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52 Cards in this Set

  • Front
  • Back
1. Describe the planes of section of the body.
1. cross section = transverse = horizontal
2. saggital (mid or para)
3. coronal = frontal
2. List directional terms and their definitions
anatomical position = upright; face, hands, and feet forward
anterior = front = ventral
posterior = back = dorsal
medial
lateral
superficial
deep
proximal = towards the trunk
distal = away from the trunk
superior = towards the head
inferior = towards the feet
3. List the different types of articulations, their characteristics and mvmts. available
fibrous - fused, nonmoveable (sutures in skull)
cartilagenous - slightly moveable (vertebrae and intervertebral disks)
synovial - fluid-filled, freely moveable (hip, knee, ankle)
movements = uniaxial, hinge/rotation, biaxial, multiaxial, nonaxial (planar, gliding, twisting)
4. List the characteristics of a synovial joint
articular cartilage
synovial membrane - secretes synovial fluid
joint capsule - dense connective ligaments
joint cavity - potential space
5+6 Describe the components of a typical reflex arc
receptor
afferent sensory neuron
CNS
efferent motor neuron
target organ (PNS)
8a. Describe the similarities between cranial nerves and spinal nerves.
bilaterally symmetric
afferent & efferent
somatic and autonomic
8b. Describe the differences/similarities between cranial nerves and spinal nerves.
cranial: n=12; enter & exit brainstem; innervate head structures
spinal: n=31 (8C, 12T, 5L, 5S, 1-3C); enter & exit intervertebral foramen; innervate body wall and limbs and smooth muscle
7+9. Describe the relationship of spinal nerves to the bony vertebrae.
afferent sensory = dorsal root + dorsal root ganglion
efferent sensory = ventral root + ventral root ganglion
true spinal nerve = both afferent and efferent
branches: dorsal ramus + ventral ramus (larger)
10a. Describe the hipbone and its components
pelvic girdle = hipbones + sacrum
hipbones = ilium, ischium, and pubis - connect @ acetabulum = insert for head of femur
sacrum = s1-s5 fused
10. Describe the hipbone's unique features.
compromise of walking and birth of big-brained babies
females have > 90 degree angle of suprapubic angle
females have larger pelvic inlet/outlet
11. Describe the different articulations of the pelvic region
lumbosacral
sacroiliac
hip joint
12a. Describe the lumbosacral joint, its functions and its ligaments
L5-S1
slightly moveable, synovial
ligament = iliolumbar - stabilize L5 on ilium
cause of many back problems
12b. Describe the sacroiliac joint, its functions and its ligaments
sacrum -ilium
synovial when young - fused when adult
strong, limited motion = keeps sacrum in place
ligaments - sacroiliac - tightens under weight bearing -> weight directed to acetabulum -> lower limb -> ground
sacrotubular, and sacrospinious - prevent/limit rotation
13. Describe the hip joint, its functions and its ligaments.
multiaxial ball and socket, synovial
acetabular labrum increases stability, flexibility and movement
action = propulsion
function = flex/extend, abduct/adduct, rotate inward and outward
ligaments (1 from each bone of hipbones + femur):
1. ligament of head of femur (femur - acetabulum)
2. ischeofemoral
3. iliofemoral - anterior, limits hip extension = y-ligament
4. pubofemoral
femoral angularity - bipedal, keeps knee under mass; >90deg in females
14. Describe the gluteal muscles and their daily function.
function: control gravity and momentum
gluteus maximus - resists falling forward momentum
lessor gluteals - limmit adduction, prevent falling over when on 1 leg
tensor fascia lata - supports muscles of thigh and prevents femur buckling
hip intrinsics - proprioceptic sensor of hip, laterally rotates hip
16a. Describe superficial fascia and its functions
hypodermis, 1st layer of fat under skin
made up of: fat, water, connective tissue
route for vessels and nerves
thermal insulator
mechanical protection
16b. Describe deep fascia and its functions
epimysium - just above muscles
made up of only connective tissue
surrounds muscles - decrease friction, increase movement
place of attachment for muscles
route for vessels and nerves
in thigh = fascia lata = iliotibial tract/band
17. List the components of the lumbosacral plexus and their areas of responsibility.
ventral rami of L1-S4
motor innervation, sensory info, and autonomic nerves
inferior and lateral abdominals, perineum, gluteals, pelvic viscera, lower limb
17a. femoral nerve
L2-L4
anterior thigh
flex hip, ext knee
17b. obturator nerve
L2-L4
medial thigh
hip abductors
17c. superior gluteal
L4-S1
lessor gluteals
tensor fascia lata
17d. inferior gluteal
L5-S2
gluteus maximus
17e. sciatic nerve
L4-S3
posterior thigh, leg, and foot
hip extension and knee flexion
branches @ knee:
-posterior = common peroneal - dorsiflex ankle
-anterior = tibial nerve - plantar flexion
18. Describe the arterial supply to the lower limb, origins, branches and areas of responsibility.
Aorta
descending abd aorta
common iliac
-internal
-external
---- inguinal ligament ----
(name change) femoral artery
-profunda femoral
---- adductor hiatus ----
(still femoral artery)
---- posterior knee ----
(name change) popliteal
-genicular arteries
-posterior tibial
--perineal (lateral leg)
---lateral plantar
---medial plantar (plantar arch)
-anterior tibial
--artery of dorsal pedis
---acuate arch -> metatarsal and distal branches
19. Describe the venous return of the lower limb; include deep and superficial veins.
deep - follows arteries, names same as arteries. venae comitantes
superficial - just under skin
-great saphenous from dorsal foot, medial leg/thigh
empties into femoral @ proximal knee
used when exercising
-lesser saphenous - from dorsal foot and lateral leg
empties into popliteal @ knee
used when standing; failures -> varicose veins
20. Describe collateral circulation and anastomoses.
anastamoses = where 2 blood vessels join: A-A; A-V; or V-V
collateral circulation = anastamoses are along primary artery
-backup to ensure oxygen can reach distal limb
-in limbs, usually functional (unlike brain)
21. Describe the three muscular components of the thigh, attachments, actions and nerve supply.
anterior = propulsion:
-iliopsoas
-quadraceps femorus (3 vasti + rectus femorus)
-sartorious
posterior = control momentum and limit hip flexion
-hamstrings (semimembranosis + semitendenosis + biceps femoris)
medial = hip stabilizers, adductors of hip, medial rotation, hip flexor
-pectinious
-adductor longus
-adductor brevis
-adductor magnus
-gracilis
21a. iliopsoas
rim of pelvis -> greater trocanter
femoral nerve
primary hip flexor
21b. quadraceps femoris
lateral, medial, and intermediate vasti - femur across knee -> ischial tuberosity
rectus femorus - iliac spine across hip + tendon -> tibial tuberosity
femoral nerve
femoral artery and vein
knee extensors
21c. sartorious
anterior superior iliac spine -> medial proximal tibia
21d. hamstrings
semimembranosis + semitendinosis
ischial tuberosity across knee -> proximal tibia/fibula
tibial portion of sciatic nerve
hip extensors and knee flexors
lateral biceps femoris - ischeal tuberosity -> fibula
innervated by peroneal (short head) + tibial (long head)
21e. medial thigh
pubic bone -> posterior femoral
innervated by obturator nerve
-pectinious = obturator + femoral nerve
-adductor longus
-adductor brevis = sandwiched by ant and post obturator
-adductor magnus
adductor portion = obturator n
hamstring portion = tibial sciatic n
-gracilis
22. Describe the femoral triangle, its boundaries and contents.
lateral = sartorious
medial = adductor longus
floor = pectinious
roof = fascia lata
proximal = inguinal ligament
distal = intersection of sartorious and adductor longus
med-lat: femoral NAVL: nerve, artery, vein, lymph nodes
open for trauma; easily damaged; larger opening in females -> hernia
23a. Articulations of the knee
tibia - femur = uniaxial, extension and flexion
tibia - femur = uniaxial, rotate joint
patellar - femur = nonaxial, gliding
patella = protects quads tendon and knee joint, increases leverage of quads
23b. Menisci of the knee
deepens socket of knee increasing stability
increases range of motion
absorbs shock
acartilagenous
attached to tibial plateau
-lateral = loosely attached, almost a complete circle
-medial = firmly attached, more like a half moon shape
23c. Ligaments of the Knee
1. ACL - ant tib -> med lateral femoral condyle
limit anterior movement of tibia and hyperextension
2. PCL - post tib -> lateral side of medial condyle
limit posterior movement of tibia on femur
3. LCL - femur to head of fibula
4. MCL - tibia -> femur
limits lateral abduction of leg
attached to medial meniscus
24. Describe the joints of the ankle region.
1. distal tibia and fibula
interossious membrane; slightly moveable non-synovial
2. true ankle joint = talocrural = medial + lateral collaterals + talus
synovial hinge joint, flexion/ext, dorsi/plantar flex
3. talus + calcaneous = subtalar joint
synovial, nonaxial gliding; eversion + inversion
4. transverse tarsal joint = calcaneous + cuboid & talus + navicular
creates transverse line across foot - hindfoot and forefoot
eversion and inversion
25. Describe the movements of the ankle/foot.
flexion/extension
dorsi/plantar flexion
eversion = pronation = sole turns out
inversion = suponation = sole turns in
26. Describe the true ankle joint and its ligaments = talocrural
medial malleolus + lateral malleolus + talus
medial collateral lig of ankle =deltoid ligament = tibia to navicular/talus /calcaneous = limit eversion
lateral collateral of calcaneous = fibula to talus/calcaneous/back of talus = limit inversion
ankle sprain = inversion - ant part of lateral collateral
potts fractur = eversion injory - avulse - pull end of tibia off, then fibula end snaps off
26b. Ankle accessories
retinacula - ankleband of deep fascia which holds tendons in place around ankle
extrinsics of foot - start in leg, end in foot, control ankle movement
27a. Describe the lateral muscular components of the leg, attachments, action and nerve supply.
everters and plantar flexers
superficial perineal nerve
1. fibularis longus (to 5th metatarsal)
2. fibularis brevis (to 1st metatarsal)
combined make up the lateral malleolus
27b. Describe the anterior muscular components of the leg, attachments, action and nerve supply.
dorsiflexors
deep peroneal nerve
1. Tibialis anterior - to 1st metatarsal (most medial)
2. Extensor digitorum longus - middle and distal phalanges 2-5
3. Fibularis tertius - 5th metatarsal, almost part of extensor digitorum
extensor hallucis longus - distal phalanx of digit 1 - extensor, dorsiflexor, inversion
clinical: shin splints =anterior compartment syndrome: little room for muscle swelling/expansion -> presses on nerves
27c. Describe the superior posterior muscular components of the leg, attachments, action and nerve supply.
plantar flexors
tibial nerve
1.gastronemius -> tendocalcaneous (medial and lateral heads)
2.soleus (flat)
together = triceps syrae
endurance muscles = slow twitch
prevent dorsiflexion easily
3.plantaris - off femur to tuberosity of cacaneous
proprioceptive for knee and ankle
27d. Describe the deep posterior muscular components of the leg, attachments, action and nerve supply.
inverters and plantar flexors
tibial nerve
1. popliteus - stabilizes knee and prevents rotation
run under medial malleolus:
2. flexor hallucis longus - to distal phalanx
3. flexor digitoru longus - digits 2-5, distal phalanx
4. tibialis posterior - to 1st metatarsal
28. Describe the arch of the foot, it’s skeletal, ligamentous, aponeurotic and muscular mechanisms.
support weight
provide balance
locomotion
arches flex and provide spring motion, prevent collapse under weight
-longitudinal arch
-transverse arch
tripod for weight bearing of talus (keystone) + phalanx 1 + phalanx 5 + calcaneous
28a. ligaments of the foot
1. plantar = calcanearnavicular = spring
2. long plantar = calcaneal cuboid + metatarsals 2-5 = keeps calcaneous in place
3. short plantar = calcaneous + cuboid = deep to long plantar
28b. intrinsic muscles of the foot
function = maintain arch when standing
movement helps maintain arch
28c. extrinsic muscles of the foot - dorsal
small
deep peroneal
1. extensor digitorum brevis - digits 2-5
2. extensor hallucis brevis - digit 1
28c. extrinsic muscles of the foot - plantar: medial and lateral
lateral (lateral plantar n):
1. abductor digiti minimi
2. flexor digiti minimi brevis
medical (medial plantar n):
3. abductor hallucis
4. flexor hallucis brevis
28c. extrinsic muscles of the foot - plantar: central
1. flexor digitorum brevis
attached to plantar aponeurosis; most superficial
2a. flexor digitorum longus
2b. quadratus plantae
straightens tendons, helps when anlke is already flexed
lateral plantar nerve
3. adductor hallucis
4a. interossei - plantar and dorsal sets;/ fine digital movement
4b. lumbricals - worm like off tendon on longus on medial side
28e. aponeurotic of the foot
plana aponerosis = deep fascia on sole of the foot
tough, thick
calcaneous -> distal metatarsals at proximal phalanges 2-5
crosses metatarsal phalangeal joints
clinical = plantar fascitis
tightens and pulls down metatarsals into plantar flexion, exaggerates arch
29. Be able to interpret nerve injuries in the buttocks, thigh, leg and foot.
ok