Pelvis and hip

Question 1

Bony points

Answer 1

Iliac crest
ASIS 
greater trochanter
inguinal ligament
public symphysis
spinous and transverse processes of lumbar spine
PSIS 
sacrum
ischial tuberosity

Question 2

Hip joint

Answer 2

• ball and socket joint - flexion, extension, abduction, adduction, medial/lateral rotation
• head of femur and acetabulum - acetabulum labrum to deepen the joint cavity
• covered in articular cartilage - thicker of places WB

Question 3

Hip ligaments

Answer 3

intracapsular = ligament of head of femur
extracapsular = iliofemoral, pubofemoral and ischiofemoral ligaments

Question 4

sacroiliac joint

Answer 4

between sacrum and ilium - can be palpated

Question 5

gluteus maximus

Answer 5

A: extension, lateral rotation, abduction of the hip (lower fibres adduct)
O: coccyx, sacrum, p. illiac crest, sacrotuberous/ sacroiliac ligaments
I: iliotibial tract and gluteal tuberosity
N: inferior gluteal

Question 6

gluteus medius

Answer 6

A: abduction of hip, (anterior fibres) flex and medially rotate hip, (posterior fibre) extend and laterally rotate hip
O: gluteal surface of ilium, just below iliac crest, p/a gluteal lines
I: greater trochanter
N: superior gluteal

Question 7

gluteus minimus

Answer 7

A: abduct, medially rotate and flex the hip
O: gluteal surface of ilium, a/I gluteal lines
I: greater trochanter
N: superior gluteal

Question 8

adductor magnus

Answer 8

A: adduct and medially rotate the hip
O: inferior ramus of pubis, ramus if ischium, ischial tuberosity
I: adductor tubercle and medial lip of linea aspera
N: obturator/ sciatic

Question 9

adductor longus

Answer 9

A: adduct and medially rotate the hip and assist hip flexion
O: pubic tubercle
I: pectineal line and medial lip of linea aspera
N: obturator

Question 10

tensor fascia lata

Answer 10

A: flex the hip
O: iliac crest
I: iliotibial tract
N: superior gluteal

Question 11

rectus femoris

Answer 11

A: extension of the knee
O: AIIS
I: tibial tuberosity
N: femoral

Question 12

sartorius

Answer 12

A: flex and laterally rotate hip, flex and medially rotate flex knee
O: ASIS
I: prox, medial shaft of tibia
N: femoral

Question 13

erector spinae

Answer 13

A: (unilaterally) Laterally flex vertebral column to the same side
(bilaterally) Extend the vertebral column
O: common tendon (arises from sacrum, s – processes lumbar and thoracic vert., iliac crest)
I: post. Ribs, t- processes lumber and cervical, mastoid process
N: spinal nerve

Question 14

rectus abdominus

Answer 14

A: flex vertebral colum, posterior pelvic tilt O: public crest, pubic symphysis
I: cartilage of rib, xiphoid process

Question 15

external obliques

Answer 15

A: (unilaterally)lat flex VC to same side, rotate VC to opposite side
(bilaterally) flex vertebral column O: external surface of rib
I: anterior iliac crest

Question 16

internal obliques

Answer 16

A: (unilaterally) lat flex VC to same side, rotate VC to same side
(bilaterally) flex vertebral column O: inginal lig, iliac crest and illio tract
I: internal surface of lower 3 ribs

Question 17

femoral lymph nodes

Answer 17

• upper femoral triangle, 1-20 in number

- afferent supply to these nodes are from the lymphatic vessels within the upper and lower leg

Question 18

pulse

Answer 18

femoral pulse

Question 19

Sciatic nerve

Answer 19

• nerve root: L4-S3 - lubar plexus - leaves pelvis entering gluteal reg via GSForamen - inferior piriformis - descends inferiolateral - posterior thigh. Teminates @ popliteal fossa, divide into tibial/ common peroneal nerve
• motor: hamstrings/ part adductor magnus
• sensory: no DIRECT cutaneous fuction