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63 Cards in this Set
- Front
- Back
The three ligments of the articular capsule of the hip
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iliofemoral (strongest), pubofemoral, ischiofemoral
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Fracture at femur neck may lacerate___ and cause ___
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medial circumflex femoral artery, causes lateral rotation
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medial/lateral meniscus shape & mobility
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medial (C, attached to tibial collateral lig, less mobile); lateral (O, no attachement, more mobile)
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Three most injured knee parts
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ACL, Tibial Collateral, medial meniscus
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Ligments around the talocrural joint
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Deltoid (medial) (4), Lateral ligment (3)
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Subtalar joint in is this type, and allows these movements
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Ball and socket, allows supination (plantarflex, inversion, adduction), pronation (opposite)
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Profunda femoral artery arises from ___, gives off ____
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From femoral artery, gives off lateral/med fem circumflex, 4 perforating arteries.
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This artery turns into this artery past adductor hiatus
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femoral artery becomes popliteal artery
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Popliteal artery gives off these around the knee, and diverge into ___
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Popliteal gives off 5 genicular arteries, diverges into anterior tibial artery and posterior tibial artery
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Anterior Tibial Artery runs with ___nerve, becomes ___, diverges into:
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ant. tib. a. runs with deep fibular n.; it becomes dorsalis pedis a. which then diverges into arcuate a. and deep plantar a.
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Posterior tibial artery runs with ___nerve, gives off ___, diverges into:
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Pos. tib. a. runs with tibial n.; gives off fibular arterty; diverges into medial/lateral plantar arteries.
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Fibular artery arises from ___, serves ____
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Fibular artery arises from Post. tibial artery; fibular a. serves fibularis longus/brevis
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Superior gluteal artery: path and supplies
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Sup. Glut. Artery arises from int. illiac artery, exits from great. sciatic foramen superior to piriformis, supplies 3 gluteus, obturator int.
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Inferior gluteal artery: path and supplies
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Inf. glut. a. arises from int. illiac a.; exits from great. sciatic foram. inferior to piriformis, supplies maximus, short lateral rotators, prox hamstring
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Obturator artery supplies
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medial thigh (adductors, obt externus, pectineus, gracilis)
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Adductor Mangunus innervation
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(AM SO!) Sciatic (Hamstring) & Obturator (Adducting part)
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Femoral Triangle
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NAVY
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Lumber plexus organization: # nerves from # roots
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2 from 1(illiohyp T12 L1; illioing L1); 2 from 2 (GF L1,2; Lat FC L2,3); 2 from 3 (Fem L 2,3,4; Obt L2,3,4)
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Great Saphenous Vein (superficial drainage)
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Drains from medial dorsal venous arch, coarses on the medial thigh, drains into femoral v. saphenous hiatus
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Small Saphenous Vein (superficial drainage)
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Drains from lateral dorsal venous arch, coarses posterior leg, drains into popliteal vein
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Lumbar Plexus's Anterior/ Posterior Divisions?
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Anterior (obturator), Posterior (Femoral) due to leg rotation in embryogenesis
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Lumbosacral plexus A/P divisions?
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Anterior (Tibial L4-S3), Posterior (Common fibular L4-S2) due to leg rotation in embryogenesis
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Lumbosacral plexus origin, common exit?
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L4-S3 (L4,5 forms lumbosacro trunk), all exit via greater sciatic foramen
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Femoral nerve (L2,3,4) innervation?
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Quadriceps femoris, iliopsoas, sartorius, pectineus (all flexors); ant & medial cutaneous
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Saphenous nerve, origin and innervations
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Arises from Femoral nerve, runs with greater saphenous vein; foreleg cutaneous innervation.
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Obturator nerve (L2,3,4), path, innervatoin
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Passes medial to psoas, thru obturator foramen; 2 branches; innervates 3 adductors, obt ext, gracilis; also small medial thigh cutaneous
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Lateral rotators of femur
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PGOGOQ + Sartorious, Glut max
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Adductor of the femur
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Ad longus, ad brevis, ad magnus, gracilis (all oburator innervated)
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Flexors at the femur
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Iliacus, psoas major, rectus femoris, sartorius, tensor fasciae latae, pectineus
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Extensor at the knee
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Quadriceps femoris (femoral innervated)
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Extensor of foot
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Peroneus Long/Brevis/Tertius
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Inverter of foot
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Tibalis Ant/Post, Ext Hallucis Longus
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Profunda femoris' relationship w respect to pectineus and add longus/brevis
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Profunda femoris runs superficial to pectineus, then between add longus and brevis
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Fibularis longus tendon attached to the same spots at which other tendon?
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Tibialis anterior tendon
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What separates obturator anterior and posterior branches
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adductor brevis
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Ilioinguinal nerve
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innervates abdominal muscle, skin of the inguinal and hypogastric region, skin of medial thigh, labium major and ant. scrotum.
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Genitofemoral nerve
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Femoral branch innervates inner thigh, genital branch controls cremaster muscle
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Superior gluteal nerve
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L4-S1, travels with sup glut artery; innervates, medius, minimus and tensor fasciae latae
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Lesion of Superior gluteal nerve causes:
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inability to abduct the thigh, giving Trendelenburg gait with pelvic sacking to the nonlesioned side.
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Inferior gluteal nerve
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L5-S2, travels with inf glut artery; innervates maximus.
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Lesion of the inf. glut. nerve causes:
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inability to lateral rotate, to extend thigh flexed (stairs); shows gluetus maximus gait
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Medial plantar nerve innervation
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Sole cutaneous similar to median nerve; flex digt brevis, flexor hallucis brevis, abd hallucis, lumbricals
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Lateral plantar nerve innervation
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Sole cutaneous similar to ulnar nerve; all muscles except those by med plantar (flex dig brevis, flexor hallucis brevis, abd hallucis, lumbricals
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Tibial nerve innervation
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Poster leg and thigh muscles
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Common fibular nerve
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innervates short head of bicep femoris; lesion cause foot drop & loss of eversion
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Superficial fibular nerve
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Innervates fibularis longus/brevis; cutaneous in lateral leg & most of foot dorsum (except first intertoe space)
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Deep fibular nerve
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Innervates tib. anterior, ext digit. longus, ext hallucis longus, peroneus tertius muscles, dorsum foot muscles; Cutaneous first web space.
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Sural nerve
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Arise from tibial and comm. fib nerves; Cutaneous posterior leg, lateral foot
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Posterior Femoral Cutaneous Nerve
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Cutaneous of posterior thigh and upper calf.
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obturator externus nnervation & vessels
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Obturator nerve, obturator artery
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Oburator internus Innervation & vessels
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Obturator Internus nerve, superior gluteal artery,
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Piriformis innervation & Vessels
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Piriformis nerve, inf. gluteal artery. (PIP)
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Pectineus innervation & vessels, origin & insertion
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Femoral nerve (sometime femoral), obturator artery (POOF); origin: ant pubic ramus; insertion: femur posterior
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Cutaneous innervation to posterior hindleg?
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Sural nerve
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Three muscles with origin on the ischial tuberosity?
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Medial to lateral: Adductor magnus, bicep femoris (longhead)/semitendinosus, semimembranosus
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Bicep femoris: innervation, artery & insertion/origin
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Short head (comm. fibular nerve, origin on femur), long head (femur nerve, origin on ischial tube.) All insertion on fibula.
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Rectus femoris origin & insertion
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Origin: anterior inferior iliac spine & above acetabalum; insertion: tibial tuberosity
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Sartorius innervation & vessels, O/I?
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Femoral nerve, femoral artery; origin: ant. sup. iliac spine; insertion pes anserinus
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