The Gluteal Region and Posterior Thigh Session 32 Flashcards
what r the two layers of gluteal muscles
superficial and deep
what is the general action of the superficial gluteal muscles
abduct and extend the femur
what r the 4 superficial gluteal muscles
gluteus maximus
gluteus medius
gluteus minimis
tensor fascia lata
what is the location and characteristic of gluteus maximus and what does it shape
most superficial and largest muscle
produces shape of the buttocks
what r the 3 attachments and 2 insertions of gluteus maxmimus
attachment: posterior surface of ileum, sacrotuberous ligament, sacrum
insertion: mainly iliotibial tract and a small part onto the gluteal tuberosity
what r the actions of gluteus maximus and what movement is important for (MLEGS)
extensor and lateral rotator of hip
stabilises knee joint
important for standing up from sitting
what is the location of gluteus medius
underneath gluteus maximus
what is the location of gluteus minimus
underneath gluteus medius
what is the attachment and insertion of gluteus medius and minimus
attachment: anterior part of posterior surface of ileum
insertion: greater trochanter
what r the actions of gluteus medius and gluteus minimus
abduct and medially rotate the hip
what is the gluteus medius and gluteus minimus important for
contract during walking on the side of the leg that is in contact with the ground to prevent tilt
this maintains smooth gait
what happens when the gluteus medius and gluteus minimus r weakened
pelvis tilts to contralateral side everytime that leg is in contact with the ground during walking= limp
what is the characteristic and size of tensor fascia lata MUSCLE its location
small superficial muscle
muscle head= close to anterior edge of iliac crest
attachment and insertion of tensor fascia lata
attachment: ASIS
insertion: iliotibial band which then inserts onto the lateral part of the proximal tibia
action of tensor fascia lata and how does it do this?
is it a prime mover?
stabilizes extended knee and flexes hip joint
contracts to tense the fascia lata and iliotibial band
NOT a prime mover
what is the general innervation fo the superficial gluteal muscles
gluteal nerves
where do the gluteal nerves arise from and their path into the thigh
sacral plexus in pelvis
leave plexus via greater sciatic foramen
what innervates the gluteus medius and gluteus minimus and tensor fascia lata
superior gluteal nerve
what innervates the gluteus maximus
inferior gluteal nerve
what r the 4 deep gluteal msucles
piriformis
superiora and inferior gemelli
obturator internus
quadratus femoris
what is the general action of the deep gluteal muscles (2)
hint (leave some dough mnemonic)
primarily stabilize and laterally rotate the hip joint
L= laterally rotates hip S= stabilises hip D= deep muscles
what is the location of the deep gluteal muscles
deep to gluteus minimus
what is the insertion of the deep gluteal muscles
all onto/ near the greater trochanter of the femur
what is the origin of the deep gluteal muscles and what is the exception
from ischium
exception: obturator internus
what is the exception origin of obturator internus and what does its tendon pass through
arises from obturator membrane
tendon passes through the lesser sciatic foramen
what does the sciatic nerve divide into and where does this occur
posterior thigh/ politeal fossa
into tibial and common peroneal nerves
what is the attachment, path and insertion of piriformis
attachment: anterior surface of sacrum
path: passes through greater sciatic foramina
insertion: greater trochanter
what muscle do the nerves of the sciatic foramina lie over
piriformis
what r the two arteries that supply the gluteus muscles and what r they a branch of?
superior and inferior gluteal arteries
branches of internal iliac artery
what is the path of the superior and inferior gluteal arteries
leave pelvis via greater sciatic foramen and enter the gluteal region
what does the superior gluteal artery supply (3)
gluteus medius, gluteus minimus, and tensor fasciae latae
what muscles does the inferior gluteal artery supply (4)
obturator internus, gluteus maximus, superior and inferior gemelli and the piriformis
is there a large artery that supplies the hamstring muscles?
no
what is the arterial supply of the posterior cmpartment muscles and what is the artery’s path
supplied by 3 or 4 perforating arteries arising from profunda femoris
travel through small apertures in the adductor magnus to reach the posterior compartment
where is the femoral artery called another name and what is its name
popliteal fossa
popliteal artery
what is the path of the femoral artery into the popliteal fossa
goes through adductor canal and adductor hiatus to enter the popliteal fossa
what is the venous drainage of thigh and what is their path and what do they drain into
inferior and superior gluteal arteries
follow their corresponding arteries and drain
internal iliac vein
what is the sciatic nerve formed from (spinal fibres)
L4-S3
what r the two branches of the sciatic nerve, which is medial and lateral and what do each of them supply
lateral- common peroneal: muscles of anterior and lateral leg
medial- tibial: muscles of posterior thigh and leg
where does the popliteal artery become the femoral vein and what is its path
in the popliteal fossa and then continues as the femoral vein through the adductor hiatus
what is the adductor hiatus and what travels through this
gap between two heads of adductor magnus
femoral artery and vein
what is the popliteal fossa
diamond-shaped depression behind the knee joint
what r the borders of the popliteal fossa
medial upper: semitendinous and semimembranous
medial lower: medial head of the gastrocnemius
lateral upper: biceps femoris
lateral lower: lateral head of the gastrocnemius
what r the five content of the popliteal fossa
popliteal artery popliteal vein sciatic nerve (splits here) tibial nerve common peroneal nerve
what r the two branches of the common peroneal nerve
superficial and deep peroneal nerve
what is the path of the common peroneal nerve
travels along superolateral border of popliteal fossa
wraps around neck of fibula and splits
what goes through the greater sciatic foramina (12)
sciatic nerve piriformis muscle superior and inferior gluteal nerve, artery and vein nerve to obturator internus nerve to quadratus femoris Pudendal nerve Posterior femoral cutaneous nerve
what is the order of gluteaus msucels from superficial to deep
maximus (most superficial) then medius then minimis
what are the 4 muscles of the posterior thigh
semimembranosus
semitendinosus
biceps femoris (longus and brevis)
hamstrings part of adductor magnus
what muscles r the hamstrings?
semimembranosus
semitendinosus
biceps femoris
what is the attachment of the hamstrings, innervation and exception for this
proximally to ischial tuberosity tibial nerve (except short head biceps femoris)
what is the actin of hamstrings
extend hip joint and flex knee joint
what is the attachment, insertion, action and innervation of semimembranousus (same as semitendinosus)
attachment: proximally to ischial tuberosity
insertion: medial aspect of proximal tibia
action: extends hip, flexes knee
innervation: tibial
what is the attachment, insertion, action and innervation of semitendinosus (same as semimembranosus)
attachment: proximally to ischial tuberosity
insertion: medial aspect of proximal tibia
action: extends hip, flexes knee
innervation: tibial
what is the attachment and insertion of the biceps femoris heads
attachment: proximal to ischial tuberosity
insertion: long and short head form a common tendon and insert onto the head of the fibula
what is the action and innervation of the two biceps femoris muscles
action:
long head- extends knee and flexes hip
short head- only flexes knee
innervation:
long head- tibial
short head- common peroneal
where does the short head of the biceps fermoris arise from and why is this significant
arises from linea aspera
doesn’t travel over hip- cannot move hip, only extend knee
what is the attachment, insertion, action and innervation of the hamstring part of adductor magnus?
attachment: ischial tuberosity
insertion: adductor tubercle of femur
action: adducts the hip (doesn’t move knee)
innervation: obturator nerve