Clinical anatomy-lower limb Flashcards

1
Q

What are the 4 pelvic bones?

A

Ilium, ischium, pubic bone and sacrum

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2
Q

What are the pudendal and pelvic splanchnic nerve important for

A

bladder and bowel control

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3
Q

Sciatic nerve is formed from?

A

L4,S1,S2,S3 nerve roots

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4
Q

What can be injured in major pelvic trauma?

A

Urethra,rectum and bladder

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5
Q

What supplies the femoral head?

A

ring anastomosis

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6
Q

An intracapsule hip fracture-treatment

A

replace

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7
Q

If an extracapcular hip fracture - treatment

A

fixed with dynamic hip screw

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8
Q

There s tennis blood supply yo the superior head which is susceptible to blockage e.g. by fat. What is the result of this

A

avascular necrosis

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9
Q

What action is the gluteus maxis responsible for?

A

extension and external rotation

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10
Q

What do the adbuctors do when standing on one leg?

A

tilt the pelvis

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11
Q

What is the most powerful flexor?

A

illiopsoas (made up of posts major and illiacus)

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12
Q

What are the quads supplied by?

A

femoral nerve

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13
Q

What does a straight leg raise test?

A

extensor mechanism

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14
Q

Hams are supplied by

A

sciatic nerve

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15
Q

Semitendinosus can be used as a _______ _____

A

tendon graft ( used for ACL reconstruction)

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16
Q

Adductors supplied by

A

obturator nerve ( can refer hip pathology to the knee)

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17
Q

Adductor hiatus

A

transmits the femoral artery and vein from Hunters canal into popliteal fossa

18
Q

What are the two types of cartilage in the knee?

A
Hyaline
fibrocartilaginous menisci ( c shaped discs of cartilage that transmit force from the more rounded femoral condyles to the plateau)
19
Q

Medial colateral ligament resists

A

valgus stress ( stop it more excessively knock kneed)

20
Q

ACL resists

A

internal rotation and anterior translation tibia

21
Q

PCL resists

A

posterior translation or anterior translation tibia e.g. descending stira

22
Q

LCL resists

A

valgus stress and helps to resists external rotation

23
Q

What is the tibiofemoral angle on average

A

6 degree valgus

result in symmetric distribution of load between medial and lateral compartments

24
Q

Genu valgum have an increased of

A

lateral OA

25
Q

Genu varum have an increased risk of

A

medial OA

26
Q

What are bursae

A

filmy tissue
prevents friction between may things
but can become inflamed

27
Q

In the anterior compartment of leg- what is supply

A

dorsiflexors and long toe extensors

deep peroneal (fibular) nerve

28
Q

lateral compartment of leg supply

A

peroneus longs and brevis

superficial peroneal n

29
Q

posterior compartment of leg supply

A

tibial n

30
Q

Whats the treatment of compartment syndrome

A

fasciotomy

31
Q

WHAT IS THE TRIANGLE SHAPED MEDIAL LIGAMANT

A

deltoid ligament

32
Q

How many ligaments do you need to injure to have an instability issue

A

2 out of the 3 lateral ligaments

33
Q

What is tarsal coalition

A

abnormal connection between tarsal bones

34
Q

What bones are in the hind foot

A

talus and calcaneus

35
Q

What bones are in the mid foot

A

cuneiform ( 1,2,3) , cuboid and navicular

36
Q

What bones are in the forefoot

A

Metatarsal, phalanxes and tarsometatarsal

37
Q

Composite movements involving ankle joint,subtalar joint and mid foot

A

pronation and supination

38
Q

What contributes the the medial arch

A

tibial posterior and plantar fascia ( if it degenerates can get micro tears and pain)

39
Q

What do lumbricals assist in

A

flexion of MTPJ and extension of interphalanageal joints (PIP and DIP)

40
Q

Imbalance of the flexor and extensor tendons can lead to…

A

claw and hammer toe deformities