hip and thigh region Flashcards

1
Q

what does glutues maximus do and what region is it in

A

extensors in superficial gluteal region

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2
Q

define gluteal region

A

illiac crest to folds of the buttock

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3
Q

what do the deep muscles of the gluteal region do

A

lateral rotation of the hip

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4
Q

what do the superficial muscles of the gluteal region do

A

abductions and extension

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5
Q

what does gluteal medius and minimus do

A

abductors of hip and in superficial gluteal region. minimus is under medius

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6
Q

what does tensor fascia lata do and where does it attach

A

it is on the lateral aspect of leg and inserts onto iliotibial band stabilizing knee joint in contraction

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7
Q

what is tredelburg’s sign

A

trendelenburg’s sign is found in people with weak or paralyzed abductor muscles of the hip, namely gluteus medius and gluteus minimus, on the side of weakness you can see an unbalanced gait

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8
Q

name 5 hip lateral rotators of the gluteal region

A

piriformis, superior gemellus, inferior gemellus, quadratus femoris, obturator internus

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9
Q

what nerves are in gluteal region

A

sup and inf gluteal nerves, pudendal nerve, sciatic nerve

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10
Q

what arteries supply gluteal region

A

sup and inf gluteal arteries and internal pudendal artery

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11
Q

how can you divied the gluteal region

A

medial and lateral upper and lower quadrants

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12
Q

How do you give a gluteal injections

A

there is a safe area put your hand outstretched on gluteal area thumb at the anterior end and 2nd finger on asis and inject between 2nd and 3rd finger. iomportant you do not hit sciatic nerve

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13
Q

what is developmental dysplasia of the hip

A

In DDH, the socket of the hip is too shallow and the femoral head is not held tightly in place, so the hip joint is loose. In severe cases, the femur can come out of the socket (dislocate).

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14
Q

what is leg calve perthe disease

A

a childhood hip disorder initiated by a disruption of blood flow to the head of the femur. Due to the lack of blood flow, the bone dies (osteonecrosis or avascular necrosis) and stops growing.

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15
Q

what is slipped femoral epiphysis

A

s a medical term referring to a fracture through the growth plate (physis), which results in slippage of the overlying end of the femur (metaphysis).

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16
Q

what is arthritis of the hip

A

wear and tear of joint, osteoarthritic bone changes to hip socket(acetabulum) and head of bone loss of fluid cause pain and friction

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17
Q

what are the three compartments of the thigh

A

anterior, posterior and medial

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18
Q

what are the three neurovascular structures in the thigh

A

» femoral nerve & vessels
» obturator nerve & vessels
» sciatic nerve

19
Q

what are the three openings from abdomen/pelvis into thigh

A

femoral (unnamed)
» obturator canal
» greater sciatic foramen

20
Q

name the muscles of the thigh in anterior compartment

A

psoas major, iliacus,rectus femoris, vastus medialis, vastus lateralis, sartorius, pectineus

21
Q

name the muscles of thigh medial compartment

A

adductor brevis, adductor longus, adductor magnus, gracilis, obturator externus, pectineus

22
Q

name muscles of the posterior thigh compartment

A

semimembranosus, semitendinosus, bicep femoris(lh), bicep femoris (sh)

23
Q

describe hamstring injuries

A

normally when during hip flexion, will see bruising at back of leg, pain through transmits through lower back

24
Q

what muscles allow medial rotation of knee joint

A

semimembranosus, semitendinosus, gracilis, sartorius, popliteus

25
Q

what muscles allow lateral rotation of knee

A

biceps femoris

26
Q

what muscles allow extension of knee

A

rectus femoris and vasti muscles

27
Q

what muscles allow flexion of knee

A
– semimembranosus
 – semitendinosus
 - biceps femoris
 – gracilis
 – sartorius
 – popliteus
 - gastrocnemius
28
Q

outline the femoral triangle

A

asis to pubic tubercle down to adductor tubercle

29
Q

what important neurovascular structures and muscles are in the femoral triangle

A

femoral nerve, femoral artery and vein, great saphenous vein, some lymphatics, not sure what muscles google or revise update when i know

30
Q

what is in the popliteal fossa arteries veins and nerves lymphatics

A

tibial nerve, popliteal artery and veins, common fibular nerve, popliteal lymph nodes

31
Q

what are some issues that can occur in the popliteal region

A

Knee Bursitis: Baker’s Cyst, and swelling of arteryies or nodes

32
Q

name 6 main nerves of lower limb

A
  1. Superior gluteal
  2. Inferior gluteal
  3. Femoral
  4. Obturator
    Sciatic
  5. Tibial
  6. Common fibular (common peroneal)
    • Superficial fibular
    • Deep fibular
33
Q

name arteries of lower limb

A
Ext iliac
Femoral, Profunda Femoris, Ant
tibial, Dorsalis
pedis, Plantar
arteries, Post
tibial, Popliteal, peroneal
34
Q

where can you feel a pulse in lower limbs

A

femoral pulse, popliteal pulse, dorsis pedis pulse, posterior tibial pulse

35
Q

what are the three angles of the hip bone

A

normal coxa vara too small and coxa valga to great an angle both are pathnogenic

36
Q

what is avascular necrosis of femoral head

A

femoral head is a pathologic process that results from interruption of blood supply to the bone.

37
Q

what areas are hip fractures most likely to occur in, what makes hip fractures more likely

A

transcervical fracture on neck of femur, intertrochanteric fracture, and subtrochanteric fracture. osteoperosis also makes hip fractures very likely

38
Q

explain what type of impact can cause hip dislocations commonly

A

Motor vehicle collisions are the most common cause of traumatic hip dislocations. The dislocation often occurs when the knee hits the dashboard in a collision. This force drives the thigh backwards, which drives the ball head of the femur out of the hip socket. indivdual seated in seat

39
Q

outline limitations of hip flexion

A

Flexion 90-115
(60 with
hamstrings)
hamstrings & trunk

40
Q

what limits hip extension

A

Extension 15-30 iliofemoral &
pubofemoral
ligaments

41
Q

what limits hip abduction

A

Abduction 50-60 pubofemoral
lig. & greater
trochanter

42
Q

what limits hip adduction

A

Adduction 15-45
(hip flexed)
other limb

43
Q

what limits medial rotation of hips

A

Medial
Rotation
30-45 ischiofemoral
ligaments

44
Q

what limits lateral roatation of hips

A

Lateral
Rotation
45-60 pubofemoral
ligaments