1: Clinical anatomy - lower limb Flashcards
What are the four pelvic bones?
Ilium
Ischium
Pubic bone
Sacrum
What are the three ligaments holding the pelvic bones togther?
Anterior and posterior sacroiliac ligaments
Sacrospinous ligaments
Sacrotuberous ligaments
Which nerves are found in the pelvis?
Which nerve, coming from L4 - S3, emerges from the greater sciatic foramen?
Pudendal nerves
Pelvic splanchnic nerves
Sciatic nerve
Damage to pelvic nerves can affect which organs?
Bowel
Bladder
What other tissues can be damaged by pelvic trauma?
Urethra
Rectum
Which arteries anastomose around the head of the femur?
Where do they come from?
Retinacular arteries
Medial and lateral circumflex arteries
Profunda femoris artery (deep femoral artery)
What kind of hip fracture can compromise retinacular arteries?
What may result?
Intracapsular hip fracture
AVN
What bones, apart from the femur, can be affected by avascular necrosis?
Scaphoid
Talus
Which posterior thigh muscles cause abduction of the thigh and stabilise the pelvis?
Gluteal muscles
maximus, medius, minimus
Tensor fascia latae
What’s the dodgy gait caused by damage to the gluteal muscles?
Trendelenburg’s gait
pelvis doesn’t stabilise
What is Trendelenburg’s test?
Normally, when a lower limb is lifted, pelvis should tilt in direction of other limb
Positive Trendelenburg test if pelvis tils in direction of lifted limb
What is the strongest hip flexor muscle, found in the anterior compartment of the thigh?
Iliopsoas
Which nerve supplies the adductor muscles of the medial compartment of the thigh?
Obturator nerve
What movement do muscles in the posterior compartment of the thigh produce?
Lateral rotation
What is the most anterior quadriceps muscle called?
What movement do the quadriceps muscle cause?
Rectus femoris
Flexion of thigh, extension of leg
What is the longest muscle in the body, found in the anterior compartment of the thigh, and produces weak extension of the leg?
Sartorius
A straight leg raise tests the (flexor / extensor) mechanism of the lower limb.
extensor inc tendons
Which pelvic bone do you sit on?
Ischial tuberosity
Which nerve supplies the hamstrings muscles of the posterior thigh?
Tibial nerve
Which muscle is commonly used as a tendon graft in ACL surgery?
Semitendinosus
Knee pain in kiddos may be caused by what serious disease?
SUFE
slipped upper femoral epiphysis
Obturator nerve pain from the hip may refer to the ___.
knee