Lecture 4 - Lower Extremity Flashcards
Pubic Symphysis
- point where the two pubic bodies join anteriorly
- has a dense fibrocartilagenous disc in between which allows minimal movement
- softens and looses in late pregnancy
sacroiliac joint (SI joint)
The joint between the auricular surface of the ilium and the auricular surface of the sacrum
What kind of joint is the SI joint?
- partly synovial (anterior) and partly fibrous (posterior)
lunate surface
horseshoe shaped articular (hyaline) cartilage that articulates with the head of the femur
acetabular fossa
- deepest part of the acetabulum
- does not articulate with the femur
What kind of joint is the hip joint?
- btwn the head of the femur and the acetabulum of the innominate bone
- synovial; ball and socket joint
3 ligaments that reinforce the sacroiliac joint
- sacroiliac ligament (ant and post)
- sacrotuberous ligament
- sacrospinous ligament
Which 3 ligaments function to resist excessive abduction in the hip joint?
- ilio-femoral
- pubo-femoral
- ischio-femoral
The innominate (hip) bone is comprised of what 3 bones?
- ilium
- ischium
- pubis
sacroiliac joint
- joins the sacrum to the ilium.
- partly synovial (anterior) and partly fibrous (posterior)
- important in walking and full forward flexion
What 3 ligaments support the sacroiliac joint?
- sacrospinous liagment
- sacrotuberous ligament
- sacroiliac ligament (anterior & posterior)
Pubic Symphysis
- where the two pubic bones join anteriorly
- has a dense fibrocartilagenous disc in between which allows minimal movement
- softens and loosens in late pregnancy
what kind of joint is the hip joint?
synovial ball and socket joint
What two bones articulate in the hip joint?
acetabulum of the innominate bone and the head of the femur
Describe the acetabulum.
- made up of the three bones that make up the innominate bones
- consists of a acetabular fossa which does not articulate with the femur
- lunate surface - articular (hyaline) cartilage that articulates with the head of the femur
- closed in by the transverse acetabular ligament
The hip joint capsule is reinforced by what 3 ligaments?
- pubo - femoral
- ischio - femoral
- ilio - femoral
What action does the gluteus maximus perform?
- hip extension
- external rotation (lateral rotation)
*pushing off for skating
What nerve innervates the gluteus maximus?
Inferior gluteus nerve (L5-S2)
what are the actions of the gluteus medius and gluteus minimus?
- hip abduction
2. internal (medial) rotation of the hip
What nerve innervates the gluteus medius and minims?
superior gluteal nerve L4, L5, S1
What happens when the superior gluteal nerve is damaged?
Since this nerve innervates the gluteal medius and minimus, the butt will sag because supporting and steadying action of these muscles is lost and pelvis falls on side of raised limb.
What muscles comprise the gluteal region?
- gluteus maximus
- gluteus medius
- gluteus minimus
- piriformis
What is the action of the piriformis muscle?
lateral rotation of the hip
what nerve innervates the piriformis muscle?
nerve to the piriformis S1 & S2
What are the actions of the sartorius muscle?
- hip flexion
- knee flexion
- abduction of the hip
- lateral rotation of the hip
*tailor sit muscle
What nerve innervates the sartorius muscle?
femoral nerve
what is the action of the ilio-psoas
flexion of the hip/thigh joint
What nerve innervates the ilio-psoas muscle?
Psoas - ventral rami of L1-L3
illiacus - femoral nerve
What are the 4 muscle compartments of the thigh?
- medial
- anterior
- posterior
- lateral
What 5 muscles compose the medial compartment in the thigh?
- adductor brevis
- adductor longus
- adductor magnus
- gracilus
- pectineus