Pelvis and Upper Thighs Flashcards
The pelvis is made up of which bones?
Ilium, Ischium, and Pubis
Which bones form the **acetabulum **laterally and inferiorly?
Ilium, Ischium, and Pubis
Which bone is superior and the largest part of the pelvis?
Ilium
Which bones are known as the “sit” bones?
Ischial tuberosity
Which bone structure markings are located in the same coronal (frontal) plane of the pelvis?
Anterior superior iliac spine (ASIS) and pubic symphysis
Which bone structure markings are located in the same vertical (sagittal) plane in the pelvis?
**Anterior superior iliac spine (ASIS) **and pubic tubercle
What lies inferior and medial to the acetabulum?
Obturator foramen
What runs from the **anterior superior iliac spine **(ASIS) **to the pubis?
Inguinal ligament
What is the longest and heaviest bone in the body?
Femur
What is the femoral anteversion?
Head is angled ~14 degrees anteriorly to trochanters and distal condyles
What is the angle of inclination in the femur?
125 degrees
What is the purpose of the linea aspera?
Located in the posterior aspect of the femur and serves as an attachment for muscles.
What is the Great saphenous vein?
It is a very superficial vein that runs the length of lower extremity and is a vessel used for cardiac bypass surgery.
What descends through the femoeral triangle and enters the adductor canal?
Femoral artery
What passes deep to adductor magnus and moves posteriorly?
Deep femoral artery
What are the contents of the femoral triangle?
- Femoral nerve and its (terminal) branches
- Femoral sheath and its contents:
- *Femoral artery** and several of its branches.
3. Femoral vein and its proximal tributaries (e.g., the great saphenous and deep femoral veins).
4. Deep inguinal lymph nodes and associated lymphatic vessels.
The **femoral nerve **is formed from what?
Lumbar plexus L2-L4
The **femoral nerve **branches off what and innervates the what?
The cutaneous branch of the femoral nerve branches to become the **saphenous nerve **and it innervates the anterior thigh muscles.
What are the borders of the femoral triangle?
- Inguinal ligament
- Adductor longus
- Sartorius
What makes up the floor of the femoral triangle?
- Iliopsoas
- Pectineus
- Adductor longus
Where does the **adductor canal **begin and where does it end?
- BEGINS where S**artorius **crosses Adductor longus.
- ENDS at **Adductor hiatus **in the Adductor magnus tendon
What are the contents of the Adductor canal?
- Femoral artery and femoral vein
- Saphenous nerve
- Nerve to Vastus medialis
What is the action and innervation of the Psoas major?
ACTION: Hip flexion
INNERVATION: Branches of Lumbar Plexus
What is the action and innervation of the Iliacus?
ACTION: Hip flexion
INNERVATION: Femoral nerve
What is the action and innervation of the Tensor fasciae latae?
ACTION: Abducts, medially rotates, and flexes thigh (Can also assist with knee flexion)
INNERVATION: Superior gluteal nerve
What is the action and innervation of the Sartorius?
ACTION: Flexes hip and knee. Also laterally rotates thigh if flexed at hip.
INNERVATION: Femoral nerve
What is also known as the tailor’s muscle?
Sartorius
What is the action and innervation of the Gracilis?
ACTION: Adduction, hip flexion, and medial rotation
INNERVATION: Obturator Nerve
What is the action and innervation of the Pectineus?
ACTION: Adduction and flexion of hip, medial rotation
INNERVATION: Femoral nerve
What is the action and innervation of the Adductor longus?
ACTION: Leg adduction
INNERVATION: Obturator nerve
What is the action and innervation of the Adductor brevis?
ACTION: Leg adduction
INNERVATION: Obturator nerve
Which muscle is just deep of the Adductor longus?
Adductor magnus
Which muscle is just deep to the Pectineus?
Adductor brevis
What is the action and innervation of the Adductor magnus?
ACTION: Leg adduction
INNERVATION: Obturator and Sciatic nerve
What muscles make up the Quadriceps femoris?
- Rectus femoris
- Vastus lateralis
- Vastus medialis
- Vastus intermedius
Which muscles only acts on the knee?
Vasti muscles
What is the action and innervation of the Rectus femoris?
ACTION: Hip flexion and knee extension
INNERVATION: Femoral nerve
As you flex your knee, what is happening with the Rectus femoris?
Flexions of the knee increases its prominence as a hip flexor due to lengthening of the muscle.
Which muscles from the Quadriceps femoris is considered the only muscle to be able to hip flex AND knee extend?
Rectus femoris
This is used for kicking, therefore it should be called the Kicking Muscle.
What is the action and innervation of the Vastus lateralis?
ACTION: Knee extension
INNERVATION: Femoral nerve
What is the action and innervation of the Vastus intermedius?
ACTION: Knee extension
INNERVATION: Femoral nerve
What is the action and innervation of the Vastus medialis?
ACTION: Knee extension and medial pull on patella to maintain alignment. It is believed to only contract strongly in last 15 degrees of extension.
INNERVATION: Femoral nerve
The **Sciatic nerve **leaves the pelvis through what?
It runs inferior to what?
Sciatic foramen
Piriformis muscle
Name the 2 branches of the Sciatic nerve.
- Tibial division
- Common fibular division
In a small percentage of the population, the sciatic nerve pierces what?
The **piriformis **muscle.
What is the action and innervation of the Gluteus maximus?
ACTION: Hip extension and external rotation
INNERVATION: Inferior gluteal nerve
Which muscles are just deep to the Gluteus maximus?
- Gluteus medius
- Piriformis
- Superior gemellus
- Obturator internus
- Inferior gemellus
- Quadratus femoris
Describe the action and innervation of the Gluteus medius.
ACTION: It is mechanically designed for powerful abduction. Primary function is to keep nonweightbearing hip from collapsing during normal gait. Medial rotation is another action.
INNERVATION: Superior gluteal nerve
Which muscle is directly below the Gluteus medius?
Gluteus minimus
What is the action and innervation of the Gluteus minimus?
ACTION: Abduction and internal rotation
INNERVATION: Superior gluteal nerve
What is the action and innervation of the Piriformis?
ACTION: External rotation, Abduction of flexed hip
INNERVATION: Ventral rami of S1-S2
What is the action and innervation of the Gemellus superior?
ACTION: External rotation, Abduction of flexed thigh
INNERVATION: Nerve to obturator internus
What is the action and innervation of the Gemellus inferior?
ACTION: External rotation, Abduction of flexed thigh
INNERVATION: Nerve to quadratus femoris
What is the action and innervation of the Obturator internus?
ACTION: External rotation, Abduction of flexed hip
INNERVATION: Nerve to obturator internus
What is the action and innervation of the Obturator externus?
ACTION: External rotation of hip
INNERVATION: Obturator nerve
What is the action and innervation of the Quadratus femoris?
ACTION: External rotation of hip
ACTION: Nerve to Quadratus femoris
Name the heads of the Biceps femoris.
Long head and short head. Long head is superficial to the short head.
What is the action and innervation of the Biceps femoris?
ACTION: Long head extends hip! However, both flexes and externally rotate knee.
INNERVATION: Long head: Tibial division of Sciatic nerve
Short head: Common fibular division of Sciatic nerve
What is the action and innervation of the Semitendinosus?
ACTION: Hip extension and knee flexion. There is some internal rotation
INNERVATION: Tibial divison of Sciatic nerve
What is the action and innervation of the Semimembranosus?
ACTION: Hip extension, knee flexion, and some internal rotation
INNERVATION: Tibial division of Sciatic nerve