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