Gluteal Region And Hip Joint Flashcards

1
Q

Greater Sciatic Foramen

A

Passageway for structures entering or leaving PELVIS

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2
Q

Posterior gluteal muscles

A
  1. Gluteus Maximus

2. Gluteus Medius

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3
Q

Ligaments of the articulated pelvis

A
  1. Obturator Membrane
  2. Sacro-Tuberous
  3. Sacro-Spinous
  4. Sacro-Iliac
  5. Ilio-Lumbar
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4
Q

Characteristics of the Acetabular Fossa

A
  • Socket Portion for the Femoral head
  • Formed by FUSION of all three Pelvic Bones
  • Covered in Hyaline Cartilage
  • Deeper Central part consist of Fat pad
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5
Q

T/F: Gluteus Medius and Minimus are 2 muscles separated by the Gluteal Nerve

A

False

They are the SAME muscle separated by the Gluteal Nerve

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6
Q

Actions of the Gluteus MAXIMUS

A
  • Extent thigh
  • Externally rotate thigh
  • Extend PELVIS when lower limbs are flexed
  • Necessary for rising from seated position, running and jumping
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7
Q

Cutaneous innervation to the Buttock

Upper Lateral Quadrant

A
  1. Ilio-Hypo-Gastric
    - L1
  2. Anterior Rami
    - T12
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8
Q

Origin and Insertion of Gluteus MAXIMUS

A

Origin
- Post Gluteal Line of Ilium

  • Surfaces of Sacrum
  • Coccyx
  • Sacrotuberous ligament

Insertion
- Gluteal tuberosity

  • Iliac-tibial tract
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9
Q

What portion of the Acetabular fossa participates in the articulation?

A

The Outer HORSE-SHOE shaped potion

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10
Q

Origin and Insertion of the Gluteus Minimus

A

Origin
- Ilium b/w Ant. And Inf. Gluteal Lines

Insertion

  • Ant border of the Greater TROCHANTER
  • Same as Gluteus Medius
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11
Q

Fxn of the Greater Sciatic Foramen

A

Main door for passage of structures from Pelvis to Thigh

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12
Q

Q-Angle

A

Created by the Intersection of:

  • Long axes of the Tibia
  • Femur
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13
Q

Trendelenburg Test

A
  • Evaluates strength of Gluteal MEDIUS
  • Pt stands up and raises one foot of the ground
  • Contralateral gluteus Med should lower CL hip and raise IL Hip
  • Needed to clear foot from the ground during swing phase of walking
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14
Q

Innervation of the Gluteus Maximus

A

Inferior GLUTEAL Nerve

  • > L5
  • > S1-S2
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15
Q

Innervation to the Acetabulum

A
  1. Femoral Nerve

2. Obturator Nerve

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16
Q

Lesser Sciatic Foramen

A

Passageway for structures entering or leaving PERINEUM

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17
Q

Blood Supply to the Hip Bone

A

Three total Arteries
1. Gluteal (Sup/Inf)

  1. FEMORAL Circumflex (MedLat)
  2. Obturator
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18
Q

Vascular Supply to the Gluteus Maximus

A

Inferior Gluteal Artery

- From Internal Iliac

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19
Q

The 4 muscles of the Gluteal Group are _____.

A

AB-ductors

20
Q

Bursae of the Gluteal Compartments

A
  1. Trocanhteric
  2. Gluteo-Femoral
  3. Ischial (Sciatic)
21
Q

Nerves passing through the Greater Sciatic Foramen

A
  • Sciatic Nerve
  • Pudendal Nerve
  • Post. Femoral Cutaneous Nerve
  • Nerves to Quadratus Femoris
  • Nerves to Obturator Internus
22
Q

Vessels passing through the Greater Sciatic Foramen

A
  • Sup/Inf Gluteal
  • Internal Pudendal Artery
  • Internal Pudendal Vein
23
Q

Fxn of the 6 Deep External Rotators

A

Rotate unsupported side of Pelvis forward to Increase Stride

24
Q

Structures passing through the Lesser Sciatic Foramen

A
  • Tendon of Obturator Internus
  • Pudendal Nerve
  • Internal Pudendal Vessel
  • Nerve to Obturator Internus

T. PIN

25
Innervation to the LATERAL Gluteal compartment
SUPERIOR Gluteal Nerve - L5 - S1
26
Vascular Supply to the LATERAL Gluteal compartment
SUPERIOR Gluteal Artery
27
Origin and Insertion of the Gluteus Medius
Origin - Ilium b/w ANT and POST gluteal lines - Gluteal aponeurosis Insertion - Ant. Border of Greater TROCHANTER
28
Fxn of the Angle of inclination?
AD-Ducts Distal end of the Femur - So the Tibia are Parallel to each other
29
What separates the Sciatic notches?
The Ischial Spine
30
Attachments of the Deep Fascia of the buttock
1. Iliac Crest Tubercle SUP. 2. Lateral Condyle INF. 3. Forms sheath for Tensor Fascia Latae 4. Receives greater part of insertion of Gluteus Maximus
31
Fxn of the Gluteal muscles
Prevent Pelvis and Body from Falling to the unsupported side when one foot is off the ground - Walking
32
What converts Notches into Foramina?
Ligaments
33
Angle Values - Infant - 3yr - Adult - Elderly
- 150 - 135 - 125 - 120
34
Characteristics of the SUPERFICIAL Fascia of the Gluteal Region
- Tied Down to BOTTOM of Buttock | - Forms GLUTEAL (natal) fold
35
Action of the LATERAL Gluteal compartment
- Hip AB-Duction | - Medial Rotators
36
What are the 6 deep ext rotators
1. Piriformis 2. Sup Gemellus 3. Inf Gemellus 4. Obt. Internus 5. Obt. Externus 6. Quadratus Femoris
37
Lateral Gluteal Muscles
1. Gluteus Minimus | 2. Tensor Fascia Latae
38
Muscles passing through the Greater Sciatic Foramen
Piriformis Muscle
39
Where does the Piriformis leave? Where does it travel to?
- Leaves the PELVIS | - Through the Greater Sciatic FORAMEN
40
Characteristics of the DEEP Fascia of the Gluteal Region
- Continuous with deep Fascia of the THIGH (Fascia lata) - Single layer attached to iliac crest - Covers gluteus Medius - Splits to enclose gluteus Maximus muscle - Continues to Iliac-Tibial tract on Lateral Surface of Thigh
41
Cutaneous innervation to the Buttock Lower Lateral Quadrant
1. Branches of Anterior Rami from Lateral Femoral Cutaneous | - > S2-S3
42
Cutaneous innervation to the Buttock Upper Medial Quadrant
1. Posterior Rami of L1-L3 | 2. S1-S3
43
What is the Gluteus Maximus NOT required for?
Normal Walking
44
What is the Strongest and Most important ligament of the Hip Joint?
Ilio-Femoral Ligament - Called the Y ligament
45
Cutaneous innervation to the Buttock Lower Medial Quadrant
1. Branches from the Posterior Femoral Nerves | 2. Anterior Rami S1-S3
46
The 4 Muscles of the Gluteals are:
1. Maximus 2. Medius 3. Minimus 4. Tensor Fascia Latae
47
Origin and Insertion of the Tensor Fascia Lata
Origin - Outer Lips of the Iliac Crest - ASIS Insertion - Ilio-TIBIAL Tract (IT)