Anatomy Flashcards
What is the requirement for full abduction of the shoulder?
Scapular rotation via serratus anterior
Impingement of greater tuberosity by acromian process
List the extrinsic muscles of the toe
Extensor hallucis longus
Flexor hallucis longus
Fibularis longus
List the intrinsic muscles of the toe and give their action
Extensor hallucis brevis (toe extension)
Flexor hallucis brevis (toe flexion)
Adductor hallucis (toe adduction)
Abductor hallucis (toe abduction)
List the extrinsic muscles of the digits of the foot
Flexor digitorum longus Extensor digitorum longus Tibialis anterior Tibialis posterior Fibularis brevis Fibularis tertius
List the intrinsic muscles of the digits of the foot and give their action
Extensor digitorum brevis (digit extension)
Flexor digitorum brevis (digit flexion)
Abductor digiti minimi (little toe abduction)
Flexor digiti minimi (little toe flexion)
Quadratus plantae (flexion at DIPs)
Lumbricals
Interossei
How many lumbrical muscles are there in the foot?
4
How many interossei muscles are there in the foot?
7
List the five types of joints in the foot
Subtalar (talus - calcaneus) Midtarsal (calcaneus - cuboid - talus) Tarsometatarsal (cuneiforms, cuboid and MTs) MTP IP
What bones make up the hindfoot, midfoot and forefoot respectively?
Talus and calcaneus
Navicular, cuboid, cuneiforms
MTs and phalanges
List the posterior ankle tendons in the tarsal tunnel starting from closest posteriorly to MM to furthest away
TOM: Tibial posterior DICK: Flexor digitorium longus AND: Posterior tibial artery VERY: Posterior tibial vein NERVOUS: Tibial nerve HARRY: Flexor hallucis longus
What is the main blood supply to the foot, give it’s origin and branches?
Dorsalis pedis (from A tibial artery) ---> Arcuate arteries M + L plantar arteries (from P tibial artery) ---> MT arteries ---> Digit arteries
What is the main venous supply from the foot?
SUPERFICIAL: dorsal venous arch into great and small saphenous veins
DEEP: A + P tibial and fibular veins into popliteal vein
What is the motor nerve supply to the foot?
SOLE: Tibial nerve
DORSUM: Deep fibular nerve
What is the sensory nerve supply to the foot?
1ST CLEFT: Superficial fibular nerve
PROX. LATERAL: Sural nerve
PROX. MEDIAL: Saphenous nerve
List the anterior muscles of the leg
What is their main movement?
Tibialis anterior Extensor digitorum longus Extensor hallucis longus Fibularis tertius Dorsiflexors of ankle and toe extensors
What is the main nerve supply to the anterior leg muscles?
Deep fibular nerve (L4, 5)
List the lateral muscles of the leg
What is their main movement?
Fibularis longus
Fibularis brevis
Eversion of foot, ankle plantarflexion
What is the main nerve supply to the lateral leg muscles?
Superficial fibular nerve (L5, S1, S2)
List the posterior superficial muscles of the leg
What is their main movement?
Gastrocnemius
Soleus
Plantaris
Ankle plantarflexion, knee flexion
What is the main nerve supply to the posterior superficial leg muscles?
Tibial nerve
List the posterior deep muscles of the leg
What is their main movement?
Popliteus Flexor hallucis longus Flexor digitorum longus Tibialis posterior Toe flexion, ankle plantarflexion
What is the main nerve supply to the posterior deep leg muscles?
Tibial nerve
What type and class is the knee joint? What is it’s main movement?
Hinge
Synovial
FL-EX (some rotation)
What are the main articulations of the knee joint?
2 x femorotibial
1 x femoropatellar
What are the extra- and intracapsular ligaments of the knee joint?
Medial and lateral collateral ligaments
Anterior and posterior cruciate ligaments
Medial and lateral menisci
What material are menisci composed of?
Fibrocartilage
What are the boundaries of the popliteal fossa?
SL - biceps femoris
SM - semimembranous
I - gastrocnemius
Roof - popliteal fossa
What are the components of the popliteal NVB (superficial - deep)?
Tibial nerve
Popliteal vein
Popliteal artery
What are the branches of the popliteal artery, and what do they become?
Anterior tibial artery —> Dorsalis pedis
Posterior tibial artery —> Fibular artery
M + L plantar arteries
The calcaneal tendon is a combination of what two tendons?
Gastrocnemus
Soleus
List the superficial gluteal muscles
Gluteus maximus
Gluteus medius
Gluteus minimus
Tensor fasciae latae
Which movements does gluteus maximus enable?
Hip: mostly extension (also external rotation, abduction)
Which movements does gluteus medius enable?
Hip: abduction
Thigh: medial rotation
Which movements does gluteus minimus enable?
Hip: abduction
Thigh: medial rotation
Which movements does tensor fasciae latae enable?
Hip: flexion, medial rotation, abduction
Knee: lateral rotation
What is the main nerve supply to the superficial gluteal muscles?
Superior gluteal nerve (L4, L5, S1)
except gluteus maximus, which has inferior gluteal nerve
List the deep gluteal muscles
What is the main movement of these muscles?
Piriformis Superior gemellus Inferior gemellus Obturator internus Quadratus femoris Lateral rotation of the thigh
What is the nerve supply to piriformis?
Nerve to piriformis
What is the nerve supply to superior gemellus?
Nerve to obturator internus
What is the nerve supply to inferior gemellus?
Nerve to quadratus femoris
What is the nerve to obturator internus?
Nerve to obturator internus
What is the nerve supply to quadratus femoris?
Nerve to quadratus femoris
The sciatic nerve is found inferior to what muscle? What areas does it innervate anatomically? What are the nerve roots?
Piriformis
Posterior thigh, leg, foot
L4 - S3
Where does the pudenal nerve supply anatomically? What are it’s nerve roots?
Perineum
S2 - S4
Where does the posterior cutaneous nerve of the thigh supply? What are it’s nerve roots?
Skin over posterior thigh, popliteal fossa, lateral perineum, upper medial thigh
S1 - S3
What is the arterial supply to the sciatic nerve?
Artery to sciatic nerve