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114 Cards in this Set
- Front
- Back
is prevented by the extensor retinacula of the foot Fascia - Deep to subcutaneous tissue, Connects “skin” to bone, Forms compartments, Provides tight fitting sleeve of support for upright posture
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Bowstringing
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Deep to subcutaneous tissue, Connects “skin” to bone, Forms compartments, Provides tight fitting sleeve of support for upright posture
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Fascia
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the aponeurosis of the tensor fascia lata plus the gluteus maximus muscles , most lateral structure of the thigh
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iliotibial tract
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- band running from the pubic tubercle to the anterior superior iliac spine.
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inguinal ligament
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Communication between lumbar plexus and sacral plexus
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lumbosacral trunk
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surface region in both males and females between the pubic symphysis and the coccyx. The perineum is the region of the body inferior to the pelvic diaphragm and between the legs
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perineum
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Generally regarded as such; supposed.
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putative
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A band or bandlike structure that holds an organ or a part in place.
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retinaculum (retinacula
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an oval opening in the superomedial part of the fascia lata that transmits the great saphenous vein and other smaller vessels
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saphenous hiatus
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Incompetent venous valves can cause veins to become dilated and tortuous, a condition called varicose veins, or varices
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varicose vein(s)
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Frequently, and especially in the extremities, veins closely accompany arteries, tend to be double or multiple
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venae comitantes
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What are the functions of fascia of the lower limb?
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Deep to subcutaneous tissue Connects “skin” to bone Forms compartments Provides tight fitting sleeve of support for upright posture
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What is the superior attachment of the fascia lata?
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Inguinal ligament
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Where is the crural fascia continuous with the periosteum of the leg?
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anterior and medial borders of the tibia, where it is continuous with its periosteum
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Name the general portion of the body supplied by Lumbar plexus
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supplies anterolateral abdominal wall, external genitalia, part of lower limbs
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Name the general portion of the body supplied by Sacral plexus
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supplies buttocks, perineum, lower limbs
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Name the general portion of the body supplied by Coccygeal plexus
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supplies small area of skin in the coccygeal region (plexus not discussed in this course)
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State the general region supplied by the anterior tibial artery
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anterior compartment of the leg
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State the general region supplied by the internal iliac artery
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iliopsoas
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State the general region supplied by the lateral plantar artery
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lateral arch of the foot
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State the general region supplied by the medial plantar artery
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medial arch of the foot
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State the general region supplied by the posterior tibial artery
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deep posterior compartment of the leg
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What nerve accompanies the anterior tibial artery
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deep fibular nerve
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What nerve accompanies the deep fibular nerve
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anterior tibial artery
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What nerve accompanies the femoral artery
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femoral nerve, femoral vein
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What nerve accompanies the femoral vein
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femoral artery, femoral nerve
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What nerve accompanies the saphenous nerve
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great saphenous vein
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What nerve accompanies the small saphenous vein
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sural nerve
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What nerve accompanies the sural nerve
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small saphenous vein
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Name the nerve that may be damaged with injury to each of the following:
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- anterior superior iliac spine – lateral cutaneous nerve of the thigh (lateral cutaneous femoral nerve
- head of the fibula – common fibular nerve |
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Compare the density (or number) of valves in deep veins of the lower limb with that of superficial veins
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Deep veins – more dense Superficial veins – less dense
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Why are superficial veins of the lower limb more prone to varices than are deep veins?
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deeper veins are not as vulnerable due to the surrounding skeletal muscles
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What is the effect on the diameter of superficial veins due to the shunting action of blood from superficial veins to deep veins?
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(normally, veins become larger closer to the heart since they receive more blood on their way to the heart), because blood is shunted from superficial veins to deep veins
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```````````OSTEOLOGY
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articular surface of pelvis that articulates with the head of femur to make up the hip joint
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Acetabulum
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a winglike part, process, or expansion of a bone
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Ala
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an abnormality of the hip in which the angle between the top of the femur and the femoral shaft is larger than normal
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coxa valga
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The portion of the bony pelvis superior to the pelvic brim
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false pelvis
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extends between tibia and fibula and separates the anterior from the posterior compartment
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interosseous membrane
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the circumference of the pelvic opening
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pelvic brim
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another name for pelvic brim
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pelvic inlet
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the angle that is created under the pubic symphasis between the ischial rami
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pubic arch
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Hip bones unite anteriorly at a joint
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pubic symphysis
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either of two knobs at the top of the femur serve as muscle attachments
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trochanter
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The portion of the bony pelvis inferior to the pelvic brim
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true pelvis
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What are the bones that comprise the os coxae?
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ilium
ischium pubis |
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Name the muscle(s)associated with Anterior gluteal line of the os coxae
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gluteus medius
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Name the muscle(s)associated with anterior inferior iliac spine of the os coxae
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rectus femoris
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Name the muscle(s)associated with anterior superior iliac spine of the os coxae
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Tensor fascia latae
Sartorius |
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Name the muscle(s)associated with iliac fossa of the os coxae
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iliacus
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Name the muscle(s)associated with the inferior gluteal line of the os coxae
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gluteus minimus
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Name the muscle(s)associated with the ischial spine of the os coxae
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superior gemellus
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Name the muscle(s)associated with the ischial tuberosity of the os coxae
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- Inferior gemellus
- Quadratus femoris --Hamstrings group: semimembranosus semitendinosus biceps femoris-long head |
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Name the muscle(s)associated with the obturator foramen of the os coxae
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obturator internus
obturator externus |
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Name the muscle(s)associated with the posterior gluteal line of the os coxae
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gluteus maximus
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What feature of the coxal bone do skin dimples mark the position of?
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posterior superior iliac spines
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Compare the pelves of males and females regarding the angle of the pubic arch (pubic angle)
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Female Pubic arch > 90°
Male Pubic arch < 90° |
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Compare the pelves of males and females regarding the shape and size of the pelvic brim
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Pelvic brim (inlet) larger and more oval in female
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Compare the pelves of males and females regarding the depth of the false pelvis
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False pelvis shallow in female, deep in male
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Compare the pelves of males and females regarding the orientation and size of the acetabulum
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smaller and faces anteriorly in female, laterally in male
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Compare the pelves of males and females regarding the orientation and size of the acetabulum
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smaller and faces anteriorly in female, laterally in male
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Compare the pelves of males and females regarding the width of the greater sciatic notch
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Greater sciatic notch wide in female
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Compare the pelves of males and females regarding the width of the pelvic outlet
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wider in female
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Name the muscle(s) that attaches to the greater trochanter of the femur:
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Gluteus medius
Gluteus minimus Piriformis Obturator internus |
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Name the muscle(s) that attaches to the lesser trochanter of the femur:
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---Common tendon of
Psoas major Iliacus |
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Name the muscle(s) that attaches to the tibial tuberosity
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rectus femoris
vastus lateralis vastus medialis vastus intermedius |
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Name the muscle(s) that attaches to the quadrate tubercle of the femur:
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quadrates femoris
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````````````````````HIP
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fibrocartilage lip that increases the depth of the acetabulum, and grasps the femoral head beyond its equator
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acetabular labrum
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one of the strongest ligaments in the body, Y-shaped, AKA Ligament of Bigelow
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iliofemoral ligament
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another name for the iliofemoral ligament
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Y” ligament of Bigelow
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What is the true articular surface of the hip?
What type of cartilage lines the articular surface? |
- Lunate surface is the true articular surface
- lined with hyaline cartilage |
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Where is the acetabular labrum located
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follows the bony rim of the cup-shaped acetabulum
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What is the acetabular labrum Composed of
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Fibrocartilage
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What is the Function of the acetabular labrum
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deepens the acetabular fossa, and helps stabilize the head of the femur in the acetabulum
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What is the function of the transverse acetabular ligament?
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Provides a bridge over the acetabular notch,
creating a foramen through which nutrient vessels can enter the joint |
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State the origin, insertion and the innervation of the gluteus maximus
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Origin: iliac crest and sacrum
Insertion: gluteal tuberosity (lateral part of linea aspera under greater trochanter of femur) and iliotibial band Innervation: inferior gluteal nerve |
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State the action and arterial
supply of the gluteus maximus |
Arterial Supply: inferior gluteal artery
Action: extends thigh at hip joint, laterally rotates thigh |
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State the origin, insertion and the innervation of the gluteus medius
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Origin: ilium
Insertion: greater trochanter of femur Innervation: superior gluteal nerve |
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State the action and arterial
supply of the gluteus medius |
Action: entire muscle abducts thigh at hip, anterior fibers flex and medially rotate thigh, posterior fibers extend and laterally rotate thigh
Arterial Supply: superior gluteal artery |
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State the origin, insertion and the innervation of the gluteus minimus
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Origin: ilium
Insertion: greater trochanter of femur Innervation: superior gluteal nerve |
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State the action and arterial supply of the gluteus minimus
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Action: entire muscle abducts thigh at hip, anterior fibers flex and medially rotate thigh, posterior fibers extend and laterally rotate thigh
Arterial Supply: superior gluteal artery |
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State the origin, insertion and the innervation of the Iliacus
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Origin: iliac fossa, sacrum
Insertion: lesser trochanter of femur Innervation: femoral nerve |
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State the action and arterial supply of the Iliacus
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Action: flexion of hip
Arterial Supply: |
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State the origin, insertion and the innervation of the inferior gemellu
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Origin: ischial tuberosity
Insertion: greater trochanter of femur Innervation: nerve to quadratus femoris and inferior gemellus |
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State the action and arterial supply of the inferior gemellu
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Action: rotates the thigh laterally; also helps abduct the thigh
Arterial Supply: inferior gluteal artery |
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State the origin, insertion and the innervation of the Piriformis
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Origin: sacrum
Insertion: greater trochanter of femur Innervation: piriformis nerve (AKA nerve to piriformis) |
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State the action and arterial supply of the Piriformis
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Action: laterally rotates and abducts thigh at the hip joint
Arterial Supply: superior and inferior gluteal arteries |
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State the origin, insertion and the innervation of the obturator internus
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Origin: inner (posterior) surface of membrane covering obturator foramen
Insertion: greater trochanter of femur Innervation: nerve to the obturator internus and superior gemellus |
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State the action and arterial supply of the obturator internus
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Action: rotates the thigh laterally; also helps abduct the thigh
Arterial Supply: superior and inferior gluteal arteries |
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State the origin, insertion and the innervation of the psoas major
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Origin: transverse processes of lumbar vertebrae
Insertion: lesser trochanter of femur Innervation: lumbar spinal nerves |
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State the action and arterial supply of the psoas major
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Action: flexion of hip, flexion of vertebral column
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State the origin, insertion and the innervation of the quadratus femoris
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Origin: ischial tuberosity
Insertion: intertrochanteric crest of femur Innervation: nerve to the quadratus femoris and inferior gemellus |
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State the action and arterial supply of the quadratus femoris
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Action: rotates the hip laterally
Arterial Supply: inferior gluteal artery |
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State the origin, insertion and the innervation of the superior gemellus
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Origin: ischial spine
Insertion: greater trochanter of femur Innervation: nerve to the obturator internus and superior gemellus |
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State the action and arterial supply of the superior gemellus
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Action: rotates the thigh laterally; also helps abduct the thigh
Arterial Supply: inferior gluteal artery |
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List the muscles that are “short lateral rotators” of the gluteal region
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Piriformis
Gemelli muscles Quadratus femoris Obturator internus Obturator externus |
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What is the normal relationship between the piriformis muscle and the sciatic nerve?
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The sciatic nerve exists the pelvic cavity below the piriformis
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Equate the inner and outer surfaces of the obturator membrane regarding which is anterior and which is posterior
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Inner – posterior
Outer - anterior |
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Lower limb plexuses consist of roots and divisions (anterior and posterior) [but no trunks, cords, or branches as found in brachial plexus]
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division
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causes compression and irritation of the sciatic nerve in the buttock, and is a cause of buttock pain and sciatica outside the spine.
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piriformis syndrome
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a network of nerves
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Plexus
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Lower limb plexuses consist of roots and divisions (anterior and posterior) [but no trunks, cords, or branches as found in brachial plexus]
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root of Plexus
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When the gluteus medius and gluteus minimus are inactive due to superior gluteal nerve injury, their supporting and steadying action is lost. The pelvis falls on the side of the raised limb.
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Trendelenburg sign
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What nerves of the lumbar plexus that are derived from the anterior division
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Iliohypogastric
Ilioinguinal Genitofemoral Obturator |
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What nerves of the lumbar plexus that are derived from the posterior division
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lateral cutaneous nerve of the thigh, femoral
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State the muscle group innervated by the motor component and the cutaneous region of the femoral nerve
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Motor – Flexor muscles of thigh, Extensor muscles of leg
Cutaneous – Skin over anterior and medial aspect of thigh, and medial side of leg and foot |
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State the muscle group innervated by the motor component and the cutaneous region of the genitofemoral nerve
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Motor – Cremaster muscle
Cutaneous – Skin over middle anterior surface of thigh, scrotum in male, labia majora in female |
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State the muscle group innervated by the motor component and the cutaneous region of the iliohypogastric
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Motor – Muscles of the
anterolateral abdominal wall Cutaneous – Skin of inferior abdomen and buttock |
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State the muscle group innervated by the motor component and the cutaneous region of the ilioinguinal nerve
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Motor – Muscles of the
anterolateral abdominal wall Cutaneous – Skin of superior medial aspect of thigh |
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State the muscle group innervated by the motor component and the cutaneous region of the obturator nerve
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Motor – adductor muscles of leg
Cutaneous – Skin over medial aspect of thigh |
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list of nerves of the lumbar plexus that are exclusively motor, exclusively
sensory or combination of both |
Exclusively motor – none Exclusively sensory – Lateral cutaneous nerve of the thigh Combination – all of them except the lateral cutaneous nerve of the thigh
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What are the nerves of the sacral plexus that are derived from the anterior division
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- tibial
- Femoris and inf. Gemellus - obturator I & sup gemellus, - Post cutaneous ----- thigh - perforating cutaneous - pudendal - anococcygeal - coccygeal |
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What are the nerves of the sacral plexus that are derived from the posterior division
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- Common fibular
- nerve to piriformis - inferior gluteal - superior gluteal |