anatomy Flashcards
proximal attachment of gluteus medius
external ilium
distal attachment of the gluteus medius
lasteral surface of the greater trochanter of femur
innervation of the gluteus medius
superior gluteal nerve
action of the gluteus medias
abduct and medially rotate the thigh
proximal attachment of the gluteus minimus
ecternal llium
distal attachment of the gluteus minimus
superior surface of the greater trochanter of the femur
innervation of gluteus minimus
superior gluteal nerve
action of the gluteus minimus
abduct and medially rotate the thigh
proximal attachment of priformis
anterior surface of the sacrum
distal attachmnet of the piriformis
superior surface of the great trochanter
innervation of the piriformis
anterior ramus of S1,S2
action of the piriformis
laterally rotates the extended thigh and abducts the flexed thigh
what is the proxmal attachment of the superior gemelli
ischial spine
proximal attachment of the inferior gemelli
ischial tuberosity
distal attachment of the superior and inferior gemelli
trochanteric fossa
innervation of the superior gemelli
nerve to obturator internus
innervation of the inferior gemelli
nerve to quadratis femoris
action fo the superior and inferior gemelli
laterally rotates the extended thigh and abducts the flexed thigh
proximal attachment of the obturator internus
internal surface of obturator membrane
distal attachment of the obturator internis
trochanteric fossa
innervation of the obturator internus
nerve to obturator internus
role of the obturator internus
laterally rotates the extended thigh and abducts the flexed thigh
proximal attachment of the quadratus femoris
ischial tuberosity
distal attachment of the quadratus femoris
interchanteric crest
innervation of the quadratus femoris
nerve to quadratus femoris
action of the quadratus femoris
laterally rotates the thigh
sciatic nerve roots
L4-S3
posterior cutaneous nerve of the thigh roots
S1-3
inferior gluteal nerve roots
L5-S2
pudendal roots
S2-4
femoral nerve roots
L2,L3,L4
proximal attatchment of the iliopsoas
iliac fossa and lumbar transverse prcesses
distal attachments of iliopsoas
lesser trochanter of femur
action of iliopsoas
flexion at the hip
proximal attachments of sartorius
ASIS
distal attachments of sartorius
medial surface of promical tibia
action of sartorius
flexion at the hip and knee
components of the quadriceps femoris
rectus demoris, vastus lateralis, vastis intermedius, vastus medius
what proximal attachments of quadrieps femoris
ASIS and shaft of femur
distal attachments o quadriceps femoris
patella and tibial tuberosirty
action of quadriceps femoris
extension of the knee
nerve supply of the quadriceps femoris
femoral nerve
great sapheanous drains to
superficial inguinal lymph nodes
small sapheanous vein drains to
popliteal lymph nodes
lymph from popliteal nodes drains to
deep inguinal
deep inguinal lymph nodes drain to
ecternal iliax nodes
ligaments involved in hip joint
iliofemoral, ischiofemoral, pubofemoral
iliopsoas, sartoriousm tensor fascia latae, rectus femoris, pectineus, adductor longus, adductor brevis, adductor magnus are what in the hip joint
flexors
adductor longus, adductor brevis, adductor magnus, gracilis, pectineous, obturator externus are what in the hip joint
adductors
obturator externus, obturator internus, gamellu, prirformis, quadratus femoris and gluteus maximus are what in hip joint
lateral rotators
hamstrings, adductor magnus andgluteus maximus are what in the hip joint
extensors
glutreus medius, gluteus minimus, tensor fascia lata are what in the hip joint
abductors
gluteus medius, gluteus minimus and tensor fascia latae are what in the hip joint
medial rotators
sciatic nerve originates from
L4-S3
where does the sciatic nerve leave the pelvis
through the great sciatic foramen inferior to the piriformis
what division of the sciatic nerve is most commonly affected
lumbosacral
what is trendelenburgs sign
pelvis drops on unsupported side
what is trendelenburgs signs positive for
uperior gluteal nerve entrapment, femoral head dislocation and gluteus maximus and minimus rupture or weakness
origin of gluteus medius
anterior and posterior gluteal lines of the ilium
origin of gluteus minimus
between anterior and inferior gluteal lines of the ilium
where do the gluteus minimus and medius instert
lateral aspect of the greater trochanter of the femur
where does the superior gluteal nerve originate from
L4-S1
where does the superior gluteal nerve leave the pelvic cavity
via the greater sciatic foramen superior to the piriformis
where does the superior gluteal nerve pass
between the gliuteius minimus and the gluteus medius
seperation of the distal tibia and the fibula causes
rupture of tibiofibular syndesmoses
anterior compartment of the leg is supplied by
deep fibular
lateral compartment of the leg supplied by
superficial fibular
most of the dorsal aspect of the foot is suppled by
suoerficiak fibular
camel toe toes things suppliuedf by
deep fibulaft
most common referral to foot and ankle services
achilles pathology
what is the ball of the foot
metatarsal heads
heel of foot innervation
calcareous branch of the tibial nerve
medial malleoulsi innervated by
saphenous nerve
hall valgus known as
bunion
incidence of hallux values
increase with age - more in women
risk factors of hallux values
genetic, ligamentous laxity, pes plants, RA, cerebral palsy, convex metatarsal head, 2nd toe amputation, heels, narrow shoes
presentation of hallux values
dorsomedial eminence, osteoarthritis, definition 1st rau
managemebtof hallux valgus
analgesia, splits, low heel wide shoes, physio, reassurance
indications of surgery of hallux valgus
failure of non op, pain, lesser toe deformities, lifestyle limitation, overlapping, ulceration, functional limitation
what is hallux rigidux
a disorder of the joint located at the base of the big toe. It causes pain and stiffness in the joint, and with time, it gets increasingly harder to bend the toe.
management of hallux rigidux
NSAIDs, activity mid, intra articular injections, orthodontic, fusion/replacements
when does rheumatoid foot occur
early on disease process
what is pet planus
flat foot
tibias posterior dysfunction
acquired flatfoot
what is tibias posterior dysfunction caused by
attenuated and tenosynovitis if posterior tibial tendon leading to medial arch collapse
later stage of tibias posterior dysfunction can cause
lateral wall impingement
pes cavus
high arch
causes of pes pavus
neurological
management of pes cavus if comped
surgery
what is plantar fasciitis
inflammation of the planate aponeurosis at its origin of the calcareous
causes of plantar fasciitis
physical overload, seronegative arthropathy, abnormal foot shape, improper foot wear
treatment of plantar fasciitis
NSAIDs, night splints, taping, heel cups, physiotherapy, steroid injections
what is Mortons neuroma
degenerative fibrosis of digital nerve near its bifurcation
management if Mortons neuroma
insoles and injections, excision surgery
presentation of mottos neuroma
forefoot pain and burning and tingling in toes
tendo achilles tendinosis cause
repetitive micro trauma and failure of collagen repair with loss of fibre alignment
what can lead to tend achilles tendinitis
overtraining, drugs
tendo achillea tendinosis presentation
pain, morning stiffness, eases with heat/walking
management of tendo ache tendinitis
activity modification, NSAIDs, shock wave therapy, orthotics, physio and surgery
tendon achilles rupture presentation
sudden deceleration with resisted calf contraction - patients think someone hit them
clinical presenyyion of tendo achilles rupture
unable to bear weight, wear plantar flexion, palpable painful gap, positive calf squeeze
management of tendo achilles rupture
conservatively - heel wedges
classifications of ankle fractures
weber
main reason for ankle joint arthritis
previous trauma
what supplies the anterior aspect of the arm AVN
brachial, brachial, musculocutaenous
nerves that can be injured in anterior dislocation of the humerus
axillary or radial
anatomical neck of humerus
higher
mid humeral fracture affects what nerve
radial
radial nerve damage
wrist drop and weaker extension of forearm if higher
radial nerve supplies
posterior compartment of the forearm and the posterior part of the arm (triceps)
median nerve
everything in forearm except ye carpi ulnas and the ulnar Half of flexor digitorum
hand nerve supplies
everything by ulnar except ;lateral two lumbricals, opponents policies, abductor policies braves, flexor polices braves
most common fracture
fall on outstretched hand - distal radial tractors - connies feature
ulnar nerve supplies what in the hand
medial palm and dorm of the hand and medial 1 and a half fingers