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Gluteal Region-PT620

Notes, facts, questions from outline- Summer 2009

QuestionAnswer
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