LOWER LIMB - Bones & Muscles Flashcards
What are the bones that make up the hip?
ILIUM
ISCHIUM
PUBIS
ANTERIOR BONY FEATURES OF THE HIP
ILIAC CREST
ANT. SUPERIOR ILIAC SPINE
Pubic Tubercle
OBTURATOR FORAMEN
POSTERIOR BONY FEATURES OF THE HIP
ILIAC CREST
ACETABULUM: articulates with femoral head = hip joint
ISCHIAL SPINE
OBTURATOR FORAMEN
ANTERIOR BONY FEATURES OF THE FEMUR
(head)
NECK
GREATER TROCHANTER
LESSER TROCHANTER
LATERAL EPICONDYLE
MEDIAL EPICONDYLE
POSTERIOR BONY FEATURES OF THE FEMUR
(head)
NECK
GREATER TROCHANTER
INTERTROCHANERIC LINE
LESSER TROCHANTER
what does the femoral head articulate with?
ACETABULUM to form the hip joint
What do the hemi-pelvises articulate with?
At the midline they articulate together at the pubic symphysis
What is the acetabular labrum?
Lines the acetabular rim, fibrocartilaginous. Ensures the cushioning of the hip joint.
Function of the Ileofemoral ligament
PREVENTS HYPEREXTENSION OF HIP JOINT
Function of Pubofemoral ligament
PREVENTS HYPER ABDUCTION OF THE HIP JOINT
Function of the ISCHIOFEMORAL LIGAMENT
Prevents hyperextension
Iliacus
Lumbar spinal (L1-L3) arises from inner pelvis and attaches to thelesser trochanter of femur
Psoas Mj
(L1-L3: anterior rami of spinal nerves)
arises from posterior abdo wall and attaches to the greater/lesser trochanter of femur
Pectineus
(femoral n. L2,L3)
arises from pubis bone and attaches onto femur
= Thigh flexion, thigh adduction, thigh external rotation,
What is the main extensor of the hip joint?
Gluteus Maximus
What innervates the posterior muscles of the thigh?
muscles of hip extension
*Tibial division of sciatic nerve (L5 – S2)
apart from short head of biceps femoris (common fibular division of sciatic nerve (L5-S2))
What muscles of the leg adduct?
Medial compartment of the thigh, mostly supplied by the obturator n. (apart from the posterior adductor magnus)
- ADDUCTOR LONGUS (most medial)
- GRACILIS (most medial)
- ADDUCTOR BREVIS
- ADDUCTOR MAGNUS (African Mouse Sneaks Out)
What are the muscles of hip abduction and extra role?
Deep gluteal muscles
- GLUTEUS MEDIUS (sup glut n. L4, L5, S1)
- GLUTEUS MINIMUS (superior gluteal nerve L4, L5, S1)
- PIRIFORMIS (n. to piriformis S1, S2)
travels down greater sciatic foramen inserting into greater tronchanter
+Stabilise gait by contracting when contra. leg raised off ground
Muscles of external rotation
POOSQ
- PIRIFORMIS (n. to piriformis - Vent. Rami L5, S1, S2)
- OBTURATOR INTERNUS (Vent. Rami L5, S1, S2)
- OBTURAATOR EXT. (Obt. N. - L3 and L4)
- SUPERIOR & INFERIOR GAMELLI
- QUADRATUS FEMORIS
Muscles of internal rotation
Ass & Groin (Vs POOSQ)
- TENSOR FAASCIA LATA (Superior gluteal nerve (L4-S1)
- G MEDIUS & G. MINIMUS (Superior gluteal nerve (L4-S1)
- ADDUCTOR LONGUS, BREVIS, MAGNUS (obturators L2-L4 + Tibial Sciatic S4)
- PECTINEUS (Femoral and Obturator N)
What are the muscles of the anterior thigh
The quads are comprised of:
(all: Femoral nerve: posterior division.
but SARTORIUS - anterior division)
- RECTUS FEMORIS (most anterior)
- SARTORIOUS (most anterioromedial)
- VASTUS MEDIALIS
- VASTUS INTERMEDIUS
- VASTUS LATERALIS
- unite to form the QUADRICEPS TENDON proximal to the patella
- . Patellar tendon (distal to patella) and inserts into the the ANTERIOR TIBIAL TUBEROSITY
Innervation of Vastus muscles
- VASTUS MEDIALIS
- VASTUS INTERMEDIUS
- VASTUS LATERALIS
* L2,3,4 = posterior division of the femoral n.
What is the action of the rectus femoris?
Flexion of the hip joint
+ knee ext.
The Sartorius Muscle: passage & actons
- most superficial in the ant. compartment
- o: ASIS => pes aanserinus (medal tbia)
*travels down alongside GRACILS & SEMINTENDINOSUS
= FLEXION, LAT. ROT., ABDUCTION, KNEE FLEXION
How do the muscles in the medial compartment act on the hip joint?
ADDUCTION
Which n. innervates thee medial thigh muscles?
OBTURATOR N. (entrs via OBTURATOR FORAMEN)
Medial muscles of the deep thigh
- ADDUCTOR BREVIS
- ADDUCTOR LONGUS
- ADDUCTOR CANAL = femoral vessels which pass into the popliteal fossa