Anatomy Division 1 Flashcards
posterior (dorsal) primary rami innervate…
intrinsic back muscles and skin(tiny nerve branch)
anterior (ventral) primary rami innervate…
limbs and trunk(large remaining portion of spins nerve)get named!
afferent
sensory nerveDORSAL ROOTScell bodies in dorsal root ganglion
efferent
motor nerveVENTRAL ROOTScell bodies in spinal cord
acetabulum is made up by how many bones?
3 (ilium, ischium, pubis)
acetabulum is lined with ___ cartilage
hyaline
acetabular labrum is made from ____
fibrocartilage
where is acetabular notch
inferior aspect
name the 3 main ligaments of the hip and their function
iliofemoral ligament (Y ligament) - prevents hyperextension
pubofemoral - prevents hyperabduction
ischiofemoral - prevents hyperflexion
inguinal ligament path
ASIS to pubic tubercle
blood supply to the head of the femur (2)
- artery to the head of the femur
2. retinacular aa. (from circumflex femoral artery – majority medial circumflex a.)
lumbosacral plexus nerves (levels, 1 sensory, 3 motor)
(L1-S4)
sensory: clunial nn. (middle out of holes of sacrum)
motor: superior gluteal, inferior gluteal, sciatic
hip extensors (3)
glutei max, min, med (superficial group)
deep hip muscles (5)
piriformis, superior gemellus, obturator internus, inferior gemellus, quadrates femoris
-THESE ARE SUPERIOR TO INFERIOR-
Gluteus Maximus m.
O: posterior ilium, sacrum, sacrotuberous ligament
I: IT band and gluteal tuberosity
A: hip extension (esp. in hip flexion), and hip ER
I: inferior gluteal n. (L5, S1, S2)
Gluteus Medius & Minimus mm.
O: external surface of ilium
I: med-lateral aspect, min - anterior aspect of greater troch
A: hip ABD and IR
I: superior gluteal n. (L4, L5, S1)
TFL m.
O: ASIS and iliac crest
I: ITB
A: ABD and hip flex
I: superior gluteal n. (L4, L5, S1)
superior gluteal nerve injury –>
positive trendelenburg
piriformis m.
O: anterior sacrum (through greater sciatic foramen)
I: greater trochanter (superomedial)
A: Hip ER and ABD
I: n. to piriformis
superior gemellus m.
O: ischial spine
I: trochanteric fossa
A: hip ER
I: n. to obturator internus
obturator internus m.
O: obturator membrane
I: trochanteric fossa
A: hip ER
I: n. to obturator internus
inferior gemellus m.
O: ischial tuberosity
I: trochanteric fossa
A: hip ER
I: n. to quadrates femoris
quadrates femoris m.
O: ischial tuberosity
I: quadrate tubercle on intertrochanteric crest
A: hip ER
I:n. to quadrates femoris
piriformi anatomical relationships superior –> inferior
superior gluteal artery and nerve, piriformis, sciatic nerve, inferior gluteal nerve and artery
three thigh compartments
anterior, medial, posterior
Levels and divisions of the sciatic nerve
(L4-S3)
tibial division and fibular division
splits in popliteal fossa
Biceps Femoris m.
O: ischial tuberosity (long head) & linea aspera (short head)
I: head of fibula
A: extends hip, flexes knee, leg ER
I: sciatic n. (tibial division for long head & fibular division for short head)
Semimembranosus m.
O: ischial tuberosity
I: posteromedial tibia
A: extend hip, flex knee, IR leg
I: tibial division of sciatic n.
Semitendinosus m.
O: ischial tuberosity
I: medial proximal tibia
A: extend hip, flex knee, IR leg
I: tibial division of sciatic n.
popliteal fossa borders
superolateral: biceps femoris
superomedial: semimembranosis
inferolateral: lateral head of gastrocnemius
inferomedial: medial head of gastric
floor: femur and popliteus
popliteal fossa contents (4)
- small saphenous v. draining into popliteal v.
- popliteal a.
- tibial and common fibular nn.
- posterior cutaneous n. of the thigh
genicular anastomosis contains 4 arteries
superior and inferior genicular aa.
medial and lateral of both
LE myotomes
L1-L2: Hip flexion L3: Knee Extension L4: Ankle DF L5: great toe extension S1: ankle PF and eversion S2: knee flexion
Which cutaneous nerve innervates the anterior thigh?
anterior cutaneous branches of femoral n. (L2-L4)
Which cutaneous nerve innervates the lateral thigh?
lateral femoral cutaneous n. (L2-L3)
Which cutaneous nerve innervates the medial leg?
saphenous n. (L3-L4)
distal extent of the femoral nerve
Innervation of anterior compartment of the thigh?
femoral n. (L2-L4)
except posts major = anterior rami of L1-L3
iliopsoas m.
O: psoas major: T12-L5 vertebrae iliacus: iliac fossa I: lesser trochanter A: main hip flexor
sartorius m.
O: ASIS
I: proximal anteromedial tibia
A: hip flexion, ER, ABD, knee flexion
quariceps femoris m.
Rectus femoris: AIIS
vastus lateralis: greater trochanter, lineament aspera
vastus medialis linea aspera
vastus intermedius: anterior shaft of femur
I: quad tendon to tibial tuberosity
A: knee extension and hip flexion for rectus femoris