My/o OIANs, scolosis, pain patterns

Question 1

O: sacrum, ilium, thoracolumbar fascia, sacrotuberous ligament
I: iliotibial tract, gluteal tuberosity
A: extends and externally rotates hip, abduction, adduction
N: inferior gluteal

Answer 1

Gluteus Maximus

Question 2

O: ilium b/t anterior and posterior gluteal line
I: greater trochanter
A: hip abduction, stabilizes pelvis, flexion and internal rotation, extension and external rotation
N: superior gluteal

Answer 2

Gluteus Medius

Question 3

O: pelvic surface of sacrum
I: apex of greater trochanter
A: external rotation, abduction, and extension of hip joint, stabilizes hip joint
N: direct branches from sacral plexus

Answer 3

Piriformis

Question 4

O: Iliac crest
I: ITB
A: IR and flex hip
N: superior gluteal

Answer 4

Tensor Fascia latea

Question 5

O: lumbar spine bodies and disc
I: Lesser trochanter
A: Flexion of the hip. If hip is stabilized, flexion of the trunk.
N: inferior gluteal lumber 2-3

Answer 5

Psoas major

Question 6

O: iliac fossa, sacral base
I: greater psoas tendon and lesser trochanter
A: flex hip/trunk
N: femoral

Answer 6

Psoas minor

Question 7

5 types of pain pattern

Answer 7

Myotogenous, Sclerotogenous, Dermatogenous, Vascular, Visceral

Question 8

If a patient is complaining of a DULL ACHE that is DIFFUSE, what type of pain pattern are they exhibiting?

Answer 8

Myotogenous (muscle)

Question 9

If a patient is complaining of a DULL ACHE that is LOCALIZED, what type of pain pattern are they exhibiting?

Answer 9

Sclerotogenous (bone)

Question 10

If a patient is complaining of general pain in an area, but can’t pinpoint it, what type of pain pattern are they exhibiting?

Answer 10

Visceral (referred from an organ)

Question 11

If a patient is complaining of sharp, shooting, shock-like, burning, hot-poker pain, what type of pain pattern are they exhibiting?

Answer 11

Dermatogenous

Question 12

if a patient is complaining of THROBBING pain, what type of pain pattern are they exhibiting?

Answer 12

Vascular (caused by blood supply)

Question 13

What nerve innervates the cutaneous portion of the SUPERIOR MEDIAL quadrant of the gluteal region?

Answer 13

Dorsal rami of L1, L2, L3, S1, S2, S3 also known as the superior cluneal nerve (L1-L3) and middle cluneal nerve (S1-S3)

Question 14

What nerve innervates the cutaneous portion of the INFERIOR MEDIAL quadrant of the gluteal region?

Answer 14

Posterior femoral cutaneous (S1, S2, S3) also known as the Inferior cluneal nerve

Question 15

What nerve innervates the cutaneous portion of the INFERIOR LATERAL quadrant of the gluteal region?

Answer 15

Lateral femoral cutaneous (L2, L3)

Question 16

What nerve innervates the cutaneous portion of the SUPERIOR LATERAL quadrant of the gluteal region?

Answer 16

Iliohypogastric (L1)

Question 17

The sciatic nerve has how many vertebral roots?

Answer 17

Five (5) - L4, L5, S1, S2, S3

Question 18

What is the most common cause of scoliosis?

Answer 18

Idiopathic (unknown)

Question 19

<p>
O: Iliac crest I: Inferior medial border of Rib 12 A: Ipsilateral flexion N: Subcostal Nerve (T12), Iliohypogastric (L1), Ilioinguinal (L1), and Ventral Rami (L2,L3)</p>

Answer 19

<p>

| Quadratus lumbordum</p>

Question 20

What is a common feature of the gluteus medius, piriformis and external rotators of the hip?

Answer 20

Their all found on the same plane

Question 21

Which muscle inserts into the lesser trochanter of the femur?

Answer 21

Psoas Major and Iliacus

Question 22

If a patient performs a lateral bending test to the side of concavity and the scoliotic curve increases, what does this indicate?

Answer 22

confirmation of structural scoliosis

Question 23

Once an Adam’s Test is positive for structural scoliosis, what further test can be used to confirm it?

Answer 23

Lateral bending test

Question 24

<p>

| What is the name of the test used to differentiate structural from functional scoliosis?</p>

Answer 24

<p>
Adam&#39;s Test - Patient flexes at waist, if the curve stays it&#39;s structural (skeletal in origin). If it goes away, it&#39;s functional (muscular in origin).</p>

Question 25

Does the presence of a hemivertebrae contribute to structural or functional scoliosis?

Answer 25

Structural

Question 26

3 muscles that innervates by superior gluteal nerve

Answer 26

Gluteus medius, Gluteus Minimus, and tensor fasciae latae.

Question 27

Nerve that innervates with gluteus maximus

Answer 27

Inferior gluteal nerve (The term inferior is in relation to the piriformis - It exits BELOW the piriformis)

Question 28

Muscle that is the same plane as the quadratus femoris

Answer 28

Gluteus medius (you would have to go deep to the gluteus medius to find the gluteus minimus)

Question 29

Action of gluteus medius and minimus

Answer 29

ABduction and internal rotation

Question 30

<p>

| Action of gluteus maximus</p>

Answer 30

<p>

| Abduction and extension of the thigh at the hip joint (also external rotation)</p>

Question 31

What is the action of the rest of the gluteal muscles?

Answer 31

External Rotation

Question 32

O: ilium below origin of medius
I: greater trochanter
A: hip abduction, stabilizes pelvis, flexion and internal rotation, extension and external rotation
N: superior gluteal

Answer 32

gluteus minimus

Question 33

O: superior=ischial spine; inferior=ischial tuberosity
I: jointly with obturator internus tendon (greater trochanter)
A: external rotation, adduction, extension of hip joint
N: direct branches from sacral plexus

Answer 33

superior/inferior gemellous

Question 34

O: outer surface of obturator membrane and its bony boundaries
I: trochanteric fossa of the femur
A: adduction and external rotation of hip joint, stabilization of pelvis
N: obturator

Answer 34

oburator externus

Question 35

O: lateral border of ischial tuberosity
I: intertrochanteric crest of the femur
A: external rotation and adduction of hip joint
N: direct branches from sacral plexus

Answer 35

quadratus femoris

Question 36

O: iliac fossa
I: lesser trochanter
A: flexion and external rotation of hip joint; unilateral-bends trunk laterally to same side; bilateral-contraction raises trunk from supine position
N: femoral

Answer 36

iliacus

Question 37

upper medial; upper lateral; lower medial; lower lateral

Answer 37

4 quadrants of gluteal region