gluteal region/pelvis = lecture

Question 1

what makes up the iliopectineal line?

Answer 1

arcuate line and pectin pubis

Question 2

whats the difference between the male vs female pelvis and inlet/outlet of pelvis

Answer 2

male: heart shaped pelvis, the coccyx turns under towards the pelvis
female: round, sacrum is shorter and wider, and coccyx comes back further to facillitate opening

outlet:
men: urine, feces, semen (oval shaped)

female: baby

male pubic arch: ‘peace sign’ small sharp angle, ischial spine jet out into the pelvis

female: greater than 90 deg; ischial spinal is more rounded (out of the way from the inlet)

Question 3

what are the q-angles for male vs female

Answer 3

female: 15.8 deg
male: 11.2 deg

Question 4

what complication can a larger q angle cause

Answer 4

patellar dislocation–so females tend to dislocate patella more than males

genu varum (bow legged):Small Q angle

and genu valgum: high Q angle

Question 5

which ligament delinate between the greater and lesser sciatic foramen

Answer 5

sacrospinus ligament

Question 6

what are the attachments of the sacrospinus ligament

Answer 6

spinal process of ischium to sacrum

Question 7

attachments for sacrotuberous ligamnet

Answer 7

sacrum–>ischial tuberosity

Question 8

when does the pubic bone fuse?

what 3 bones make up the pubic bone

Answer 8

between 12-14

ilium, ischium, pubis

Question 9

what makes up the greater sciatic notch

Answer 9

ilium and ischium

Question 10

the auricular surface of the ilium articulates with what

Answer 10

auricular surface of the sacrum

Question 11

what attaches at the iliac crest

Answer 11

tensor fascia lata (external), iliacus (internal)

Question 12

what attaches at the ASIS

Answer 12

sartorius, iliacus, tensor fascia lata, inguinal ligament

Question 13

what attaches at the AIIS

Answer 13

iliofemoral ligament, straight head of the rectus femoris, and part of the iliacus muscle

Question 14

what attaches at the PSIS

Answer 14

posterior sacral iliac ligaments

Question 15

where does the gluteus muscles attach in relation to the gluteal lines

Answer 15

glut max attaches above the posterior gluteal line

Gluteus medius is between posterior gluteal line and anterior gluteal lien

gluteus minimus is between the anterior gluteal line and inferior gluteal line

Question 16

what attaches at the ischial tuberosity

Answer 16

• Semimembranouses
  
  • Semitendonousous
  • Long head of bicep femoris
  • Adductor magnus
  • Quadratus femoris
  • Inferior gemellus
  • Sacral tuberous ligament

Question 17

what attaches at the ischial spine

Answer 17

sacral spinus ligament, superior gemellus

Question 18

what attaches to the body of the pubis

Answer 18

Gracillis, adductor longus and brevis

Question 19

what attaches to the superior pubic ramus

Answer 19

pectineus

Question 20

what attaches to the inferior pubic ramus

Answer 20

gracillis , adductor brevis and magnus, obturator EXTERNUS

Question 21

what attaches the two halves of the pubis

Answer 21

pubic symphisis

Question 22

spinal level for medial thigh and leg

Answer 22

thigh: L1-L3

Leg: L3-L4

Question 23

spinal level for:
big toe
digits 2-4
little toe

Answer 23

big toe: L4
Digits: L5
Little toe: S1

Question 24

spinal level for lateral thigh and leg

Answer 24

thigh: L1-L5
leg: L5, S1

Question 25

posterior thigh spinal level

Answer 25

S1 and S2

Question 26

patellar ligament reflex

Calcaneal tendon reflex

Answer 26

L4

S1

Question 27

EDL and EHL reflex level

Answer 27

L5

Question 28

trandelenburg due to damage to what nerve? if left hip drops,, what is weak?

Answer 28

damage to superior gluteal n

right glutes are weak