Gluteal Region and Posterior Thigh Flashcards

1
Q

The region that is posterior to the pelvis that is involved in extension, abduction, and medial and lateral rotation of the thigh

A

Gluteal Region

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2
Q

Group of muscles known as the hamstring that extend the thigh and flex the leg

A

Hamstrings

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3
Q

The most superficial of the gluteal muscles, largest and heaviest in gluteal region

A

Gluteus Maximus

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4
Q

Origin and insertion of gluteus maximus

A

Origin: Dorsal Ilium, Sacrum, Coxas, Sacrotuberous Ligament

Insertion: IT Band and Gluteal Tuberosity

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5
Q

Main action of the gluteus maximus

A

Extension and lateral rotation of the thigh

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6
Q

Innervation of the gluteus maximus

A

Inferior Gluteal Nerve

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7
Q

Gluteus Medius originates between what on the ala?

A

Posterior and anterior Line

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8
Q

Gluteus minimus originates between what on the ala?

A

Anterior and inferior Lines

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9
Q

Actions of the gluteus medius and minimus (locomotion

A

Abduct the thigh and medial rotation

Most important function is walking mechanism

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10
Q

What do the prevent happening during walking?

A

Sagging of the unsupported side for raising the unsupported foot

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11
Q

Origin of gluteus medius:

Insertion:

A

Origin: Between posterior and anterior gluteal lines side of ilium

Insertion Lateral aspect of greater trochanter

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12
Q

Origin of the gluteus minimus

A

Origin: Between anterior and inferior gluteal lines

Insertion: Anterior aspect of greater trochanter

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13
Q

Innervation of the gluteus medius and minimus

A

Superior Gluteal Nerve

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14
Q

When the gluteus medius and minimus are inactive owing to injury of the superior gluteal nerve, the supporting and steadying action of these muscles is lost and the pelvis falls to the side of the raised or unsupported limb. This is the

A

Trendelenberg Sign

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15
Q

Where do all of the lateral rotaters insert near or in?

A

Greater Trochanter

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16
Q

Lateral rotator that is narrow and triangular shaped and exits from the pelvis through the greater sciatic foramen

All other rotators are located inferior to the piriformis, sciatic nerve exits inferior.

Important for locating other structure

A

Piriformis

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17
Q

Origin and insertion of the piriformis

A

Origin: Anterior surface of the sacrum

Insertion: Greater trochanter

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18
Q

Innervation of the piriformis

A

Ventral rami of S1, S2, and L5

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19
Q

Action of the piriformis (primary and other action)

A

Lateral rotations and helps in abduction

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20
Q

The white tendon of this muscle is in the gluteal region, and the muscle is located inside the pelvis and exits the lesser sciatic foramen

A

Obturator Internus

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21
Q

Origin and insertion of the obturator internus

A

Origin: Obturator membrane in margins of obturator foramen

Insertion: Greater Trochanter

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22
Q

Innervation of the obturator internus

A

Ventral Rami of L5 and S1

23
Q

Action of the obturator internus

A

Lateral rotation of the thigh

24
Q

Muscles that insert into the obturator internus tendon that often cover the internus tendon

A

Gemullus superior and inferior

25
Origin and insertion of the superior gemellus
Origin: ischial spine Insertion:Obturator internus tendon into greater trochanter
26
Origin and insertion of the inferior gemellus
Origin: Ischial Tuberosity Insertion: Obturator internus tendon to greater trochanter
27
Innervation of the superior and inferior gemellus
Ventral Rami of L5 and S1
28
Action of superior gemellus and inferior gemellus
Lateral rotation
29
Square shaped muscle inferior to inferior gemellus
Quadratus femoris
30
Origin and insertion of the quadratus femoris
Ischial tuberosity Greater trochanter and trochanteric crest
31
Innervation of the quadratus femoris
Ventral Rami of L5 and S1
32
What action is the quadratus femoris a strong participant in?
Lateral Rotation of the thigh
33
Muscle that arises from the outside of the pelvis anteriorly over the obturator foramen.
Obturator Externus
34
Origin and insertion of the obturator externus
Origin: Obturator foramen Inserts: Trochanteric fossa of the femur
35
Innervation of the obturator externus
Obturator nerve (innervates adductor/medial compartment of the thigh)
36
Action of the obturator externus
Lateral rotation and stabilizing the femur in the acetabulum
37
Gluteomuscular injections occur because
The muscle is thick and large so it provides a large area for the absorption of drugs be careful of sciatic nerve! Do it superiorly in upper outer quadrant
38
The 3 (or 4) muscles of the hamstrings
Biceps Femoris Semimembranosus Semitendinosus
39
Innervation of the hamstrings except the short head of the biceps femoris which is innervated by the common fibular nerve
Sciatic nerve
40
Laterally located muscle that has a long and short head. Which head crosses the hip and knee joint? Which head crosses only the knee joint?
Biceps femoris Long head Short head
41
Origin and insertion of the long head
Origin: Ischial tuberosity Insertion:head of the fibula
42
Origin and insertion of the short head
Origin: Linea aspera Insertion: head of the fibula
43
Innervation of short head and long head
Long head: sciatic Short head: Common fibular
44
Action of long head Action of short head
Extend the thigh and flex the knee Flex the knee
45
Medially located muscle in the thigh with a long chord like tendon
Semitendinosus
46
Origin and insertion of the semitendinosus
Origin: Ischial tuberosity Insertion: Medial side of tibia via pes anserinus
47
Innervation of the semitendinosus
Sciatic nerve
48
Action of the semitendinosus
Extension of the thigh and flexion of the knee, slight rotation too
49
`Muscle that lies deep to the semitendinosus, is a thicker muscle. Has a wide flat band of insertion
Semimembranosus
50
Origin and insertion of the semimembranosus
Origin: Ischial tuberosity Insertion: Medial condyle of the tibia to form obliue popliteal ligament
51
What does the semimembranosus continue on to form?
Oblique popliteal ligament
52
Innervation of the semimembranosus
Sciatic nerve via tibial portion
53
Action of the semimembranosus
Extend the thigh, flex the knee, medial rotation (slight)