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    LG #14 - Buttock and Hip

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    LG #14 - Buttock and Hip

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    1 views4 pages

    LG #14 - Buttock and Hip

    Uploaded by

    sabra1rr

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    © All Rights Reserved
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    HSC 630

    LEARNING GUIDE
    BUTTOCK AND HIP

    A: Osteology and Arthrology of the Hip and Pelvis


    Objectives:
    1. Review the general organization of the hip and pelvis:
    2. Identify the osteology of the hip and pelvis region, including how they relate to the clinical
    applications. Be sure to understand key relationships, sites of attachment, and surface
    anatomy landmarks:
    a. Hip bone (coxal/pelvic bone)
    i. Iliac crest
    ii. Anterior superior iliac spine
    iii. Anterior inferior iliac spine
    iv. Posterior superior iliac spine
    v. Posterior inferior iliac spine
    vi. Greater and lesser sciatic notches
    vii. Ischial spine
    viii. Ischial tuberosity
    ix. Ischial ramus
    x. Superior and inferior pubic rami
    xi. Auricular surface
    xii. Acetabulum
    xiii. Obturator foramen
    xiv. Iliac fossa
    b. Femur
    i. Head (and fovea)
    ii. Neck
    iii. Greater and lesser trochanters
    iv. Shaft
     Linea aspera
    3. Identify the structures of the hip joint, including how they relate to the clinical applications.
    Be sure to understand their general function:
    a. Hip joint:
     Iliofemoral ligament
     Pubofemoral ligament
     Ischiofemoral ligament
    i. Acetabular labrum
    ii. Transverse acetabular ligament
    iii. Acetabular fossa
    iv. Ligament of the head of the femur
    Clinical Applications:
    1. Injuries of Hip Bone (Moore 8th Edition, pg. 684)
    2. Coxa Vara and Coxa Valga (Moore 8th Edition, pg. 685)
    3. Fractures of Femoral Neck (Moore 8th Edition, pg. 818-19)
    4. Necrosis of Femoral Head in Children (Moore 8th Edition, pg. 819)
    5. Dislocation of Hip Joint (Moore 8th Edition, pg. 819-20)
    HSC 630
    LEARNING GUIDE
    BUTTOCK AND HIP

    B: Gluteal Region
    Objectives:
    1. Review the surface anatomy landmarks in the gluteal region:
    a. Iliac crest
    b. Posterior superior iliac spine
    c. Ischial tuberosity
    d. Greater trochanter
    e. Gluteal fold
    f. Intergluteal cleft
    2. Identify the muscles of the gluteal region and posterior compartment of the thigh, including
    how they relate to the clinical applications. Be sure to understand their attachments,
    action(s), and innervation:
    a. Gluteal region
    i. Gluteus maximus
    ii. Gluteus medius
    iii. Gluteus minimus
    iv. Tensor fascia lata
    i. Iliotibial band (tract)
    v. Piriformis
    vi. Obturator internus
    vii. Superior gemellus
    viii. Inferior gemellus
    ix. Quadratus femoris
    b. Posterior compartment of thigh
    i. Biceps femoris
    ii. Semitendinosus
    iii. Semimembranosus
    3. Identify the neurovascular structures of the gluteal region, including how they relate to the
    clinical applications. Be sure to understand their origin, course, and distribution:
    a. Sciatic nerve
    b. Superior gluteal nerve
    c. Inferior gluteal nerve
    d. Posterior femoral cutaneous nerve
    e. Pudendal nerve
    f. Superior gluteal artery
    g. Inferior gluteal artery
    h. Internal pudendal artery
    Clinical Applications:
    1. Injury to Superior Gluteal Nerve (Moore 8th Edition, pg. 740-41)
     E.g., Trendelenburg Gait, Muscles Impacted, Motor and Sensory Deficits
    2. Injury to Sciatic Nerve (Moore 8th Edition, pg. 741)
     E.g., Muscles Impacted, Motor and Sensory Deficits
    HSC 630
    LEARNING GUIDE
    BUTTOCK AND HIP

    C: Femoral Triangle
    Objectives:
    1. Identify the borders of the femoral triangle.
    2. Identify the contents of the femoral triangle, including how they relate to the clinical
    applications. Be sure to understand their origin, course, relationships, and distribution:
    a. Femoral vein
    b. Femoral artery
    c. Femoral nerve
    d. Deep femoral artery
    e. Deep femoral vein
    f. Medial femoral circumflex artery
    g. Lateral femoral circumflex artery
    h. Obturator artery
    i. Artery to the head of the femur
    j. Great saphenous vein
    k. Superficial inguinal lymph nodes
    l. Deep inguinal lymph nodes
    Clinical Applications:
    1. Enlarged Inguinal Lymph Nodes (Moore 8th Edition, pg. 700)
    2. Palpation, Compression, and Cannulation of Femoral Artery (Moore 8th Edition, pg.
    719)
    3. Femoral Hernias (Moore 8th Edition, pg. 720)
    HSC 630
    LEARNING GUIDE
    BUTTOCK AND HIP

    D: Anterior and Medial Musculature of the Hip


    Objectives:
    1. Identify the areas associated with the anterior and medial thigh, including the structures
    passing through each:
    1. Adductor (Hunter’s) canal
    2. Adductor hiatus
    2. Identify the muscles of the anterior and medial hip/thigh, including how they relate to the
    clinical applications. Be sure to understand their attachments, action(s), and innervation:
    a. Pectineus
    b. Iliacus
    c. Psoas major
    d. Tensor fascia lata
    e. Rectus femoris
    f. Sartorius
    g. Adductor longus
    h. Adductor brevis
    i. Adductor magnus
    j. Gracilis
    k. Obturator externus
    Clinical Applications:
    1. Hip and Thigh Contusions (Moore 8th Edition, pg. 717)
    2. Psoas Abscess (Moore 8th Edition, pg. 717)
    3. Groin Pull (Moore 8th Edition, pg. 718)
    4. Injury to Adductor Longus (Moore 8th Edition, pg. 718-19)

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