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76 Cards in this Set
- Front
- Back
What muscles make up the Quadriceps?
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Rectus femoris, Vastus lateralis, vastus intermedius, and vastus medialis
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Fibers from which muscle stabilize the patella?
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Vastus Medialis
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INN of the Quadricep muscles?
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Femoral N.
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Blood Supply to quadricep muscles?
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Femoral Artery
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Origin / Insertion of Sartorius?
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ASIS ==> Medial surface of tibia
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INN of Sartorius
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Femoral Nerve
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Action of sartorius
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Flex, ABDuct, laterally rotate the thigh at the hip joint and flex the leg at the knee joint
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Which is the only quadricep to cross the hip joint ?
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Rectus femoris; it actually attaches up on the Iliac vs the rest that are at the trochanter / femur
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Where is the insertion of the quadriceps?
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for the most part they come together to form the quadriceps tendon which goes to the patella and patellar ligament to tibial tuberosity
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INN of Psoas major
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Anterior Rami of L1, L2, L3
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what gives sensory INN to the medial leg?
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the saphenous nerve (which is branch from the femoral)
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What are the two main flexors of the femur? What is their origin /insertion?
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Psoas Major and Iliacus; Psoas T12-L5 transverse processes, and Iliacus ala of the sacrum/iliac fossa, crest; the combine and insert as the iliopsoas on the lesser trochanter of the femur
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What muscles make up the Medial Compartment of the thigh?
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Gracilis, Pectineus, ADDuctor longs, ADDuctor brevis, ADDuctor Magnus, obturator externus
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INN of ADDuctor Magnus?
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2 nerves; main is obturator but part of muscle is in "hamstring" gorup which recieves tibial component of sciatic N.
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What are rider bones?
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ossificatoin of the ADDuctor tendons due to chronic irritation, inflammation
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Origin / Insertion of ADDuctor Longus / Brevis?
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Pubis => linea aspera (of femur)
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INN of ADDUctor brevis / longs?
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obturator
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origin / insertion of pectineus?
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pectineal line of pubis => femur inferior to lesser trochanter to linea aspera
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INN of pectineus?
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femoral N.
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INN of the medial compartment?
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Obturator N w/ exception of pectineus = femoral
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damage to the obturator nerve would impair what lower limb movement?
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ADDuction
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what is Pes anserinus?
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Goose foot = attachment of the sartorius, gracilis, and Semitendinosus tendons on the inferior medial side of knee joint on the tibia.
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what supplies the anterior thigh?
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the lateral circumflex femoral artery (which comes from the deep femoral which came from the femoral)
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where is the femoral sheath located?
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it is a funnel-shaped fascia tube that passes deep to the inguinal canal
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Does the femoral Nerve pass within the femoral sheath?!
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no it is lateral to the sheath
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What are the compartments of the femoral sheath?
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Femoral canal, femoral vein and femoral artery (medial to lateral)
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what is inside the femoral canal?
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It contains fat, lymph vessels, and nodes
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What are the boundaries of the femoral triangle?
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Inguinal Ligament (superior), ADDuctor longus (medial), and Sartorius (lateral) and fascia lata (Roof)
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What are the contents of the femoral triangle?
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Femoral N. and its branches, femoral sheath and its contents (femoral artery, vein, femoral canal)
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What makes the floor of the femoral triangle?
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(lateral to medial) iliacus, Psoas major, and pectineus
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via catheterization the femoral ARTERY is used to reach what?
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left side of the heart
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via catheterization the femoral VEIN is used to reach what?
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right side of the heart
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Boundaries of Adductor Canal?
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Vastus Medialis (laterally) Sartorius (medially / roof) and Adductor longus / Adductor Magnus (posterior)
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Contents of Adductor canal?
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femoraly artery and vein, saphenous nerve, nerve to vastus medialis muscle
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Where / what is a Femoral Hernia?
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is a loop of small intestines that protrudes (herniates) through the femoral canal; it occurs inferior to the inguinal ligament
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What are the boundaries of the popliteal fossa?
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semimembranosus, semitendinosus, gastrocnemius medial head, gastrocnemius lateral head, biceps femoris
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contents of the popliteal fossa?
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tibial nerve, popliteal vein (continuation of femoral), popliteal artery, common peroneal nerve (common fibular)
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Muscles of lateral compartment of the leg?
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Fibularis Longus and Brevis
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Origin / Insertio of fibularis longus and brevis?
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arise from the fibula, tendons run posterior to lateral malleolus ==> longus crosses and attaches to 1st metatarsal (in front of big toe) and brevis attaches to tuberosity on the base of the 5th metatarsal
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INN of the lateral compartment?
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Superficial fibular N.
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Action of lateral compartment?
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eversion of foot
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Blood supply to the lateral compartment?
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perforating branches of the anterior tibial artery proximally and from the fibular artery distally
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Where is the common fibular nerve prone to injury?
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it wraps itself around the head of the fibula, and is prone to injury there!
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what does the common fibular nerve become?
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superficial fibular nerve (which goes to lateral compartment) and the deep fibular nerve (which goes to anterior compartment)
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muscles of the anterior leg compartment?
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Tibialis anterior, extensor hallucis longus, extensor digitorum longus, fibularis (peroneus) tertius
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INN of the anterior leg compartment muscles?
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deep fibular nerve
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which muscles it he most powerful dorsiflexor and everter of the foot?
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tibialis anterior
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what retinaculum restrains the tendons of the muscles of the anterior compartment of the leg?
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the extensor retinacula
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What forms the plantar arch of the foot (blood supply)?
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it is an anastomoses between the lateral plantar artery (from posterior tibial) and dorsalis pedis (anterior tibial)
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What would cause "foot drop"?
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this would be due to injury to the common fibular nerve; because there is inability to dorsiflex and evert the foot.
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what are the muscles of the superficial posterior leg compartment?
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Gastrocnemius (medial + lateral heads), Soleus, and plantaris
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INN of posterior leg compartment?
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Tibial N.
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what muscles are in the deep posterior compartment?
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popiteus muscle, flexor digitorum longus, tibialis posterior, and flexor hallucis longus
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what is the action of the popliteus muscle?
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"unlocks" the knee via rotating the femur laterally on the fixed tibia
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order of tendons, arteries and veins by the medial malleolus
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"Tom, Dick, And Very Nervous Harry" Tibialis posterior, Flexor Digitorum longs, Posterior Tibial artery, Posterior tibial Vein, Tibial N, Flexor Hallucis longus (anteiror to posterior)
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What are Varicose Veins?
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caused by incompetent valves that put more presusre on the distal valves causing them to fail; more common in woman than men
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What are the arches of the foot?
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Medial and lateral longitudinal arches; as well as the transverse arch
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what is the key stone of the medial longitudinal arch?
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the talus
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What is the key stone of the lateral arch?
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cuboid bone
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what are the different ligaments for the arches of the foot?
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plantar calcaneonavicular (spring) ligament, short (calcaneocuboid) and long plantar ligaments; and plantar aponeurosis
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What is Halux Valgus?
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is the deviation of the great to laterally thus causing the head of 1st metatarsal to deviate medially
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Avulsion fracture is most common fracture of 5th metatarsal; what tendon of muscle attaches here?
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Tendont of fibularis brevis
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What and where is the plantar aponeurosis?
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it is the thickening of deep fascia in the sole of the foot; attaches to the calcaneus and passes up to the toes; it supporst the longitudinal arch and protects deeper structures
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Plantar Fasciiatis?
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inflammation of the plantar fascia; first step in morning is painful because yoru body was tryint to repair over night and you broke it first step
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what is a "heel Spur"
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it is a calcaneal spur
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1st layer of the foot has what muscles?
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ABDuctor hallucis, ABDuctor digiti minimi, and Flexor Digitorum Brevis
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Cutaneous INN of 1/2 pinky toe, dorsum of foot? (lateral)
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sural nerve
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Cutaneous INN middle of foot dorsum?
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Superficial fibular nerve
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Cutaneous INN 1/2 bit toe and second toe dorsum?
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deep fibular nerve
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Cutaneous INN rest of foot (medial side)
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Saphenous N.
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Cutaneous INN of Heel?
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Tibial Nerve
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what muscles does the medial plantar Nerve INN? (kinda like median of hand)
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flexor digitorum brevis, flexor hallucis brevis, ABDuctor hallucis, 1st lumbrical
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what muscles does the lateral plantar nerve INN? (its like the ulnar of the hand)
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it innervates the rest of the intrinsic muscles of the foot
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what nerve can be compressed at the Tarsal Tunnel?
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Tibial Nerve; can be pinched as it passes through the tarsal tunnel which is adjacent to the medial malleolus
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what is the most common type of club foot?
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Talipes Equinovarus; it is where the sole of the foot is turned medially and the foot is inverted
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What is the reference point for food ADDuction / ABDuction
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2nd digit
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