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pt momints > Osteo nd Gluteal > Flashcards

Osteo nd Gluteal Flashcards

1
Q

what makes the hip bone

A

ilium, ischium, pubis

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2
Q

what is the acetabulum

A

meeting point of 3 bones - y shaped

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3
Q

the hip bones are equivalent of what in the UE

A

clavicle and scapula

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4
Q

articulation of hip bones

A

post - sacroiliac joint
ant - symphysis pubis

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5
Q

what level is the iliac crest

A

L4

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6
Q

parts of iliac crest

A

ASIS - PSIS
iliac tubercle 2 in. behind ASIS

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7
Q

at what level is anesthesia given

A

L4 - bc if above L1 it will cause paralysis

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8
Q

sit bone

A

ischial tuberosity

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9
Q

attachment for hamstring musckes

A

ischial tuberosity

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9
Q

significance of ischial spine

A

lig attachement - measurement of pelvic oppening - pointed = too narrow for delivery

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10
Q

greater and lesser sciatic notches are converted into greater and lesser sciatic foramina by the presence of

A

sacrospinous and sacrotuberous ligaments

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11
Q

articulation of superior ramus of symphysis pubis

A

illium and ischium

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12
Q

articulation of inferior ramus of symphysis pubis

A

ischial ramus - below obtu for

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13
Q

what is pubic crest

A

upper border of body of pubis; lat - pubic tubercle

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14
Q

acetabulum contributions

A

ischium
ilium
pubis

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15
Q

what shape is acetabulum

A

horseshoe

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16
Q

significance of acetabular notch

A

passage of nerves nd bv to hip

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17
Q

articulation of sacrum

A

sacroiliac - plane - glide

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18
Q

what is sacral promontory

A

S1 - becomes posterior margin of pelvic inlet

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19
Q

what is sacral hiatus

A

S4/5 fail to meet at midlind

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20
Q

what is fovea capitis

A

– small depression at the center of the head for attachment of ligamentum teres; contains blood supply to the head of femur coming from obturator artery

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21
Q

normal angle if incline

A

125 deg

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22
Q

coxa vara vs valga

A

vara - less than 120
valga - above 135

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23
Q

significance of intertrochanteric line

A

attachment of iliofemoral lig - separates greater nd lesser trochanter

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24
Q

medial supracondylar ridge

A

adductor tibercle

25
Q

attachment off gluteus maximus

A

gluteal tuberosity

26
Q

separates lateral and medial condyles

A

intercondylar notch

27
Q

largest sesamoid bone

A

patella

28
Q

large wight bearing bone of leg

A

tibia

29
Q

largest bone of the foot

A

calcaneum

30
Q

boundaries of glutes

A

sup - iliac crest
inf - gluteal fold of the buttock

31
Q

sensory supp of buttocks

A

UM - Posterior rami of first 3 lumbar and first 3 sacral n.

LM - Posterior cutaneous n. of thigh ( S1-3)

UL - Lateral branch of iliohypogastric (L1 and T12 – anterior rami)

LL - Lateral cutaneous n. of thigh (L2 & L3)

32
Q

what supplies the coccyx and cleft

A

Small branches of sacral and coccygeal nerves

33
Q

compare the fascia in glutes

A

Superficial fascia

Thick Large quantity of fat Responsible for prominence of buttock

Deep fascia

Continuous with deep fascia of thigh or fascia lata
Splits to enclose the gluteus maximus
On lateral surface it thickens to form a strong wide band, iliotibial tract (from tubercle of iliac crest to the lateral condyle of tibia)
Iliotibial tract forms the sheath for tensor fasciae latae muscle

34
Q

what are the branches of lumbrar plexus

A

Branches:

  • L1 – iliohypogastric, ilioinguinal
  • L1-2 – genitofemoral
  • L2 – 3 – Lateral femoral cutaneous
  • L2,3,4 – Obturator nerve
  • L2,3,4 – Femoral nerve
35
Q

branches of lumbosacral plexus

A

Branches:

*Sciatic nerve (L4-S3)

*Superior gluteal n. (L4-S1)

*Inferior gluteal n.(L5-S2)

*N. to quadratus femoris (L4-S1)

*N. to obturator internus (L5-S2)

*Posterior cutaneous n. of thigh (S1-3)

*Pudendal n. (S2,3,4)

*N. to piriformis (S1-2)

36
Q

what type of joint is the hip joint

A

Multiaxial Ball and socket joint

37
Q

describe the iliofemoral lig

A

Y lig of bigelow - prevents hyper ex nd lat rot - strongest

38
Q

describe the pubofemoral lig

A

triangular - limits ext nd abd

39
Q

ischiofemoral lig

A

spiral - limits ext

40
Q

ligamentum teres

A

flat and triangular - limits add - pathway for bv to enter head of femur

41
Q

transverse acetabular lig

A

bridges acetabular - tunnel where bv nd nerves enter hip joint

42
Q

muscles for hip flexion

A

Iliopsoas (strongest flexor), sartorius, rectus femoris, pectineus, adductor longus, adductor brevis, adductor magnus and gracilis

43
Q

muscles for hip extension

A

hamstring, adductor magnus, gluteus maximus

44
Q

muscles for hip abduction

A

gluteus medius and minimus, assisted by sartorius, tensor fasciae latae and piriformis

45
Q

muscles for hip adduction

A

adductor longus, brevis, magnus, assisted by gracilis & pectineus

46
Q

medial rotation of hip

A

g. medius and minimus, tensor fascia lata

47
Q

lat rotation of hips

A

obturator externus & internus, gemelli, piriformis, quadratus femoris and is assisted by g. maximus

48
Q

what type of joint is sacroiliac joint

A

plane

49
Q

fucntion of sacroiliac joint

A

shock absorber for the spine above and

converts torque from the lower extremities into the rest of the body

50
Q

ligs of sacroiliac joint

A

Anterior sacroiliac Ligament Posterior sacroiliac Ligament Interosseous ligament Sacrospinous and sacroiliac ligament

51
Q

what nerve passes sacroiliac joint

A

superior gluteal

52
Q

what is the func of sacrococcygeal joint

A

Forward and backward movement

53
Q

ligs of sacrococcygeal

A

Anterior Sacrococcygeal Ligament

Posterior Sacrococcygeal Ligament

Lateral Sacrococcygeal Ligament

Interarticular Ligaments wo bones

54
Q

nerve of sacrococcygeal

A

pudendal

55
Q

what are the cartiligenous jints of the hu=ip

A

sacrococcygeal
symphysis pubis

56
Q

ligs of symphysis pubis

A

Anterior pubic ligament Posterior pubic ligament Superior pubic ligament Arcuate pubic ligament

57
Q

nerve of symphysis pubis

A

branches from the iliohypogastric, ilioinguinal and pudendal nerves.

58
Q

what are the movements of symhysis pubis during birth

A

angulation, rotation and displacement

59
Q

+ trendelenburgs is weakness of

A

gluteus medius nd minimus

pt momints (10 decks)

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