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123 Cards in this Set

  • Front
  • Back
Where is the adductor hiatus located
lateral and superior to the adductor tubercle of the femur
What runs through the adductor hiatus
Femoral vein and artery to the popliteal fossa
What is the adductor hiatus
an opening between the adductor part and the hamstring part of the adductor magnus that transmits the femoral a. and v. from the anterior canal to the popliteal fossa on the posterior side of the thigh/leg
What are the borders of the femoral triangle
Base: inguinal ligament
Lat: Sartorious
Med: Adductor longus
Floor and Roof of Femoral triangle
Floor: pectineus and ilopsoas
Roof: facia lata, cribiform fascia, subcutaneous tissue and skin
Femoral nerve arises from
dosal ventral rami of L2, L3, L4
Longest cuntaeous nerve of the body
Saphaneous nerve
Nerve that supplies the skin, fascia on the anteriomedial knee, leg and foot
Saphanous nerve
Saphoneous nerve runs with which vein
Greater saphenous v.
Femoral sheath is made up of
transversalis and iliopsoas facsia from the abdomen
Femoral artery is in which compartment of the femoral sheath
lateral
Femoral vein is in which part of the femoral sheath
intermediate
Femoral canal
Medial compartment of femoral sheath, contains fat and inguinal lymph nodes, allows femoral vein to expand
Femoral artery starts out as this above the inguinal ligament
Iliac artery
Femoral artery continues as
popliteal artery after the adductor hiatus
Supplies most of the blood to the femur via its branches
medial circumflex femoral artery
Lateral circumflex femoral artery
Mainly supplies lateral side of thigh
Posterior to the inguinal ligament, the femoral vein becomes
External iliac vein
Adductor canal
extends from apex of the femoral triangle to the adductor hiatus in the tendon of the addcutor magnus
Boundaries of the adductor canal
Vastus medialis
Adductor longus and magnus
Sartorious
Contents of the adductor canal
femoral atery & vein
nerve to vastus medalis
saphenous nerve
Hip Pointer
Contusion of the iliac crest from sports, causes damage to tissue and bleeding of capillaries into muscles, tendons and other soft tissues
Psoas abcess
pyogenic infection of the abdomen or greater pelvis, associated with TB of verterbral coloumn or Crohn's disease
Psoas abcess may be mistaken for
inguinal or femoral hernia, or enlargement of the inguinal lymph nodes or saphanous varix
Paralysis of quadriceps
cannot extend leg against resistance. Weakness can result in abnormal patellar movement and loss of knee joint stability.
Chondromalacia Patellae ( runner’s knee )
. the soreness and aching around or deep to the patella results from quadriceps imbalance
4. it may also result from a blow to the patella or extreme flexion of the knee ( during squatting
when power lifting )
Patellar fractures
Direct
Or
Transverse from slipping backwards
Groin Pull
1. pulled groin or groin injury means a strain, stretching and probably some tearing of the
proximal attachments of the anteromedial thigh muscles have occurred
Riders Strain or Riders bones
injury to adductor longus and ossification of the tendons
What nerve passes through the greater sciatic notch
Sciatic nerve
What nerve passes through the lesser sciatic notch?
pudendal nerve
Which ligament converst the sciatic notch into a foramen
sacrotuberous
Which ligament lies deep to sacrotuberous and runs from sacrum to ischial spine
sacrospinous
Largset nerve of the body
sciatic nerve - a branch of the sacral plexus
Principle nerve of the perineum
Pudendal nerve
Trochanteric Bursitis
from carrying heavy objects or steep treadmill
Elicited by resisting abduction or lat rot while lying on the unaffected side
Point tenderness of over greater trochanter and radiating to IT band
Ischial bursitis
repeated microtrauma from repeated stress involving repeated hip extension while seated (rowing, cycling etc)
Can lead to pressure sores in debilitated people
Injury to superior gluteal nerve
causes a gluteus medius limp
Trendlendburgs test
Pelvis descends to the unoppsed side when standing on one leg
Can also be caused by fracture of the greater trochanter or hip dislocation
Piriformis syndrome
Injury to sciatic nerve by compression of the nerve by the piriformis muscle causing a pain in the buttock
Complete section of the sciatic nerve
hip, leg and foot become useless
IM injections
can be given in the glut max or TFL regions
Complications of improper technique include hemotoma, nerve injury and abscess.
Boundaries of Popliteal fossa
biceps femoris
gastronemius
semitendenosous & semimembranosous
Deep boundaries of popliteal fossa
supra condylar lines of femur
soleal line of tibia
Floor:popliteal wall of femur
joint capsule of knee joint
investing popliteal fossa
Contents of the popliteal fossa
termination of small saphanous vein
2. popliteal artery and its branches
3. popliteal vein and tributaries
4. tibial and common fibuar nerves
5. posterior cutaneous nerve of thigh
6. popliteal lymph nodes and lymphatic vessels
Fascia of the popliteal fossa
. small saphanous vein
2. three cutaneous nerves
a) posterior cutaneous nerve of the thigh
b) medial sural cutaneous nerve
c) lateral sural cutaneous nerve
Popliteal fascia
strong tissue continuous with fascia lata and deep fascia of leg
Sciatic nerve divides into these two nerves at the popliteal fossa
Tibial and common fibular
Nerve derived from the tibial nerve in the popliteal fossa
Medial sural nerve
supplies the lateral side of the leg and ankle
sural communicating branch of the common fibular nerve
Nerve that passes through the lateral head of gastrocnemious and then wraps around the neck of the fibula
Common fibular nerve
Artery that ends at the inferior border of popliteous and and divides into anterior and posterior tibial arteries
popliteal artery
What are the two muscles that insert in to the ilio tibial tract?
Gluteus maximus and tensor fascia lata
What does medial side of the dorsal venous arch terminate as?
Great saphenous vein
What does the lateral side of the dorsal venous arch terminate as?
Small saphenous vein
What is the longest vein in the body?
Great saphenous vein
What is the termination of the great saphenous vein?
Femoral vein
What nerve runs with small saphenous vein?
Sural nerve
What is the termination of the small saphenous vein?
Popliteal vein
What are the 2 cutaneous nerves that run with the great saphenous vein?
Medial cutaneous nerve of the thigh and the saphenous nerve
Lateral sural nerve is a branch of what nerve?
Common fibular nerve
Medial sural nerve is a brach of what nerve?
Tibial nerve
What are the 2 nerves that insert into the pectinius muscle?
Anterior part of the obturator nerve and femoral nerve
What is the longest muscle on the body?
Sartoreus
What are the 3 muscles supplied by the superior gluteal nerve?
Tensor fascia lata muscle, gluteus medius, gluteus minimus
The gluteus maximus is supplied by what nerve?
Inferior gluteal nerve
What are the 2 nerves that are the nerve for adductor magnus?
Obturator nerve and sciatic nerve
What muscle attaches to the trochantric fossa?
Obturator externus tendon
What are the boundaries of the femoral triangle?
Medial border-adductor longus
Lateral border-Sartorius
Base- inguinal ligament
Apex- when the Sartorius overlaps adductor longus
Floor- iliopsoas and pectinius
What are the 3 important structures that go through the femoral triangle?
Femoral artery, nerve and vein
What forms the femoral sheath?
Iliosoas fascia and trasversalis fascia
What are the boundaries of the femoral ring?
Laterally- vertical septum between the femoral canal and femoral vein
Posteriorly- superior ramus of pubic covered by the pectineus muscle
Medially-lacunar ligament
Anteriorly-medial part of the inguinal ligament
The femoral vein terminates as?
External iliac vein
What is the nerve that innervates the gluteus maximus?
The inferior gluteal nerve
What inserts into the medial side of the greater trochanter?
Superior gemellus, obturator internus, inferior gemellus
Which muscle has the arises with semitendinosis?
Long head of biceps femoris
What inserts into the groove of the posterior side of the medial condyle?
Semimembranosis
What nerve innervates the short head of the biceps femoris?
Fibular division of sciatic nerve
Which tendon extends as oblique popliteal ligament?
Tendon of semimembranosis
what muscle lies in the floor of the popliteal fossa?
Popliteus
what is the boney point where the common fibular (Peroneal) nerve splits?
Neck of the fibula
which nerve runs beside small saphenous vein?
Sural nerve
what structures run through the adductor hiatus?
Femoral artery and vein
what is the termination of the great saphenous vein?
Femoral vein
what is the termination of the small saphenous vein?
Popliteal vein
what are the nerves that run through the adductor canal?
Nerve to vastas medialis and saphenous nerve
which tarsal bone has the tendon of peroneus (fibularis) longus?
Cuboid
major part of the skin on the dorsal side of the foot is supplied by?
Superficial peroneal (fibularis) nerve
what tendons attach to the 5th metatarsal?
Poroneus (fibularis) brevis, and poroneus (fibularis) tertius
which muscle has an intracapsular originof the knee joint?
Popliteus
which vein goes with saphenous nerve?
Great saphenous vein
which muscle unlocks the knee?
Popliteus
what are the terminal branches of the tibial nerve?
Lateral plantar and medial plantar nerves
what is the termination of popliteal artery?
Anterior and posterior tibial artery
Dorsalis pedis artery pierces what?
1st dorsal intermediate muscle
Which nerve does not run with a artery?
Superficial fibular nerve
Which artery does not run with a nerve?
Fibular nerve
The tendons of the soleus, medial head of gastrocnemeus, and lateral head of gastrocnemius form what?
Achilles tendon
Which tarsal bone does not have an insertion of tibialis posterior?
Talus
Only muscle supplied by the superficial lateral plantar nerve?
flexor digiti minimi brevis
The small saphenous vein pierces what fascia?
Deep fascia of the leg (fascia pleurus)
What arteries make the plantar arterial arch?
The deep plantar artery and lateral plantar artery
What nerve runs with the small saphenous vein?
Sural nerve
What is the nerve supply to the extensor hallicus brevis?
Deep fibular nerve
What nerve pierces the flexor digiti minimi brevis?
superficial branch of the lateral plantar nerve
Which joint is multiaxial?
The hip joint
What type of joint is the hip joint?
multiaxial ball and socket type of synovial joint
What is the ligament that prevents hyperextension of the hip joint?
Iliofibular ligament
Which ligament prevents over abduction of the hip joint?
ilio femoral ligament
What tendon of popliteus passes deep to what ligament?
Popliteus
Which tendon forms the oblique popliteal ligament?
The tendon of semimembranosis
Which is also called the spring ligament?
Plantar-calcaneo navicular ligament
arises posteriorly from the
Plantar apeneurosis
the plantar interossei adduct (PAD)
arise from a single metatarsal as unipennate
muscles
dorsal interossei abduct (DAB)
arise from two metatarsals as bipennate muscles
Iliofemoral ligament
attaches to the anterior inferior iliac spine and the intertrochanteric line of the
femur
2. prevents hyperextension of the hip joint during standing by screwing the femoral head into the
acetabulum
Pubofemoral ligament
1. arises from the obturator crest of the pubic bone and passes laterally and merges with the
fibrous capsule of the hip joint
2. prevents overabduction of the hip joint
Ischiofemoral ligament
1. arises from the ischial part of the acetabular rim and spirals superolaterally to the neck of the
femur and medial surface of the greater trochanter
2. tends to screws the femoral head medially into the acetabulum, preventing hyperextension of
the hip joint
Knee joint
1. largest and most superficial joint
2. primarily a hinge type of synovial joint, allowing flexion and extension
3. the hinge movements are combined with gliding and rolling and with rotation
Fibula is not involved in knee joint
TRUE
Foot drop results from
a leision to the deep fibular nerve, inability to dosiflex the ankle
Evertors of the foot
fibularis brevis and longus
Plantarflexion is four times stronger than dorsiflexion
TRUE
Triceps surae
gastrocnemius, soleus, plantaris