Gluteal Region Flashcards
What does the Pelvic Girdle consist of?
Sacrum, Coccyx, Hip Bone (Os Coxae), Femur
What three fused bones make up the Pelvis Bone?
Ilium, Pubis, and Ischium that come to get her in the acetabulum
Structures in the Ilium?
Posterior, Anterior Inferior- Gluteal lines PSIS- posterior superior iliac spine PIIS- posterior inferior iliac spine ASIS- Anterior Superior Iliac Spine Greater Sciatic notch Iliac Crest
Structures of the Ischium?
Ischial Spine
Lesser Sciatic Notch
Ischial Tuberosity
Obturator Foramen
Structure of the Acetabulum?
Articular surface
Acetabular fossa
Acetabular notch
Structures on the Proximal Femur?
Greater Trochanter
Lesser Trochanter
Intertrochanteric line
Attachments for Tensor Fasciae Latae?
ASIS, anterior iliac crest
IT tract-lateral condyle of femur
Attachments for G Max?
Posterior to Posterior gluteal line, sacrum/coccyx, sacrotuberous ligament
IT tract and gluteal tuberosity of femur
Attachments for G Med?
B/T anterior and posterior gluteal lines
Lateral surface of the greater trochanter
Attachments for G Min
B/T anterior and posterior gluteal lines
Anterior surface of greater trochanter
Attachments for Piriformis?
Goes through greater sciatic foramen, takes up a majority of space.
Anterior sacrum, anterior margin of greater sciatic notch and sacrotuberous ligament
Superior border of greater trochanter
Attachments for Obturator Internus?
Passes through lesser sciatic foramen
Pelvis surface of ilium and Ishiguro, Obturator membrane
Medial surface of greater trochanter
Attachments for Gemelli brothers?
Superior: ischial spine
Inferior: ischial tuberosity
Medial surface of greater trochanter
Attachments for Quad. Femoris?
Lateral border of ischial tuberosity
Intertrochanteric crest
What are the action of G Max?
Extension, Latéral rotation, AB diction, adduction
What are the actions of G-G-T?
ABduction
Medial rotation
Levels pelvis
Actions of P-GOGO-Q?
Lateral rotation
Extend hip joint- PGOG
Some ABduction- P+ obturator internus
Stabilize hip joint
What do the gluteal Bursae do/
Flattened membranous sacs containing synovial fluid
Located in areas of increased friction- b/t muscle and bony prominence
What to the Trochanteric bursa do?
Separate inferior gluteus max from greater trochanter
What do the Ischial bursae do?
Separate inferior gluteus max from ischial tuberosity
What does the GLuteofemoral bursae do?
Separate the IT tract from the superior part of the ordinal attachment of the Vastus Lateralis
What is the Lumbar plexus?
T12-L4
Iliohypogastric, genital branch of the genitofemoral, ilioinguinal, lateral cutaneous nerve of the thigh, femoral nerve, obturator nerve
What is the Sacral Plexus?
L4- S4
Superior gluteal, inferior gluteal posterior cutaneous nerve of the thigh, sciatic and pudendal
Roots of iliohypogastric nerve?
T12, L1
Roots of Ilioinguinal nerve?
L1
Roots of Genitofemoral nerve?
L1, L2
Roots of Lateral femoral cutaneous nerve?
L2, L3. Posterior divisions
Roots of femoral nerve?
L2, L3, L4. Posterior Divisions
Roots of Obturator nerve?
L2, L3, L4 Anterior divisions
Roots of the Lumbosacral trunk?
L4, L5
Roots of the Superior Gluteal Nerve?
L4, L5, S1 Posterior divisions
Roots of the Inferior gluteal nerve?
L5, S1, S2 posterior divisions
Roots of the Common perineal division of the sciatic nerve?
L4, L5, S1, S2- posterior divisions
Roots of the Tibial division of the sciatic nerve?
L4, L5, S1, S2, S3- anterior divisions
Roots of the Posterior femoral cutaneous nerve?
S1, S2, S3 anterior and posterior divisions
Roots of the Pudendal nerve?
Posterior divisions of S2, S3
All of S4
Roots of Sciatic nerve?
L4, L5, S1, S2, S3
Roots of Superior gluteal nerve?
L4, L5, S1
Roots of inferior gluteal nerve?
L5, S1, S2
Roots of the nerve to Quad. Femoris?
L4, L5, S1
Roots to the Pudendal nerve?
S2, S3, S4
Roots to the nerve to obturator internus?
L5, S1, S2
Where do you give intragluteal injections?
Intramuscular injections
Large volumes
ONLY the superolateral quadrant
What can happen with an injury to the Superior Gluteal Nerve?
Loss of function to the G Medius, G Minimus
Positive Trendelenburg Test
What can cause a Positive Trendelenburg Test?
Femoral neck fractures, dislocated hip joint
Ex. Left side drop, right side damage
Pt lifts leg, contralateral muscles can’t keep pelvis level, so there is a drop
Can be compensated for by shifting the weight of trunk to nerve damaged side
What is Sacrospinous Fixation (Illeococcygeus suspension)?
Procedure where the apex of vagina is sutured to the sacrospinous ligament to stop the uterus from prolapsing