemoral lig

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5
Q

Movements of the hip joint

A

flexion-extension
abduction- adduction
medial-lateral rotation
circumduction

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6
Q

Muscles of the gluteal area

A
Gluteus maximus
Gluteus medius
Gluteus minimus
Piriformis
Obturator internus
Superior and inferior gemelli
Quadratus femoris
Tensor fascia latae (with leg)
Obturator externus (with leg)
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7
Q
A

Gluteus maximus

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8
Q

Gluteus maximus proximal attachment

A

Ilium posterior to post gluteal line;

Dorsal surface of sacrum and coccyx; Sacrotuberous lig.

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9
Q

Gluteus maximus distal attachment

A

End of iliotibial tract;

Gluteal tuberosity

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10
Q

Gluteus maximus nerve supply

A

inferior gluteal

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11
Q

Gluteus maximus action

A

Extends thigh;
Assists in lat rotation;
Steadies thigh;
Assists in rising from sitting position

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12
Q
A

Gluteus medius

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13
Q

Gluteus medius proximal attachment

A

External surface of ilium between ant and post gluteal lines

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14
Q

Gluteus medius distal attachment

A

Lateral surface of greater trochanter of femur

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15
Q

gluteus medius nerve supply

A

Superior gluteal

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16
Q

gluteus medius action

A

Abduct thigh;
Med rotate thigh;
Keep pelvis level when ipsilateral limb is weight bearing

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17
Q
A

Gluteus minimus

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18
Q

Gluteus minimus proximal attachment

A

External surface of ilium – between ant and inf gluteal lines

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19
Q

Gluteus minimus distal attachment

A

Ant surface of greater trochanter of femur

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20
Q

Gluteus minimus nerve supply

A

superior gluteal

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21
Q

Gluteus minimus action

A

Abduct thigh;
Med rotate thigh;
Keep pelvis level when ipsilateral limb is weight bearing

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22
Q
A

Piriformis

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23
Q

Piriformis proximal attachment

A

Ant surface of sacrum;

Sacrotuberous ligament

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24
Q

Piriformis distal attachment

A

Sup border of greater trochanter

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25
Q

Piriformis nerve supply

A

anterior rami of S1, 2

26
Q

Piriformis action

A

Lateral rotate extended thigh;
Abduct flexed thigh;
Steady femoral head in acetabulum

27
Q
A

Obturator internus

28
Q

Obturator internus proximal attachment

A

Pelvic surface of obturator membrane and surrounding bones

29
Q

Obturator internus distal attachment

A

Med surface of greater trochanter of femur

30
Q

Obturator internus nerve supply

A

nerve to obturator internus

31
Q

Obturator internus action

A

Lateral rotate extended thigh;
Abduct flexed thigh;
Steady femoral head in acetabulum

32
Q
A

Gemelli inferior

33
Q
A

Gemelli superior

34
Q

Gemelli superior and inferior proximal attachment

A

Superior: ischial spine
Inferior: ischial tuberosity

35
Q

Gemelli superior and inferior distal attachment

A

Med surface of greater trochanter of femor

36
Q

Gemelli superior and inferior nerve supply

A

Superior: n to obturator internus
Inferior: n to quadratus femoris

37
Q

Gemelli superior and inferior action

A

Lateral rotate extended thigh;
Abduct flexed thigh;
Steady femoral head in acetabulum

38
Q
A

Quadratus femoris

39
Q

Quadratus femoris proximal attachement

A

Lateral border of ischial tuberosity

40
Q

Quadratus femoris distal attachement

A

quadrate tubercle of intertrochanteric crest of femur and inferior to it

41
Q

Quadratus femoris nerve supply

A

nerve ti quadratus femoris

42
Q

Quadratus femoris action

A

Lateral rotates thigh;

Steadies femoral head in acetabulum

43
Q
A

Obturator externus

44
Q

adductors of thigh

A

Obturator externus

45
Q

The two arteries and nerves that lie “next” to the piriformis muscle

A

Superior gluteal a

Inferior gluteal a

46
Q

superior gluteal artery supplies:

A

Gluteus maximus / medius / minimus / tensor fascia latae

47
Q

Inferior gluteal artery supplies

A

Gluteus maximus / obturator internus / quadratus femoris / sup parts of hamstrings

48
Q

The lumbosacral plexus is from:

A

T12 to S5

49
Q

Important nerves to the legs of lumbar plexus

A

Femoral (L4)

obturator (L5)

50
Q

T12

A

Iliohypogastric nerve

51
Q

L1

A

Ilioinguinal nerve

52
Q

L2

A

Genitofemoral nerve

53
Q

L3

A

Lateral cutaneous

54
Q

L4

A

Femoral nerve

55
Q

L5

A

obturator nerve

56
Q

Lumbar plexus

A

T12 to L5

57
Q

Sacral plexus

A

L4 to C1

58
Q

Sciatic nerve of the sacral plexus is made up of

A

common peroneal + tibial nn

59
Q

Superior gluteal nerve

A

Sacral plexus

L5

60
Q

Inferior gluteal nerve

A

Sacral plexus

S1

61
Q

Sciatic nerve supplies:

A

no mm in gluteal area but all mm in post compartment of thigh

62
Q

Superior gluteal nerve supplies

A

Gluteus medius/ minimus/ tensor fascia latae

63
Q

Inferior gluteal nerve supplies

A

gluteus maximus