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