Anatomy Flashcards
What makes up the upper limbs?
Axilla
Arm
Elbow/cubtial fossa
Fore arm
wrist
hand
What makes up the lower limbs?
Inguinal region/groin
Thigh
Knee/popliteal fossa
Leg
Ankle
Foot
Where does the lower limbs start?
Extends from the pelvis
What muscles of the gluteal Region make up the superficial muscle group?
Gluteus maximus
Gluteus medius
Gluteus minimus
Tensor fascia latae
What is the function of the superficial muscles in the gluteal region?
extensors, abductors and medial rotators of thigh
Which nerves innervate the superficial muscles of the gluteal region?
gluteus maximus = inferior gluteal
all others = superior gluteal
Trendelenburg’s Gait
What gluteal muscles make up the deep muscle group?
piriformis
obturator internus
gemelli
quadratus femoris
What is the function of the deep muscle group in the gluteal region?
lateral rotators of thigh and hip stabilisers
What nerves innervate the deep muscle group in the gluteal region?
Sacral plexus
How do nerves enter the pelvis?
Greater sacral foramen
How do nerves enter the perineum?
Lesser sacral foramen
What makes up the lesser and greater sacral foramen?
sacrotuberous and sacrospinous ligaments
What are the main nerves which enter/exit the pelvis via the gluteal region?
Sciatic (L4-S3)
Pudendal (S2-S4)
Posterior cutaneous nerve of thigh (S1-S3)
What do the sciatic nerves supply?
supplies posterior thigh, all leg and foot muscles & most of the skin via tibial and common fibular branches
What do the pudendal nerve supply?
Principal nerve to perineum
What do the posterior cutaneous nerves of thigh supply?
skin over posterior thigh, popliteal fossa, lateral perineum and upper medial thigh
Where does the sciatic nerve normally exit from in the gluteal region?
leaves pelvis through great sciatic foramen Inferior to piriformis
What does the sciatic nerve separate into in the distal thigh?
tibial nerve
common fibular
What are the boundaries of the femoral triangle?
superior – inguinal ligament
medially – adductor longus
laterally – sartorius
floor – iliopsoas and pectineus
roof – deep fascia (fascia lata)
What are the contents of the femoral triangle?
Femoral Nerve
Femoral Artery
Femoral Vein
Lymphatics
What are the three compartments of the thigh?
anterior, medial &anterior posterior compartments
What are the three compartments of the leg?
Anterior,lateral & posterior compartments
What is found in the anterior compartment of the thigh?
1.flexors of thigh
pectineus, iliopsoas, sartorius
2.extensors of leg
quadriceps femoris
3.all femoral nerve (L2, L3, L4) psoas major (L1,L2,L3)
What is found in the medial compartment of the thigh?
- adductors of thigh
adductor longus, adductor brevis, adductor magnus, gracilis, obturator externus
2.all obturator nerve (L2, L3, L4)
hamstring part of adductor magnus (tibial nerve)
What is found in the posterior compartment of the thigh?
1.extensors of thigh & flexors of leg
semitendinosus, semimembranosus & biceps femoris
- all tibial division of sciatic nerve (L5, S1, S2)
short head biceps femoris (common fibular division of sciatic)
What is found in the anterior compartment of the leg?
1.dorsiflexors of ankle & extensors of toes
tibialis anterior, extensor digitorum longus, extensor hallucis longus, fibularis tertius
2.all deep fibular nerve (L4, L5)
What is found in the lateral compartment of the leg?
1.evert foot & weakly plantarflex ankle
fibularis longus, fibularis brevis
- all superficial fibular nerve (L5, S1, S2)
Where is the popliteal fossa?
Posterior to knee
What are the boundaries of the popliteal fossa?
superolaterally – biceps femoris
superomedially – semimembranosus
inferiorly – gastrocnemius
roof – popliteal fascia
What are the contents of the popliteal fossa?
lots of fat
terminal small saphenous vein
popliteal vessels
tibial and common fibular nerves
What makes up the calcaneal tendon (ankle tendon)?
ii. what does it attach to?
tendons of gastrocnemius and soleus together
ii. attaches to calcaneal tuberosity of the calcaneus
what nerves do the ankle jerk reflex test?
tests S1, S2 nerve roots
What is the route of the superficial lymphatics?
follow saphenous veins
drain to superficial inguinal lymph nodes
then external iliac lymph nodes
What is the route of deep lymphatics?
follow deep veins
(popliteal lymph nodes)
deep inguinal lymph nodes
external iliac lymph nodes
What do the motor nerves of the femoral nerve innervate? (L2,3,4)
quadriceps femoris, sartorius, iliacus & pectineus
What do the motor nerves of the tibial part of the sciatic nerve (L4-S3)?
- muscles of the posterior compartment of thigh:
true hamstrings -
semimembranosus
semitendinosus
2.long head of biceps femoris muscles of the posterior compartment of leg: gastrocnemius soleus plantaris popliteus tibialis posterior
3.muscles of the sole of the foot:
flexors of the digits (digitorum & hallucis longus)
ALL intrinsic muscles of the sole of the foot
(via medial and lateral plantar branches)
what do the motor nerves of the obturator nerve innervate? (L2,3,4)
ALL of the medial compartment of thigh ALL adductors (except hamstring part of magnus) & gracilis
What do the motor nerves of the
common fibular part of the sciatic nerve innervate? (L4-S2)
short head of biceps femoris
What is superficial fibular branch of the common fibular nerve?
muscles of the lateral compartment of leg: fibularis longus & brevis
What is superficial fibular branch of the deep fibular nerve?
muscles of the anterior compartment of leg:
Tibialis anterior, extensor digitorum longus, extensor hallucis longus, fibularis tertius
muscles of the dorsum of the foot:
extensor digitorum brevis (EDB)
extensor hallucis brevis (EHB)
which nerves innervate the rest of the lower limb?
Branches of the lumbosacral plexus
What are the three principal types of muscles?
- Skeletal
- Cardiac
- Smooth
What are the three main properties of the skeletal muscles?
Striated
Unbranched
Multinucleate - Nuclei are at the periphery of the fibre, just under sarcolemma
what is the sarcolemma?
the cell membrane of muscle cells
what is the name of bundles that muscle fibres are organised into?
Fascicles
What is the name of the connective tissue which surrounds the whole muscle?
Epimysium
What is the name of the connective tissue which surrounds a fascicle?
Perimysium
what is the name of the connective tissue which surrounds a single muscle fibre?
Endomysium
what is a sarcomere?
ii. what do they form?
the ‘unit of contraction’, of the muscle cell, that is, they are the smallest contractile elements in the striated muscle cell
ii. thousands of these are placed end-to-end to form a myofibril
What line to sarcomeres extend from?
one Z line to another one
What is a motor unit?
one motor neurone and all of the muscle fibres that it innervates
Finish the sentence: the fewer the number of muscle fibres in a motor unit the finer the what?
the finer the control of movement
What are the 3 types of skeletal fibres?
Type I - relatively slowly contracting fibres that depend on oxidative metabolism
Type II a - They are relatively fast contracting, but are also reasonably resistant to fatigue. (intermediate between Type I and Type II b)
Type II b - fast contracting fibres that depend on anaerobic metabolism
What do Type I skeletal fibres contain a lot of?
Mitochondria and Myogoblin
How are cells nourished in the cartilage?
diffusion through the extracellular matrix
How are cells nourished in the bone?
nourished by blood vessels that pervade the tissue.
What are the cells called that found in the cartilage?
ii. what are immature forms of these cells called?
Chondrocytes
ii. Chondroblasts
Where do chondrocytes reside in the extracellular matrix?
Lacuna
What does the ECM contain?
- water (75%)
2. 25% organic material. ( Type II collagen and Proteoglycan aggregates)
What colour is Hyaline cartilage?
Grossly, it is blue-white in colour and translucent
What colour is Elastic cartilage?
Grossly it is light yellow in colour
what colour is fibrocartilage?
Grossly, fibrocartilage appears white.
Where is most of the calcium in the body stored?
bones
What is bone made of?
- bioapatitie (65%)- a form of calcium phosphate, mostly hydroxyapatite
- Collagen
- Water
What are the two types of bone found in a long bone which can be viewed with the naked eye?
- Cortical bone - makes up the diaphysis (shaft)
2. Cancellous or trabecular bone occupies the ends of the bone (the epiphyses)
What are the five main parts of a long bone from proximal to distal?
Proximal epiphyses
Metaphysis
Diaphysis
metaphysis
Distal epiphyses
What are the main parts of a long bone from superficial to deep?
Periosteum
compact bone
Marrow cavity
bone marrow
What is the main difference between compact and trabecular bone?
ii. what type of bone are they both?
the presence of spaces (marrow cavities) adjacent to trabecular bone.
ii. Lamellar
what is the main type of cell found in the bones?
osteocytes
What are cement lines?
lines that are often visible surrounding the osteon are termed
What do Trabecular bones lack?
generally lacks Haversian canals