Muscles of the pelvic girdle and thigh Flashcards
what are the abdominal Aorta branches? Medial to lateral
Abdominal aorta
Common iliac artery
External iliac artery
Femoral artery
Deep femoral artery
what is the femoral triangle?
Inverted triangle, a transition area from pelvis into thigh
what are the boundaries of the femoral triangle?
Superior base- inguinal ligament
Medial- adductor longus
Lateral- sartorius
what are the contents of the femoral triangle?
Femoral vein
Femoral artery
Femoral nerve
what is the main blood supply to the thigh muscle?
Deep femoral artery and vein
- It has perforating branches wrapping around the femur
when does the femoral artery become the popliteal artery?
once it passes through the adductor hiatus
where is the popliteal artery located?
the popliteal fossa
what are the boundaries of the popliteal fossa?
Semimembranosus
Semitendinosus
Biceps femoris
Gastrocnemius
what does the popliteal fossa contain?
Popliteal vein
Popliteal artery
Tibial nerve
Common fibular nerve
what are the three main peripheral nerves?
Sciatic (tibial and common fibular)
Femoral
Obturator
- gluteal nerves
where does the femoral nerve run?
The femoral nerve emerges between the psoas major and iliacus
Passes from the pelvis into the anterior thigh under the inguinal ligament
Runs through femoral triangle with the femoral artery and femoral vein
what does the femoral nerve innervate?
Muscles in the anterior thigh
Skin in anterior thigh and medial leg
what are the main functions of the anterior muscles?
Hip flexion and knee extension
What does damage to the femoral nerve cause?
femoral nerve injury leads to weakness/difficulty in hip flexion and/or knee extension
where does the obturator nerve run?
Exits the pelvis into the medial thigh through the obturator foramen
what does the obturator nerve innervate?
Innervates muscles in the medial compartments of the thigh
what is the main function of the medial thigh muscles?
The main function of these muscles is hip adduction
where does the sciatic nerve run?
Enter the posterior thigh through the greater sciatic foramen
what causes piriformis syndrome?
If sciatic nerve pierces through the piriformis muscle
what does the superior gluteal nerve innervate?
the hip abductors
what are the main function of the hip abductors?
To maintain a level pelvis during single leg stance
Hip abduction and internal rotation
what can superior gluteal nerve injury lead to?
dropping of contralateral pelvis
what does the inferior gluteal nerve innervate?
Gluteus maximus
what is the main function of the gluteus maximus?
hip extension
what does inferior gluteal nerve injury cause?
Not much impact on walking
Difficulty in getting up from a chair or climbing stairs
what are the muscle compartments of the thigh?
Anterior- for flexion
Posterior- for extension
Medial- for adduction
what are the hip flexors?
iliopsoas
what are the iliopsoas?
Iliacus
Psoas
what is the origin of the iliacus?
iliac fossa and crest
what is the origin of the psoas?
vertebrae
where do the iliopsoas insert?
Lesser trochanter
what is the functions of iliopsoas?
string hip flexors
flexes trunk if legs fixed
what nerve innervates the iliopsoas?
femoral nerve
what are the quadriceps femoris?
Rectus femoris
Vastus medialis
Vastus intermedius
Vastus lateralis
what is the origin of the rectus femoris?
Anterior inferior iliac spine
where does the rectus femoris insert?
Quadriceps femoris tendon
to
Patella
to
Patellas ligament
to
Tibial tuberosity
what is the functions of the rectus femoris?
Hip joint- flexes
Knee joint- extends
what innervated the rectus femoris?
Femoral
what is the origin of the sartorius?
Anterior superior iliac spine
where is the insertion of the sartorius?
Medial side tibia
what is the function of the sartorius?
Hip- flexes, abducts, externally rotates
Knee- flexes
what innervates the sartorius?
femoral nerve
what are the hip flexors?
Sartorius
Rectus femoris
Quadriceps femoris
Iliopsoas
what is the origin of the gluteus maximus?
Pelvis, sacrum and coccyx
where does the gluteus maximus insert?
Gluteal tuberosity
Iliotibial band
what is the function of the gluteus maximus?
Hip extension
what is the vascular and nerve supply to the gluteus maximus?
Inferior gluteal vein
Inferior gluteal nerve
what is the function of the gluteus maximus?
Hip extension
For climbing steps
For changing from sitting to standing position
what are the three hamstring muscles?
- Semitendinosus
- Semimembranosus
- Biceps femoris (has a long and a short head)
what are the hip extensors?
Hamstrings
Gluteus maximus
where do the hamstrings insert?
Tibia- semimembranosus and semitendinosus
Head of the fibula- Bicep femoris
what are the actions of the hamstrings?
Hip- extends
Knee- flexes
rotation at the knee (lateral rotation by bicep femoris, medial rotation by semitendinosus and semimembranosus)
what innervates the hamstrings?
All are supplied by tibial nerve, except for short head of bicep femoris
when do hamstring injuries occur?
May happen in sports requiring sudden acceleration or decelerations such as sprinting or kicking in balls
what are the hip abductors?
Gluteus medius and minimus
Tensor fascia lata
what is the origin of the gluteus medius and minimus?
Ilium
where does the gluteus medius and minimus insert?
greater trochanter
what is the origin of the tensor fascia lata?
ASIS and iliac crest
where does the tensor fascia lata insert?
Iliotibial band (thickening of deep fascia of thigh)
what is the function of the hip abductors?
Hip joint abduction and internal rotation
Maintain pelvis horizontal during single-leg stance
how do hip abductors help in contralateral pelvis?
In case of muscle weakness or nerve injury, dropping of contralateral pelvis
what innervates and supplies blood to the hip abductos?
Superior gluteal nerve
Superior gluteal artery
what are the hip adductors?
Adductor brevis
Adductor longus
Adductor magnus
Pectineus
Gracilis
what is the origin of the hip adductors?
Pubic bone
where is the insertion of the hip adductors?
Femur
what is the origin of the adductor magnus?
Pubic bone and Ishium
where does the adductor magnus insert?
Femur and adductor tubercle
what is the adductor hiatus?
Passage of femoral artery into popliteal space
what is the function of hip adductors?
Stabilize one-leg stance, together with the abductors
Adductor magnus has a hamstring part for hip extension
How do the hip adductors help in the swing phase?
Adductor longus contributes to hip flexion
what innervates the hip adductors?
Innervated by the obturator nerve
where do the hip adductors enter the thigh?
Through the obturator canal