Anterior Medial Thigh

Question 1

What spinal nerves innervate the lateral femoral cutaneous N.

Answer 1

L2 and L3

Question 2

What spinal nerves innervate the femoral N.

Answer 2

L2 - L4

Question 3

What spinal nerves innervate the obturator N.

Answer 3

L2 - L4

Question 4

What spinal nerves innervate the sciatic N. As well as the tibial N. And the common Fibular N.

Answer 4

Sciatic - L4 - S3
Tibila N. - L4 - S3
Common Fibular N. - L4. -S2

Question 5

The patellar reflex tests the function of what

The absence of a reflex is known as what

Answer 5

The femoral N. As well as L2 - L4

The absence is known as Westphal’s sign

Question 6

What does the calcaneal tendon reflex test

Answer 6

Tests S1 and S2 nerve roots

If the nerve root is cut or compressed, the ankle reflex is virtually absent

Question 7

What is osgood-schlatter disease

Answer 7

A pulling away of quadriceps tendon from the tibial tuberosity

This usually occurs in kids and young adults

Healed by addition of new bone to the area

Question 8

The part of muscle attachment superior to the patella is called what

Answer 8

The patellar tendon

Question 9

The attachment point inferior to the patella is called what

Answer 9

Patellar L.

Question 10

Define the adductor canal

Answer 10

A long, narrow passageway in the middle third of the thigh. This provides for an intermuscular passage for the femoral A./V., saphenous N., and the nerve of the vastus medialis

Question 11

What are the borders of the adductor canal

Answer 11

Anterior/lateral by the vastus medialis

Posteriorly by the adductus longus and magnus

Medially by the sartorius which overlies the groove between and above muscles forming the roof of the cana

Question 12

What type of fracture of the hip bones may occur during sports with a sudden acceleration or deceleration

Answer 12

An avulsion fracture of the hip bone where a small part of the bone with a piece of tendon or ligament is torn away

Question 13

Where do avulsion fractures of the hip bone usually occur

Answer 13

At apophyses

Question 14

What is coxa vara

Answer 14

The angle of inclination is decreased in the femur

Question 15

What is coxa valga

Answer 15

The angle of inclination is increased

Question 16

What is the most common type of fracture of the tibia

Answer 16

A compound fractures

Question 17

What is a hip pointer injury

Answer 17

A contusion of the iliac crest that usually occurs at its anterior part where the sartorius attaches to the ASIS

Usually involved with collision sports

Question 18

Where is the most common site of thigh hematoma

Answer 18

In the quadriceps

Question 19

What is a charlie horse

Answer 19

Cramping of an individual thigh muscle due to ischemia or a contusion

Question 20

What causes a psoas abcess

Answer 20

A retroperitoneal pyogenic infection in the abdomen or pelvis secondary to TB of the vertebral column

Can also be caused by regional enteritis of the ileum

Question 21

Psoas abcess should always be considered when?

Answer 21

When there is edema in the proximal part of the thigh

Question 22

Where can a psoas abscess be palpated

Answer 22

The inguinal region, just inferior or superior to the inguinal ligament

Question 23

What are the S/S of a paralyzed quadriceps muscle

Answer 23

Patient can not extend the leg against resistance

Commonly walk with a forward lean, pressing on the distal end of the thigh with their hand as the heel contacts the ground to prevent flexion

Question 24

Define chondromalacia patallae and give S/S

Answer 24

Known as runner’s knee

Is a softening of the articular cartilage of the patella

Due to an overstrethching of the knee region and a quadriceps imbalance

Question 25

When does the patella ossify

Answer 25

3 - 6 yrs

Question 26

Define bipartite or tripartite patella and what it can be mistaken for

Answer 26

Separate (2 or 3) parts of the patella due to an ossification abnormality

Can be mistaken for a patellar Fx.

Is always seen bi-laterally

Question 27

What muscle of the leg can be removed and transplanted elsewhere to help with muscle injury

Answer 27

The gracilis

Question 28

Define a groin pull and its S/S

Answer 28

A strain, stretching, and probably some tearing of the proximal attachments of the antetomedial thigh muscles have occurred.

Usually involves the flexor and adductor thigh muscles

Question 29

Define rider’s strain

Answer 29

A muscle strain of the adductor longus M.

Question 30

The anterior compt. Of the thigh contains what

Answer 30

The extensors and the fem. N.

Question 31

The medial compt. Of the thigh contains what

Answer 31

The adductors and the obturator N.

Question 32

The posterior compt. Of the thigh contains what

Answer 32

The flexors and the sciatic N.

Question 33

What is the Des Anserius

Answer 33

A common site of insertion for 3 muscles

Question 34

What 3 muscles insert to the Des Anserius and what N. Innervates them

Answer 34

Sartorius - Fem N.
Gracialis - Obturator N.
Semitendinosus - Tibial Div. of Sciatic N.