Gluteal Region Flashcards

1
Q

Which bones make up the hip bone?

A

The hip bone is formed by the fusion of the ilium, pubis, and ischiem in the acetabulum

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2
Q

List muscles of the gluteal region

A

Gluteus maximus

Gluteus medius

Gluteus minimus

Tensor fasciae latae

Piriformis

Obturator internus

Superior gemellus

Quadratus femoris

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3
Q

Which ligament extends from the ischial tuberosity to the posterior iliac spines, lower sacrum , and coccyx?

A

Sacrotuberous ligament

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4
Q

Which ligament extends from the ischial spine to the lower sacrum and coccyx?

A

Sacrospinous ligament

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5
Q

Role of the greater sciatic foramen

A

Provides a pathway for the piriformis muscle, superior and inferior gluteal vessels and nerves, internal pudendal vessels and pudendal nerve, sciatic nerve, posterior femoral cutaneous nerve, and the nerves to the obturator internus and quadratus femoris muscles

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6
Q

Role of the lesse sciatic foramen

A

Provides a pathway for the tendon of the obsturator internus, the nerve to the obturator internus, and the internal pudendal vessels and pudendal nerve

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7
Q

Which structures pass through both the greater and lesser sciatic foramen?

A

Pudendal nerve

Internal pudendal vessels

Nerve to the obturator internus

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8
Q

The iliotibial tract provides insertion for the __________ and _____________ muscles.

A

Gluteus maximus; tensor fascia latae muscles

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9
Q

Function of the iliotiial tract

A

Helps form the fibrous capsule of the knee joint and is important in maintaining posture and locomotion

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10
Q

Function of the fascia lata

A

The fascia lata surrounds the tensor fasciae latae muscle. It is a fibrous sheath that encircles the thigh subcutaneously. This encircling of the muscle allows the muscles to be bound together tightly.

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11
Q

Gluteus Maximus

Origin

Insertion

Innervation

Function

Blood Supply

A

Origin: Ilium, sacrum, coccyx, sacrotuberous ligament

Insertion: Gluteal tuberosity. Iliotibial tract

Innervation: Inferior gluteal

Action: Extends and rotates thigh laterally

Blood Supply: Superior and inferior gluteal arteries

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12
Q

Gluteus medius

Origin

Insertion

Innervation

Action

Blood supply

A

Origin: Ilium between iliac crest, and anterior and posterior gluteal lines

Insertion: Greater trochanter

Nerve: Superior gluteal

Action: Abducts and rotates thigh medially, stabilizes pelvis

Blood supply: Superor gluteal artery

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13
Q

Gluteus Minimus

Origin

Insertion

Innervation

Action

Blood supply

A

Origin: Ilium between anterior and inferior gluteal lines

Insertion: Greater trochanter

Innervation: Superior gluteal

Action: Acducts and rotates thigh medially

Blood supply: Superior gluteal artery

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14
Q

Tensor fasciae latae

Origin

Insertion

Innervation

Action

Blood supply

A

Origin: Iliac crest, anterior-superior iliac spine

Insertion: Iliotibial tract

Innervation: Superior gluteal

Action: Flexion, abducts, and rotates thigh medially

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15
Q

Piriformis

Origin

Insertion

Innervation

Action

Blood supply

A

Origin: Pelvic surface of sacrum, sacrotuberous ligament

Insertion: Upper end of greater trochanter

Innervation: Sacral (S1-S2)

Action: Rotates thigh laterally

Blood supply: Inferior gluteal, lateral sacral and superior gluteal artery,

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16
Q

Obturator internus

Origin

Insertion

Innervation

Action

Blood supply

A

Origin: Isiochiopubic rami, obturator membrane

Insertion: Greater trochanter

Innervation: Nerve to obturator internus

Action: Abducts and rotates thigh laterally

Blood supply: Inferior gluteal artery

17
Q

Superior gemullus

Origin

Insertion

Innervation

Action

Blood Supply

A

Origin: Ischial spine

Insertion: Obturator internus tendon

Innervation: Nerve to obturator internus

Action: Rotates thigh laterally

Blood supply: Inferior gluteal artery

18
Q

Inferior gemullus

Origin

Insertion

Innervation

Action

Blood Supply

A

Origin: Ischial tuberosity

Insertion: Obturator internus tendon

Innervation: Nerve to quadratus femoris

Action: Rotates thigh laterally

Blood supply: Inferior gluteal artery

19
Q

Quadratus femoris

Origin

Insertion

Innervation

Action

Blood Supply

A

Origin: Ischial tuberosity

Insertion: Intertrochanteric crest

Nerve: Nerve to quadratis femoris

Action: Rotates thigh laterally

Blood supply: Medial circumflex femoral artery

20
Q

Gluteal gait

A

A waddling gait characterized by the pelvis falling toward the unaffected side when the opposide leg is raised at each step. It results from from paralysis of the gluteus medius muscle, which normally functions to stabilize the pelvis when the opposite foot is off the ground.

21
Q

What is the common site for intramuscular injection of medications?

A

Superopr lateral quadrant of the gluteal region to avoid injury to the underlying sciatic neve and other neurovascular structures