Gluteal Region and Hip Joint Flashcards

1
Q

Name the lateral rotators of the hip

A
  1. Gluteus maximus
  2. Piriformis
  3. Obturator internus
  4. Obturator externus
  5. Gemlli (superior and inferior)
  6. Quadratus femoris
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2
Q

Name the medial rotators and abductors of the hip

A
  1. Gluteus medius

2. Gluteus minimus

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3
Q

Name the muscle that is designed to support the gluteal region

A

Tensor fasciae latae

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4
Q

Where does the gluteus maximus extend from and to

A

The sacrum, sacrotuberous ligament and ilium (behind the posterior gluteal line) to the iliotibial tract and the gluteal tuberosity of the femur

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5
Q

What is the action of the gluteus maximus

A

It extends the hip and assist with lateral rotaiton

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6
Q

What is the innervation of the gluteus maximus

A

Inferior gluteal nerve (L5, S1, S2)

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7
Q

Where does the tensor fasciae latae extend from and to

A

Anterior iliac crest and the ASIS to the iliotibial tract

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8
Q

What is the action of the tensor fasciae latae

A

It tenses the fasciae latae and iliotibial tract; it supports the femur on the tibia during standing

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9
Q

What is the innervation of the tensor fasciae latae

A

Superior gluteal nerve (L4, L5, S1)

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10
Q

Where does the gluteus medius extend from and to

A

The ilium between the posterior and anterior gluteal lines to the greater trochanter of the femur

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11
Q

What is the action of gluteus medius

A

It abducts and medially rotates the hip

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12
Q

What is the innervation of the gluteus medius

A

Superior gluteal nerve (L4, L5, S1)

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13
Q

Where does the gluteus minimus extend from and to

A

The ilium between the anterior and inferior gluteal line to the greater trochanter of the femur

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14
Q

What is the action of the gluteus minimus

A

It abducts and medially rotates the hip

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15
Q

What is the innervation of the gluteus minimus

A

Superior gluteal nerve (L4, L5, S1)

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16
Q

Where does the piriformis extend from and to

A

The anterior sacrum and sacrotuberous ligament to the greater trochanter of the femur

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17
Q

What is the action of the piriformis

A

It laterally rotates the hip

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18
Q

What is the innervation of the piriformis

A

The anterior rami of S1 and S2

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19
Q

Where does the obturator internus extend from and to

A

The pelvic surface of the obturator membrane to the medial side of the greater trochanter of the femur

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20
Q

What is the action of the obturator internus

A

It laterally rotates the hip

21
Q

What is the innervation of the obturator internus

A

The nerve to obturator internus (L5, S1)

22
Q

Where does the superior gemellus extend from and to

A

The ischial spine to the tendon of the obturator internus

23
Q

Where does the inferior gemellus extend from and to

A

The ischial tuberosity to the tendon of the obturator internus

24
Q

What is the action of the gemelli

A

They laterally rotate the hip

25
Q

What is the innervation of the superior gemellus

A

Nerve to obturator internus (L5, S1)

26
Q

What is the innervation of the inferior gemellus

A

Nerve to quadratus femoris (L5, S1)

27
Q

Where does the quadratus femoris extend from and to

A

Ischial tuberosity to the quadrate tubercle on the intertrochanteric crest of the femur

28
Q

What is the action of the quadratus femoris

A

It laterally rotates the hip

29
Q

What is the innervation of the quadratus femoris

A

Nerve to quadratus femoris (L4, S5, S1)

30
Q

Where does the obturator externus extend from and to

A

The outer surface of the obturator membrane to the trochanteric fossa

31
Q

What is the action of the obturator externus

A

It laterally rotates the hip

32
Q

What is the innervation of the obturator externus

A

The obturator nerve (L3, L4)

33
Q

What would happen if we didn’t abduct our legs during walking

A

Our toes would drag along the ground

34
Q

What is the root value of the sciatic nerve

A

L4, L5, S1, S2, S3

35
Q

Describe the pathway of the terminal branches of the sciatic nerve in relation to the piriformis muscle

A
  1. Tibial leaves below piriformis

2. Common peroneal can leave below, above, or through piriformis

36
Q

What muscle orientates the superior and inferior gluteal vessels and nerves

A

Piriformis; superior vessels are above, inferior below etc

37
Q

Where does the posterior cutaneous nerve of the thigh lie; and what is its root value

A

Lies on the posterior aspect of the sciatic nerve; S1, S2, S3

38
Q

What nerves branch from the posterior cutaneous nerve of the thigh

A

Inferior clunial nerve

39
Q

What attaches to the fovea

A

The ligament of the femur

40
Q

Where does the head of the femur sit within the pelvis

A

The acetabulum

41
Q

Name the 3 important ligaments that help to stabilise the hip joint

A
  1. Iliofemoral
  2. Pubofemoral
  3. Ischiofemoral
42
Q

Where does the iliofemoral ligament extend from and to

A

The AIIS to the intertrochanteric line

43
Q

What does the iliofemoral ligament limit at the hip joint

A
  1. Extension
  2. Lateral rotation
  3. Adduction (upper band)
  4. Abduction (lower band)
44
Q

Where does the pubofemoral ligament extend from and to

A

The iliopubic eminence to the lower part of the intertrochanteric line

45
Q

What does the pubofemoral ligament limit at the hip joint

A
  1. Extension
  2. Lateral rotation
  3. Abduction
46
Q

Where does the ischiofemoral ligament extend from and to

A

The posterior aspect of the acetabulum to the greater trochanter of the femur

47
Q

What does the ischiofemoral ligament limit at the hip joint

A
  1. Extension
  2. Medial rotation
  3. Adduction
48
Q

Name the 3 main arteries that supply the hip joint

A
  1. Medial circumflex femoral
  2. Lateral circumflex femoral
  3. Acetabular branch from the obturator artery