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Lumbrosacral spine
first quiz after midterm
135
Anatomy
Graduate
06/19/2013

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Term
4 ligaments that limit movement of sacro joints
Definition
anterior sacroilliac, posterior sacroiliac, sacrotuberous, supraspinous
Term
primary ossification centers in vertebra
Definition
centrum and neural arches (vertebral arch-becomes pedicles and lamina
Term
orientation of erector spinae and transversospinalis from lateral to medial (use acronym)
Definition
illeocostalis, longissimus, spinalis, semispinalis, multifidus, rotatores
Term
nerve supply to erector spinae (ILS)
Definition
dorsal rami
Term
main action of erector spinae (ILS)
Definition
Acting bilaterally, they extend vertebral column and head; control flexion eccentrically (“action of paradox”); unilaterally they laterally bend vertebral column
Term
origin of erector spinae
Definition
Broad tendon from iliac crest, posterior sacrum, sacroiliac ligaments, and sacral and inferior lumbar spinous processes
Term
insertion of illiocostalis
Definition
angles of lower ribs 6-12
Term
insertion of longissimus
Definition
ribs between tubercles and angles, transverse processes in thoracic region
Term
insertion of spinalis
Definition
spinous processes
Term
origin of illiocostalis lumborum
Definition
transverse processes of L1-L4, posterior iliac crest, sacrum, middle layer of the thoracolumbar fascia
Term
muscles of the spinalis
Definition
thoracis, cervicis, capitis
Term
muscles of the illiocostalis
Definition
lumborum, thoracis, cervicis
Term
muscles of the longissimus
Definition
lumborum, thoracis, cervicis, capitis
Term
action of illiocostalis
Definition
extends (both sides), laterally flexes (same side), rotates (same side) the lumbar spine
Term
origin of longissimus lumborum
Definition
posterior ilium, posterior superior iliac spine
Term
action of longissimus lumborum
Definition
extends (both sides), laterally flexes (same side) and rotates (same side) the lumbar spine.
Term
insertion of longissimus lumborum
Definition
dorsal aspect of transverse processes of L1 - L5
Term
origin of longissimus thoracis
Definition
posterior medial iliac crest, posterior sacrum, spinous processes of L3 – S3
Term
insertion of longissimus thoracis
Definition
transverse processes of T1-T12; ribs 3-12
Term
action of longissimus thoracis
Definition
extends (both sides) and laterally flexes (same side) the lumbar spine; laterally flexes thoracic spine
Term
muscles of levator ani
Definition
pubococcygeus, puborectalis, illiococcygeus
Term
muscles of the pelvic floor
Definition
levator ani, coccygeus, obturator internus, piriformis
Term
location of coccygeus
Definition
Borders the pelvic diaphragm posteriorly
Term
location of coccygeus
Definition
Arises from the ischial spine and expands to insert on the lateral borders of the lower two sacral and upper two coccygeal segments.
Term
where does the spinal cord end?
Definition
L2
Term
3 parts of the lumbrosacal plexus
Definition
lumbar, lumbrosacral, sacrococcygeal
Term
nerve roots of lumbar portion of plexus
Definition
(t12) L1-L4 anterior rami
Term
nerve roots of lubrosacral portion of plexus
Definition
Anterior rami L4, L5 and S1, S2, S3, (S4)
Term
nerve roots of sacrococcygeal portion of plexus
Definition
s2-c1
Term
obturator nerve formed by
Definition
Anterior divisions of L2, L3 and L4
Term
femoral nerve formed by
Definition
Posterior divisions of L2, L3, and L4
Term
sciatic nerve formed by
Definition
Anterior and posterior divisions of L4 and L5 form the lumbosacral trunk, joining the anterior and posterior divisions of spinal nerves S1-S3
Term
where does the sciatic nerve leave the pelvis?
Definition
greater sciatic notch, passes laterally through the greater sciatic foramen
Term
where does the femoral nerve terminate
Definition
femoral triangle by splitting into several branches distal to the inguinal ligament
Term
what does the obturator nerve pass through and what does it supply?
Definition
the obturator foramen (with the obturator artery and vein) to supply the medial aspect of the thigh.
Term
spinal nerves l2-l4 form
Definition
femoral and obturator nerves which innervate the anterior and medial aspects of the thigh (m & s)
Term
spinal nerves l3-s3 form
Definition
sciatic nerve which emerges posterior of the pelvis (m & s). Largest and longest nerve in the body, innervates posterior and lateral aspects of LE.
Term
spinal nerves s2-c1 form
Definition
pudendal nerve and levator ani (m & s). Mnemonic (“S2,3 and 4 keep it up off the floor”)
Term
fibular and what are used interchangably
Definition
perineal
Term
iliohypogastric nerve gives sensation to what areas
Definition
above pubis, posterolateral buttocks, lowest dermatome of anterior body wall
Term
iliohypogastric nerve supplies these muscles
Definition
Transversus Abdominis and Internal Oblique
Term
ilioinguinal nerve gives sensation to what areas
Definition
anterior labial or scrotal region
Term
genitofemoral nerve gives sensation to
Definition
proximal skin of thigh, anterior labial and scrotal area
Term
genitofemoral nerve supplies
Definition
cremaster
Term
psoas innervated by
Definition
Accessory Obturator (L2-L4) Inconsistent Nerve
Term
Lateral Femoral Cutaneous (L2-L3) gives sensation to
Definition
lateral proximal thigh
Term
where is the femoral nerve located?
Definition
Lies between psoas major and iliacus
Term
femoral nerve gives sensation to
Definition
Anteromedial thigh, medial leg and foot (via Cutaneous and Saphenous N.)
Term
femoral nerve supplies these muscles
Definition
Psoas, Iliacus, Pectineus, Rectus Femoris, Quadriceps, Sartorius, Articularis Genu
Term
borders of the femoral triangle
Definition
Inguinal Ligament, Sartorius Muscle, and Adductor Longus
Term
what is NAVEL?
Definition
in the femoral triangleThe, TAN becomes nerve, artery, vein, empty spot, and lymphatics
Term
The Tibial (L4-S3) nerve gives sensation to
Definition
Proximal and posterolateral calf (via Sural N.), plantar aspect of foot (via Med and Lat Plantar N.)
Term
the tibial nerve supplies these muscles
Definition
Extensive-Biceps Femoris LH, Semitendinosis, Semimembranosus, Superficial and Deep Posterior Compartments of Leg, and Foot Intrinsics
Term
Nerve to Obturator Internus (L5-S2) supplies these muscles
Definition
Obturator Internus, Superior Gemelli
Term
Nerve to Quadratus Femoris (L4-S1)supplies these muscles
Definition
Quadratus Femoris, Inferior Gemelli
Term
Pudendal (S2-S4) gives sensation to
Definition
Perineum via Inferior Rectal, Dorsal N. to penis/clitoris
Term
pudendal nerve supplies
Definition
Bulbospongiosus, Ischiocavernosus, Urethral sphincter, Urogenital diaphragm, Spincter Ani
Term
Nerve to Coccygeus (S3-S4) supplies
Definition
Coccygeus and Levator Ani
Term
Common Peroneal (L4-S2) nerve gives sensation to
Definition
Proximal and distal lateral leg and lateral foot (via Sural and Superficial Peroneal Nn.)
Term
common peroneal nerve supplies
Definition
Biceps Femoris SH, Anterior and Lateral Compartments of Leg. Extensor Digitorum Brevis
Term
Superior Gluteal (L4-S1)nerve supplies
Definition
Glutueus Medius, Gluteus Minimus, Tensor Fascia Latae
Term
Inferior Gluteal (L5-S2) nerve supplies
Definition
glutueus maximus
Term
Nerve to Piriformis (S2) supplies
Definition
piriformis
Term
Posterior Femoral Cutaneous Nerve (S1-S3) gives sensation to
Definition
posterior thigh
Term
how many degrees of freedom relative to movement exist in the lumbrosacral spine?
Definition
6
Term
how are lumbar vertebra different that thoracic vertebra?
Definition
they have shorter spinous processes
Term
what are intervertebral joints classified as?
Definition
symphasis
Term
what is the functional unit in relation to lumbar vertebrae?
Definition
the intervertebral disc and half of the adjacent superior and inferior vertebrae
Term
what are the parts of the intervertebral disk?
Definition
nucleus pulposus, annulus fibrosus, and cartilaginous end plates
Term
what is the annular lammella made of
Definition
fibrous outer rings made up of 6-10 circular layers of fibrocartilage. layers of concentric parallel collagen fibers (arranged orthogonally at 65 degrees)
Term
what is the nucleus pulposus
Definition
a spherical shaped gelatinous mass composes of a network of fine collagen fibers imbedded in a mucopolysaccharide gel
Term
where does the nutrition for the nucleus pulposa come from
Definition
nutrient channels in the vertebral body
Term
what is degenerate disk caused by?
Definition
excessive drying of the nucleus pulposa
Term
what supplies blood to the vertebral body
Definition
the lumbar artery branches including nutrient arteries
Term
what is the difference between a disc herniation and a protrusion?
Definition
a herniation is when the fibers are disrupted (broken, looks like it's blown out). a protrusion is just a bulge (fibers are intact)
Term
origin of gluteus maximus
Definition
ilium posterior to posterior gluteal line, dorsal surface of sacrum and coccyx, and sacrotuberous ligament
Term
insertion of gluteus maximus
Definition
Most fibers end in iliotibial tract that
inserts into lateral condyle of tibia. Some fibers insert on gluteal tuberosity
of femur
Term
innervation of gluteus maximus
Definition
Inferior gluteal nerve (L5, S1, and S2)
Term
action of gluteus maximus
Definition
Extends thigh (epsecially from flexed
position) and assists in its lateral rotation. Steadies thigh and assists in rising form
sitting position.
Term
origin of gluteus medius
Definition
External surface of ilium between
anterior and posterior gluteal lines
Term
insertion of gluteus medius
Definition
Lateral surface of greater trochanter of
femur
Term
innervation of gluteus medius
Definition
ISuperior gluteal nerve (L5 and S1))
Term
action of gluteus medius
Definition
Abducts and medially rotates thigh. Keeps pelvis level when opposite leg is
raised.
Term
origin of Gluteus Minimus
Definition
External surface of ilim between anterior
and interior gluteal lines
Term
insertion of Gluteus Minimus
Definition
Anterior surface of greater trochanter of
femur
Term
innervation of Gluteus Minimus
Definition
ISuperior gluteal nerve (L5 and S1)
Term
action of Gluteus Minimus
Definition
Abducts and medially rotates thigh. Keeps pelvis level when opposite leg is
raised.
Term
origin of Piriformis
Definition
Anterior surface of sacrum and
sacrotuberous ligament
Term
insertion of Piriformis
Definition
Superior border of greater trochanter of
femur
Term
innervation of Piriformis
Definition
Branches of ventral rami and S1 and S2
Term
action of Piriformis
Definition
Laterally rotate extended thigh and
abduct flexed thigh. Steady femoral head in acetabulum
Term
origin of Obturator Internus
Definition
Pelvic surface of obturator membrane
and surrounding bones
Term
insertion of Obturator Internus
Definition
Medial surface of greater trochanter
(trochanteric fossa) of femur
Term
innervation of Obturator Internus
Definition
Nerve obturator internus (L5 and S1)
-Superior gemellus: same nerve supply
as obturator internus
-Inferior gemellus: same nerve supply as
quadratus femoris
Term
action of Obturator Internus
Definition
Laterally rotate extended thigh and
abduct flexed thigh
-Steady femoral head in acetabulum
Term
origin of Gemelli Superior and Inferior
Definition
Superior: ischial spine
-Inferior: ischial tuberosity
Term
insertion of Gemelli Superior and Inferior
Definition
Medial surface of greater trochanter
(trochanteric fossa) of femur
Term
innervation of Gemelli Superior and Inferior
Definition
Nerve obturator internus (L5 and S1)
-Superior gemellus: same nerve supply
as obturator internus
-Inferior gemellus: same nerve supply as
quadratus femoris
Term
action of Gemelli Superior and Inferior
Definition
Laterally rotate extended thigh and
abduct flexed thigh
-Steady femoral head in acetabulum
Term
origin of Quadratus Femoris
Definition
Lateral border of ischial tuberosity
Term
insertion of Quadratus Femoris
Definition
Quadrate tubercle on intertrochanteric
crest of femur and area inferior to it
Term
innervation of Quadratus Femoris
Definition
Nerve to quadratus femoris (L5 and S1)
Term
action of Quadratus Femoris
Definition
Latterly rotates thigh
- Steadies femoral head in acetabulum
Term
origin of Pectineus
Definition
Superior ramus of pubis
Term
insertion of Pectineus
Definition
Pectineal line of femur, just
inferior to lesser trochanter
Term
innervation of Pectineus
Definition
Femoral nerve (L2 and L3); may
receive a branch from obturator
nerve
Term
action of Pectineus
Definition
Adducts and flexes thigh; assists
with medial rotation of thigh
Term
origin of Psoas Major
Definition
Sides of T12-L5 vertebrae
and discs between them
-Transverse processes of all
lumbar vertebrae
Term
insertion of Psoas Major
Definition
Lesser trochanter of femur
Term
innervation of Psoas Major
Definition
Ventral rami of lumbar nerves
(L2 and L3)
Term
action of Psoas Major
Definition
Act conjointly in flexing thigh
at hip joint and in stabilizing
this joint.
Term
origin of Psoas Minor
Definition
Sides of T12-L1 vertebrae
and intervertebral disc
Term
insertion of Psoas Minor
Definition
Pectineal line, iliopectineal
eminence via iliopectineal
arch
Term
innervation of Psoas Minor
Definition
Ventral rami of lumbar
nerves (L1 and L2)
Term
action of Psoas Minor
Definition
Act conjointly in flexing
thigh at hip joint and in
stabilizing this joint.
Term
origin of Iliacus
Definition
Iliac crest, iliac fossa,
ala of sacrum and
anterior sacroiliac
ligaments
Term
insertion of Iliacus
Definition
Tendon of psoas
major, lesser
trochanter, and femur
distal to it
Term
innervation of Iliacus
Definition
Femoral nerve (L2 and
L3)
Term
action of Iliacus
Definition
Act conjointly in flexing
thigh at hip joint and in
stabilizing this joint.
Term
origin of Tensor of fascia lata
Definition
Anterior superior iliac
spine and anterior part
of iliac crest
Term
insertion of Tensor of fascia lata
Definition
Iliotibial tract that
attaches to lateral
condyle of tibia
Term
innervation of Tensor of fascia lata
Definition
Superior gluteal (L4
and L5)
Term
action of Tensor of fascia lata
Definition
Abducts medially
rotates, and flexes high
- Helps to keep knee
extended
- Steadies trunk on thigh
Term
origin of Sartorius
Definition
ASIS and superior part
of notch inferior to
ASIS
Term
insertion of Sartorius
Definition
Superior part of medial
surface of tibiaPes
Anserine tendon
Term
innervation of Sartorius
Definition
Femoral nerve (L2 and
L3)
Term
action of Sartorius
Definition
Flexes,abducts, and
laterally rotates thigh at
hip joint
- Flexes leg at knee
joint;; medial rotates
tibia
Term
6 major ligaments
Definition
Anterior longitudinal ligament, Posterior longitudinal ligament, Ligamentum flavum, Interspinous ligament, intertransverse ligament,Supraspinous ligament
Term
Anterior longitudinal ligament does:
Definition
checks extension
Term
Posterior longitudinal ligament does:
Definition
checks flexion
Term
Ligamentum flavum does:
Definition
checks flexion and maintains disc pressure (very elastic)
Term
Interspinous ligament does:
Definition
checks flexion
Term
Intertransverse ligament does:
Definition
checks lateral flexion (side bending)
Term
Supraspinous ligament does:
Definition
checks flexion
Term
anterior longitudinal ligament lies:
Definition
on the
anterior surface of each
vertebral body from the
axis to the sacrum. Its deep
fibers attach to the rim of
each vertebral body and
interweave with the
intervertebral disc.
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