gluteal region and hip joint Flashcards

1
Q

differences between male and female pelvis

A

m = narrow pelvic inlet, heart shaped, taller pelvic cavity, higher iliac crest, pelvic angle = 60 degrees, longer sacrum

F = wider pelvic inlet, pelvic angle = 90 degrees, shorter sacrum

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2
Q

what is the pubic symphysis

A

a secondary cartilaginous joint between pubic bones

articular surfaces covers by layer of hyaline cartilage connected by FIBROCARTILAGINOUS disc

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3
Q

functions of the pelvis

A

contain and support bladder, rectum, anal canal, reproductive tracts
bear upper body weight - transfer between sitting and standing
attachment for lower limbs

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4
Q

what strenghens the pelvic girdle

A

ligaments attaching sacrum to ischium of innominate bone

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5
Q

where does the sacrotuberous ligament insert

A

ischial tuberosity

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6
Q

where does the sacrospinous ligament insert

A

ischial spine

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7
Q

what makes the hip joint

A

acetabulum of innominate bone articulating with head of the femur

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8
Q

movements possible at hip joint

A

flexion, extension, lateral and medial rotation, adduction and abduction

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9
Q

what ligaments help stabilse the hip joint

A

iliofemoral - anterior to joint
pubofemoral - anteroinferior to joint
ischiofemoral - posterior to joint

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10
Q

Gluteus Maximus - O, I, I, A

A

o - surface ilium posterior to posterior gluteal line and posterior inferior surface of sacrum and coccyx
i - posterior aspect of iliofibial tract of LATA, gluteal tuberosity of proximal femur
i - inferior gluteal nerve L5, S1, S2
a - extensor of femur @ hip joint laterally rotates/abducts thigh

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11
Q

Gluteus medius - O, I, I, A

A

o - external ilium between anterior and posterior gluteal lines
i - elongated facet of lateral surface of greater trochanter
i- superior gluteal nerve L4, L5, S1
a - abduct femur medial rotates hold pelvis secure on stance leg

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12
Q

gluteus minimus - O, I, I, A

A

o - ilium between anterior and inferior gluteal lines,
i- linear facets an anteroom-lateral surface of greater trochanter
i - superior gluteal nerve L4,L5,S1
a - abduct femur medially rotate, hold pelvis in place on stance leg

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13
Q

Iliotibial tract function and route

A

Thickening of Fascia Lata running from tubercle on iliac crest –> bony attachment below knee

Enclose gluteus maximus posteriorly, tensor fasciae latae anteriorly
Hold leg in extension once all other have been extended to prevent lateral displacement of femur

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14
Q

what are the chief abductors of the hip

A

gluteus medius and minimus

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15
Q

Piriformis - attachments

A

o - anterior surface of sacrum, between anterior sacral foramina
i -medial surface of superior border of greater trochanter of femur
exits the pelvis through GREATER SCIATIC FORAMEN

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16
Q

where is it safe to perform intramuscular injection in the gluteal region

A

upper outer quadrant

avoids sciatic nerve

17
Q

what structures pass through the lesser sciatic foramen

A

tendon of obturator internus
pudenal nerve
internal pudenal vessels

18
Q

what structures pass though the greater sciatic foramen

A

Superior to piriformis - superior gluteal nerve
Inferior to piriformis - inferior gluteal nerve, pudendal nerve, nerve to obturator, nerve to quadrature femoris, sciatic nerve, posterior cutaneous nerve of thigh

19
Q

Obturator internus - O, I, I A

A

o - pubis and ischium at obturator foramen
i - greater trochanter of femur
i - nerve to obturator internus
a - lateral rotation and abduction

20
Q

Superior Gemellus - OIIA

A

o - ischial spine
i - greater trochanter
i - nerve to obturator internus
a - lateral rotation and abduction

21
Q

inferior gambles - OIIA

A

o- Ischial tuberosity
i - greater trochanter of femur
i - nerve to quadratus femurs
a - lateral rotation and abduction

22
Q

Quadrates Femoris - OIIA

A

o - lateral ischium - anterior to ischial tuberosity
i - quadrate tubercle on inferotrochanteric crest of proximal femur
i - nerve to quadratus femoris
a - lateral rotation