Lecture 2 - Pelvic Floor and Gluteal Muscles Flashcards
What are the parts of the proximal femur? top -> bottom (9)
- head
- fovea (only in posterior view)
-neck - greater trochanter
- trochanteric fossa (only in posterior view)
- lesser trochanter
- intertrochanteric crest (only in posterior view)
- intertrochanteric line (only in anterior view)
- gluteal tuberosity (only in posterior view)
What are the muscles of the pelvic floor? (2)
- ischiococcygeus
- levator ani
Ischiococcygeus: origin
sacrum (inferior end)
Ischiococcygeus: insertion
ischial spine
Ischiococcygeus: action
supports pelvic viscera
Leavtor ani: origins (2)
pubis, superior pubic ramus
Leavtor ani: insertions (II)
anococcyygeal ligament, coccyx
Leavtor ani: action
supports pelvic viscera
What does a hiatus mean?
an opening
Functions of the pelvic floor (3)
- supports abdominal and pelvic viscera
- forms the anal and urogenital hiatueses
- resists increases in intra-abdominal pressure (ex: stops you from peeing when you sneeze)
What are the lateral rotators?
lateral (3) -> medial (3)
- piriformis
- obturator internus
- obturator externus (not seen in posterior view)
- gemellus superior
- gemellus inferior
- quadratus femoris
Piriformis: origin
pelvic surface of the sacrum
Piriformis: insertion
apex of the greater trochanter of the femur
Piriformis: actions (3)
- lateral rotation of hip joint
- abduction of hip joint
- extension of hip joint
Sciatic nerve: origin
lumbosacral plexus (L4, L5, S1, S2, S3)
What muscle is the sciatic nerve inferior to?
the piriformis
What hole does the sciatic nerve pass through?
the greater sciatic foramen
Obturator externus: origin
outer surface of the obturator membrane
Obturator externus: insertion
trochanteric fossa of the femur
Obturator externus: actions (2)
- lateral roation of the hip joint
- adductions of the hip joint
Obturator internus: origin
inner sruface of the obturator membrane
Obturator internus: insertion
medial surface of the greater trochanter of the femur
Obturator internus: actions (3)
- lateral rotation of the hip joint
- adduction of the hip joint
- extension of the hip joint
Gemellus superior: origin
ischial spine
Gemellus superior: insertion
medial surface of the greater trochanter of the femur (with obturator internus tendon)
Gemellus superior: actions (3)
- lateral rotation of the hip joint
- adduction of the hip joint
- extension of the hip joint
Gemellus inferior: origin
ischial tuberosity
Gemellus inferior: insertion
greater trochanter of the femur
Gemellus inferior: actions (3)
- lateral rotation of the hip joint
- adduction of the hip joint
- extension of the hip joint
What muscles make up the “Gemellus sandwich”? top to bottom
gemellus superior - obturator internus - gemellus inferior
Quadratus femoris: origin
lateral border of the ischial tuberosity
Quadratus femoris: insertion
intertrochanteric crest of femur
Quadratus femoris: actions (2)
- lateral rotation of the hip joint
- adduction of the hip joint
Gluteus maximus: origins (4)
- sacrum
- ilium
- thoracolumbar fascia
- sacrotuberous ligament
Gluteus maximus: insertions (2)
- iliotibial tract
- gluteal tubersority of the femur
Gluteus maximus: actions (3)
- extension
- lateral rotation
- adduction
Gluteus medius: origin
ilium
Gluteus medius: insertion
greater trochanter of the femur
Gluteus medius: action
abduction of the hip joint
Gluteus minimus: origin
ilium
Gluteus minimus: insertion
greater trochanter of the femur
Gluteus minimus: action
abduction of the hip
Tensor fasciae latae (TFL): origin
anterior superior iliac spine
Tensor fasciae latae (TFL): insertion
iliotibial tract
Tensor fasciae latae (TFL): actions (3)
- abduction of the hip joint
- flexion of the hip joint
- medial rotation of the hip joint