Anterior and Medial Thigh Flashcards

1
Q

Which muscle pills on the IT band to stabilize the knee and weakly rotate the hip?

A

the tensor fascia latae

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2
Q

the anterior compartment of the thigh is the ___ compartment.

A

the extensor compartment

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3
Q

Where does the great saphenous vein start? WHere does it terminate?

THrough what space does it travel to reach its termination point?

A

starts: medial end of the dorsal venous arch of the foot
end: femoral vein

passes through an opening in the fascia lata called the saphenous opening

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4
Q

What veins connect the superficial saphenous veing to the deep veins?

A

the perforating veins

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5
Q

What happens to the superficial veins if the valves stop working?

A

The blood vlow will reverse direction towards the superficial veins, causing them to become tortuous and dilated

= varicose veins

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6
Q

What is a saphenous cut down? WHere is it done?

A

When they use the saphenous vein for emergency transfusions when other IV access is unavailable.

it’s done 1 cm in fronf of the medial malleolus - the great saphenous vein is always there.

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7
Q

What muscle allows us to sit cross legged?

In other words, it flexes/laterally rotates hip and flexes/medially fotates knee

A

the sartorius muscle

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8
Q

What nerve innervates the sartorius muscle?

A

the femoral nerve

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9
Q

Where does the ilipsoas run from? WHat does it do?

A

from the transverse processes of the lumbar vertebrae to down to the lesser trochanter of the femur

It flexes the hip joint

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10
Q

How is the iliopsoas muscle innervated?

A

by the femoral nerve and the anterior rami of the lumbar plexus

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11
Q

What does the pectineus do?

A

It adducts and flexes the thigh at the hip joint. (stretches from the pubis down and over to inferior of the lesser trochanter

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12
Q

How is the pectineus innervated?

A

femoral nerve

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13
Q

What are the 4 muscles of the quadriceps femoris?

A

rectus femoris

vastus lateralis

vastus intermedius

vastus medialis

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14
Q

What do the quadricepts attach to distally?

A

to the patella and tibial tuberosity through the quadriceps tendon.

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15
Q

What do the quadricepts do?

A

they extend the leg

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16
Q

How are the quadriceps innervated?

A

femoral nerve

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17
Q

What ligament runs from the patella to the tibial tuberosity?

A

the patellar ligament

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18
Q

What branches of the lumbar plexus make up the femoral nerve?

A

L2, L3, and L4

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19
Q

WHat are the boundaries of the femoral triangle?

A

the inguinal ligament superiorly

the adductor longus medially

and the sartorius laterally

20
Q

WHat are the contents of the femoral triangle?

A

NAVEL (laterally to medially)

femoral Nerve, femoral Artery, femoral Vein, (empty), inguinal Lymph nodes

21
Q

What is the largest nerve coming off the lumbar plexus?

A

the femoral nerve

22
Q

What artery provides the main arterial supply to the lower limb?

A

the femoral artery

23
Q

THe femoral artery is a continuation of the ____ and becomes the _____ after it passes through the adductor hiatus.

A

continuation of the external iliac artery and beomes the popliteal artery

24
Q

The femoral artery branches off into the deep femoral artery, which gives rise to the ____ and the _____, as well as the 4 _____ to the posterior compartment of the thigh.

A

lateral circumflex femoral

medial circumflex femoral

perforating branches

25
Which branch off the deep femoral artery supplies most of the circulation for the femur head and neck?
the medial circumflex femoral
26
What two anastamoses supply blood to the lower imb in the event of an occlusion of the femoral artery above the origin of the deep femoral?
the cruciate anastomosis and the trochanteric anastamosis
27
WHere do the inguinal lymph nodes draw from?
the superficial and deep afferents of the lower extremity, perineum, anus, and buttock
28
What fascia encloses the femoral vessels and femoral canal (NOT the femoral nerve)?
the femoral sheath
29
HOw many compartments does the femoral sheath have? WHat's in them?
three compartments 1. lateral = femoral artery 2. inermediate = femoral vein 3. medial = the femoral canal with lymph nodes and fat.
30
Where do femoral hernias go?
into the femoral canal - the third compartment of the femoral sheath
31
Are femoral hernias more common in men or women?
in women - they have a wider pelvis and therefore a wider femoral ring through which the intestine can loop down into the femoral canal
32
The medial compartment of the thigh is the ___ compartment.
the adductory compartment
33
WHat 4 muscles are located in the medial compartment of the thigh?
1. gracilis 2. adductor longus 3. adductor brevis 4. adductor magnus
34
What nerve supplies the thigh adductors? WHat's the one exception?
THe obturator nerve supplies the adductors, except for the hamstring portion of the adductor magnus, which is supplied by the tibial nerve.
35
The obturator artery and vein are tributaries off what?
the internal iliac artery and vein
36
Why does Osgood-schlatter disease often occur in adolescents?
because they have growth plates at the tibial tuberosity that can be disrupted, leading to inflammation of the tuberosity and chronic recurring pain
37
What nerve is tested with the patellar reflex?
the femoral nerve | (L2, L3 and L4)
38
What muscles are injured in a "groin pull"
the proximal attachments of the adductor muscles of the thigh (and sometimes the flexors too)
39
Which is the strongest flexor of the hip joint?
the ilipsoas muscle
40
What two muscles combine to form the iliopsoas muscle?
the iliacus and the psoas
41
What ligament lies within the hip joint?
The ligament to the head of the femur It doesn't actually hold the femur into the joint all that well - it's mroe imporant for transmitting the artery to the head of the femur
42
What are the three hip joint ligaments?
the ischiofemoral ligament the illiofemoral ligament pubofemoral ligament
43
Which hip joint ligament is the weakest?
the ischiofemoral - in the posterior region
44
What direction will the limb rotate in a femur fracture?
the limb will be laterally rotate and shorter
45
Which are more common: posterior or anterior femur dislocations?
posterior
46
Which muscle can sometimes become entrapped in a hip dislocation?
the iliopsoas
47