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73 Cards in this Set
- Front
- Back
what is the main artery supplying the lower limb?
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femoral artery
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how does the femoral artery terminate?
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terminates behind the knee joint ( adductor opening)
becomes poplitial artery |
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how does the poplitial artery terminate?
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in the poplitial fossa by dividing into post tibial and ant tibial
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where and how does the post tibial a. terminate?
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at the sole of the foot by dividing into med and lat plantar arteries
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where and how does the ant tibial a. terminate?
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at the dorsum of the foot ---> dorsalis pedis
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what are the muscles in the ant compartment of the thigh?
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"Knee Extensors"
1-Satoris 2-Quadriceps - rectus femorus - Vasti: lat, med, intermedius |
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what is the nerve supply of the ant compartment?
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Femoral nerve
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what are the muscles in the medial compartment of the thigh?
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"Adductors"
1- adductor longus 2- // brevis 3- // magnus 4- garciles 5- pectineus |
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what is the nerve supple of the medial compartment?
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Obturator nerve
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what are the muscles in the post compartment?
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"Flexors of the knee koint"
1- Biceps femorus 2- Semi-tendenosus 3- Semi-membranosus |
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nerve supply of post compartment?
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Siactic nerve
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origin of sartorius muscle?
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ant superior iliac spine
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insertion of sartorius muscle?
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upper medial part of tibia
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action of sartorius muscle?
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"Cross leg position"
ON HIP JOINT: - flexion - lateral rotation ON KNEE JOINT: - flexion - abduction |
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Quadriceps origin?
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rectus femorus:
2 heads: - ant inferior iliac spine - groove above acetabelum Vasti from the femur |
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insertion quadriceps?
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by platellal ligament into the tibial tuberosity
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action quadriceps
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only extensor of knee joint
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origin biceps femorus?
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long head: ischeal tuberosity
short head: back of femur |
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insertion biceps femorus?
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head of fibula
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action biceps femorus?
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-flexion knee
-extension hip -lateral rotation |
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semi tendenosus origin?
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ischeal tuberosity
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insertion semi tendenosus?
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tendenous into medial side tibia
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action semi tendinosus
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- extension hip
- flexion knee - medial rotation |
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SIte of femoral triangle
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upper 1/3
ant aspect of thigh |
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boundaries of femoral triangle
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LAT: med boarder sart
MED: med boarder adduct long SUP: Inguinal ligament |
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roof of femoral triangle
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-skin
- superficial fascia (cut bvs, nerves, & sup inguinal LN) - deep fascia "fascia lata" |
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floor of femoral triangle
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3 MUSCLES:
- pectineus - illiopsoas - adductor longus |
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contents of femorla triangle
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-femoral sheath
-femoral nerve -deep inguinal LN |
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contents of the femoral sheath
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most lateral---> femoral a and branches
middle --> femoral v most medial---> empty (femoral canal, common site from femoral hernia in females) |
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beginning of femoral artery
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at mid inguinal point as continuation of ext. iliac
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branches of femoral artery
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3 Supeficial:
- epigastric - circumflex (ant inf iliac spine) - external peudendal 4- deep external peudendal 5- PRONFUNDA a |
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branches of profunda a.
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- lateral and medial circumflex iliac arteries (in femoral triangle)
- 3 perforators then it continues as the fourth |
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branches of lateral circumflex iliac a
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-ascending
-transverse -descending |
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branches of medial circ iliac a
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-ascending
- transverse |
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what are the groups of inguinal LN?
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- SUPERFICIAL:
- transverse band - vertical band - DEEP: -transverse gp - vertical gp |
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Areas drained by inguinal LN
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1- lower limb
2- abd wall below umbilicus 3- ext gentiles 4- lower end of anal canal 5- lower end of vagina 6- uterus (around the round ligament) |
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origin of adductor longus
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below pubic tubercle
(front of body of pubis) |
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insertion of Add longus
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linea aspra
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origin of add bervis
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below add longus
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insertion add brevis
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lower 2/3 of line drawn between linea aspra and lesser trochanter
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origin garciles
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margin of pubic arch
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insertion garciles
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in medial aspect tibia (SGS)
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origin magnus
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from pubic arch and ischeal tuberosity
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insertion magnus
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- linea aspra
- med. supracondylar ridge - add. tubercle |
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origin pectineus
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pectineal surface (hip bone)
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insertion pectineus
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upper 2/3 of line drawn between linea aspra and lesser tochanter
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actions of adductors:
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1- ADDUCTION
2- medial rotation 3- pect. can help in flexion |
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root value of obturator nerve
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L 2,3 and 4
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muscles supplied by ant division of Obturator nerve
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the whole adductor gp except magnus
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muscles supplied by post division obturator n
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-magnus
-obturator externus -small branch to brevis |
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extension of ilio-tibial tract
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from iliac crest ----> lat condyl tibia
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muscle insertions in ilio-tibial tract
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- tensor fascia lata
- 3/4 of gluteus maximus |
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action ilio-tibial
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support knee joint during extension
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site adductor canal
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middle 1/3 of thigh (medial aspect)
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boundaries of adductor canal
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ANT: Vastus Medialis
POST: Add longus & magnus MEDIAL: Fascia (supported by sarotius muscle |
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beginning of add canal
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apex of femoral triangle
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end of add canal
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add opening
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contents of add canal
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4 entering:
- femoral a ( + desending geniculate a ) - femoral v. - medialis - saphenous nerve 2 Exit: - polpitial a - polpitial v |
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root value of femoral nerve
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L2,3 & 4
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branches of femoral nerve
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MUSCULAR BRANCHES:
- sartorius - quadriceps femorus - pectineus CUTANOUS BRANCHES: - intermediate cutanous - medial cutanous - saphenous nerve ARTICULAR BRANCHES: - hip joint - knee joint |
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nerve supply of tensor fasculata
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superior gluteal nerve
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nerve supply of gluteus minimus
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sup gluteal n
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nerve supply of gluteus medius
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sup glut n
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n supply of gluteus maximus
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inf gluteal n
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action of g maximus
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- extension hip
- lateral rotation |
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action of glut minimus and medius
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abduction hip joint
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nerve supply of obturator externus
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post division of obturator nerve
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nerve supply of obturator internus
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nerve to obturator internus
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nerve supply of gemilus superior
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n to obt internus
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nerve supply of gemilus inferior
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n. to quadratus femorus
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nerve supply of quadratus femorus
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n. to quad femorus
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pyrifomis muscle
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s2 &3
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superior gluteal n injury
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UNILATERAL---> Trendelberg gait
BILATERAL----> waddling gait |