Hip and Thigh (chart) Flashcards
Chart
the iliofemoral ligament attaches?
ASIS and acetabulum -> intertochanteric line (strong, y-shaped ligament)
the ischiofemoral ligament attaches?
acetabular rim -> circles superiorly and laterally to medial base of greater trochanter.
the pubofemoral ligament attaches?
pubic ramus -> laterally and inferiorly to joint capsule
the transverse acetabular ligament attaches?
joins inferior ends of labrum, crosses acetabular notch
the ligament of the head of femur attaches?
acetabular notch -> fovea of femur (intracapsular but extrasynovial)
what is the function of the iliofemoral ligament?
prevents hypertension
what is the function of the ischiofemoral ligament?
prevents hypertension, screws femoral head into acetabulum
what is the action of the pubofemoral ligament?
tightens during extensions and abduction, limits abduction
what is the function of the transverse acetabular?
completes the acetabular ring
what is the function of the ligament of head of femur?
contains artery to head of femur (minute in adults)
what is the P.O. of gluteus maximus?
ilium posterior to posterior gluteal line, dorsal surface of sacrum and coccyx, sacrotuberous ligaments
what is the D.I. of the gluteus maximus?
most fibers end in iliotibial tract that inserts into lateral condyle of tibia; some fibers insert into gluteal tuberosity of femur.
what is the innervation of the gluteus maximus?
inferior gluteal nerve (L5 - S2)
what is the action of the gluteus maximus?
extends fixed thigh, assists in lateral rotation, and abducts thigh
what is the P.O. of gluteus medius?
lateral surface of ilium b/w anterior and posterior gluteal lines
what is the D.I. of the gluteus medius?
lateral surface of greater trochanter of femur
what is the innervation of the gluteus medius, tensor fasciae latae, and gluteus minimus?
superior gluteal nerve (L4 - S1)
what is the action of the gluteus medius?
abducts and medially rotates thigh at hips; steadies pelvis on leg when opposite leg is raised
what is the P.O. of gluteus minimus?
lateral surface of ilium b/w anterior and inferior gluteal lines
what is the D.I. of the gluteus minimus?
anterior surface of greater trochanter of femur
what is the action of the gluteus minimus?
abducts and medially rotates thigh at hips; steadies pelvis on leg when opposite leg is raised
what is the P.O. of piriformis?
anterior surface of sacral segments 2 -4, sacrotuberous ligament
what is the D.I. of the piriformis?
superior border of greater trochanter of femur
what is the innervation of the piriformis?
anterior rami of upper L5. S1, S2
what is the action of the piriformis and obturator internus?
laterally rotates extended thigh, abducts flexed thigh at hip
what is the P.O. or the obturator internus?
pelvic surface of obturator membrane and surrounding bone
what is the D.I. of the obturator internus, superior gemellus, and inferior gemellus?
medial surface of greater trochanter of femur
what is the innervation of the obturator interns and superior gemellus?
nerve to obturator internus muscle (L5 - S2)
what is the P.O. of the superior gemellus?
outer surface of ischial spine
what is the action of the superior gemellus and inferior gemellus?
laterally rotates extended thigh at the hip
what is the P.O. of the inferior gemellus?
upper margin of ischial tuberosity
what is the innervation of the inferior gemellus and quadratus femoris?
nerve to quadratus femoris muscle (L4 - S1)
what is the P.O. of the quadratus femoris?
lateral margin of ischial tuberosity
what is the D.I. of the quadratus femoris?
quadrate tubercle on intertrochanteric crest of femur
what is the action of the quadratus femoris?
laterally rotates thigh at hip
what is the P.O. of the psoas major (iliopsoas)?
transverse processes of lumbar vertebrae, sides of bodies of T12 - L5 vertebrae, intervening intervertebral discs processes of L1- L5
what is the D.I. of the psoas major (iliopsoas)?
lesser trochanter of femur
what is the innervation of the psoas major (iliopsoas)?
anterior rami of first lumbar nerve
what is the action of the psoas major (iliopsoas)?
acting superiorly w/ iliacus, flexes hip; acting inferiorly, flexes vertebral column laterally; used to balance trunk in sitting position; acting inferiorly with iliac, flexes trunk
what is the P.O. of the iliacus?
superior 2/3 pf iliac fossa, ala of sacrum, and anterior part of iliac crest
what is the D.I. of the iliacus?
lesser trochanter of femur and body inferior to it, to psoas major tendon
what is the innervation of the iliacus?
femoral nerve (L2 - L3)
what is the action of the iliacus?
flexes thigh at hips and stabilizes hip joint, acts with psoas major
what is the P.O. of the tensor fasciae latae?
anterior superior iliac spine and anterior part of iliac crest
what is the D.I. of the tensor fasciae latae?
iliotibial tract that attaches to lateral condyle of tibia
what is the action of the tensor fasciae latae?
abducts, medially rotates, and flexes thigh at hip; helps to keep knee extended
what is the P.O. of the sartorius?
anterior superior iliac spine and superior part of notch below it
what is the D.I. of the sartorius?
superior part of medial surface of tibia.
what is the action of the sartorius?
abducts, laterally rotates, and flexes thigh; flexes knee joint
what is the P.O. of the quadratus femoris?
lateral marine of ischial tuberosity
what is the D.I. of the quadratus femoris?
quadrate tubercle on intertrochanteric crest of femur
what is the action of the quadratus femoris?
laterally rotates thigh at hip
what is the P.O. of the rectus femoris?
anterior inferior iliac spine and ilium superior to acetabulum
what is the D.I. of the rectus femoris, vastus lateralis, vastus medialis, vastus intermedius?
base of patella and to tibial tuberosity via patellar ligament (tendon)
what is the action of the rectus femoris?
extends leg at knees joint and flexes thigh at hip joint.
what is the P.O. of the vastus lateralis?
greater trochanter, lateral lip of linea aspera of femur
what is the action of the vastus lateralis, vastus medialis, and vastus intermedius?
extends leg at knee joint
what is the P.O. of the vastus medalis?
intertrochanteric line, medial lip of linea aspera of femur
what is the P.O. of the vastus intermedius?
anterior and lateral surfaces of body of femur
what is the P.O. of pectineus?
superior ramps of pubis
what is the D.I. of the pectineus?
pectineal line of femur
what is the action of the pectineus?
adducts and flexes thigh at hip
what is the P.O. of the adductor longus?
body of pubis, inferior to pubic crest
what is the D.I. of the adductor longus?
middle third of linea aspera of femur
what is the action of the adductor longus?
adducts thigh at hip
what is the P.O. of the adductor brevis?
body and inferior pubic ramus
what is the D.I. of the adductor brevis?
pectineal line and proximal part of linea aspera of femur.
what is the action of the adductor brevis?
adducts thigh at hip, weak flexor
what is the P.O. of the adductor magnus?
inferior pubic ramus, ramus of ischium hamstring part: sciatic nerve (tibial division)
what is the D.I. of the adductor magnus?
gluteal tuberosity, linea aspera, supracondylar line; hamstring part: adductor tubercle of femur
what is the action of the adductor magnus?
(adductor part) adducts and flexes thigh; (hamstring part) extends thigh
what is the P.O. of the gracilis?
body and inferior rams of pubis
what is the D.I. of the gracilis?
superior part of medial surface of tibia
what is the action of the gracilis?
adducts thigh, flexes and medially rotates leg
what is the P.O. of the obturator externus?
margins of obturator foramen, obturator membrane
what is the D.I. of the obturator externus?
trochanter fossa of femur
what is the action of the obturator externus?
laterally rotates thigh, stabilizes head of femur in acetabulum
what is the P.O. of the semitendinosus?
upper and lateral ischial tuberosity
what is the D.I. of the semitendinosus?
superior part of medial surface of tibia
what is the action of the semitendinosus and semimembranosus?
flexes leg, extends thigh
what is the P.O. of the semimembranosus?
upper and lateral ischial tuberosity
what is the D.I. of the semimembranosus?
posterior part of medial condyle of tibia
what is the P.O. of the biceps femoris?
(long head) ischial tuberosity; (short head) linea aspera and lateral supracondylar line line of femur
what is the D.I. of the biceps femoris?
lateral side head of fibula