Checklist Flashcards
Into what does the popliteal A fork?
Ant tibial A & post tibial A
What’s the med continuation of the pedal dorsal venous arch?
Great saphenous V
What’s the lat branch of the sciatic N?
Common fibular N
What’s the main arterial supply for the post femoral compartment?
Deep femoral A
What AV accompany the deep fibular N?
Ant tibial AV
What AV accompany the saphenous N?
Femoral AV
From where does the 3rd doral Mt A branch?
Arcuate A
The union of the ant & post tibial V form the
Popliteal V
Into where does the small saphenous V drain?
Popliteal V
Whats the medial branch of the tibial N?
Med plantar N
What artery supplies tibialis ant?
Ant tibial A
What vein drains fl digiti minimi [of the foot]
Lat plantar V
Agonist
Mm that perform a major/ particular action.
Ex: Biceps brachii is agonist of elbow flexion
Prime mover
The main agonists.
Ex: quads are prime movers for knee extension
Synergists
Helper agonists that can also help stabilize.
Ex: brachialis is synergist to biceps brachii
Antagonist
Mm that perform opposite action of agonist.
Ex: triceps during elbow flexion
Fixators
Stabilize a region so a particular action can be done.
Ex: rotator cuff Mm in shoulder
What are two synergist to the main actions of iliopsoas?
Rectus femoris and sartorius
What are three antagonists to the main action of vastus lateralis?
Hamstirngs: Biceps femoris long head and short head, semitendinosis, semimembranosis
What are two synergists to the common action of Tib anterior & Tib posterior?
Fl dig longus & Fl hallucis longus
Fibrous jts
Rigid or relatively immovable joints
Ex: cranial sutures, inf tibiofibular jt
Cartilaginous jts
bones joined by intervening cartilage; immovable to flexible.
Ex: hyaline cart of costae, epiphyseal plates, pubic symphysis, intervertebral discs
Synovial jts
Highly movable, most common type, typically has articulating cartilages, synovial membrane, fluid, fibrous jt capsule, and ligg.
Ex: knee, elbow, etc
What’s a dermatome?
An area of skin innervated by only one spinal nerve. All spinal Nn except C1 form dermatomes; they may overlap considerably
Palpation spot for dematome: L1
Just inf to inguinal lig
Palpation spot for dematome: L2
Ant most thigh at level of crotch base
Palpation spot for dematome: L3
Med femoral condyle
Palpation spot for dematome: L4
Medial malleolus
Palpation spot for dematome: L5
Dorsum of Mt III
Palpation spot for dematome: S1
Lateral pes
Palpation spot for dematome: S2
MEDIAL popiteal fossa
Palpation spot for dematome: S3
Ischial tuberosity
Palpation spot for dematome: S4-5
Perianal skin
Palpation spot for dematome: C5
Lat cubital fossa
Palpation spot for dematome: C6
Pollex
Palpation spot for dematome: C7
Digit III
Palpation spot for dematome: C8
Medial Manus
Palpation spot for dematome: T1
Medial cubital fossa
Handy dermatome marker: T10
Umbilicus
What two very large Mm are quite visable in the post view of the femoral region?
Biceps femoris & vastus lateralis
Name 4 pes evertors
fibularis longus, fibularis brevis, fibulari tertius and ext dig longus
Name 4 pes invertors
ant & post tibialis, fl dig longus, flex & ext hallucis longus
Fibularis tertius is actually part of…?
Extensor dig longus
What A runs with the deep fibular N?
Ant tibial A
What N runs with the post tibial A
Tibial N
What passes through the greater sciatic foramen?
Piriformis, Sup and inf gluteal NAaVv, Sciatic N
What passes through the lesser sciatic foramen?
Obturator internus
What bounds the greater and lesser sciatic foramen?
Sacrotuberous lig and sacrospinous lig
What are the functions of these various regular dense connective tissue structures?
sup ext retinaculum; inf ex retinaculum; fl retinaculum; plantar fascia; plantar aponeurosis of plantar fascia
Prevent bowstringing, bound supportive cartilage & bone to other body structures
What is bowstringing?
If tendons were not held to the bone & were able to hang unprotected
Explain the architecture of ant vs. post lower extremity muscle masses - why are particular regions bigger?
Hip and knee extensors and ankle plantar flexors are larger to combat wlkaing against gravity (ie. Phat Stick Man)
What is the axis of the pes?
Digit II
What is the axis of the manus?
Digit III
Define Class I lever
fulcrum is in the middle, think SEESAW, made for speed & stability.
What’s in the middle?
First = Fulcrum
Define Class II lever
weight is in the middle, think WHEELBARROW, made for power. Ex: chin muscle (temporomandibular jt)
What’s in the middle?
tWo = Weight
Define Class III lever
pull is in the middle, think CATAPULT, made for speed. Ex: brachialis
What’s in the middle?
most Popular = Pull
What’s the most common lever type in the body? Why?
Class III, because it is for speed
Lower ext center of gravity plumbline runs where?
Just ant to lat malleolus
Femoral triangle boundaries?
Adductor longus, Inguinal lig, Sartorius,
boundArIeS
Popliteal fossa boundaries
biceps femoris, plantaris, gastrocnemius, semimembranosus, semitendinosus, fascia lata, popliteal surface of femur
Where does a femoral hernia occur?
medial compartment of the thigh, deep to inguinal lig
Why is a femoral hernia more common in females than males?
less common in males bc of inguinal canal into sacrum is present and weak
What is the name of the fascia in the femoral compartment?
Fascia lata
What is the name of the fascia in the crural compartment?
Fascia cruris
What’s the clinical importance of knowing fascial compartments?
Keep body organized, contains injury/pathology, protects body
What are 3 major fxn of lower extremity deep fascia?
Holds you together, compartmentalizes & organizes, origin for muscles, elastic stocking for venous return
What’s the most commonly injured ankle lig?
Ant talofibular lig
What is the function of the ACL?
Prevents hyperextension & prevents the tibia from displacing anteriorly. It also helps lock the knee,
What is the function of the PCL?
Prevents tibia from sliding backwards
What are the 4 functions of the knee menisci?
- Pads the joint
- Deepens the facets for stabilization
- Moves to adapt tibial surfaces to changing femoral curvature
- Assists in locking knee
Fx of patellar tendon?
Common insertion for all knee extensors, ext of quad tendon, provides more leverage
What are the fxs of synovial fluid?
Act as lubricant
Cushions jt
Contains Nutrients
What structure produces synovial fluid?
Synovial membrane (inner membrane of synovial jts)
The 3 major non-muscular locks for the knee
ACL, LCL & menisci
Explain how the knee locks upon extension & slight ext rotation
ACL & PCL lock in full extension
LCL twists & tightens
Meniscus jam in the back of the knee
Explain the clinical tests ant & post drawer signs
Lie on the table, grab tibial plateaus & have them bend knee to 60 degrees. If it comes forward a lot, the ACL is torn. If it comes backward a lot, the PCL is torn.
Which collateral lig is weaker?
Med collateral is weaker than lat collateral
Why is med collateral lig supposedly more likely to be sprained than lateral besides it being weaker?
You are more likely to receive impact on the lateral side, which will apply force to the MCL which is attached to medial meniscus.
Luxation
Dislocation
Subluxation
Partial dislocation
Bursitis
Inflammationof bursa
Avulsion
Tearing away
What is the jt type of the pubic symphasis?
Cartilaginous
What’s the fx of the iliofemoral lig & ischiofemoral lig?
Prevents hyperextension of coxal jt
What’s the fx of the pubofemoral lig?
Prevents hyperextension and hyperabduction of coxal jt
Name the pelvic synovial membranes
coxal jt synovial sac, trochanteric bursa, ischial bursa
What’s the orientation of the femoral diaphysis & tibial diaphysis in relation to the sagittal plane?
The femoral diaphysis and tibial diaphysis are inclined creating the Q angle
Why is Q angle an important consideration in knee architecture?
It affects the varus and valgus which can put pressure on the knee joint.
What’s the range of typical femoral inclination?
115-140 deg
It affects the varus and valgus which can put pressure on the knee joint.
Our hips widen
Is Semitendinosus or Semimembranosus the stronger int knee rotator? Why?
Semitendinosus is stronger int rotator bc the insertion is on the superior ant tibia and wraps medially for leverage.
What’s the special structure that two Mm use to stabilize the lat knee jt?
Iliotibial band or IT Band (TFL and gluteus maximus)
Why is the knee the most inured
- Handles almost all the stress of the body
- It is flat and not very stable
- It is held together by ligaments
Some humans may pass out if they lock their knees for a prolonged period. Why?
blood flow to the brain becomes inadequate due to locking knees and lack of muscle contraction
What’s ant crural compartment syndrome?
When crural fascia tightens and causes more friction. The friction causes pain due to increase in size of muscles which increases pressure and connective tissue becomes tight and inflexible.
What are two causes of shin splints?
- tearing of connective tissue from tibial crest
2. overuse and over supination/ overpronation of feet
Why is it clinically important to know about bursae?
Important to know locations and functions of bursae bc they may become inflammed or infected. They are located where there is a lot of friction so when inflammation happens it could impair movement.
The subtalar jt is a complex gliding jt. Note that it lies perpendicular to the line of weight transmission to the ground. WHY?
It lies perpendicular so that there is no sheer stress. The ST joint receives 100% of your BW so if it was not perpenducular it would create torque that could cause injury or tearing.
What’s the major supporter of the calcaneonavicular jt?
Spring Ligament