Unit II Lec 17 Flashcards
the link between the lower limbs and the axial skeleton
pelvic girdle
The pelvic girdle is composed of 4 bones:
- 2 coxal bones (form the pelvic walls)
- sacrum and coccyx (form the posterior wall)
The hipbone is the result of its fusion of 3 different bones:
ilium, ischium and pubis.
hip joint socket
acetabulum
the larger, upper part of the hipbone and forms the upper part of the acetabulum
ilium
forms the postero-inferior part of the hipbone and acetabulum
ischium
forms the anteromedial part of the hipbone and the acetabulum
pubis
The coxal bone may also be divided into what 2 grossly observed portions
the true or lesser pelvis below, and the false or greater pelvis above
The separation of the two areas of the coxal bone is formed by an oblique plane called the
iliopectineal line
If The femur articulates with the ________ superiorly
coxal bone
The femur articulates with the ________ inferiorly
patella and the tibia
the longest and strongest bone of the body
femur
A small depression near the center of the head that serves as an attachment for the ligament of the head of the femur
fovea capitis
The neck of the femur presents an angle (called angle of inclination) of about _____ degrees with the long axis of the shaft
125 degrees
joint that attaches the pelvic girdle to the axial skeleton
Lumbosacral joint
Sacrococcygeal joint, supported by what two ligaments
lateral sacrococcygeal ligaments and the posterior sacrococcygeal ligament
Joint between pubic bones in pelvic girdle
Interpubic joint
a very strong synovial joint formed by the articular surface of the sacrum and the iliac bone
Sacroiliac (SI) joint
Four main ligaments of the sacroiliac joint
posterior ligament, interosseous sacroiliac ligament, anterior sacroiliac ligament, iliolumbar ligament
SI joint ligament is thin and situated on the anterior aspect of the joint
anterior sacroiliac ligament
a strong ligament observed running between the transverse processes of the 3rd and 4th lumbar vertebrae and the posterior portion of the iliac crest
iliolumbar ligament
The SI joint also has two accessory ligaments (flat and triangular), known as the
Sacrotuberous ligament, Sacrospinous ligament
SI joint accessory ligament from the lateral part of the sacrum and coccyx and the posterior inferior iliac spine to the ischial tuberosity
Sacrotuberous ligament
SI joint accessory ligament from the lateral part of the sacrum and coccyx to the ischial spine
Sacrospinous ligament
SI joint accessory ligament that converts the greater sciatic notch into the greater sciatic foramen
Sacrotuberous ligament
SI joint accessory ligament that converts the lesser sciatic notch into the lesser sciatic foramen
Sacrospinous ligament
anterosuperior boundary of the greater sciatic foramen is
rim of the great sciatic notch
posteromedial boundary of the greater sciatic foramen is
sacrotuberous ligament
inferior boundary of the greater sciatic foramen is
sacrospinous ligament and ischial spine
muscle exits out of the pelvis through the greater sciatic foramen
piriformis muscle
nerves and vessels exit the greater sciatic foramen above the piriformis
superior gluteal nerves and vessels
Does inferior gluteal nerves and vessels exit above or below the piriformis
below
Does internal pudendal vessels exit above or below the piriformis
below
Does pudendal nerve exit above or below the piriformis
below
Does sciatic nerve exit above or below the piriformis
below
Does posterior femoral cutaneous nerve exit above or below the piriformis
below
Does nerve to obturator internus exit above or below the piriformis
below
Does nerve to quadratus femoris exit above or below the piriformis
below
anterior boundary of the lesser sciatic foramen
body of ischial tuberosity
superior boundary of the lesser sciatic foramen
ischial spine and sacrospinous ligament
posterior boundary of the lesser sciatic foramen
sacrotuberous ligament
The tendon of the ____________ exits the pelvis via the lesser sciatic foramen
obturator internus
The structures entering the pelvis through the lesser sciatic foramen are (PIN)
pudendal nerve
internal pudendal vessels
nerve to obturator internus
The _______ joint is a synovial, multi-axial, ball and socket joint
hip
The head of the femur and the surface of the acetabulum are covered by a thick ________ cartilage (except for the fovea capitis).
hyaline
The head of the femur and the surface of the acetabulum are covered by a thick hyaline cartilage (except for the __________).
fovea capitis
A fibrocartilaginous rim called the ________ is attached to the margins of the acetabulum
acetabular labrum
The ________ provides a passage for the vessels and the nerves to the acetabulum joint
acetabular notch
The labrum, continuous with the ____________ , bridges over the acetabular notch to close the acetabulum
transverse ligament of the acetabulum
Ligaments associated with the hip joint, fibrous structure is thick and strong
Articular Capsule
Ligaments associated with the hip joint, (anteriorly) or Y-shaped ligament of Bigelow prevents overextension of the joint - (becomes taut).
Iliofemoral ligament
Ligaments associated with the hip joint, prevents abduction (is medial and inferior).
Pubofemoral ligament
Ligaments associated with the hip joint, (posteriorly) limits medial rotation
Ischiofemoral ligament
Ligaments associated with the hip joint, from the acetabular notch to the fovea capitis - provides blood vessels to the head of the femur
Ligamentum capitis femoris
Ligaments associated with the hip joint, continuous with the labrums
transverse ligament of the acetabulum
a large superficial muscle that is primarily responsible for the prominence of the buttock
gluteus maximus
innervation of gluteus maximus
inferior gluteal nerve
bursa is found between gluteus maximus and the greater trochanter
trochanteric bursa
bursa is between the gluteus maximus and the ischial tuberosity
ischiogluteal bursa
trochanteric bursa and ischiogluteal bursa are both deep to what mx
gluteus maximus
mx is partially covered posteriorly by the gluteus maximus. Its anterior portion is superficial.
gluteus medius
gluteus medius innervation
superior gluteal nerve
_________ is caused by a weak gluteus medius being unable to hold the pelvis level when the affected person is standing only on the ipsilateral lower limb
Trendelenburg sign
Individuals with a weak gluteus medius also may demonstrate an unusual gait pattern, known as the _________
gluteus medius lurch
is the smallest and the deepest of the 3 gluteal muscles
gluteus minimus
gluteus minimus innervation
superior gluteal nerve
gluteus minimis insertion where blends with capsule of hip joint
anterior border of the greater trochanter
gluteal mx enclosed by the fascia latae
tensor fasciae latae
tensor fasciae latae innervation
superior gluteal nerve
tensor fasciae latae insertion
ends in the iliotibial tract between the middle and upper third of the thigh
gluteal mx next to the gluteus minimis
piriformis
piriformis innervation
nerve to the piriformis
piriformis exits the pelvis through
greater sciatic foramen
piriformis insertion
upper border of the greater trochanter
gluteal mx that crosses the hip joint
obturator internus
obturator internus innervation
nerve to the obturator internus and superior gemellus
obturator internus emerges from what openeing before it crosses hip joint
lesser sciatic foramen
obturator internus insertion (via its tendon)
medial surface of the greater trochanter
small muscles lying adjacent to the tendon of the obturator internus
gemellus superior and gemellus inferior
gemellus superior and gemellus inferior insertion
tendon of the obturator internus
gamellus superior innervation
nerve to the obturator internus and superior gemellus
gammellus inferior innervation
nerve to the quadratus femoris and inferior gemellus
a flat muscle covering the external surface of the posterior pelvic wall
quadratus femoris
quadratus femoris crosses the posterior aspect of the neck of the femur and inserts on the ________
quadrate tubercle of the femur
arises from the external surface of the obturator foramen and obturator membrane, It passes underneath the hip joint and courses deep to the quadratus femoris
obturator externus
obturator externus insertion
medial side of the greater trochanter at the trochanteric fossa
obturator externus innervation
obturator nerve
The one gluteal mx not involved in hip abduction
quadratus femoris
quadratus femoris action
hip adduction
Abdominal aorta becomes what main artery in gluteal region
common iliac artery
common iliac artery divides into what two arteries
external and internal iliac arteries
internal iliac artery splits into what two trunks
anterior and posterior trunks
external iliac artery continues into the thigh as the
femoral artery
posterior trunk of the internal iliac artery becomes what artery
superior gluteal artery
anterior trunk of the internal iliac artery becomes what artery
inferior gluteal artery
arteries give branches that supply the muscles of the hip, the hip joint, and the skin overlying the sacrum and the buttocks
superior and inferior gluteal arteries