Gluteal Region Flashcards

1
Q

Which bundle of nerves innervates the gluteal region?

A

Sacral plexus

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2
Q

Which muscle is innervated by the inferior gluteal nerve?

A

Gluteus maximus

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3
Q

Which muscles are innervated by the superior gluteal nerve?

A

Gluteus medius
Gluteus minimus
Tensor of fascia lata

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4
Q

What is the iliotibial tract and where does it insert?

A

Lateral thickening of fascia sleeve; Lateral condyle of tibia

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5
Q

Which muscles follow the iliotibial tract to their insertion?

A

Gluteus maximus and tensor of fascia lata

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6
Q

Where does gluteus maximus originate?

A

From posterior ileum to posterior gluteal line

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7
Q

Where does gluteus medius originate?

A

Between the posterior gluteal line and anterior gluteal line

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8
Q

Where does gluteus minimus originate?

A

Between the anterior gluteal line and inferior gluteal line

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9
Q

Where does the sciatic nerve usually exit the pelvic region?

A

Inferior to piriformis through the greater sciatic foramen

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10
Q

Which 4 muscles insert at the medial aspect of the greater trochanter of the femur?

A

Obturator internus
Obturator externus
Superior gamellus
Inferior gamellus

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11
Q

What is the quadrate tubercle?

A

Midpoint of intertrochanteric crest

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12
Q

What is the linea aspera?

A

A groove on the posterior aspect of the femur that swings laterally to the gluteal tuberosity

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13
Q

Where is piriformis found in relation to the gluteal muscles?

A

At the inferior border of gluteus medius/minimus

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14
Q

Where does gluteus maximus originate?

A

Ilium: posterior to PGL
Sacrum
Sacrotuberous ligament

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15
Q

Where does gluteus maximus insert?

A

Gluteal tuberosity of femur

Lateral condyle of tibia via iliotibial tract

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16
Q

Which actions does gluteus maximus contribute to?

A

Extension of femur (back)
Lateral rotation of femur

Abduction of femur (by upper fibres)
Adduction of femur (by lower fibres)

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17
Q

What nerve innervates gluteus maximus?

A

Inferior gluteal nerve

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18
Q

Which muscle from the upper body is gluteus medius similar to?

A

Deltoid

19
Q

Where does gluteus medius originate?

A

Ilium: between anterior and posterior gluteal lines

20
Q

Where does gluteus medius insert?

A

Greater trochanter of femur: Lateral aspect

21
Q

Which actions does gluteus medius contribute to?

A

Abduction of femur
Medial rotation and flexion at hip (by anterior fibres)
Lateral rotation and extension at hip (by posterior fibres)
Steadies pelvis when opposite limb is raised

22
Q

Which nerve innervates gluteus medius?

A

Superior gluteal nerve

23
Q

Where does gluteus minimus originate?

A

Ilium: between anterior and inferior gluteal lines

24
Q

Where does gluteus minimus insert?

A

Greater trochanter of femur: anterior aspect

25
Q

Which actions does gluteus minimus contribute to?

A

Abduction of femur
Medial rotation and flexion at hip
Steadies pelvis when opposite limb is raised

26
Q

Which nerve innervates gluteus minimus?

A

Superior gluteal line

27
Q

What is trandelenberg gait?

A

Hip of unaffected side drops due to weak hip abductors (i.e., gluteus minimus/medius)

28
Q

Where does tensor of fascia lata originate?

A

ASIS

Iliac crest

29
Q

Where does tensor of fascia lata insert?

A

Lateral condyle of tibia via iliotibial tract

30
Q

Which actions does tensor of fascia lata contribute to?

A

Abduction of femur
Medial rotation of femur
Flexion at hip

31
Q

Which nerve innervates tensor of fascia lata?

A

Superior gluteal nerve

32
Q

Where does the superior gluteal nerve exit the pelvic region?

A

Through the greater sciatic foramen on the superior border of piriformis

33
Q

Where does the inferior gluteal nerve exit the pelvic region?

A

Through the greater sciatic foramen on the inferior border of piriformis

34
Q

Between which gluteal muscles does the superior gluteal nerve pass?

A

Between gluteus medius and gluteus minimus, toward tensor fascia lata (anteriorly)

35
Q

Where does the inferior gluteal nerve travel in the gluteal region?

A

It empties into gluteus maximus

36
Q

Which muscles are considered small lateral rotators at hip?

A
Piriformis
Superior gemellus
Obturator internus
Inferior gemellus
Quadratus femoris
37
Q

Which muscle of the small lateral rotators of the hip does NOT abduct the thigh? Why?

A

Quadratus femoris; it is horizontally situated, rather than diagonal

38
Q

Which actions do all of the small lateral rotators of the hip contribute to?

A

Lateral rotation at hip joint

Stabilize head of femur in acetabulum

39
Q

Which actions does obturator externus contribute to?

A

Assists in lateral rotation of thigh

Stabilizes hip joint

40
Q

Where does superior gemellus originate?

A

Ischial spine

41
Q

Where does inferior gemellus originate?

A

Ischial tuberosity

42
Q

Where does obturator externus originate?

A

Anterior aspect of hip bone

43
Q

Where does quadratus femoris originate?

A

Anterior aspect of ischial tuberosity