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The pelvic girdle attaches the __ __ to the __
lower limbs; skeleton
The pelvic girdle consists of __
the right and left hip bones and the sacrum that connects the hip bones on the posterior side
Each of the hip bones begins as three separate bones: __, __, __. These bones eventually fuse together, but bone markings are still considered to belong to one of these three distinct regions.
Ilium, ischium, pubis
Where does the lower limb attach to the hip bone?
Acetabulum (part of the body of the hip bone)
What is the pelvic brim?
Composed of sacral prominence, arcuate line of ilium, and pectineal line of the pubis
What does pelvic brim NOT contain?
The ischium
Difference in pelvic brim in males and females?
Pelvic brim is larger and wider BUT SHALLOWER in females; more oval
Males have a smaller BUT DEEPER pelvic brim; rounder
What is the pubic arch?
Formed by the convergence of the inferior rami of the ischium and the pubis of either side of the pelvis
Difference between male and female pubic arch?
Pubic arch is more of an acute angle in males, where it is more of an obtuse angle in females
How would you differentiate between a right and left femur? (specifically using the condyles)
Anteriorly, the right femur angles toward the right while left femur angles toward the left
Condyles are on the posterior side
The medial malleolus is on the __, while the lateral malleolus is on the __
tibia, fibula (distal)
Which bones compose the knee joint?
Femur, tibia, fibula (patella supports), patella
Where do the different bones attach to each other?
Head and lateral malleolus
How do the distinct characteristics of the female pelvis make childbirth easier?
The wider (obtuse) angle of the pelvic brim allows for easier passage of the child through the birth canal
Which bone markings are responsible for making the protrusions of the ankles, just above the feet?
Lateral malleolus - comprised of the talus and fibula
Medial malleolus - comprised of the talus and tibia
The femoral nerve supplies the __
muscles of the anterior compartment of the thigh
The obturator nerve supplies the __
muscles of the medial (adductor) compartment of the thigh
The sciatic nerve is really two nerves that are bundled into one nerve in the thigh (__ and __ __ nerves)
tibial; common fibular
Tibial nerve supplies the __ (which parts of the thigh/leg/foot)
posterior compartment of the thigh, leg, and plantar surface of the foot
Common fibular nerve supplies the __ (which parts of the thigh/leg/foot)
anterior and lateral compartments of the leg and the dorsal surface of the foot
Gluteus maximus (action/innervation/classification)
Extension of the hip, lateral rotation, abduction of the thigh at the hip
Gluteal nerve (inferior)
Muscle of the hip
Gluteus medius (action/innervation/classification)
Abduction (primary abductor) and extension of the thigh at the hip; stabilization of the hip; anterior fibers --> medial (internal) rotation of the thigh at the hip; posterior fibers --> lateral (external) rotation of the thigh at the hip joint
Gluteal nerve (superior)
Muscle of the hip
Gluteus minimus (action/innervation/classification)
Abduction; stabilization of the hip joint; anterior fibers --> medial (internal) rotation of the thigh tat the hip joint; posterior fibers --> lateral (external) rotation of the thigh at the hip joint
Gluteal nerve (inferior)
Muscle of the hip
Which muscles make up the muscles of the hip?
Gluteus maximus, gluteus medius, gluteus minimus
Sartorius (action/innervation/classification)
Flexes, abducts, and laterally rotate the thigh; flexes and medially rotates the leg at the knee
Femoral nerve
Muscle of anterior thigh
Rectus femoris (action/innervation/classification)
Extension of the leg at the knee joint, flexion of the hip
Femoral nerve
Muscle of anterior thigh
Vastus medialis (action/innervation/classification)
Extension of the leg at the knee joint
Femoral nerve
Muscle of anterior thigh
Vastus intermedius (action/innervation/classification)
Extension of the leg at the knee joint
Femoral nerve
Muscle of anterior thigh
Vastus lateralis (action/innervation/classification)
Extension of the leg at the knee joint
Femoral nerve
Muscle of anterior thigh
Which muscles make up the quadriceps?
Rectus femoris (which can also do flexion of the hip which the other three muscles do not), vastus medialis, vastus lateralis, vastus intermedius
Which muscles make up the muscles of the anterior thigh?
Rectus femoris, vastus medialis, vastus lateralis, vastus intermedius, sartorius
Biceps femoris-long head (action/innervation/classification)
Flexion and lateral rotation of lower leg at the knee joint; extension of the thigh at the hip joint
Tibial nerve
Muscle of posterior thigh
Biceps femoris-short head** (action/innervation/classification)
Flexion and lateral rotation of the lower leg at the knee joint
Fibular nerve
Muscle of posterior thigh
NOT PART OF THE HAMSTRINGS
Semimembranosus (action/innervation/classification)
Flexes the leg at the knee joint; rotates the leg medially
Tibial nerve
Muscle of posterior thigh
Semitendinosus (action/innervation/classification)
Flexes the leg at the knee joint; rotates the leg medially
Tibial nerve
Muscle of posterior thigh
Which muscles make up the hamstrings? What are they innervated by?
Semimembranosus, semitendinosus, biceps femoris-long head
Tibial nerve
List the muscles of the posterior thigh
Semimembranosus, semitendinosus, biceps femoris-long head, biceps femoris-short head
Gracilis (action/innervation/classification)
Adduction/flexion of the thigh at the hip, flexion and medial rotation at the knee
Obturator nerve
Muscle of medial thigh
Adductor longus (action/innervation/classification)
Adducts the thigh POWERFULLY; rotates the thigh medially
Obturator and branch from sciatic nerve
Muscle of medial thigh
Adductor magnus (action/innervation/classification)
Adduction and extension of the thigh at the hip
Obturator and branch from sciatic nerve
Muscle of medial thigh
Adductor brevis (action/innervation/classification)
Adduction and flexion of thigh at the hip
Obturator and branch from sciatic nerve
Muscle of medial thigh
Pectineus
Adducts the thigh; flexes thigh; externally rotates thigh
Femoral nerve and occasionally the obturator nerve
Muscle of medial thigh
List the muscles of the medial thigh
Adductor magnus, adductor brevis, adductor longus, gracilis, pectineus
If the tibial part of the sciatic nerve was cut in the upper part of the thigh, could you get any flexion at the knee?
Yes - gracilis (part of medial compartment of the thigh) does flexion and is innervated by the obturator nerve
The hip joint is a __ joint with a large range of motion
ball in socket
The __ of the __ is held into the hip bone with several very strong ligaments
head; femur
The iliofemoral, ischiofemoral, and pubofemoral ligaments are ligaments of the __ and connect the __ to the __, and support and stabilize the hip joint. When the leg is extended, these ligaments __ __ around the capsule, when the leg is flexed, the ligaments __.
hip; pelvis; femur; wind tighter; unwind
Iliofemoral ligament
Y-shaped, strong band that serves to strengthen the joint capsule
Keeps the hip joint from hyperextending while standing
Pubofemoral ligament
Strengthens the joint and prevents over-abduction
Ischiofemoral ligament
Becomes taut during abduction and looser during adduction
The knee joint is mainly a __ joint but has a small amount of __ rotation as it goes into full __ and locks into position. It then must move into __ rotation to unlock the knee and move into __.
hinge; medial; extension; lateral; flexion
Function of anterior cruciate ligament?
Prevent anterior sliding of the tibia; prevent posterior sliding of the femur
Function of posterior cruciate ligament?
Prevent posterior sliding of the tibia; prevent anterior sliding of the femur
When does the unhappy triad occur?
When the knee is extended and locked and then receives a blow on the lateral surface
The unhappy triad is a tear in the __, __, and __
ACL, medial meniscus, and MCL (medial collateral ligament)