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Gluteal Region-PT620
Notes, facts, questions from outline- Summer 2009
| Question | Answer |
|---|---|
| gluteal=_______ | ______=clunis=buttock |
| thigh | area between hip and leg |
| knee=______ | _____=genu |
| popliteal fossa | area behind knee |
| leg=______ | ________=crus -between ankle and knee. |
| hallux=_____ | ______=big toe |
| digitus minimus=_______ | little toe |
| What vertebra are included in the Lumbosacral Plexus? | L1-S4; (ventral rami) |
| OBTURATOR NERVE: vertebrae? to what group? | L2,3,4 to adductor group |
| FEMORAL NERVE vertebrae? to what group of mm.? | L2,3,4 to ant. thigh mm. |
| SCIATIC NERVE vertebrae? | L4,5,S1,2,3 |
| Name the 2 components of the Sciatic Nerve. | -Tibial Nerve. -Common Peroneal Nerve. |
| Tibial Nerve goes to what? | to hamstrings, posterior leg, and sole of foot. |
| Common Peroneal nerve goes to what? | to the short head of the biceps femoris, anterolateral muscles of leg, and dorsum of foot. |
| What is the biggest nerve in the body? | Sciatic nerve |
| SUPERIOR GLUTEAL NERVE vertebrae? | L4,5, S1 |
| INFERIOR GLUTEAL NERVE vertebrae? | L5, S1,2 |
| Superior AND Inferior Gluteal nerves go to what? They come from where/what? | to posterior hip muscles. from the sacral plexus. |
| Os coxa | hip bone |
| Name the largest sesamoid bone in the body. | patella |
| what bone develops in the quadriceps tendon? | patella |
| Name the facets on the patella. Are they all consistent? | Superior, Medial, Lateral, and Odd facets. (Odd and superior are inconsistent) |
| _______ _________ is the part of the tendon from the patella to the tibial tuberosity. | patellar ligament |
| Define sesamoid bone. | a bone embedded in a tendon. |
| How do you determine if a patella is left or right? | Place on flat surface with apex pointed away from you. It will tilt to the side of the usage b/c of the greatest bone mass on the lateral side. (Tilt left= Left patella) |
| Name the area of the dermatome: L1 | uppermost thigh, groin |
| Name the area of the dermatome: L2 | midthigh (upper lat. thigh) |
| Name the area of the dermatome: L3 | thigh to medial knee |
| Name the area of the dermatome: L4 | medial leg |
| Name the area of the dermatome: L5 | lateral leg, dorsum of foot. Big Toe |
| Name the area of the dermatome: S1 | Lateral Foot, posterior leg, little toe |
| Name the area of the dermatome: S2 | posterior thigh (post. leg-> post thigh) |
| Name the area of the dermatome: S3-C3 | buttocks to anus (concentric circle) |
| Name the function/movement for each MYOTOME: L1,2 | hip flexion |
| Name the function/movement for each MYOTOME: L3,4 | quads (knee extension) |
| Name the function/movement for each MYOTOME: L3,4 | adduction |
| Name the function/movement for each MYOTOME: L4,5 | dorsi flexion |
| Name the function/movement for each MYOTOME: L4,5 | inversion |
| Name the function/movement for each MYOTOME: L5 | abduction |
| Name the function/movement for each MYOTOME: L5, S1 | hamstrings (knee flexion) |
| Name the function/movement for each MYOTOME: L5, S1 | eversion |
| Name the function/movement for each MYOTOME: S1,2 | gluts (hip extension) |
| Name the function/movement for each MYOTOME: S1,2 | plantar flexion |
| The superficial fascia of the gluteal region is thick with much ___________ _____________. | adipose tissue. |
| What is the gluteal fold? | skin crease over hip joint. |
| True or False: The gluteal fold is over the inferior edge of gluteus maximus. | False! |
| The deep fascia of the gluteal region is connected to what two things? | iliac crest and sacrum |
| The deep fascia of the gluteal region splits to enclose what muscle? | gluteus maximus |
| The deep fascia of the gluteal region covers gluteus medius _______. | laterally. |
| The deep fascia of the gluteal region is continuous with ___(1)___ _________ of the thigh and ___(2)___ _______. | 1-fascia lata. 2-iliotibial band |
| the SACROSPINOUS LIGAMENT runs from _(1)_____ _______ of the ____(2)_____ to the __(3)_____ ______ | 1-anterior surface. 2-sacrum. 3-ischial spine. |
| the SACROTUBEROUS LIGAMENT runs from the __(1)__ surface of the __(2)___ to the __(3)__ _______. (superficial to the ____(4)_____ _______) | 1-lateral. 2-sacrum. 3-ischial tuberosity. 4-sacrospinous ligament. |
| the Sacrospinous Ligament closes off the _____ ___(1)____ ________ to form the ____ __(2)___ _____. | 1-Greater Sciatic Notch. 2-Greater Sciatic Foramen. |
| the Sacrotuberous Ligament ( w/ the help of the ___(1)__ ligament) closes off the ____ __(2)__ ____ to form the ____ ___(3)__ ____. | 1-sacrospinous ligament. 2-Lesser Sciatic Notch. 3-Lesser Sciatic Foramen. |
| Posterior, Anterior, and Inferior Gluteal Lines are what? | lines on the ilium that demarcate the attachments of the gluteal muscles. |
| Inferior Gluteal Line runs where? | from between ASIS and AIIS to greater sciatic notch. |
| Anterior Gluteal Line runs where? | from iliac crest, just post. to ASIS to greater sciatic notch. |
| Posterior Gluteal Line runs where? | from iliac crest, near PSIS, to greater sciatic notch near PIIS. |
| What muscle is a VERY powerful extensor of the thigh? | Gluteus Maximus. |
| The large bursa b/t the tendon of the gluteus maximus and the greater trochanter is called what? | trochanteric bursa (define) |
| What are two major hip abductors that are very important in gait? | Glut. Min and Glut Med. |
| __(1)__ and __(2)___ muscles act in walking to keep the pelvis __(3)___ when the opposite side is unsupported. | 1-Medius 2-Minimus 3-level |
| What is a positive Trendelenberg sign? | When standing on one leg the pelvis on the opposite side drops (cannot be held level). |
| What does a positive Trendelenberg sign indicate? | gluteus medius weakness in stance limb. (the side that is weak is named (+)) |
| Define Trendelenberg gait. | pelvis drops on side of swing phase limb during gait. Indicative of gluteus medius weakness in stance limb. |
| What muscle extends the knee because it pulls on the IT band? | Tensor Fascia Lata |
| What muscle is quadrangular shaped and attaches to the femur? | Quadratus Femoris |
| What artery is from the internal iliac artery, exits greater sciatic foramen above piriformis? | Superior Gluteal Artery |
| What artery is from internal iliac artery and exits greater sciatic foramen below piriformis? | Inferior Gluteal Artery |
| What artery supplies gluteus maximus, medius, and minimus? | superior gluteal artery |
| which artery gives rise to the artery that accompanies the sciatic nerve? | inferior gluteal artery |
| What nerve is below piriformis, medial to the sciatic n., runs deep to deep fascia, and supplies cutaneous innervation to post. thigh.? | Post. Femoral Cutaneous Nerve of the Thigh |
| Name the levels of the Post. Fem. Cutaneous Nerve of the Thigh. | S1,2,3 |
| What nerve exits under the inguinal ligament? (ventral rami L2,3) | Lateral Femoral Cutaneous Nerve |
| 80-90% of what nerve is connective tissue? | sciatic nerve |
| What two nerves make up the sciatic nerve? | tibial and common peroneal. |
| Where does the sciatic nerve usually found in relation to the piriformis? Name the levels for the Sciatic n. | usually below the piriformis. L4,5,S1. |
| What nerve exits greater sciatic foramen, innervates the glut. max, and appears below piriformis? Name the levels. | Inferior Gluteal Nerve. L5, S1,2 |
| In what quadrant of the gluteal region are injections given? Why? | Upper outer quadrant. To avoid hitting nerves. |
Created by:
christajtodd
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