Anatomy Flashcards
Divisions of Upper Limbs (6)
Axilla
Brachium - arm
Cubital Fossa - elbow
Forearm
Wrist
Hand
Divisions of Lower Limbs (6)
Inguinal region
Thigh
Popliteal fossa - knee
Leg
Ankle
Foot
Fascia: Superficial fascia is what type of tissue?
Subcutaneous
Fascia: Superficial Fascia - Provides the most storage for what?
Fat
Fascia: Superficial Fascia - Thicker in what region?
Gluteal region
Fascia: Superficial Fascia - Main two components
Loose connective tissue
Fat
Fascia: Deep Fascia - Covers what?
Most of the body deep to the skin and superficial fascia
Fascia: Deep Fascia - Where is this thin?
The face
Fascia: Deep Fascia - Appearance
White and glowing
Fascia: Deep Fascia - Function
Divides limbs into compartments via investing muscles to form intermuscular septa
Blood Supply of the Limbs: Where to apply pressure to limit blood loss in the neck?
Bifurcation of the common carotid artery
Blood Supply of the Limbs: Where to apply pressure to limit blood loss in the upper limb?
Brachial artery
Radial artery
Blood Supply of the Limbs: Where to apply pressure to limit blood loss in the lower limb?
Femoral artery
Popliteal artery
Posterior tibial artery
Dorsalis pedis artery
Blood Supply of the Limbs: Within the cubital fossa the brachial artery bifurcates into what?
Radial artery
Ulnar artery
Blood Supply of the Limbs: Within the popliteal fossa the popliteal artery bifurcates into what?
Anterior tibial artery
Posterior tibial artery
Blood Supply of the Limbs: Subclavian artery passes into what?
Axillary artery
Blood Supply of the Limbs: Axillary artery passes into what?
Brachial artery
Blood Supply of the Limbs: Brachial artery passes into what?
Deep brachial artery
Blood Supply of the Limbs: Deep brachial artery passes into what?
Radial artery and Ulnar artery
Blood Supply of the Limbs: Radial and Ulnar arteries pass into what?
Deep and superficial palmar arches
Blood Supply of the Limbs: Deep and superficial palmar arteries pass into what?
Metacarpal and digital arteries
Blood Supply of the Limbs: External iliac artery passes into what?
Deep femoral artery
Blood Supply of the Limbs: Deep femoral artery passes into what?
Femoral artery
Blood Supply of the Limbs: Femoral artery passes into what?
Popliteal artery
Blood Supply of the Limbs: Popliteal artery bifurcates into what?
Anterior tibial artery and posterior tibial artery
Blood Supply of the Limbs: Arteries of the foot
Dorsalis pedis artery
Medial and lateral plantar arteries
Arcuate artery and plantar arch
Metatarsal and digital arteries
Blood Supply of the Limbs: Where do superficial veins run?
Superficial fascia
Blood Supply of the Limbs: Superficial veins drain into what?
Deeps veins via piercing the deep fascia
Blood Supply of the Limbs: What are the two superficial veins of the upper limb?
Cephalic vein
Basilic vein
Blood Supply of the Limbs: Location of cephalic vein on upper limb
Lateral
Blood Supply of the Limbs: Location of basilic vein on upper limb
Medial
Blood Supply of the Limbs: Cephalic Vein - Arises from what?
Dorsal venous network
Blood Supply of the Limbs: Cephalic Vein - Travels through what anatomical landmark?
Delta Pectoral Groove
Blood Supply of the Limbs: Cephalic Vein - Drains into what?
Axillary vein
Blood Supply of the Limbs: Basillic Vein - Arises from where?
Dorsal venous network
Blood Supply of the Limbs: Basillic Vein - Drains into what?
Brachial vein
Blood Supply of the Limbs: Basillic Vein and Cephalic Vein are joined by what?
Median cubital vein
Blood Supply of the Limbs: What superficial vein is used for venipuncture?
Median cubital vein
Blood Supply of the Limbs: What variant of the superficial veins of the cubital fossa is present in 20% of the population?
Median vein of the forearm
Blood Supply of the Limbs: What are the superficial veins of the lower limbs?
Great saphenous vein
Small saphenous vein
Blood Supply of the Limbs: Great Saphenous Vein - Arises from what?
Medial aspect of the dorsal venous arch
Blood Supply of the Limbs: Great Saphenous Vein - Travels down what aspect of the leg?
Medial aspect
Blood Supply of the Limbs: Great Saphenous Vein - Drains into what?
Femoral vein
Blood Supply of the Limbs: Small Saphenous Vein - Arises from what?
Dorsal venous arch at the lateral aspect
Blood Supply of the Limbs: Small Saphenous Vein - Travels down what aspect of the leg?
Posterior midline
Blood Supply of the Limbs: Small Saphenous Vein - Drains into what?
Popliteal vein posterior to the knee
Blood Supply of the Limbs: Deep Veins - Where do these run?
Deep to the deep fascia
Blood Supply of the Limbs: Deep Veins - Which two veins are not bilateral?
Superior vena cava
Inferior vena cava
Blood Supply of the Limbs: How does blood flow from superficial veins into deep veins?
Via perforating veins
Lymphatics of the Limbs: Superficial Lymphatics - Those of the upper limb arise from where?
Plexuses in the fingers and hand
Lymphatics of the Limbs: Superficial Lymphatics - Those of the upper limbs follow what?
Cephalic and basilic veins
Lymphatics of the Limbs: Superficial Lymphatics - Basilic lymphatics drain into what?
Cubital lymph nodes and then lateral axillary nodes
Lymphatics of the Limbs: Superficial Lymphatics - Cephalic lymphatics drain into what?
Into the apical axillary lymph nodes
Lymphatics of the Limbs: The deep lymphatics of the upper limb follow what?
Deep veins
Lymphatics of the Limbs: The deep lymphatics of the upper limb drain into what?
Lateral axillary lymph nodes
Lymphatics of the Limbs: All axillary lymph nodes drain into what?
Subclavian lymphatics
Lymphatics of the Limbs: Lymphatics of the lower limbs follow what?
Veins
Lymphatics of the Limbs: Superficial lymphatics of the lower limb follow what?
Saphenous veins
Lymphatics of the Limbs: Superficial lymphatics of the lower limb drain into what?
External iliac or deep inguinal nodes
Lymphatics of the Limbs: Deep lymphatics of the lower limb follow what?
Deep veins of the lower limbs
Lymphatics of the Limbs: Deep lymphatics of the lower limb drain into what?
Popliteal lymph nodes and then the inguinal nodes
Lymphatics of the Limbs: The external iliac lymph nodes drain into what?
Common iliac lymph nodes then the lumbar lymphatics
Ischaemia
Inadequate oxygenation of cells, tissues and organs due to an interruption to blood supply
Causes of reduced arterial perfusion pressure (5)
Left ventricular failure
Arterial bleed - injury or aneurysm rupture
Occlusion of the lumen
Arterial spasm
External compression of arterial supply
Causes of increased venous drainage (3)
Congestive Cardiac Failure
DVT
External compression e.g. due to a tumour
What is the impact of increased venous drainage pressure?
Causes back pressure into the capillary bed and arteriole to prevent normal arterial in-flow
Venous Ulceration: Initiating factor
Increased venous pressure causes damage to blood vessels of the skin
Venous Ulceration: Initial presentation
Skin becomes dry, itchy and inflamed that cannot heal due to poor blood supply
Venous Ulceration: Where do these establish?
In the territory of the great and small saphenous veins
Venous Ulceration: Most common site
Gaiter area on the medial area of the lower leg
Components of the Lower Limb (6)
Inguinal region
Thigh
Knee
Leg
Ankle
Foot
Lower Limb: Extends from where?
The pelvis
Lower Limb: Types of Fascia
Fascia lata
Crural Fascia
Lower Limb: Fascia lata
Fascia on the thigh
Lower Limb: Crural Fascia
Fascia on the lower leg
Lower Limb: Iliotibial Tract/Band
Thickened part of the fascia that inserts into the ileum superiorly and the tibia inferiorly
Lower Limb: Investing Fascia
Fascia that extends internally to form compartments of individual muscles or groups of muscles via the intermuscular septum
Lower Limb: Muscles in compartments share what?
Action
Nerve supply
Lower Limb: Muscular compartments aid what?
Musculovenous pump
Compartment Syndrome
Increased pressure caused by swelling of the tissue or an increase in fluid of the compartment
Compartment Syndrome: Impacts of this
Affects the function of the muscles and nerves in the compartment
Compartment Syndrome: Best treatment
Fasciotomy
Lower Limb: Thigh Muscle Compartments - Anterior compartment flexors (3)
Pectineus
Iliopsoas
Sartorius
Lower Limb: Thigh Muscle Compartments - Anterior compartment extensors
Quadriceps femoris
Vastus lateralis
Vastus medialis
Vastus medius
Lower Limb: Thigh Muscle Compartments - Anterior Compartment Nerves
All femoral nerves
Psoas Major
Lower Limb: Thigh Muscle Compartments - Anterior compartment Femoral nerve level
L2-L4
Lower Limb: Thigh Muscle Compartments - Anterior compartment Psoas Major level
L1-L3
Lower Limb: Thigh Muscle Compartments - Medial compartment adductors of the thigh
Adductor longus
Adductor brevis - short hed
Adductor magnus
Gracilis on the medial aspect
Obturator Externus
Lower Limb: Thigh Muscle Compartments - Medial compartment nerve
All Orbturator Nerve
Lower Limb: Thigh Muscle Compartments - Medial compartment Orbuturator Nerve level
L2-L4
Lower Limb: Thigh Muscle Compartments - Medial compartment what nerve supplies the hamstring component of the adductor magnus?
Tibial nerve
Lower Limb: Thigh Muscle Compartments - Posterior compartment Extensors and Flexors of the thigh
Semi-tendinosus
Semi-membranosus
Biceps femoris
Lower Limb: Thigh Muscle Compartments - Posterior compartment - Why is the biceps femoris not a true hamstring muscle? (3)
Does not have the same attachment point to the ischial tuberosity
Cannot extend the thigh
Alternate nervous supply
Lower Limb: Thigh Muscle Compartments - Posterior compartment - Where does the biceps femoris attach?
Directly to the femur
Lower Limb: Thigh Muscle Compartments - Posterior compartment nerve supply
All tibial divisions of the sciatic nerve
Common fibular division
Lower Limb: Thigh Muscle Compartments - Posterior compartment Level of the Tibial divisions of the sciatic nerve
L5, S1 and S2
Lower Limb: Thigh Muscle Compartments - Posterior compartment - What supplies the short head of the biceps femoris?
Common fibular division
Lower Limb: Leg Muscle Compartments - Anterior Compartment Dorsiflexors of the ankles and extensors of the toes
Tibialis anterior
Extensor digitorum longus
Extensor hallucinate longus
Fibularis tertius
Lower Limb: Leg Muscle Compartments - Anterior Compartment Nerve supply
All deep fibular nerves - branch of the common fibular nerve
Lower Limb: Leg Muscle Compartments - Anterior Compartment Level of the deep fibular nerves
L4-L5
Lower Limb: Leg Muscle Compartments - Lateral Compartment muscles that evert the foot and weakly plantar flex the ankle
Fibularis longus
Fibularis brevis
Lower Limb: Leg Muscle Compartments - Lateral Compartment Nerve Supply
All superficial fibular nerves
Lower Limb: Leg Muscle Compartments - Lateral Compartment Level of Superficial Fibular Nerves
L5, S1 and S2
Lower Limb: Leg Muscle Compartments - Posterior Compartment Superficial Group muscles that are plantarflexors of the ankle
Gastrocnemius
Soleus - deep to the gastrocnemius
Plantaris
Lower Limb: Leg Muscle Compartments - Posterior Compartment Nerve supply to the superficial group
All tibial nerves
Lower Limb: Leg Muscle Compartments - Posterior Compartment Level of Tibial nerves of superficial group
S1-S2
Lower Limb: Leg Muscle Compartments - Posterior Compartment - What is the calcanea tendon formed of?
Tendons of gastrocnemius and soleus joined
Lower Limb: Leg Muscle Compartments - Posterior Compartment Deep Group Muscles that allow flexion of the toes and plantar flexion of the ankle
Popliteus
Flexor hallucis longus
Flexor digitorum longus
Tibialis posterior
Lower Limb: Leg Muscle Compartments - Posterior Compartment Nerve supply of deep group
All tibial nerves
Lower Limb: Thigh Muscle Compartments - Anterior Compartment Function of muscles
Flex the thigh
Extend the thigh
Lower Limb: Thigh Muscle Compartments - Medial Compartment Function of muscles
Adduct the thigh
Lower Limb: Thigh Muscle Compartments - Posterior Compartment function of muscles
Extend the thigh
Flex the thigh
Lower Limb: Leg Muscle Compartments - Anterior Compartment Function of Muscles
Dorsiflexors of the ankle
Extend the toes
Lower Limb: Leg Muscle Compartments - Lateral Compartment Function of Muscles
Evert foot
Weakly plantar flex the ankle
Lower Limb: Leg Muscle Compartments - Posterior Compartment Function of superficial muscles
Plantarflexors of the ankle
Lower Limb: Leg Muscle Compartments - Posterior Compartment Function of deep muscles
Flexors of the toes
Plantarflexors of the ankle
Lower Limb: Motor Innervation - Femoral nerve level
L2-L4
Lower Limb: Motor Innervation - What does the Femoral Nerve supply
Quadriceps femoris
Sartorius illiacus
Pectineus
Lower Limb: Motor Innervation - Level of Sciatic Nerve
L4-S3
Lower Limb: Motor Innervation - Level of the Tibial Part of the Sciatic Nerve
L4-S3
Lower Limb: Motor Innervation - Tibial division of the Sciatic Nerve supplies what in the posterior compartment of the thigh?
Semi-membranous
Semi-tendinosus
Long head of the biceps femoris
Lower Limb: Motor Innervation - Tibial part of the Sciatic Nerve supplies what muscles in the posterior compartment of the leg?
Gastrocnemius
Soleus
Plantaris
Popliteus
Tibialis posterior
Lower Limb: Motor Innervation - Tibial part of Sciatic Nerve Supplies what muscles in the sole of the foot?
Digitorum
Hallucis longus
All intrinsic muscles of the foot
Lower Limb: Motor Innervation - What branches of the tibial nerve supplies the muscles?
Medial and Lateral plantar branches
Lower Limb: Motor Innervation - Level of common fibular part of the tibial nerve?
L4-S2
Lower Limb: Motor Innervation - What muscle does the common fibular part of the tibial nerve supply?
Short head of the biceps femoris
Lower Limb: Motor Innervation - What muscle are supplied by the superficial branch of the common fibular nerve?
Lateral Compartment of the Leg - Fibularis longus and Brevis
Lower Limb: Motor Innervation - What muscles are supplied by the deep branch of the common fibular nerve?
Anterior compartment of the Leg - Tibialis anterior, extensor digitorum longus, extensor hallucinate longus and fibulas tertius
Muscles of the dorsum of the foot - Extensor digitorum brevis and Extensor Hallucis Brevis
Lower Limb: Motor Innervation - Level of Obturator Nerve
L2-L4
Lower Limb: Motor Innervation - What nerves are supplied by the obturator nerve?
All the medial compartments of the thigh
All adductors - except the hamstring part of the magnus
Gracilis
Gluteus Region: Location
Posterior superior aspect of the lower limb
Gluteus Region: Superficial muscles (4)
Gluteus maximus
Gluteus medius
Gluteus minimus
Tensor fascia latae
Gluteus Region: Function of superficial muscles
Extensors, Abductors and Medial Rotators of the Thigh
Gluteus Region: Nervous Supply
Innervated by gluteal nerves
Gluteus Region: What nerve supplies the gluteus maximus?
Inferior gluteal nerve
Gluteus Region: What does the inferior gluteal nerve supply?
Gluteus maximus
Gluteus Region: What nerve supplies the muscles of the gluteus region except the gluteus maximus?
Superior gluteal nerve
Gluteus Region: Impact of damage to the superior gluteal nerve
Causes Trendelenburg Gait
Trendelenburg’s Gait
Pelvis drops on dysfunctional side
Gluteus Region: Deep Muscle Group (4)
Piriformis
Obturator internus
Gemelli
Quadratus femoris
Gluteus Region: Function of deep muscles
Lateral rotators of the thigh and hip joint stabilisers
Gluteus Region: Nervous supply to deep muscles
Sacral plexus
Gluteus Region: Nerve route
Nerves enter and exit the pelvis and perineum via the greater and lesser sciatic foramen
Gluteus Region: What forms the sciatic foramens?
Sacrotuberous and Sacrospinous Ligaments
Gluteus Region: What nerves travel through the gluteal region? (3)
Sciatic - L4-S3
Pudendal - S2-S4 (S 2 3 4 Keeps the pelvis off the floor)
Posterior cutaneous nerve of the thigh - S1-S3
Gluteus Region: Level of the Pudendal nerve
S2-S4
Gluteus Region: Level of the Posterior cutaneous nerve of the thigh
S1-S3
Gluteus Region: What does the pudendal nerve primarily supply?
Perineum
Gluteus Region: What does the posterior cutaneous nerve of the thigh supply?
Skin over the posterior thigh
Popliteal fossa
Lateral perineum
Upper medial thigh
What is the largest nerve in the body?
Sciatic Nerve
Gluteus Region: Where does the sciatic nerve lie?
Deep to the prominent part of the gluteal region
Gluteus Region: Where does the sciatic nerve exit?
Inferior to the piriformis
Gluteus Region: What does the Sciatic Nerve divide into?
Tibial nerve - medial
Common fibular nerve - lateral
Gluteus Region: What does the sciatic nerve supply?
Posterior thigh
All leg and foot muscles
Most of the skin of the leg
Gluteus Region: Where are injections inserted in the gluteal region to avoid the sciatic nerve?
Superior lateral quadrant
The Femoral Triangle: Location
Anterior Superior Part of the Thigh
The Femoral Triangle: Superior boundary
Inguinal ligament
The Femoral Triangle: Medial border
Adductor longus
The Femoral Triangle: Lateral border
Sartorius
The Femoral Triangle: Floor of the triangle
Iliopsoas and Pectineus
The Femoral Triangle: Roof of the triangle
Fascia lata (deep fascia)
The Femoral Triangle: Order of contents of triangle from lateral to medial
Femoral Nerve
Femoral Artery
Femoral Vein
lYmphatics
NAVY ACRONYM
The Femoral Triangle: Femoral Sheath route
Passes deep to the inguinal ligament to allow femoral vessels to move within it
The Femoral Triangle: What is the femoral sheath formed of?
Connective tissue
Hip Joint: What type of joint is this?
Synovial Ball and Socket Joint
Hip Joint: What is the ball of this joint?
Head of the femur
Hip Joint: What is the socket of this joint?
Acetabulum
Hip Joint: What movements are enabled by this joint?
Flexion
Extension
Abduction
Adduction
Medial-lateral Rotation
Circumduction
Hip Joint: Two layers of the joint
External fibrous layer
Internal synovial membrane layer
Hip Joint: What does the thick part of fibrous layer of the joint capsule form?
Ligaments
Hip Joint: 3 ligaments formed from the thick part of the joint capsule
Iliofemoral
Pubofemoral
Ischiofemoral
Hip Joint: What is the ligament called that goes to the head of the femur?
Ligamentum teres
Hip Joint: Function of the ligamentum teres?
Attaches the head of the femur and acetabulum internally
Hip Joint: Where is the blood vessel?
Folded within the synovium
Hip Joint: Where do the ligaments attach to?
Intertrochanteric line
Hip Joint: What supplies the joint?
Medial and lateral circumflex femoral arteries
Hip Joint: Medial and lateral circumflex femoral arteries arise from what?
Deep femoral artery
Hip Joint: Medial and lateral circumflex femoral arteries give off what?
Retinacular arteries
Hip Joint: Where does the artery to the head of the femur come from?
Branch of the obturator
Hip Joint: Where does the artery to the head of the femur travel through?
The ligament to the head of the femur
Hip Joint: Passive Stability of the Hip Joint - What is the acetabular labrum?
Fibrocartilaginous rim along the margin of the acetabulum
Hip Joint: Flexor Muscles
Iliopsoas
Sartorius
Tensor fasciae latae
Rectus femoris
Adductor longus
Adductor brevis
Adductor magnus - anterior part
Hip Joint: Adductor Muscles
Adductor longus
Adductor brevis
Adductor magnus
Gracilis
Pectineus
Obturator externus
Hip Joint: Lateral Rotator Muscles
Obturator externus
Obturator internus
Gerrellis
Piriformis
Quadratus femoris
Gluteus maximus
Hip Joint: Extensor Muscles
Hamstrings - semi-tendinosus, semi-membranosus and long head of the biceps femoris
Adductor magnus - posterior part
Gluteus maximus
Hip Joint: Abductor Muscles
Gluteus medius
Gluteus minimus
Tensor fasciae latae