Gluteal Region Flashcards

1
Q

What does the Pelvic Girdle consist of?

A

Sacrum, Coccyx, Hip Bone (Os Coxae), Femur

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2
Q

What three fused bones make up the Pelvis Bone?

A

Ilium, Pubis, and Ischium that come to get her in the acetabulum

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3
Q

Structures in the Ilium?

A
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
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4
Q

Structures of the Ischium?

A

Ischial Spine
Lesser Sciatic Notch
Ischial Tuberosity
Obturator Foramen

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5
Q

Structure of the Acetabulum?

A

Articular surface
Acetabular fossa
Acetabular notch

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6
Q

Structures on the Proximal Femur?

A

Greater Trochanter
Lesser Trochanter
Intertrochanteric line

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7
Q

Attachments for Tensor Fasciae Latae?

A

ASIS, anterior iliac crest

IT tract-lateral condyle of femur

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8
Q

Attachments for G Max?

A

Posterior to Posterior gluteal line, sacrum/coccyx, sacrotuberous ligament

IT tract and gluteal tuberosity of femur

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9
Q

Attachments for G Med?

A

B/T anterior and posterior gluteal lines

Lateral surface of the greater trochanter

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10
Q

Attachments for G Min

A

B/T anterior and posterior gluteal lines

Anterior surface of greater trochanter

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11
Q

Attachments for Piriformis?

A

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

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12
Q

Attachments for Obturator Internus?

A

Passes through lesser sciatic foramen
Pelvis surface of ilium and Ishiguro, Obturator membrane
Medial surface of greater trochanter

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13
Q

Attachments for Gemelli brothers?

A

Superior: ischial spine
Inferior: ischial tuberosity
Medial surface of greater trochanter

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14
Q

Attachments for Quad. Femoris?

A

Lateral border of ischial tuberosity

Intertrochanteric crest

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15
Q

What are the action of G Max?

A

Extension, Latéral rotation, AB diction, adduction

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16
Q

What are the actions of G-G-T?

A

ABduction
Medial rotation
Levels pelvis

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17
Q

Actions of P-GOGO-Q?

A

Lateral rotation
Extend hip joint- PGOG
Some ABduction- P+ obturator internus
Stabilize hip joint

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18
Q

What do the gluteal Bursae do/

A

Flattened membranous sacs containing synovial fluid

Located in areas of increased friction- b/t muscle and bony prominence

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19
Q

What to the Trochanteric bursa do?

A

Separate inferior gluteus max from greater trochanter

20
Q

What do the Ischial bursae do?

A

Separate inferior gluteus max from ischial tuberosity

21
Q

What does the GLuteofemoral bursae do?

A

Separate the IT tract from the superior part of the ordinal attachment of the Vastus Lateralis

22
Q

What is the Lumbar plexus?

A

T12-L4
Iliohypogastric, genital branch of the genitofemoral, ilioinguinal, lateral cutaneous nerve of the thigh, femoral nerve, obturator nerve

23
Q

What is the Sacral Plexus?

A

L4- S4

Superior gluteal, inferior gluteal posterior cutaneous nerve of the thigh, sciatic and pudendal

24
Q

Roots of iliohypogastric nerve?

A

T12, L1

25
Q

Roots of Ilioinguinal nerve?

A

L1

26
Q

Roots of Genitofemoral nerve?

A

L1, L2

27
Q

Roots of Lateral femoral cutaneous nerve?

A

L2, L3. Posterior divisions

28
Q

Roots of femoral nerve?

A

L2, L3, L4. Posterior Divisions

29
Q

Roots of Obturator nerve?

A

L2, L3, L4 Anterior divisions

30
Q

Roots of the Lumbosacral trunk?

A

L4, L5

31
Q

Roots of the Superior Gluteal Nerve?

A

L4, L5, S1 Posterior divisions

32
Q

Roots of the Inferior gluteal nerve?

A

L5, S1, S2 posterior divisions

33
Q

Roots of the Common perineal division of the sciatic nerve?

A

L4, L5, S1, S2- posterior divisions

34
Q

Roots of the Tibial division of the sciatic nerve?

A

L4, L5, S1, S2, S3- anterior divisions

35
Q

Roots of the Posterior femoral cutaneous nerve?

A

S1, S2, S3 anterior and posterior divisions

36
Q

Roots of the Pudendal nerve?

A

Posterior divisions of S2, S3

All of S4

37
Q

Roots of Sciatic nerve?

A

L4, L5, S1, S2, S3

38
Q

Roots of Superior gluteal nerve?

A

L4, L5, S1

39
Q

Roots of inferior gluteal nerve?

A

L5, S1, S2

40
Q

Roots of the nerve to Quad. Femoris?

A

L4, L5, S1

41
Q

Roots to the Pudendal nerve?

A

S2, S3, S4

42
Q

Roots to the nerve to obturator internus?

A

L5, S1, S2

43
Q

Where do you give intragluteal injections?

A

Intramuscular injections
Large volumes
ONLY the superolateral quadrant

44
Q

What can happen with an injury to the Superior Gluteal Nerve?

A

Loss of function to the G Medius, G Minimus

Positive Trendelenburg Test

45
Q

What can cause a Positive Trendelenburg Test?

A

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

46
Q

What is Sacrospinous Fixation (Illeococcygeus suspension)?

A

Procedure where the apex of vagina is sutured to the sacrospinous ligament to stop the uterus from prolapsing