Module 4: Hip, Pelvis, Anterior Thigh

Question 1

Movements of Pelvis

Answer 1

Pelvic Tilt (anterior, posterior, lateral)

Question 2

Functions of Pelvis

Answer 2

Weight bearing, weight transference, protection of organs

Question 3

Endopelvic Fascia (2 examples)

Answer 3

Tendinous arch of levator ani, tendonous arch of pelvic fascia

Question 4

Muscles of Levator Ani

Answer 4

Puborectalis, Pubococcygeus, Iliococcygeus

Question 5

What is the perineal body

Answer 5

CT structure between vagina/penis and anus (anchor point, attachments for muscles)

Question 6

Action of pelvic floor muscles

Answer 6

Act like a slingshot, lifting anteriorly and superiorly to maintain continence

Question 7

Function of coccygeus

Answer 7

Draws coccyx anteriorly following defecation/childbirth (parturition)

Question 8

Superficial Pelvic Floor Muscles (how many? function?)

Answer 8

4 muscles, help with sexual function and continence

Question 9

What does the Pudendal nerve supply

Answer 9

Motor: Superficial pelvic floor muscles
Sensory: skin of the external genitalia

Question 10

Psoas Minor Attachments

Answer 10

P: Sides of bodies of T12 and L1 and intervertebral discs
D: Iliopubic eminence and pubis via the pectineal arch

Question 11

Psoas Minor Action/Nerve Supply

Answer 11

A: Weak trunk flexor/hip stabiliser
NS: Anterior rami of L1,L2

Question 12

Psoas Major Attachments

Answer 12

P: Transverse process of lumbar vertebrae, sides of bodies of T12-L5/Intervertebral discs of region
D: Lesser trochanter of femur

Question 13

Psoas Major Action/ Nerve Supply

Answer 13

A: Trunk/Hip flexion
NS: Anterior rami of L1-L3

Question 14

Iliacus Attachments

Answer 14

P: Upper 2/3 of iliac fossa, ala of sacrum, sacroiliac ligaments
D: Lesser trochanter of femur

Question 15

Iliacus Action/Nerve supply

Answer 15

A: hip flexion/stabilisation
NS: femoral nerve

Question 16

Largest nerve of lumbar plexus

Answer 16

Femoral

Question 17

Formation/path of femoral nerve

Answer 17

Formed within psoas major, emerging low on its lateral border
Passes through gutter between psoas major and iliacus

Question 18

Pectineus Attachments

Answer 18

P: Superior ramus of pubis
D: Inferior to the lesser trochanter of the femur (on the posterior, superior aspect of the femur)

Question 19

Pectineus Action/nerve supply

Answer 19

A: Adducts/flexes hip
NS: Femoral Nerve

Question 20

Sartorius Attachments

Answer 20

P: ASIS
D: Anterior aspect of the medial condyle of the tibia

Question 21

Sartorius Action/NS

Answer 21

A: Synergist for hip flexion, abduction, lateral rotation, knee flexion
NS: Femoral Nerve

Question 22

Muscles of the Quadriceps Group

Answer 22

Vastus Lateralis, Intermedius, Medialis, Rectus Femoris

Question 23

Rectus Femoris Attachments

Answer 23

P: AIIS
D: Quadriceps Tendon - Patella - Patellar Tendon - Tibial Tuberosity

Question 24

Rectus Femoris Action/NS

Answer 24

A: Hip Flexion/ Knee Extension
NS: Femoral Nerve

Question 25

Vastus Medialis Attachments

Answer 25

P: Intertrochanteric Line, Medial Lip of linea aspera D: Quad Tendon - Patella - Patellar Tendon - Tibial Tuberosity

Question 26

Vastus Medialis Action/NS

Answer 26

A: Knee Extension NS: Femoral

Question 27

Vastus Intermedius Attachments

Answer 27

P: Anterior/Lateral surfaces on the shaft of the femur D: Quad Tendon - Patella - Patellar Tendon - Tibial Tuberosity

Question 28

Vastus Intermedius Action/NS

Answer 28

A: Knee Extension NS: Femoral

Question 29

Vastus Lateralis Attachments

Answer 29

P: Greater trochanter, lateral lip of linea aspera D: Quad Tendon - Patella - Patellar Tendon - Tibial Tuberosity

Question 30

Vastus Lateralis Action/NS

Answer 30

A: Knee Extension NS: Femoral

Question 31

What is the linea aspera

Answer 31

A vertical crest on the posterior aspect of the femur

Question 32

Articularis Genu Function

Answer 32

Pulls capsule up in the extension of the knee

Question 33

How does the femoral nerve enter the femoral triangle

Answer 33

Passes under the inguinal ligament with the femoral artery/vein

Question 34

What is the largest sensory branch of the femoral nerve

Answer 34

Saphenous Nerve

Question 35

What does the saphenous nerve supply

Answer 35

Skin to the medial side of the leg below (distal to) the knee