Glutes and hip joint Flashcards

1
Q

What is the intergluteal crest?

A

Buttcrack

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What 2 ligaments form the greater sciatic foramen and lesser sciatic foramen

A

Sacrotuberous L. and sacrospinous L.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the origin and insertion for the sacrotuberous L.?

A

O: Anterior sacrum
I: Ischial tuberosity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the origin and insertion for the sacrospinous L.?

A

O: Anterior sacrum
I: Ischial spine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What exits the greater sciatic foramen?

A

Gluteal neurovascular bundle, piriformis m., sciatic nerve, posterior femoral cutaneous nerve, pudendal nerve and internal pudendal A., obturator internus/superior gemellus nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What enters the lesser sciatic foramen?

A

pudendal nerve and internal pudendal A., obturator internus/superior gemellus nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What exits the lesser sciatic foramen?

A

Obturator internus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the cutaneous nerves of the gluteal region?

A

Cluneal nerves - superior (L1-L3), middle (S1-S3)

Gluteal branches of posterior femoral cutaneous nerve (anterior rami)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the deep nerves of the gluteal region?

A

Sacral plexus branches (leave via greater sciatic foramen)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does the superior gluteal nerve supply?

A

Gluteus medius, Gluteus minimus, Tenor fascia lata m.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Where does the superior gluteal nerve exit?

A

Superior to the piriformis m.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does the inferior gluteal nerve supply?

A

Gluteus maximus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where does the inferior gluteal nerve exit?

A

Inferior to the piriformis m.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the largest nerve in the body

A
Sciatic nerve (L4-S3), eventually splits into tibial and common fibular nerve
Does NOT innervate any gluteal region structures
Exits inferior to piriformis m.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the main arteries in the gluteal region?

A

Superior and inferior gluteal arteries, pudendal artery (most medial, supplies genitalia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where does the superior gluteal artery exit?

A

Superior to the piriformis m. with the superior gluteal nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Where does the inferior gluteal artery exit?

A

Inferior to the piriformis m. with the inferior gluteal nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What does the superior gluteal artery supply?

A

Largest!

Gluteus maximus, medius, minimus, tenor fascia lata m.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What does the inferior gluteal artery supply?

A

Gluteus maximus, small lateral rotators, and superior hamstrings

20
Q

What participates in the cruciate anastomosis?

A

Inferior gluteal artery, medial circumflex femoral artery, transverse branch of the lateral circumflex femoral artery, and the perforating arteries

21
Q

Where should intragluteal injections be given?

A

Supero-lateral to avoid sciatic and other nerves

22
Q

Gluteus maximus origin, insertion, action and innervation

A

O: Ilium, posterior sacrum and coccyx, sacrotuberous L.
I: Gluteal tuberosity, lateral tibial condyle via iliotibial band
A: Extend and laterally rotate thigh
Innervation: Inferior gluteal nerve

23
Q

Gluteus medius origin, insertion, action and innervation

A

O: Ilium between anterior and posterior gluteal lines
I: Lateral side of greater trochanter
A: Abduct and medially rotate thigh
Innervation: Superior gluteal nerve

24
Q

Gluteus minimus origin, insertion, action and innervation

A

O: Ilium between anterior and inferior gluteal lines
I: Anterior side of greater trochanter
A: Abduct and medially rotate thigh
Innervation: Superior gluteal nerve

25
Q

What is injured in pts with gluteal gait/duchennes limp?

A

Superior gluteal nerve – impaired gluteus medius and minimus

26
Q

Symptoms of gluteal gait?

A

Pelvis leans towards swing side; body leans toward affected side

27
Q

Tensor fascia lata origin, insertion, action and innervation

A

O: ASIS, Iliac crest
I: IT band
Action: Abduct and medially rotate thigh, extend leg
Innervation: superior gluteal nerve

28
Q

Iliotibial tract

A

IT band;
O: Iliac tubercle
I: Gerdy’s tubercle on lateral tibial condyle
- Tensor fascia lata and gluteus maximus fibers strengthen

29
Q

Functions of IT band

A

Laterally support knee, slow down thigh adduction, extend leg and laterally pull patella
- stretch to treat chondromalacia patella

30
Q

Piriformis origin, insertion, action and innervation

A

O: Anterior sacrum and sacrotuberous L.
I: Superior trochanter
A: Laterally rotate extended thigh, abduct flexed thigh and stabilize femoral head
Innervation: nerve to piriformis

31
Q

Obturator internus origin, insertion, action and innervation

A

O: Obturator membrane
I: Greater trochanter
A: Laterally rotate extended thigh, abduct flexed thigh, stabilize femoral head
Innervation: obturator nerve

32
Q

Superior gemmelus origin and innervation

A

O: Ischial spine
Innervation: Obturator nerve

33
Q

Inferior gemmelus origin and innervation

A

O: Ischial tuberosity
Innervation: Nerve to quadratus femoris

34
Q

Insertion and action of gemmeli

A

I: Medial aspect of greater trochanter
Action: laterally rotate extended thigh, abduct flexed thigh, stabilize femoral head

35
Q

Obturator externus origin, insertion, action and innervation

A

O: Margin of obturator membrane
I: Trochanteric fossa
A: laterally rotate extended thigh and stabilize femoral head
Innervation: obturator nerve

36
Q

Quadratus femoris origin, insertion, action and innervation

A

O: lateral ischial tuberosity
I: Quadrate tubercle on intertrochanteric crest
A: Laterally rotate extended thigh and stabilize femoral head
Innervation: obturator nerve

37
Q

What type of joint is the hip joint?

A

Diarthrotic ball and socket synovial – all ranges of motion pretty much

38
Q

The rim of acetabulum is incomplete inferiorly, what covers it?

A

Transverse acetabular L.

39
Q

What is the non-articular surface inside the acetabulum?

A

Acetabular fossa

40
Q

What does the acetabular labrum do?

A

Increases the depth of the acetabulum for the femoral head

41
Q

A pt feels a pinching sensation when they bring their knee to chest. No inflammation can be seen and their pain seems to radiate. What is torn?

A

Acetabular labrum

42
Q

Name the 3 ligaments of the hip joint

A

Ischiofemoral, pubofemoral, iliofemoral

43
Q

What is the main job of the hip joint ligaments?

A

Prevent overextension and over abduction

44
Q

What will a person’s leg look like if they have a hip fracture

A

Leg will be shortened and laterally rotated

45
Q

What will a person’s leg look like if they have a hip dislocation

A

Leg will be of normal length and medially rotated