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

Cutaneous – Skin over middle anterior surface of thigh, scrotum in male, labia majora in female
State the muscle group innervated by the motor component and the cutaneous region of the iliohypogastric
Motor – Muscles of the
anterolateral abdominal wall

Cutaneous – Skin of inferior
abdomen and buttock
State the muscle group innervated by the motor component and the cutaneous region of the ilioinguinal nerve
Motor – Muscles of the
anterolateral abdominal wall

Cutaneous – Skin of superior
medial aspect of thigh
State the muscle group innervated by the motor component and the cutaneous region of the obturator nerve
Motor – adductor muscles of leg

Cutaneous – Skin over medial aspect of thigh
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
What are the nerves of the sacral plexus that are derived from the anterior division
- tibial
- Femoris and inf. Gemellus
- obturator I & sup gemellus,
- Post cutaneous ----- thigh
- perforating cutaneous
- pudendal
- anococcygeal
- coccygeal
What are the nerves of the sacral plexus that are derived from the posterior division
- Common fibular
- nerve to piriformis
- inferior gluteal
- superior gluteal