Lecture 17- Bony Pelvis and Hip Flashcards
link between the lower limbs and the axial skeleton
The pelvic girdle
The hipbone is the result of fusion from what three bones?
- ilium
- ischium
- pubis
what 4 bones make up the pelvic girdle?
2 coxal bones (form pelvic walls)
sacrum and coccyx (form the posterior wall)
The head of the femur articulates with the _____.
acetabular cup
where do the 3 bones of the hip bone fuse?
acetabular cup
upper part of the hip bone that forms the upper part of the acetabulum
ilium
forms the posteo-inferior part of the hipbone and acetabulum
ischium
forms the anteromedial part of the hipbone and the acetabulum
pubis
the coxal bone can be divided into two grossly observed portions, the ____ and ____.
true or lesser pelvis
false or greater pelvis
what does the femur articulate with SUPERIORLY?
Coxal bone
what does the femur articulate with INFERIORLY?
patella and the tibia
the longest and strongest bone on the body
FEMUR
The neck of the femur presents at an angle called the _____.
angle of inclination
how many degrees is the angle of inclination?
125 degrees
joint that attaches the pelvic girdle to the axial skeleton
lumbrosacal joint
strong synovial joint formed by the articular surface of the sacrum and the iliac bone
sacroiliac (SI) joint
6 ligaments that support the sacroiliac joint
- posterior ligament
- interosseous sacroiliac ligament
- anterior sacroiliac ligament
- iliolumbar ligament
- sacrotuberous ligament
- sacrospinous ligament
ligament assisting in stabilizing the SI joint that runs between the transverse processes of the 3rd and 4th lumbar vertebrae and the posterior portion of the iliac crest
iliolumbar ligament
SI accessory ligament from the lateral part of the sacrum and coccyx and the posterior inferior iliac spine to the ischial tuberosity
sacrotuberous ligament
SI accessory ligament from the lateral part of the sacrum and coccyx to the ischial spine
sacrospinous ligament
ligaments that convert the greater and lesser sciatic notches into the greater and lesser sciatic foramina
sacrospinous ligament and sacrotuberous ligament
this muscle exits out of the pelvis through the greater sciatic foramen
piriformis muscle
what exits ABOVE THE PIRIFORMIS through the greater sciatic foramen?
SUPERIOR gluteal nerves and vessels
things that exit through the greater sciatic foramen BELOW THE PIRIFORMIS (7)
INFERIOR gluteal nerves and vessels internal pudendal vessels pudendal nerve sciatic nerve posterior femoral cutaneous nerve nerve to obturator internus nerve to quadratus femoris
boundaries of the greater sciatic foramen
rim of the great sciatic notch (anterosuperior)
sacrotuberous ligament (posteromedial)
sacrospinous ligament and ischial spine (inferior)
boundaries of the lesser sciatic foramen
body of ischial tuberosity (anterior)
ischial spine and sacrospinous ligament (superior)
sacrotuberous ligament (posterior)
the tendon of the obturator internus EXITS the pelvis via _______.
the lesser sciatic foramen
the structures ENTERING the pelvis via the lesser sciatic foramen (3)
PIN
Pudendal nerve
Internal pudendal vessels
Nerve to obturator internus
what kind of joint is the hip joint?
synovial, multi-axial, ball and socket joint
what is the hip joint designed for?
support
The head of the femur and the surface of the acetabulum (except for the fovea capitis) is covered by _____.
hyaline cartilage
what part of the head of the femur is not covered in hyaline cartilage
fovea capitis
a fibrocartilaginous rim attached to the margins of the acetabulum, which deepens and increases the stability of the joint
acetabular labrum
what bridges over the acetabular notch to close the acetabulum?
transverse ligament of the acetabulum
6 ligaments associated with the hip joint
- articular capsule
- iliofemoral ligament
- pubofemoral ligament
- ischiofemoral ligament
- ligamentum capitis femoris
- transverse ligament of the acetabulum
ligament from the acetabular notch to the fovea capitis- it provides blood vessels to the head of the femur
ligamentum capitis femoris
ligament of hip joint that limits medial rotation
ischiofemoral ligament
ligament of hip joint that prevents abduction
pubofemoral ligament
ligament of hip joint that prevents overextension if the joint (becomes taut)
iliofemoral ligament (also called y-shaped ligament of bigelow)
large superficial muscle that is primarily responsible for the prominence of the buttock
gluteus maximus
what innervates the gluteus Maximus?
inferior gluteal nerve
two bursae that lie deep to the gluteus Maximus
trochanteric and ischiogluteal bursa
bursa found between the gluteus Maximus and the greater trochanter
trochanteric bursa
bursa between the gluteus Maximus and the ischial tuberosity
ischiogluteal bursa
the gluteus medius is innervated by what nerve?
superior gluteal nerve
weakness in the gluteus medius results in _______.
trendelenburg sign
individuals with a weak gluteus medius also may demonstrate an unusual gait pattern known as the ______.
gluteus medius lurch
the gluteus minimus is innervated by what nerve?
superior gluteal nerve
smallest and deepest of the three gluteal muscles.
gluteus minimus
the tensor fasciae latae is innervated by what nerve?
superior gluteal nerve
what encloses the tensor fasciae latae?
fascia latae
Where does the tensor fasciae latae insert and end?
iliotibial tract between the middle and upper third of the thigh
the piriformis is innervated by what nerve?
nerve to the piriformis
muscle that lies next to the gluteus minimus
piriformis
The piriformis exits through the ________ and inserts into the _________.
greater sciatic foramen
upper border of the greater trochanter
the tendon of the obturator internus is joined by what two muscles?
superior and inferior gemellus
flat muscle covering the external surface of the posterior pelvic wall
quadratus femoris
the quadratus femoris is innervated by what nerve?
nerve to quadratus femoris
muscle that crosses the posterior aspect of the neck of the femur and ends on the quadrate tubercle of the femur
quadratus femoris
muscle that arises from the external surface of the obturator foramen and obturator membrane.
obturator externus
only muscle of the gluteal region that is supplied by the obturator nerve
obturator externus
muscles of the gluteal region that produce hip abduction
piriformis,obturator internus, superior and inferior gemellus, and obturator externus
muscles of the gluteal region that produce active external rotation of the hip
piriformis,obturator internus, superior and inferior gemellus, quadratus femoris, and obturator externus
gluteal muscle that produces hip ADDuction
quadratus femoris
the common iliac artery divided into the ____ and _____.
external and internal iliac artery
the internal iliac artery splits into the ____ and _____ trunks.
anterior and posterior trunks
the external iliac artery becomes the ____.
femoral artery
the posterior trunk of the internal iliac artery becomes the _____.
superior gluteal artery
the anterior trunk of the internal iliac artery becomes the _____.
inferior gluteal artery