Quiz 2- Lec 11-12 Flashcards
anterior hip muscles:
list
- psoas minor (absent in 40-50% of cases)
- iliacus
- psoas major (iliacus + psoas major = iliopsoas)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/773/927/a_image_thumb.png?1547438935)
which anterior hip muscle is absent 40-50% of the time?
psoas minor
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/048/a_image_thumb.png?1547438962)
psoas major: origin & insertion
- o:
- ventral fibers from IV discs and vertebral bodies (T12-L5);
- dorsal fibers from inferior edges of transverse processes of L1-L5
- ins: all fibers converge into single muscle belly and thru combined tendon w/ iliacus into LESSER TROCHANTER
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/056/a_image_thumb.png?1547439070)
psoas major: innervation
L1-L3
(twigs from ventral rami)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/102/a_image_thumb.png?1547439103)
psoas major: action
- *major hip flexor
- side-bending
- pelvic stabilization during gait;
- other actions are considered (lat. rotation of flexed hip & active during sit-ups & leg raises – hip flexion component)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/109/a_image_thumb.png?1547439167)
iliacus: origin and insertion
- o: iliac fossa, internal lip of iliac crest, lateral part of pelvic surface of sacrum, ventral sacroiliac and iliolumbar ligaments
- i: thru combined tendon w/ psoas major into lesser trochanter and femoral shaft distal to lesser trochanter
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/120/a_image_thumb.png?1547439243)
iliacus: innervation
- *L2-L3
(fibers/twigs from ventral rami); diff’t from psoas major
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/127/a_image_thumb.png?1547439409)
iliacus: action
- *major hip flexor
- pelvic stabilization during gait;
- other actions are considered (lat. rotation of flexed hip & active during sit-ups & leg raises – hip flexion component)
*NOT side-bending (but psoas major incl. this)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/305/a_image_thumb.png?1547439479)
psoas minor: origin & insertion
- o: (anterior to major) from T12 & L1 vertebral bodies and disc
- i: iliopubic eminence (where pubis and ilium meet)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/396/a_image_thumb.png?1547439574)
psoas minor: innervation
L1
(twig from ventral ramus)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/417/a_image_thumb.png?1547439604)
psoas minor: action
- weak trunk flexion (controversial)
- & NO ACTION AT HIP; does not cross hip joint!
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/420/a_image_thumb.png?1547439640)
which muscles provide stability to hip joint anteriorly?
psoas major and iliacus muscles
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/424/a_image_thumb.png?1547439680)
identify:
- hip joint capsule
- iliopectineal bursa
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/442/q_image_thumb.png?1547439726)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/442/a_image_thumb.png?1547439730)
identify where the following movements occur:
- trunk flexion
- hip flexion
- external (lateral) rotation
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/476/q_image_thumb.png?1547439797)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/476/a_image_thumb.png?1547439802)
describe the blood supply to the lower limb?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/546/q_image_thumb.png?1547439944)
- aorta
- common iliac
- external iliac
- femoral (after crossing deep to inguinal)
- internal iliac artery and branches
- superficial circumflex iliac
- deep circumflex iliac
- inguinal ligament
- femoral artery
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/546/a_image_thumb.png?1547440094)
where does SUPERIOR GLUTEAL ARTERY leave the pelvis?
through L4/5 and S1
*L4/L5 is lumbosacral trunk
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/628/a_image_thumb.png?1547440284)
where does INFERIOR GLUTEAL ARTERY leave the pelvis?
through S3/S4
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/664/a_image_thumb.png?1547440273)
where does OBTURATOR ARTERY leave the pelvis?
- originates from anterior division of internal iliac artery
- travels along the obturator fascia of the pelvic sidewall, between the obturator nerve and vein, to reach the obturator foramen
- leaves pelvis through OBTURATOR CANAL
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/682/a_image_thumb.png?1547440391)
contents of obturator canal
- connects the pelvis to the thigh
- contents: obturator artery, obturator vein, and obturator nerve all travel through the canal.
*internal pudendal artery: course
- exits the pelvic cavity through the greater sciatic foramen, inferior to the piriformis muscle, to enter the gluteal region.
- It then curves around the sacrospinous ligament to enter the perineum through the lesser sciatic foramen.
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/773/a_image_thumb.png?1547440643)
4 gateways to lower extremity from abdomiopelvic cavity
“LOGS”
- Lesser sciatic foramen
- Obturator canal
- Greater sciatic foramen
- Subinguinal space
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/862/a_image_thumb.png?1547440767)
identify the following:
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/885/q_image_thumb.png?1547440799)
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/885/a_image_thumb.png?1547440795)
subinguinal space: contents
- femoral vessels & nerve, lymphatics,
- Iliopsoas & pectineus muscles
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/899/a_image_thumb.png?1547440873)
obturator canal: contents
obturator vessels (artery and vein) and obturator nerve
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/911/a_image_thumb.png?1547440901)
greater sciatic foramen: contents
- superior and inferior gluteal vessels & nerves
- sciatic nerve, pudendal nerve,
- internal pudendal vessels,
- posterior cutaneous nerve of the thigh,
- nerves to the small lateral rotators of the thigh,
- tendon of piriformis
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/919/a_image_thumb.png?1547440958)
lesser sciatic foramen: contents
- pudendal nerve and internal pudendal vessels
- tendon of obturator internus,
- nerve to obturator internus
![](https://s3.amazonaws.com/brainscape-prod/system/cm/264/774/930/a_image_thumb.png?1547441003)