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lumbar plexus
a large nerve plexus formed by ventral roots of L1-L4
femoral nerve
supplies hip flexor and anterior thigh muscles
obturator muscles
supplies adductor muscles
abdominal artery--common iliac artery--external iliac artery--femoral artery (when passes under inguinal ligaments and enters femoral triangle
name the arteries that supply blood to the lower limbs
adductor longus -medially
sartorius-laterally
inguinal ligament- superiorly
what borders the femoral triangle medially, laterally and superiorly?
medial and lateral circumflex femoral arteries
What arteries arise from a branch off the femoral artery and supply the hip joint and surrounding soft tissues?
psoas major O: lumbar vertebrae and discs
iliacus O: iliac fossa (inner surface of ilium)
I: lesser trochanter of femur
A: hip flexion, anterior pelvic rotation
active when walking during the swinging phase,
and it helps in climbing the stairs
Iliopsoas OIA
when is this muscle functionally active?
O: anterior interior iliac spine and ilium superior to acetabulum
I: superior aspect of patella and patellar tendon to tibial tuberosity
A: hip flexion, knee extension, anterior pelvic rotation
Rectus Femoris OIA
O: anterior superior iliac spine (ASIS)
I: anterior medial surface of tibia, inferior to tibial condyle
A: hip flexion, abduction, external rotation, anterior pelvic rotation, assits in knee flexion and internal rotation
Sartorius OIA
sacral plexus
a large plexus formed by the lumbosacral trunk and the ventral roots of S1-S4
Superior Gluteal Nerve
supplies gluteus medias and minimus and tensor fascia lata
inferior gluteal nerve
supplies gluteus maximus
sciatic nerve
supplies posterior(hamstring) muscles
O: posterior surfaces of ilium, sacrum, and coccyx
I: superficial-iliotibial band/tract
deep-gluteal tuberosity of the femur
A: hip extensor, external rotation, posterior pelvic rotation, assists with abduction
N:inferior gluteal nerve
Gluteus Maximus OIAN
external rotation or/and abduction
By adding what two movements to active hip extension increase the electrical activity of gluteus maximus?
General origin: lateral (outer) surface of the ilium
Gluteus Medius O: just inferior to iliac crest
Gluteus Minimus O: inferior to origin of gluteus medius
I: greater trochanter
A:all fibers- hip abduction
anterior- hip internal rotation
posterior- hip external rotation
N: superior gluteal nerve
Gluteus Minimus and Medius OIAN
the pelvis will drop when doing single leg stances and lower extremities duirng single leg closed chain exercises will not be aligned
What happens when there is a weakness in the gluteus medius and minimus?
O: outer surface of anterior iliac crest
I: iliotibial tract/band
N: superior gluteal nerve
A: flexion, abduction, internal rotation
tensor fascia lata OIAN