Lect 7 Flashcards
Arcuate Line?
Separates False Pelvis ( superior) and True Pelvis (Inferior)

What are the borders of the Greater Sciatic Foramen?
Sacrospinous, sacrotuberous and sciatic notch

The Sacrospinous Ligament is Posterior or Anterior to Sacrotuberous Ligament?
Anterior

What goes through the Greater Sciatic Foramen?
Sciatic Nerve
Piriformis Muscle
Pudendal Nerve

What goes through the Lesser Sciatic Foramen?
Tendon of Obturator Internus Muscle
Pudendal Nerve
Pudendal Nerve innervates both GSF and LSF. How?
Goes out the GSF and turns back into the pelvis through the LSF, does this because it has to supply most of the genital and perineal area.
List the Gluteal Region From Superior to Inferior.
Superior to Inferior Muscles :
Piriformis
Superior Gemalis
Obturator Internus Muscle
Inferior Gemalis
Quadratus Femoris

Gluteal Region is vascularized by arterial branches from?
Internal Iliac Artery

External Iliac Artery –> goes to what artery.
What does it have to do with the gluteal region?
Goes to the Femoral Artery.
Just wants to pass through to get to the thigh.
Abdominal Aorta ->
Common Iliac Artery → External and Internal Iliac Artery.
Internal Iliac Artery –> two arteries come off of this. What are they?
Superior and Inferior Gluteal Artery come off of here.
Internal Iliac Artery–>
Superior and Inferior Gluteal Artery –> Internal Pudendal Artery–>
Obturator Artery

All somatic nerve plexus are formed by
VENTRAL PRIMARY RAMI.
Pelvic Splanchnics give off what kind of sensory aspect?
Parasympathetic
Posterior Femoral Cutaneous →
First, what does PFC do?
What nerve comes off of it?
What nerve came before PFC?
It gives sensory to the back of the thigh –>
Inferior Cluneal Nerve comes off of it
Sciatic Nerve –> PFC –> Inferior Cluneal nerve
What does Inferior Cluneal Nerve do?
What did it come off of?
supplying sensory innervation of the lower gluteal region
it came off the PFC
Middle and Superior Cluneal Nerve are from what nerve?
Dorsal Primary Rami
What are the roots of the sciatic nerve?
Sciatic nerve
L4- S3
Label this. This nerve comes from?

GSF and between the Piriformis and Superior Gemullis.

Obturator Nerve goes through?
Obturator Foramen
Psoas Major. Label the borders.
Genitofemoral Nerve ( Superior)
Obturator Nerve ( Medial)
Femoral Nerve (Lateral)

Anterior Thigh: Innervation and Arterial Supply?
Femoral nerve and Femoral Artery
Medial Thigh Innervation and Arterial Supply?
Obturator Nerve and Obturator Artery
Posterior thigh innervation and arterial supply?
Posterior Thigh
Perforating Branches of Deep Femoral Artery
Sciatic Nerve
Tensor Fascia Lata Muscle
Innervation?
Arterial Supply?
Proximal Attachment?
Distal Attachment?
Innervation : Superior Gluteal Nerve
Fxn : Abductor of the thigh @ the hip
Proximal Attachement : ASIS
Distal Attachment: Iliotibial band (tract)

Gluteus Maximus
Fxn:
Attachment:
Innervation:
Fxn: Extension of the thigh @ the hip and back of the hip & Lat Rotation of the thigh at the hip.
Attachment: post. Crest, sacrotuberous ligament post to sacral spinous ligament.
Distal Attachment : Illiotibal tract – same as TFL muscle.
Innervation: Inferior Gluteal Nerve
Arterial Supply:Superior and Inferior Gluteal Artery
Piriformis, Obturator Internus, Gluteus Minimus, Gluteus Medius
All have distal attachment at
Greater Trochanter!
Piriformis muscle
Innervation
Artery
Piriformis muscle
Innervation
Nerve to Piriformis
Artery
Inferior Gluteal Artery
Obturator Internis
Innervation
Arterial Supply
Obturator Internis
Innervation
Nerve to Obturator Internis
Arterial Supply
Inferior Gluteal Artery
Gluteus Medius
Innervation
Arterial Supply
Gluteus Medius
Superior Gluteal Nerve
Superior Gluteal Artery
Gluteus Minimus
Innervation
Arterial Supply
Gluteus Minimus
Superior Gluteal Nerve
Superior Gluteal Artery
What muscles are innervated by a superior gluteal nerve?
Gluteus Medius
Gluteus Minimus
Tensor Fascia Lata
What muscle is innervated by the Inferior gluteal nerve?
Gluteus Maximus


If you damage the superior gluteal nerve, your abduction would?
Legs would be?
If you damage the superior gluteal nerve, your abduction would WEAKEN.
Legs would be closer together and hip would drop.
Gluteal Region Short Rotator Muscles of the Hip
Superior Gemellus
Inferior Gemellus
Quadratus Femoris

Superior Gemellus
Proximal Attachment:
Distal Attachment:
Nerve:
Superior Gemellus
PA: Ischial spine
DA: Greater Trochanter
Nerve: Nerve to Obtratur Int.
Literally the Muscle right under Superior Gemellus will innervate it. Only applied for rotator muscles of the hip.

Inferior Gemellus
Proximal Attachment:
Distal Attachment:
Nerve:
Inferior Gemellus
PA: Ischial Tuberosity
DA: Great Trochanter
Nerve- Nerve to Quadratus Fem.
The muscle right under Inferior Gemellus will inervate it.
Quadratus Femoris
Proximal Attachment:
Distal Attachment:
Nerve:
Quadratus Femoris
PA: Ishial Tuberosity
DA: Interochanteric crest of femur
Nerve: Nerve to Quadratus Femoris

Muscles for Lateral Rotation of the hip
Lateral Rotation
Piriformis
Obturator Internus
Sup and Inf gemellus
Quadratus Femoris
Abduction and Medial Rotation, if there is a weakness in these two muscles what can be diagnosed?
Trendelenburg gait
GLuteus Medius
Gluteus Minimus
What muscles does the Superior Gluteal Nerve Innervate?

Tensor Fascia Latta
Gluteus Medius
Gluteus Minimus

Inferior Gluteal Nerve
Gluteal Maximus
What muscle is innervated by the Obturator Internus nerve?
Obturator Internus
Superior Gemellus
Nerve to Quadratus Femoris innervates what?
Quadratus Femoris
Inferior Gemellus
Nerve to Piriformis innervates?
Piriformis
Nerves to Gluteal Region
Inferior Gluteal nerve
Superior Gluteal nerve
Nerve to quadratus femoris
Nerve to obturator internus
Inferior cluneal nerve

Nerves to thigh and leg
Nerves to thigh and leg
Sciatic
Post femoral cutaneous

Perineum
Puendal Nerve

Gluteal Injection
Given Laterally and Superiorly
To not hit a superior and inferior gluteal nerves
Inferior Gluteal Nerve Palsy
Cannot Extend Hip
Difficulty standing up from a chair
Remember: inferior gluteal nerve supplies Gluteus Maximus
THIGH
Vascularization
External Iliac Artery –> Femoral Artery –> Deep Femoral Artery
Femoral Artery –>
Femoral Artery –> Popliteal Artery (once it passes adductor hiatus) –> Anterior and posterior Tibial Artery

Posterior Thigh
Semitendinosus
Very thick near the knee
Prox Attachment: Ischial Tuberosity
Nerve: Sciatic Nerve
Artery: Br. deep femoral artery

Semimembranous
Prox attachment:
Nerve:
Artery:
Semimembranous
Prox attachment: Ischial tuberosity
Nerve: Sciatic Nerve
Artery: Br. deep femoral artery

Biceps Femoris
Prox:
Nerve:
Artery:
Biceps Femoris
Prox: Ischial Tuberosity
Nerve: Sciatic Nerve
Artery: Br. Deep Femoral Artery

Biceps Femoris vs Semitendinosus and Semimembranosus
Major Differences:
Semitendinosus and Semimembranosus
DA: Tibia
Innervation: Tibial portion of the sciatic nerve
Biceps Femoris
DA: Fibula
Innervation: Common Fibular portion of the sciatic nerve
Short head of bicep femoris
PA: Linea Aspera
Long Head
PA: Ischial tuberosity
The Femoral Artery runs through the?
Femoral Artery runs through the

adductor hiatus→ popliteal artery
Popliteal Fossa
Borders:
Medial Superior : Semitendinosus and Semimemnranosous
Lateral Superior: Biceps Femoris
Medial Inferior : Medial Gastrocnemius (Calf)
Lateral Inferior: Lateral Gastrocnemius (Calf)

Popliteal Content
Popliteal Fat
Popliteal artery
Popliteal vein
Sciatic Nerve
Sural Calf Nerve
Medial rotation
turn foot?
Lateral Rotation
Turn foot?
Medial rotation- turn foot inward
Lateral Rotation- turn foot outward

Quadratus. Femoris

If you sever the nerve to this muscle, what muscle would be affected?

Gluteus Minimus









Trendenlburg Gait
