Lect 7 Flashcards

1
Q

Arcuate Line?

A

Separates False Pelvis ( superior) and True Pelvis (Inferior)

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2
Q

What are the borders of the Greater Sciatic Foramen?

A

Sacrospinous, sacrotuberous and sciatic notch

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3
Q

The Sacrospinous Ligament is Posterior or Anterior to Sacrotuberous Ligament?

A

Anterior

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4
Q

What goes through the Greater Sciatic Foramen?

A

Sciatic Nerve

Piriformis Muscle

Pudendal Nerve

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5
Q

What goes through the Lesser Sciatic Foramen?

A

Tendon of Obturator Internus Muscle

Pudendal Nerve

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6
Q

Pudendal Nerve innervates both GSF and LSF. How?

A

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.

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7
Q

List the Gluteal Region From Superior to Inferior.

A

Superior to Inferior Muscles :

Piriformis

Superior Gemalis

Obturator Internus Muscle

Inferior Gemalis

Quadratus Femoris

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8
Q

Gluteal Region is vascularized by arterial branches from?

A

Internal Iliac Artery

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9
Q

External Iliac Artery –> goes to what artery.

What does it have to do with the gluteal region?

A

Goes to the Femoral Artery.

Just wants to pass through to get to the thigh.

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10
Q

Abdominal Aorta ->

A

Common Iliac Artery → External and Internal Iliac Artery.

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11
Q

Internal Iliac Artery –> two arteries come off of this. What are they?

A

Superior and Inferior Gluteal Artery come off of here.

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12
Q

Internal Iliac Artery–>

A

Superior and Inferior Gluteal Artery –> Internal Pudendal Artery–>

Obturator Artery

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13
Q

All somatic nerve plexus are formed by

A

VENTRAL PRIMARY RAMI.

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14
Q

Pelvic Splanchnics give off what kind of sensory aspect?

A

Parasympathetic

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15
Q

Posterior Femoral Cutaneous →

First, what does PFC do?

What nerve comes off of it?

What nerve came before PFC?

A

It gives sensory to the back of the thigh –>

Inferior Cluneal Nerve comes off of it

Sciatic Nerve –> PFC –> Inferior Cluneal nerve

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16
Q

What does Inferior Cluneal Nerve do?

What did it come off of?

A

supplying sensory innervation of the lower gluteal region

it came off the PFC

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17
Q

Middle and Superior Cluneal Nerve are from what nerve?

A

Dorsal Primary Rami

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18
Q

What are the roots of the sciatic nerve?

A

Sciatic nerve

L4- S3

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19
Q

Label this. This nerve comes from?

A

GSF and between the Piriformis and Superior Gemullis.

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20
Q

Obturator Nerve goes through?

A

Obturator Foramen

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21
Q

Psoas Major. Label the borders.

A

Genitofemoral Nerve ( Superior)

Obturator Nerve ( Medial)

Femoral Nerve (Lateral)

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22
Q

Anterior Thigh: Innervation and Arterial Supply?

A

Femoral nerve and Femoral Artery

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23
Q

Medial Thigh Innervation and Arterial Supply?

A

Obturator Nerve and Obturator Artery

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24
Q

Posterior thigh innervation and arterial supply?

A

Posterior Thigh

Perforating Branches of Deep Femoral Artery

Sciatic Nerve

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25
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)
26
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
27
Piriformis, Obturator Internus, Gluteus Minimus, Gluteus Medius All have distal attachment at
Greater Trochanter!
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Piriformis muscle Innervation Artery
Piriformis muscle Innervation Nerve to Piriformis Artery Inferior Gluteal Artery
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Obturator Internis Innervation Arterial Supply
Obturator Internis Innervation Nerve to Obturator Internis Arterial Supply Inferior Gluteal Artery
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Gluteus Medius Innervation Arterial Supply
Gluteus Medius Superior Gluteal Nerve Superior Gluteal Artery
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Gluteus Minimus Innervation Arterial Supply
Gluteus Minimus Superior Gluteal Nerve Superior Gluteal Artery
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What muscles are innervated by a superior gluteal nerve?
Gluteus Medius Gluteus Minimus Tensor Fascia Lata
33
What muscle is innervated by the Inferior gluteal nerve?
Gluteus Maximus
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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.
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Gluteal Region Short Rotator Muscles of the Hip
Superior Gemellus Inferior Gemellus Quadratus Femoris
37
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.
38
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.
39
Quadratus Femoris Proximal Attachment: Distal Attachment: Nerve:
Quadratus Femoris PA: Ishial Tuberosity DA: Interochanteric crest of femur Nerve: Nerve to Quadratus Femoris
40
Muscles for Lateral Rotation of the hip
Lateral Rotation Piriformis Obturator Internus Sup and Inf gemellus Quadratus Femoris
41
Abduction and Medial Rotation, if there is a weakness in these two muscles what can be diagnosed?
Trendelenburg gait GLuteus Medius Gluteus Minimus
42
What muscles does the Superior Gluteal Nerve Innervate?
Tensor Fascia Latta Gluteus Medius Gluteus Minimus
43
Inferior Gluteal Nerve
Gluteal Maximus
44
What muscle is innervated by the Obturator Internus nerve?
Obturator Internus Superior Gemellus
45
Nerve to Quadratus Femoris innervates what?
Quadratus Femoris Inferior Gemellus
46
Nerve to Piriformis innervates?
Piriformis
47
Nerves to Gluteal Region
Inferior Gluteal nerve Superior Gluteal nerve Nerve to quadratus femoris Nerve to obturator internus Inferior cluneal nerve
48
Nerves to thigh and leg
Nerves to thigh and leg Sciatic Post femoral cutaneous
49
Perineum
Puendal Nerve
50
Gluteal Injection
Given Laterally and Superiorly To not hit a superior and inferior gluteal nerves
51
Inferior Gluteal Nerve Palsy
Cannot Extend Hip Difficulty standing up from a chair Remember: inferior gluteal nerve supplies Gluteus Maximus
52
THIGH Vascularization
External Iliac Artery --\> Femoral Artery --\> Deep Femoral Artery
53
Femoral Artery --\>
Femoral Artery --\> Popliteal Artery (once it passes adductor hiatus) --\> Anterior and posterior Tibial Artery
54
Posterior Thigh Semitendinosus
Very thick near the knee Prox Attachment: Ischial Tuberosity Nerve: Sciatic Nerve Artery: Br. deep femoral artery
55
Semimembranous Prox attachment: Nerve: Artery:
Semimembranous Prox attachment: Ischial tuberosity Nerve: Sciatic Nerve Artery: Br. deep femoral artery
56
Biceps Femoris Prox: Nerve: Artery:
Biceps Femoris Prox: Ischial Tuberosity Nerve: Sciatic Nerve Artery: Br. Deep Femoral Artery
57
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
58
The Femoral Artery runs through the?
Femoral Artery runs through the ## Footnote **adductor hiatus→ popliteal artery**
59
Popliteal Fossa Borders:
Medial Superior : Semitendinosus and Semimemnranosous Lateral Superior: Biceps Femoris Medial Inferior : Medial Gastrocnemius (Calf) Lateral Inferior: Lateral Gastrocnemius (Calf)
60
Popliteal Content
Popliteal Fat Popliteal artery Popliteal vein Sciatic Nerve Sural Calf Nerve
61
Medial rotation turn foot? Lateral Rotation Turn foot?
Medial rotation- turn foot inward Lateral Rotation- turn foot outward
62
Quadratus. Femoris
63
If you sever the nerve to this muscle, what muscle would be affected?
Gluteus Minimus
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Trendenlburg Gait
69