Anatomy - Overview of lower limb Flashcards
Name the 6 regions of the lower limb
Gluteal Femoral Knee Leg Ankle Foot
Which is the only region of the lower limb without an anterior region
Gluteal
Name the 4 superficial muscles of the gluteal region
Gluteus maximus
Gluteus medius
Gluteus minimus
Tensor fascia lata
What are the 3 functions of the superficial muscles of the gluteal region?
Extensors
Abductors
and Medial rotators of thigh
What is the innervation of the gluteus maximus
Inferior gluteal nerve
Which 3 muscles does the superior gluteal nerve innervate?
Gluteus medius
Gluteus minimus
Tensor fascia lata
Name the 4 deep muscles of the gluteal region
Piriformis
Obturator internis
(superior + inferior) Gemelli
Quadratus fermoris
What are the 2 functions of the deep muscles of the gluteal region?
Lateral rotators of thigh
Hip stabilisers
Which nerves innervate the deep muscles of the gluteal region?
Nerves from the sacral plexus
Which foramen does the piriformis muscle run through?
Greater sciatic foramen
Name 3 nerves that enter the pelvis via the gluteal region
Sciatic
Pudendal
Posterior cutaneous nerve of thigh
Which vertebral region does the sciatic nerve arise from?
L4, 5
S1, 2, 3
Give the main features of the sciatic nerve
Largest in the body
Innervates posterior thigh
+ all leg and foot muscles
+ most skin
Which vertebral region does the pudendal nerve arise from?
S2 to S4
Give the main feature of the pudendal nerve
It is the principal nerve of the perineum
Which vertebral region does the posterior cutaneous nerve of thigh arise from?
S1 to S3
Give the main features of the posterior cutaneous nerve of thigh
Innervates skin over posterior thigh, popliteal fossa, lateral perineum and upper medial thigh
Where does the sciatic nerve divide into two? Which nerves does it form?
Distal thigh
- Tibial nerve
- Common fibular nerve
Which foramen does the sciatic nerve exit from? Near which muscle?
IMPORTANT
Most lateral structure exiting GREATER sciatic foramen
INFERIOR to piriformis muscle
What is the superior boundary of the femoral triangle?
Inguinal ligament
What is the medial boundary of the femoral triangle?
Lateral border of adductor longus
What is the lateral boundary of the femoral triangle?
Medial border of sartorius
Which muscles make up the floor of the femoral triangle?
Iliopsoas (laterally)
Pectineus (medially)
What makes up the roof of the femoral triangle?
Fascia lata
List the 4 contents of the femoral triangle
lateral to medial
Femoral: Nerve Artery Vein Lymph nodes
What are the 3 muscle compartments of the thigh?
Anterior
Medial
Posterior
What are the 3 muscle compartments of the leg?
Anterior
Lateral
Posterior
What are the 2 functions of the muscles of the anterior aspect of the thigh?
Flexors of thigh
Extensors of leg
Which 3 muscles of the thigh flex the thigh?
Pectineus
iliopsoas
Sartorius
Which (4) muscles of the thigh extend the leg?
Quadriceps femoris
- Rectus femoralis
- Vastus lateralis
- Vastus intermedius
- Vastus medialis
Which nerve innervates the muscles of the anterior compartment of the thigh?
Femoral nerve (L2, L3,L4) but psoas major - L1, L2, L3
What is the function of muscles in the medial compartment of the thigh?
Adductors of the thigh
Name the 5 adductors of the thigh
Adductor longus Adductor brevis Adductor magnus Gracilis Obturator externus
Which nerve innervates the muscles of the medial compartment of the thigh?
Obturator nerve (L2, L3, L4)
but
Tibial nerve - hamstring section of adductor magnus
Name the 3 muscles in the posterior compartment of the thigh
Semitendinosus (superficial)
Semimembranosus
Biceps femoris (lateral)
Which nerve innervates the muscles of the posterior thigh?
Tibial nerve (L5, S1, S2) but Common fibular nerve innervates short head of biceps femoris
What are the ball and socket components of the hip joint?
Ball: head of femur
Socket: acetabulum of pelvic bone
What increases the depth of the acetabulum?
Acetabular labrum - by about 10%
Name the 3 ligaments forming the hip joint capsule
iliofemoral (anteriorly, strongest)
Pubofemoral (anteriorly)
Ischiofemoral (posterior, weaker)
Which ligament runs from the acetabulum to the head of femur?
Ligamentum teres
Contains small/irrelevant artery to the head of femur
Where does the small artery to the head of femur arise?
Obturator artery
What are the most relevant arteries supplying blood to the head of femur?
Medial and lateral circumflex arteries
- aka retinacular arteries
- branches of profunda femoris
How many articulations are present in the knee?
3
- 2 femerotibial
- 1 femeropatellar
What is the main movement of the knee?
Flexion-extension
- hinge joint
How is the knee joint strengthened?
Presence of ligaments
Name 3 of the extracapsular ligaments of the knee
Lateral collateral
Medial collateral
Patellar ligament
Name 2 intra-articular ligaments of the knee
Anterior Cruciate Ligament
Posterior Cruciate Ligament
Give 3 features of menisci in the knee joint
Fibrocartilaginous
Have medial and lateral parts
- lateral more prone to injury
What is the other name of the calcaneal tendon?
Achilles tendon
Which 2 tendons join to form the achilles tendon?
Gastrocnemius + Soleus tendons
What should happen to the foot when the achilles tendon is struck during an ankle jerk reflex test?
Plantarflexion
Which ligament of the knee resists valgus forces?
Median collateral ligament
Which ligament of the knee resists varus forces?
Lateral collateral ligament
Which ligament in the knee prevents anterior translation of the tibia?
ACL
- also prevents internal rotation
State 4 functions of the meniscus of the knee
Shock absorbers
Increases femero-tibial conformity
Stabilises joint when moving
Lubrication
List 4 factors that contribute to patellar instability
Genu valgum
Femoral head anteversion
Weak quadriceps
Ligamentous laxity
Name the 4 muscles in the anterior compartment of the leg
Tibialis anterior
Extensor hallucis longus
Extensor digitorum longus
Peroneus tertius
Which nerve innervates muscles in the anterior compartment of the leg?
Deep fibular nerve
Name the 2 muscles in the lateral compartment of the leg
Fibularis longus
Fibularis brevis
Which nerve innervates muscles in the lateral compartment of the leg?
Superficial fibular nerve
Name the 7 muscles of the posterior compartment of the leg.
Gastrocnemius Soleus Plantaris Tibialis posterior Flexor hallucis longus Flexor digitorum longus Popliteus
Which 3 muscles of the posterior compartment of the leg are more superficial?
Gastrocnemius
Soleus
Plantaris
Which nerve innervates muscles in the posterior compartment of the leg?
Tibial nerve
Name the 2 ligaments of the ankle
Deltoid ligament (medially) Lateral ligament complex
Which 2 bones comprise the hindfoot?
Talus
Calcaneus
Which 5 bones comprise the midfoot?
Navicular
Cuboid
Cuneiforms
- medial, intermediate and lateral
Which bones make up the forefoot?
Metatarsals
Phalanges
Name the 5 different of between the bones of the foot
Talocalcaneal/subtalar joint Midtarsal joints - calcaneocuboid - talocalcaneonavicular Tarsometatarsal Metatarsophalangeal (MTPs) Interphalangeal
Name the 3 arches of the foot
Medial longitudinal arch
Lateral longitudinal arch
Transverse arch
Which 3 muscular structures support the medial longitudinal arch?
Flexor hallucis longus
Tibialis anterior
Fibularis longus