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34 Cards in this Set
- Front
- Back
WHere does the sciatic nerve course just inferior to the piriformis?
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Midway between the ischial tuberosity and lesser trochanter
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What are the 2 surface anatomy land marks on posterior of knee?
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Semitendinosus tendon-medially and long head of biceps femoris tendon laterally
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What is the action of the piriformis and its attachments?
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Lateral thigh rotator\stabilizer
sacrum, through GSF to greater trochanter |
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What are the 2 other lateral rotators inf and sup to Obturator internus?
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inferior and superior gemellus
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Where does the quadratus femoris attach and what does it do?
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lateral rotator of thigh and goes from ischial tuberosity to intertrochanteric crest
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What compartment is the obturator externus in where does it insert and what innervates it?
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Medial, trochanteric fossa, obturator nerve
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Where does the Tensor facia lata muscle attach? Innervation?
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Illiac crest, ASIS to the IT band
Superior gluteal nerve |
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What is the innervation of the Gluteus maximus muscle and and its 2 insertion points?
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Inferior Gluteal N.
Deep- gluteal tuberosity Superficial- IT tract |
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What is exhibited by individuals with superior gluteal nerve damage? Muscles affected?
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Trendelenberg sign=hip drop on contralateral side due to lack of innervation to G med\min and TFL
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What is IT band syndrome?
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Inflamation of IT band over the lateral femoral epicondyle and greater trochanter
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What are the 3 bursa of the gluteal region and where are they located?
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Ischial bursa- Btwn ischial tuberosity and gluteus maximus
Trochanteric bursa- btwn greater trochanter and GM Gluteofemoral bursa- between IT band and Vastus lateralis |
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What are the actions of the posterior thigh muscles?
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Extend hip, flex knee and rotate FLEXED knee(except Adductor magnus hamstring portion)
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What is the common origin of hamstring muscles?
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Ischial tuberosity
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What nerve innervate the posterior thigh muscles? Vasculature supply?
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Sciatic nerves tibial division
Deep artery of the thigh |
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What are the muscles of the posterior thigh?
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Semitendinosus
Semimembranosus Biceps femoris(2 heads) Adductor magnus-hamstring portion |
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What are the actions of the semitendinosus? Distal attachment
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Extend thigh, flex knee
medially rotated FLEXED knee superomedial tibia |
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What are the actions of the semimembranosus? What structure is formed by its distal attachment?
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Extend thigh, flex knee
medially rotated FLEXED knee Medial tibial condyle, continuous with oblique popliteal ligament |
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What are the actions of the long head of the biceps femoris? Attachments? Innervation
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Extend hip, flex knee and laterally rotate flexed knee
Ischial tuberosity to fibula head Tibial branch of Sciatic |
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What are the actions of the short head of the biceps femoris? Attachments and innervation?
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Flex knee(only crosses knee)
Linea aspera to fibula head tibial division of sciatic |
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What muscle protects the sciatic nerve in the posterior thigh?
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Long head of biceps femoris (gluteus maximus in gluteal region)
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What is formed between the insertions of the femoral and hamstirng portions of the Adductor Magnus?
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Adductor hiatus
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What is the insertion of the Hamstring portion of the Adductor magnus?
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Adductor tubercle
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What is the pes asisurinus? What 3 muscles attach there?
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"Goose-foot" Tendinous insertion of Sartorius, Gracillis, and semitendinosus
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What are 3 causes of pain in the pes asurinus and what movements exacerbate it?
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Tendinitis, fasciitis, and bursitis
Side to side movement |
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What are the 2 divisions of the Sciatic nerve and what do they innervate?
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tibial n.- posterior leg and foot
Common fibular N.- anterior and lateral leg, dorsal foot |
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What causes piriformis syndrome?
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Impingment of the sciatic nerve by the piriformis nerve, more often the posterior division
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How is the sciatic nerve avoided in gluteal injections?
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Injection in the upper outer quadrant
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What are the dermatomes of the gluteal region?
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L3-L5 superolaterally
S1-S5 inferomedially |
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What dermatomes supply the posterior thigh?
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S1 and S2
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What supplies vasculature to the posterior thigh?
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Perforating branches of the deep femoral artery and vein
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How does lymph drain from the deep gluteal region?
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Superior and inferior gluteal nodes to internal iliac, etc
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How does lymph drain from the superficial gluteal region?
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Superficial inguinal nodes to external iliac nodes, etc
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How does lymph drain the deep posterior thigh?
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Deep inguinal nodes to external iliac nodes
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How does lymph drain from the superficial posterior thigh?
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Superficial inguinal nodes to external iliac nodes?
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