аЯрЁБс>ўџ )+ўџџџ(џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС5@ №П§bjbjЯ2Я2 "­X­X§ џџџџџџˆ2222222F     Fј Ж66666666w y y y y y y $Ў Rj 2I 66I I  2266В % % % I .2626w % I w % % 7 227 6* @G­ЫˆХ w R7 w Ш 0ј 7 jЩ Fj7 FF2222j27 @6’Шh% 0T„Х666  FFФ  FF Gluteal Region Questions 1. What are the borders of the gluteal region? 2. What is structure and function of the pelvic girdle? 3. Locate the important features of the Ilium, Ischium, Pubis, and Femur. 4. What is the normal angle of the femural neck? What are two variances to this “angle of inclination”? 5. Name the two sacro iliac joints and their origins and insertions. 6. Name the two sciatic foramina and the subsequent structures that pass through them. 7. List the origin, insertion, and action of Gluteus maximus. 8. List the origin, insertion, innervation and action of Gluteus medius. 9. List the origin, insertion, innervation and action of Gluteus minimus. 10. List the origin, insertion, innervation and action of Tensor Fasciae Latae. 11. Explain Tendelenburgs’s sign. 12. Name the origin, insertion, innervation and action of Deep Gluteal Muscles. 13. What arteries branch from the internal iliac and what foramen do they exit through? 14. What nerves exit the greater sciatic foramen below piriformis? 15. What enters and exits the lesser sciatic foramen? 16. Observe the coordinants and exceptions of Sciatic nerve on slides 31 and read about its application to intramuscular injections of the butt. 17. Observe the four quadrants receiving cutaneous innervation in the butt on slide 33. 18. Name the tree primary arteries of the gluteal region in relation to the Internal iliac artery and its coresponding trunks. 19. What arteries are involved in the cruciate anastomosis? Gluteal Region Awnsers 1. Illiac Crest to gluteal fold of buttock 2. Structure: 2 Hip bones, Sacrum, and Coccyx Function: Stability during weight bearing and locomotion. 3. OK 4. Angle of inclination = 125* Coxa Vara = decreased angle and shorter limb (greater trochanter palpable through skin), Coxa Valga = increased angle and longer limb. 5. Sacrotuberous ligament – Sacrum/coccyx/PIIS to ischial tuberosity Sacrospinous ligament – Lower sacrum to Ischial spine 6. Greater sciatic foramen – Superior and Inferior gluteal Arteries and Nerves Lesser sciatic foramen – Pudendal Nerve, Internal Pudendal Artery, Nerve to obturator internis, and nerve to quadratus femoris. 7. O and I: Ilium to the gluteal tuberosity of femur and iliotubial tract Actions: extend and laterally rotate hip joint, contribution to extension of knee joint 8. O and I: Ilium to upper greater trochanter, superier gluteal nerve, abduction of hip 9. O and I: Ilium to anterier greater trochanter, superior gluteal nerve, abductor and medial rotation of thigh. 10. O and I: Outer rim of Ilium to iliotibial tract, superior gluteal nerver, knee extension 11. Dropped pelvis on opposite side of effected Gluteus minimus and medius do to an injured superior gluteal nerve. 12. Look on page 8 and 9 of notes ;-). 13. Superior (above) and Inferior gluteal arteries and internal pudendal (below) exit through the greater sciatic foramen (around the piriformis muscle respectively). 14. Sciatic nerve, inferior gluteal nerve, nerve to obturator internus, nerve to quadratus femoris, posterior femoral cutaneous nerve, and pudendal nerve. 15. Obturator internus muscle exits. Pudendal nerve, Internal pudendal artery, and nerve to obturator internus enter. (PIN) 16. OK 17. OK 18. Posterior trunk – Superior gluteal artery Anterior trunk – Inferior gluteal arter and Internal pudendal artery 19. 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