Week 5/6 Flashcards
Gender differences in general structure of pelvis
Male: thick and heavy
Female: thin and light
Gluteus minimus Insertion
Greater trochanter
3 major pelvic arteries off Anterior branch of Internal Iliac
Obturator artery,
Pudendal Artery,
Inferior Gluteal Artery
Tensor fascia lata Innervation
Superior gluteal nerve
Pelvic floor consists of
Pelvic diaphragm,
Levator Ani,
Coccygeus
Semimembranosus Innervation
Tibial portion of sciatic
Superior opening of pelvic cavity
Pelvic inlet
Pectineus Innervation
Femoral and Obturator nerve
Adductor Longus Insertion
Distal 2/3 of linea aspera
Biceps femoris - long head Origin
Ischial tuberosity
Gluteus Maximus Insertion
Gluteal tuberosity and iliotibial band
Inferior Gemellus Insertion
Greater trochanter
The anterior femoral cutaneous nerve arises from the _______ in ________.
Femoral nerve
Femoral triangle
This nerve also travels into proximal medial aspect of thigh
Ilioinguinal L1
Vastus Lateralis Insertion
Tibial tuberosity via patellar ligament.
Profunda femoris artery gives rise to…
Lateral and medial femoral circumflex arteries
Gender differences pubic arch
Male: narrow
Female: wide
This nerve innervates the skin of the thigh inferior to the inguinal ligament on the medial aspect.
Genitofemoral
Adductor Brevis Action
Adduct and flex thigh
Gluteus Maximus Origin
Ilium posterior to gluteal line, sacrum, sacrotuberous ligament
Quadratus femoris Insertion
Intertrochanteric crest
Roof of popliteal fossa
Fascia lata with branches of the posterior femoral cutaneous nerve and the lesser saphenous vein
Biceps femoris action
Extend thigh and flex leg (knee)
This nerve innervates the skin of the anterior and medial thigh
Femoral nerve
This nerve extends laterally and distally from greater trochanter to area just proximal to the knee
Lateral femoral cutaneous
Inferior Gemellus Origin
Ischial tuberosity
Rectus Femoris Innervation
Femoral nerve
Biceps femoris Innervation
Sciatic nerve
Piriformis Innervation
Nerve to piriformis
Gender differences pelvic outlet
Male: small
Female: large
Gluteus minimus Innervation
Superior gluteal nerve
Biceps femoris- short head Origin
Linea aspera
Adductor Magnus Action
Adduct and flex thigh.
Extend thigh.
Rectus Femoris Origin
Anterior inferior iliac spine and
Rim of acetabulum
Vastus Lateralis Action
Extend knee
Coccygeus Innervation
Branches of S4 and S5 spinal nerves
The medial compartment of the thigh contains the thigh _________.
Adductors
Muscles of gluteal region are involved primarily with:
Abduction and lateral rotation of thigh.
Medial compartment thigh muscles
Gracilis,
Adductor Longus,
Adductor Magnus,
Adductor Brevis
Quadratus femoris Origin
Ischial tuberosity
Pelvic diaphragm consists of
Levator Ani and coccygeus
Tensor fascia lata action
Abducts and flexes thigh
This nerve travels through superficial inguinal ring to innervate the inferior pelvis (subcutaneous.)
Ilioinguinal L1
Obturator Internus Insertion
Greater trochanter
Gluteus Maximus Action
Extends thigh when running and climbing, sit to stand.
Laterally rotates hip.
Pectineus Origin
Pectineal line of superior ramus of pubis.
Semitendinosus Action
Extends thigh, flex leg, and medially rotate leg
This artery supplies the posterior compartment and gives rise to the peroneal artery.
Posterior tibial artery
Hamstring muscles
Biceps femoris
Semitendinosus
Semimembranosus
Gluteus Medius action
Abducts and medially rotates thigh
Superior Gemellus Origin
Ischial spine
Inferior Gemellus Action
Laterally rotates and extends thigh
Gluteus minimus Origin
Ilium between superior and inferior gluteal lines
Gluteus Medius Insertion
Greater trochanter
Vastus Intermedius Action
Extend knee
Obturator Internus Innervation
Nerve to obturator internus
Semimembranosus Insertion
Medial condyle of tibia
Vastus Intermedius Innervation
Femoral nerve
Quadratus femoris action
Laterally rotates and extends thigh
Main blood supply to pelvic region
Internal iliac artery
Sacrospinous ligament
Extends from sacrum and coccyx to the ischial spine.
It is anterior to the sacrotuberous ligament.
Pelvic diaphragm stretches from _________ to ___________. And laterally to __________.
Pubis (anteriorly)
Coccyx (posteriorly)
Walls of pelvis on both sides.
Semitendinosus Insertion
Medial surface of tibia inferior to condyle
Coccygeus Action
Support pelvic viscera.
Forms part of diaphragm.
2 branches of Internal Iliac Artery
Anterior and Posterior
Piriformis Origin
Pelvic surface of the sacrum
Semitendinosus Origin
Ischial tuberosity
Sacrotuberous ligament
Extends from posterior inferior iliac spine, sacrum and coccyx to the ischial tuberosity.
Adductor Brevis Origin
Inferior ramus of the pubis
Vastus Medialis Oblique Insertion
Tibial tuberosity via patellar ligament.
Gracilis Action
Adduct thigh,
Flex leg
Quadratus femoris Innervation
Nerve to quadratus femoris
Nerve hooks around ischial spine and sacrospinal ligament and enters perineum through lesser sciatic foramen
Pudendal n.
Sartorius Innervation
Femoral nerve
Contents of adductor canal
Femoral artery and vein enter.
As they exit through adductor hiatus they change names to popliteal artery and vein.
Saphenous nerve and cutaneous branch of femoral nerve.
The _____ nerve is the cutaneous nerve to the posterior leg and lateral aspect of the dorsum of the foot
Sural nerve
Rectus Femoris Insertion
Tibial tuberosity via patellar ligament.
Where is adductor canal?
Begins at point where sartorius muscle passes over adductor longus.
Ends at adductor hiatus in tendon of adductor magnus muscle.
Posterior pelvic wall
Sacrum, coccyx, sacroiliac joint and associated ligaments
Adductor Magnus Innervation
Obturator nerve and tibial portion of sciatic nerve
These two ligaments transform the greater and lesser sciatic notches into foramina.
Sacrotuberous ligament and Sacrospinous ligament
Where is femoral triangle
Anterior thigh inferior to inguinal ligament
Sartorius Insertion
Superior end of medial surface of tibia
Coccygeus Insertion
Inferior end of sacrum and coccyx
These arteries supply the knee capsule, patella and surrounding bone
Genicular anastomoses
Gluteus Medius Origin
Ilium between iliac crest and superior gluteal line
Vastus Intermedius Origin
Anterior surface of femur
Gracilis Innervation
Obturator nerve
Anterior pelvic wall
Bodies of rami and pubic symphysis
_________ is the main supplier of blood to the thigh
Profunda femoris
This nerve innervates the lateral and anterior parts of the skin of the thigh
Lateral femoral cutaneous
Gender differences obturator foramen
Male: round
Female: oval
Superior Gemellus Action
Laterally rotates and extends thigh
Main supplier of blood to muscles of pelvic diaphragm
Inferior gluteal Artery
The anterior compartment of the thigh contains leg _______.
Extensors
Contents of femoral triangle
Lateral femoral cutaneous nerve,
Femoral nerve,
Femoral artery and vein in femoral sheath,
Profunda Femoris Artery
Tensor fascia lata Insertion
Iliotibial band
Vastus Medialis Oblique Action
Extend knee (control tracking of patella)
Gluteus Maximus Innervation
Inferior gluteal nerve
Popliteal Artery is a continuation of _______
Femoral artery
Adductor Magnus Origin
Tuberosity and ramus of ischium
This nerve passes under the lateral aspect of the inguinal ligament
Lateral femoral cutaneous
The posterior compartment of thigh is innervated by
Sciatic nerve
Obturator externus action
Adduct and laterally rotate thigh
Gluteus Medius Innervation
Superior gluteal nerve
Obturator externus Insertion
Trochanteric fossa
Obturator Internus Action
Laterally rotates and extends thigh
Adductor Brevis Insertion
Femur
Levator Ani Insertion
Coccyx
Where does Inferior Gluteal Artery exit
Greater sciatic foramen
Boundaries of femoral triangle
Superior: inguinal ligament Lateral: sartorius Medial: adductor longus Roof: fascia lata Floor: iliopsoas and pectineus
Sartorius Action
Flexes and laterally rotates thigh at hip joint.
Weak abductor of thigh.
Weak flexor of leg.
This artery supplies the posterior and lateral compartments of the leg
Peroneal Artery
Boundaries of gluteal region
Superior: crest of ilium
Medial: sacrum and coccyx
Inferior: sacrotuberous ligament and ischial tuberosity
Lateral: greater trochanter
Superior Gemellus Innervation
Nerve to obturator internus
Gluteus minimus action
Abduct and medially rotate thigh
Vastus Medialis Oblique Origin
Medial surface of the femur and
Tendon of adductor magnus
Biceps femoris Insertion
Head of fibula
Gracilis Insertion
Medial surface of tibia, inferior to condyle
Innervation of gluteal region
Superior and inferior gluteal nerves
The __________ nerve supplies the (cutaneous) lateral aspect of thigh anterior to the greater trochanter.
Subcostal n. T12
Semimembranosus action
Extends thigh, flex leg and medially rotate leg
Obturator Internus Origin
Obturator membrane
This artery passes through the popliteal fossa and divides at the inferior border to form ______ and ______.
Popliteal artery
Anterior and posterior tibial arteries.
Adductor Brevis Innervation
Obturator nerve
The anterior branch of this nerve supplies the skin superior to the pubis
Iliohypogastric (L1 and some T12)
Muscles of anterior compartment of thigh
Quadriceps femoris, Rectus femoris, Vastus intermedius, Vastus lateralis, Vastus medius oblique. Sartorius.
Levator Ani Action
Forms muscular sling for supporting abdominopelvic cavity compression.
Holds pelvic viscera in position.
Assist with abdominopelvic cavity compression, utilized with coughing, sneezing, vomiting
This artery supplies the anterior compartment of the leg
Anterior tibial Artery
Obturator externus Origin
Obturator membrane
Bony pelvis composed of…
Ilium, ischium, pubis, sacrum, coccyx and pubic symphysis
Vastus Lateralis Innervation
Femoral nerve
Genicular anastomoses
Branches of the popliteal artery that surround the knee
Sartorius Origin
ASIS
3 major pelvic arteries off Posterior Internal Iliac
Superior Gluteal Artery,
Iliolumbar Artery,
Lateral Sacral Artery
Vastus Intermedius Insertion
Tibial tuberosity via patellar ligament.
Piriformis action
Lateral rotation and extension of thigh
What is adductor canal?
Narrow fascia tunnel in anterior of thigh that allows passage for femoral vessels to popliteal fossa
Biceps femoris blood supply
Profunda femoris artery
Gender differences acetabulum
Male: large
Female: small
Gender differences pelvic inlet
Male: heart shaped
Female: oval and rounded
Adductor Magnus Insertion
Linea aspera and
Adductor tubercle
Supplies branches to the skin on the posterior aspect of the thigh and over the popliteal fossa.
Posterior femoral cutaneous (S1-S3)
Adductor Longus Origin
Body of pubis
Levator Ani consists of…
Pubococcygeus,
Puborectalis,
Iliococcygeus
Semitendinosus Innervation
Tibial portion of sciatic
Lateral pelvic wall
Hip bones and obturator internus
Adductor Longus Innervation
Obturator nerve
Coccygeus Origin
Ischial spine
Tensor fascia lata Origin
Iliac crest
Gracilis Origin
Inferior ramus of pubis
Semimembranosus Origin
Ischial tuberosity
Floor of the popliteal fossa
Popliteal surface of femur,
Capsule of knee joint,
Oblique popliteal ligament
The medial compartment of the thigh is innervated by
Obturator nerve
_________ are the main blood suppliers to the head and neck of femur.
Medial and lateral femoral circumflex arteries
Inferior Gemellus Innervation
Nerve to quadratus femoris
Obturator externus Innervation
Obturator nerve
Superior Gemellus Insertion
Greater trochanter
Levator Ani Innervation
Nerve to Levator Ani (S3, S4)
Piriformis Insertion
Greater trochanter
During a high velocity fall from a height, the femoral head may dislocate into pelvis through _____. _____ is the most common condition likely to result from this injury.
Acetabulum
Femoral head avascular necrosis.
Vastus Lateralis Origin
Lateral surface of femur
The __________ is ___________and divides the thigh into 3 compartments.
Intermuscular septa.
Extensions of the deep fascia lata.
Rectus Femoris Action
Flex hip and extend knee.
The anterior thigh compartment is innervated by
Femoral nerve
Pectineus Action
Flex and adduct thigh.
Pectineus Insertion
Pectineal line of femur
Adductor Longus Action
Adduct and flex thigh
Popliteal fossa boundaries
Superior lateral: biceps femoris
Superior medial: semitendinosus and semimembranosus
Inferior lateral: lateral head of gastrocnemius
Inferior medial: medial head of gastrocnemius
The posterior compartment of the thigh contains thigh _______ and leg _______.
Thigh extensors
Leg flexors
The lateral branch of this nerve supplies the skin over the superolateral part of buttock.
Iliohypogastric (L1 and some T12)
This nerve runs along the path of the sartorius muscle and innervates the skin of the anterior medial aspect of the thigh
Anterior femoral cutaneous
Levator Ani Origin
Body of pubis,
Obturator fascia,
Ischial spine