TBL 13 Flashcards
ligament that extends across the sciatic notch of the hip bone, converting the notch into a foramen
sacrotuberous ligament
the sacrotuberous ligament extends across the ___, converting it into a ___
sciatic notch of the hip bone;
foramen
the sciatic foramen is further subdivided by the ___ ligament and ___ to create the greater and lesser sciatic foramina
sacrospinous ligament;
ischial spine;
the ___ is further subdivided by the sacrospinous ligament and ischial spine to create the ___
sciatic foramen;
greater and lesser sciatic foramina
the sciatic foramen superior to the sacrospinous ligament is called ___, while the inferior foramen is called ___
greater sciatic foramen;
lesser sciatic foramen
___ nerve enters / leaves the ___ through the greater sciatic foramen, while the ___ nerve enters / leaves the ___ through the lesser sciatic foramen
sciatic; pelvis;
pudendal; perineum
proximal attachment of the gluteus maximus
ilium (posterior to the posterior gluteal line) and sacrum / coccyx (dorsal surface)
proximally attaches to the ilium posterior to the posterior gluteal line and dorsal sacrum / coccyx
gluteus maximus
posterior to the posterior gluteal line
ilium
distal attachment of the gluteus maximus
iliotibial tract and gluteal tuberosity
the iliotibial tract inserts into the
lateral condyle of the tibia
distally attaches to the iliotibial tract and gluteal tuberosity
gluteus maximus
innervation of gluteus maximus
inferior gluteal nerve (L5, S1, S2)
innervated by inferior gluteal nerve
gluteus maximus
inferior gluteal nerve originates from
L5, S1, S2
action of gluteus maximus
extension of thigh (from flexed position) and lateral rotation
proximal attachment of gluteus medius
ilium (between anterior and posterior gluteal lines)
distal attachment of gluteus medius
greater trochanter of the femur
proximally attaches to the ilium between the anterior and posterior gluteal lines
gluteus medius
distally attaches to the greater trochanter of the femur
gluteus medius, gluteus minimus, piriformis, obturator internus, superior gemelli, inferior gemelli
innervation of the gluteus medius
superior gluteal nerve (L5, S1)
innervated by the superior gluteal nerve
gluteus medius and minimus and tensor fasciae latae
superior gluteal nerve originates from
L5, S1
action of the gluteus medius
abduction and medial rotation of the thigh
proximal attachment of the gluteus minimus
ilium (between the anterior and inferior gluteal lines)
proximally attaches to the ilium between the anterior and inferior gluteal lines
gluteus minimus
distal attachment of the gluteus minimus
greater trochanter of the femur
innervation of the gluteus minimus
superior gluteal nerve (L5, S1)
proximal attachment of the tensor fasciae latae
anterior superior iliac spine (ASIS) and iliac crest
proximally attaches to the ASIS and iliac crest
tensor fasciae latae
distal attachment of the tensor fasciae latae
iliotibial tract
distally attaches to the iliotibial tract
gluteus maximus, tensor fasciae latae
innervation of the tensor fasciae latae
superior gluteal nerve (L5, S1)
action of the tensor fasciae latae
abduction and medial rotation of thigh
action of the gluteus minimus
abduction and medial rotation of thigh
purpose is to identify weakness of the hip abductors
Trendelenburg test
purpose of the trendelenburg test
to identify weakness of the hip abductors
can be used to assess other mechanical, neurological, or spinal disorders
trendelenburg test
trendelenburg test can be used to assess other
mechanical, neurological, or spinal disorders (congenital dislocation of hip, hip subluxation)
positive trendelenburg test includes ___ on the ___ side during a ___ on the ___ side
pelvis drop; contralateral;
single leg stand; affected
proximal attachment of the piriformis
anterior surface of the sacrum and sacrotuberous ligament
proximally attaches to the anterior surface of the sacrum and sacrotuberous ligament
piriformis
distal attachment of the piriformis
greater trochanter of the femur
innervation of the piriformis
branches of the anterior rami of S1 and S2
innervated by the branches of the anterior rami of S1 and S2
piriformis
action of the piriformis
laterally rotate extended thigh and abduct flexed thigh
laterally rotates extended thigh
piriformis
abducts flexed thigh
piriformis
abducts thigh
gluteus medius, gluteus minimus, tensor fasciae latae, obturator internus, superior gemelli, inferior gemelli
medially rotates thigh
gluteus medius, gluteus minimus, tensor fasciae latae
extends thigh
gluteus maximus, semitendinosus, semimembranosus, biceps femoris
laterally rotates thigh
gluteus maximus, obturator internus, superior gemelli, inferior gemelli, quadratus femoris
proximal attachment of obturator internus
obturator membrane (pelvis surface)
proximally attaches to the pelvic surface of the obturator membrane
obturator internus
distal attachment of the obturator internus
greater trochanter of the femur