Gluteal Region- Diogo Flashcards

1
Q

What is the function of the lower limb?

A

to bear the weight of the upper body and provide for the walking gait

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2
Q

The major features of walking involved movements at what joints?

A

hip, knee, ankle, and metatarsophalangeal joints

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3
Q

The coxal bone is a progressive fusion of which bones by cartilage?

A

pubis
ischium
ilium

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4
Q

The left, right coxal bones, and sacrum and coccyx are united by what joints?

A

1 pubic symphysis
2 sacroiliac joints
sacrococcygeal joint

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5
Q

What are the most commonly fractured parts of the bony pelvis?

A

superior and inferior pubic rami

especially for old people

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6
Q

What are the most commonly dislocated part of the bony pelvis?

A

pubic symphysis

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7
Q

What must be assumed until proven otherwise with pelvic fractures?

A

damaged bladder and urethra

high morbidity and mortality is associated with pelvic fractures because of attendant hemorrhagic shock and pelvic organ damage

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8
Q

Where is the fovea capitus located and which ligament and artery passes through it?

A
  • on the head of femur

- ligament to the head of the femur houses the ligamentum teres artery which supplies the femoral head

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9
Q

What parts of the femur are most commonly fractured especially in the elderly?

A

femoral neck

-osteoporosis has a contribution to the genesis of this fracture

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10
Q

What are the palpable parts of the bony pelvis?

A

iliac crest, posterior superior iliac spine (at S2 vertebral level), sacrum, ischial tuberosity, and greater trochanter of the femur

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11
Q

The hip joint is a synovial joint in which the lead of the femur articulates with what parts of the acetabulum?

A
  • lunate surface

- acetabular labrum

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12
Q

What type of cartilage covers the head of the femur, the lunate surface of the acetabulum and the acetabular labrum?

A

hyaline cartilage for both head of the femur and the lunate surface of the acetabulum

fibrous cartilage for the acetabular labrum

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13
Q

What forms the greater sciatic notch?

A

Posterior inferior iliac spine and ischial spine

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14
Q

What two prominences form the lesser sciatic notch?

A

ischial spine and ischial tuberosity

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15
Q

What ligament enclose the greater sciatic foramen?

A

sacrospinous ligament

posterior sacroiliac ligament

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16
Q

What is Ischial bursitis?

A

Ischial bursitis, sometimes called ischiogluteal bursitis, is an inflammation of the fluid-filled sac, or bursa, that lies between the ischial tuberosity (the lower part of the V-shaped bone that helps form the pelvis) and the tendon that attaches the hamstring muscle to the bone.

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17
Q

What ligament enclose the lesser sciatic foramen?

A

sacrotuberous ligament

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18
Q

What foramen is the pudendal nerve coming out of and going into?

A

going out the greater sciatic foramen and into the lesser sciatic foramen towards the pubic region (SHAME)

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19
Q

Where does the obturator nerve and obturator artery pass through to go anteriorly?

A

obturator foramen

20
Q

Which muscle attaches to the distal radius?

A

brachioradialis

21
Q

The periphery of the acetabulum is called?

A

acetabular labrum

22
Q

Ligament to the head of the femur originates from what ligament?

A

transverse acetabular ligament

23
Q

What supplies the head of the femur?

A

artery in the ligament to the head of the femur

24
Q

What are the ligaments that allow for attachment of the femur to the hip?

A
  • pubofemoral ligament
  • ischiofemoral ligament
  • iliofemoral ligament
  • iliopectineal bursa
25
Q

An internal and external rotation of the thigh is synonymous to what movements of the thigh?

A

medial and lateral rotation of the thigh

26
Q

What innervates the gluteus maximus?

A

inferior gluteal nerve

27
Q

What is the function of the gluteus maximus?

A
  • lateral rotation of the femur

- extension at the hip joint

28
Q

What are the movement of the superior fibers of the gluteus maximus?

A

abduction as they are above the joint

29
Q

What are the movement of the inferior fibers of the gluteus maximus?

A

adduction as they are below the joint

30
Q

What are the 3 brother that are innervated by the superior gluteal nerve?

A
  • gluteus medius
  • gluteus minimus
  • tensor fascia lata
31
Q

What is the common function of the muscles innervated by the superior gluteal nerve?

A

they go to the anterior femur and do a medial rotation

32
Q

What is the special function of the tensor fascia lata?

A
  • flexion of the femur and it is parallel and anterior to the femur
  • tension of the fascia lata to stabilize the leg
33
Q

What is the additional function of gluteus medius and gluteus minimus?

A

abduction of the femur as they are above the joint

34
Q

What runs with the superion and inferior gluteal nerves?

A

superior and inferior gluteal arteries

35
Q

What is the landmark for the superior and inferior gluteal nerves?

A

above the piriformis: superior gluteal nerve

below the piriformis: inferior gluteal nerve

36
Q

Where is the superior gluteal nerve and artery located?

A

in between gluteus medius and gluteus mimimus as they innervate and supply them both

37
Q

What is the artery that runs with the pudendal nerve?

A

INTERNAL pudendal artery

38
Q

What runs medial to the sciatic nerve?

A

posterior femoral cutaneous nerve

-innervates the skin of the posterior part of the thigh

39
Q

What are the 3 cutaneous nerves for the anterior thigh, 2 cutaneous nerves for the anterior leg, 1 cutaneous nerve for the posterior thigh, and 1 cutaneous nerve for the posterior leg?

A

Anterior thigh:

  • lateral femoral cutaneous nerve from lumbar plexus
  • femoral nerve
  • obturator nerve

Anterior leg:

  • superficial fibular nerve
  • saphenous nerve

Posterior thigh:
posterior femoral cutaneous nerve

Posterior leg:
sural nerve

40
Q

What is the common function of piriformis, superior gemellus, obturator internus, and inferior gemellus muscle?

A

lateral rotation of the femur as they run perpendicular to the femur and are posterior muscles

41
Q

What is the additional function of the piriformis?

A

abduction of the femur as it runs obliquely and above the femur

42
Q

What is the additional function of the quadratus femoris?

A

adduction of the femur as it runs slightly oblique and below the femur

43
Q

What nerve innervates the superior gemelus and the obturator internus?

A

nerve to obturator internus

44
Q

What nerve innervates the inferior gemelus and the quadratus femoris?

A

nerve to quadratus femoris

45
Q

What nerve innervates the piriformis?

A

nerve to the piriformis