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56 Cards in this Set
- Front
- Back
To display the sciatic nerve
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reflect the biceps
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sciatic becomes
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peroneal and tibial
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tendon of the semitendinosus
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attaches to the medial epicondyle of the tibia, along with the tendons of the gracilis and sartorious muscles. This makes the goose foot.
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aductor magnus hamstring portion
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Distally, this portion of the adductor magnus muscle inserts into the adductor tubercle of the medial condyle of the femur. Innervated by the sciatic nerve
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adductor portion of the adductor magnus is innervated by the
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obturator nerve
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deep to biceps femoris long head is
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the short head of biceps femoris
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all hamstring muscles attach to the ischial tuberosity
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so.... the short head of the biceps is not a hamstring muscle. attaches to the femur proximally.
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At the apex of the popliteal fossa the sciatic nerve divides into the tibial and peroneal nerve
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yes it does bitch face
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common peroneal and common tibial
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common peroneal is the most lateral nerve and the common tibial extends almost like it was the sciatic nerve
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the common tibial and common peroneal give off cutaneous sural nerves
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the medial sural nerve for the tibial and the lateral sural nerve for the peroneal nerve.
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in the vascular sheath of the popliteal
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the vein overlies the artery in contrast to the femoral artery which is anterior ro the vein in the adductor canal
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vascular sheath is medial and inferior o the
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biceps femoris, and inferior to the sciatic nerve.
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poplitel artery gives collateral branches called
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genicular branches which give blood supply to the knee joint
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the two superior genicular arteries are
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directly above the condyles of the femur. The medial superior goes deep to the semitendinosus and the semimembranous. The lateral superior deep to the biceps femoris.
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The middle genicular artery is different in that it
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enters the knee joint by piercing the the oblique popliteal ligament.
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the inferior genicular arteries arise from the popliteal deep to the gastrocnemius muslce and
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the medial inferior genicular artery passes around the medial condyle of the tibula, nd the lateral round the lateral condyle of the fibula.
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Biceps femoris inn.
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has two heads-the long head is a true hamstring and is innervated by the tibial portion of the sciatic nerve, but the short head is innervated by the common peroneoal
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Biceps femoris attt.
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the long head arises from the ischial tuberosity like most hamstring muscles. IMPORTANT that it arises with the semitendonosus. The short head actually arises from the lower half of the linea aspera and laeral supracondylar ridge. Inserts into the head of the fibula. Here is split by the FCL.
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Biceps action
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the long head extends hip and flexes the knee joint and rotates the leg laterally.
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Semitendonosus
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ischial tuberosity with biceps. It inserts via a long tendon which passes over the semimembranous muscle. Inserts on medial tibia posterior to the tendon of the gracilis. The nerve is tibial portion of the sciatic and the action is to flex the knee and medially rotate the flexed leg. Also extensor of hip joint.
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Semimembranosus
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Arises from a tendon from the ichial tuberosity. Inserts on the medial condyle of the tibula (thick flat tendon). This muscle has extension which forms the oblique popliteal ligament. Tibial nerve of sc. and same act as semitendonosus.
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The adductor magnus is a dually innervated muscle
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posterior hamstring surface arising from the ischial tuberosity is the tibail and the part from pubic ramus is the obterator.
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The pectineus
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is supplied by the obterator and the femoral nerve.
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anterio to posterior of the goose's foot is the
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sartorius, gracilis, semitendonosus. Commom action is flexion of the knee joint
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Each member of gooses's foot has
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its own unique action and innervation besides flecion at the knee joint
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sartorius
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flexion at the hip and femoral nerve
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gracilis
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adduction at the hio and obterator nerve
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semitendonosus
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extension at the hip and the tibial portion of the sciatic nerve
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The sciatic nerve lies between
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the biceps femoris and the adductor magnus
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Above the popliteal fossa (variablly) the sciatic nerve seperates into
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into the tibial and common peroneal
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tibial spinal segments
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L45s123
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Common Peroneal spinal segemnts
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L45s12
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These two divisions can be seperated up to the
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saccral plexus
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The peroneal division of the sciatic nerve
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sometimes pierces the piriformis in 12% of cases
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Branches of the sciatic nerve
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includes the nerve to he short head of the biceps from peroneal; medial aspect is tibial portion.
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Vessels to the posterior thigh include
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the profunda femoris branches from the femoral artery by passing posteriorly between the pectineus and and the aductor longus muscle close tot he femur. Ends as fourth perforating.
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Popliteal fossa
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is bounded above and laterally by the biceps femoris muscle. ABove and medially by the semitendonossus and the semimembranous muscles. Lower part by gastrocnemius.
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Floor of popliteal fossa
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politeal surface of the femur, knee capsule, and a strong fasica which covers the popliteal muscel.
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Contents of the fossa
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Tibial nerve, common peroneal nerve, and the popliteal artery and vein.
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gastrocnemius att.
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lateral head from lateral condyle of femur and medial head from posterior surfce of the femur superior to the medial condyle. Posterior surface of calcanaeus via calcaneus tendon.
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Gastrocnemius inn,. and act
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ALSO innervated by the Tibial nerve! Plantar flexes the ankle and flexes the knee
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soleus muslce
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Proximal att. is the head of the fibula and superior fourth of the posterior surface of fibula, and soleal line. Distal attachment is hte achilles tendon.
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Plantaris
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Proximally -Inferior end of lateral supracondylar line of femur to achilles tendon. Flexes knee joint and assists gastrocnemius
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Popliteus
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Lateral surface of lateral condyle of femur to the posterior surface of tibia above the soleal line.
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Popliteus note;
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during extension at the knee there is a terminal medial roatation at the femur that needs to be unlocked by the popliteus muscle.
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Nerves in the popliteal region
1. medial sural cutaneous |
arises from the tibial nerve in the popliteal foss and runs down between the two heads of the gastrocnemius into the back of the leg
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Tibial branches in the popliteal fossa
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to both heads of the gastrocnemius, the plantaris (posterio to gastrocnemius, the soleus, the popliteus
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The common popliteal is also in the popliteal fossa,
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This nerve runs along the medial border of the biceps femoris and leves the popliteal fossa. It crosses the plantaris and lateral head of the gastrocnemius and continues posterior to the fibular head. Coursing between the fibula and the peroneus longus muscle it divides into a deep and superficial branch.
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The peroneal nerve has several cutaneous branches
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There is a freaky communicating peroneal branch in the popliteal fossa that passes into the gastrocnemius to joint he medial sural nerve to form the sural nerve.
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Lateral surface of the leg is supplied by the
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lateral cutaneous sural nerve.
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The posterio leg is served by the
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The medial surface of the posterior leg is served by the saphenous nerve a branch of the femoral nerve.
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The laterl surface of the posterior leg consists of three seperate cutaneous nerves that originate in the popliteal fossa.
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Medil sural cutaneous a banch of the tibial, the lateral sural cutaneous a branch of the commo peroneal, and the communicating peroneal. These form the sural nerve (medial and communicating).
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The sural nerve
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travels with the short saphenous vein. The point of union of the medial sural cutaneous n. and the commu. can occur anywhere in the posterior leg, but usually around the midpoint.
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Popliteal artery
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is a continuation of the femoral artery and begins posterio to the femur a the adductor hiatus of magnus. It terminates at the inferior border of the politeus muscle by dividing into the anterior and posterior tibial arteries.
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The popliteal vein
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is formed by the junction venae commitantes of the posterior and anterior tibial arteries near the popliteus muscle. This vein recieves the small saphenous vein inthe popliteal fossa.
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Branches of the popliteal arteries at the knee (note; also receives the descending branch of the lateral circumflex, the anterior recurrent tibial-a branch of the anterior tibial artery.
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lateral superior genicular, medial superior genicular artery, lateral inferior geniucal, medial inferior genicular, and middle genicular.
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