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93 Cards in this Set

  • Front
  • Back
What muscles comprise the hamstrings?
semimembranosus, semitendinosus, and biceps femoris - long head
What muscle(s) does the superior gluteal nerve (L4-S1) innervate?
gluteus medius, gluteus minimus, and tensor fasciae latae
What muscle(s) does the inferior gluteal nerve (L5-S2) innervate?
gluteus maximus
What muscle(s) does the tibial division of sciatic nerve innervate?
semimembranosus, semitendinosus, long head of biceps femoris and vertical head of adductor magnus
What muscle(s) does the common fibular division of sciatic nerve innervate?
short head of biceps femoris
What nerve innervates the gluteus maximus muscle?
inferior gluteal (L5-S2)
What nerve innervates the gluteus medius muscle?
superior gluteal (L4-S1)
What nerve innervates the gluteus minimus muscle?
superior gluteal (L4-S1)
What nerve innervates the tensor fasciae latae?
superior gluteal (L4-S1)
What nerves comprise the sciatic nerve?
tibial nerve and common fibular
What structures pass through the greater sciatic foramen?
superior gluteal neurovascular bundle passes above piriformis and inferior gluteal and pudendal neurovascular bundles and sciatic nerve pass below piriformis
What structures pass through the lesser sciatic foramen?
pudendal neurovascular bundle crosses sacrospinous ligament to enter perineum
What are the lateral rotators of the thigh?
piriformis, superior gemellus, obturator internus, inferior gemellus, obturator externus (deep) and quadratus femoris
What is the tensor fasciae latae?
lateral thickening of fascia lata from iliac crest to lateral tibial condyle which encloses tensor fasciae latae and serves as isertion for tensor and gluteus maximus
What are the posterior thigh muscles?
hamstrings (semimembranosus, semitendinosus, and biceps femoris - long head), biceps femoris - short head and vertical head of adductor magnus
superior gluteal artery (superficial branch)
lies between gluteus maximus and gluteus medius
superior gluteal artery (deep branch)
lies between gluteus medius and gluetus minimus with supply to tensor fasciae latae
inferior gluteal artery
supplies gluteus maximus and lateral rotators
cruciate anastomosis
between inferior gluteal, circumflex femorals and 1st perforating artery
deep femoral artery
-branch of femoral which passes deep to lie on adductor magnus
-major supply to femoral region
popliteal artery
continuation of femoral distal to adductor hiatus in the popliteal fossa
What makes up the genicular anastomosis?
-descending branch of lateral femoral circumflex
-descending genicular from femoral
-anterior tibial recurrent
-geniculars -->medial superior and inferior, lateral superior and inferior, middle all branch from popliteal artery
What is the superior border of the popliteal fossa?
heads of hamstrings
What is the inferior borders of the popliteal fossa?
heads of gastrocnemius
What makes up the floor of the popliteal fossa?
popliteal surface of femur, kneew joint capsule and popliteus
What makes up the roof of the popliteal fossa?
fascia lata proximally and crural fascia distally
What are the contents of the popliteal fossa?
popliteal vessels and branches, tibial and common fibular nerves
What are the borders of the femoral triangle?
medial border of sartorius, medial border of adductor longus, inguinal ligament, floor is iliopsoas, pectineus and adductor longus, roof is fascia lata
What makes up the floor of the femoral triangle?
iliopsoas, pectineus and adductor longus
What makes up the roof of the femoral triangle?
fascia lata
What are the contents of the femoral triangle?
femoral sheath, femoral nerve and branches, femoral artery, femoral vein, branches/tributaries
subinguinal hiatus
inferior to inguinal ligament and superior to superior pubic ramus, passage between abdominopelvic cavity and anterior thigh via triangle
What are the contents of the subinguinal hiatus?
lateral femoral cutaneous nerve, iliopsoas, femoral nerve, femoral sheath, femoral branch of genitofemoral nerve
What are the contents of the adductor canal?
femoral artery, femoral vein, saphenous nerve and nerve to vastus medialis
adductor canal
-runs deep to sartorius from apex of femoral triangle to adductor hiatus
adductor hiatus
opening between vertical and adductor portions of adductor magnus
What are the contents of the adductor hiatus?
femoral artery and femoral vein
obturator artery
through obturator canal to supply medial compartment and hip joint
femoral artery
through femoral triangle and adductor canal to adductor hiatus
What is the popliteal artery a continuation of?
femoral artery
What arteries does the femoral artery give rise to?
superficial circumflex iliac, superficial epigastric, external pudendal, deep femoral
What arteries does the deep femoral/profunda femoris give rise to?
medial femoral circumflex, lateral femoral circumflex and perforating arteries
deep femoral/profunda femoris
-branch of femoral
-runs deep on adductor magnus and is major supply to femoral region
medial circumflex femoral
major supply to neck and head of femur
lateral circumflex femoral
-supplies neck and head of femur
-gives off descending branch which contributes to genicular anastomosis
perforating arteries
-four vessels piercing adductor magnus to supply posterior compartment
-1st contributes to cruciate anastomosis of hip
-4th is terminal branch of the deep femoral
What are the muscles of the anterior compartment of the thigh?
rectus femoris, vastus medialis, vastus lateralis, vastus intermedius, iliopsoas, pectineus, sartorius
What nerve innervates the anterior compartment of the thigh?
femoral nerve except for psoas(L1-3) and pectineus, which may also receive a branch of the obturator nerve
What are the muscles of the medial compartment of the thigh?
adductor magnus, adductor and vertical portions, adductor longus, adductor brevis, and gracilis
What nerve innervates the medial compartment of the thigh?
obturator nerve except vertical portion of adductor magnus which receives a branch of tibial nerve
What ligament carries branch of obturator artery to the head of the femur?
ligament of head of femur
What are the actions of the hip joint?
flexion/extension, aBduction/aDduction, rotation
What are the thickenings of the capsule (of hip)?
iliofemoral, pubofemoral, and ischiofemoral ligaments
medial collateral ligament
attached to capsule and to medial meniscus
lateral collateral ligament
extra capsular
anterior and posterior cruciate ligaments
intracapsular
medial and lateral menisci
deepen tibial plateau; attach tibia and capsule
What areas drain into the vertical group of the superficial inguinal nodes?
receives all superficial drainage that does not pass through popliteal nodes
What areas drain into the horizontal group of the superficial inguinal nodes?
receives lymph from gluteal and perineal regions, and abdominal wall below umbilicus
What is the flow of lymph from the superficial nodes to the lumbar nodes?
superficial nodes --> deep inguinal nodes --> iliac nodes --> lumbar nodes
Where are the deep inguinal nodes located?
in femoral canal
What areas drain into the deep inguinal nodes?
receive all deep drainage from lower limb and all drainage from superficial inguinal nodes
What areas drain into the great saphenous vein?
drains medial aspect of foot, crural region, knee, and thigh
What is the course of the great saphenous vein?
passes through saphenous opening and femoral sheath to join femoral vein
What muscles make up the superficial posterior compartment of the leg?
-gastrocnemius, soleus, plantaris
-plantar flexors of talocrural joint and/or flexors of knee
What muscles make up the deep posterior compartment of the leg?
-tibialis posterior, flexor digitorum longus, flexor hallucis longus
-plantar flexors of ankle, intertors of foot, and flexors of digits
What muscles make up the anterior compartment of the leg?
-tibialis anterior, extensor digitorum longus, extensor hallucis longus, and fibularis tertius (not always present)
-dorsiflexors of talocrural joint, extensors of digits
What muscles make up the lateral compartment of the leg?
-fibularis longus, fibularis brevie
-plantar flexors of talocrural joint, evertors of foot
What muscles does the tibial nerve innervate?
all posterior compartment muscles and plantar muscles of foot
tibial nerve
divides into medial and lateral plantar nerves distal to medial malleolus
What muscles does the deep fibular nerve innervate?
all anterior compartment muscles of the leg
What muscles does the superficial fibular nerve innervate?
lateral compartment muscles of the leg
What are the muscles of the medial compartment of the foot?
abductor hallucis, flexor hallucis brevis, flexor hallucis longus tendon
What are the muscles of the lateral compartment of the foot?
flexor digiti minimi and abductor digiti minimi
What are the muscles of the central compartment of the foot?
adductor hallucis, flexor digitorum longus tendons, quadratus plantae, lumbricals, flexor digitorum brevis, dorsal and plantar interossei
inferior extensor retinaculum
covers tendons of anterior crural muscles, vessels and nerves
plantar aponeurosis
thickening of fascia that is continuous with fibrous flexor sheaths
What muscles does the medial plantar nerve innervate?
LAFF muscles
L - 1st lumbrical
A - abductor hallucis
F - flexor hallucis brevis
F - flexor digitorum brevis
What muscles are supplied by the lateral plantar nerve?
all other plantar intrinsic muscles not innervated by the medial plantar nerve (LAFF muscles)
What are the muscles of the dorsum of the foot?
extensor digitorum brevis and extensor hallucis brevis
What nerve innervates the dorsum of the foot?
deep fibular nerve
What is the "unhappy triad"?
medial meniscus, tibial collateral ligament, and anterior cruciate ligament torn
What does the popliteal artery divide into?
anterior and posterior tibial deep to origin of soleus
What is the posterior tibial artery?
continuation of popliteal between superficial and deep compartments
What artery gives off fibular artery?
posterior tibial
The posterior tibial artery passes deep to ______________ and divides into _________ and ___________
flexor retinaculum, medial and lateral plantars
What arteries form deep plantar arch?
lateral plantar and deep plantar from arcuate forms deep plantar arch deep to flexor tendons
What give off two platar digitals to adjacent digits?
plantar metatarsals
What gives off perforating branches to dorsal surface of foot?
deep plantar arch
What does the great saphenous vein do in the lower limb?
provides superficial drainage of medial aspect of dorsum of foot, anteromedial leg and thigh before joining femoral vein
What does the small saphenous vein do in the lower limb?
provides drainage of lateral aspect of dorsum of foot and posterolateral leg before joining popliteal vein
What vein does the great saphenous vein join?
femoral vein
What vein does the small saphenous vein join?
popliteal vein