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
Genu varum have an increased risk of
medial OA
26
What are bursae
filmy tissue prevents friction between may things but can become inflamed
27
In the anterior compartment of leg- what is supply
dorsiflexors and long toe extensors deep peroneal (fibular) nerve
28
lateral compartment of leg supply
peroneus longs and brevis superficial peroneal n
29
posterior compartment of leg supply
tibial n
30
Whats the treatment of compartment syndrome
fasciotomy
31
WHAT IS THE TRIANGLE SHAPED MEDIAL LIGAMANT
deltoid ligament
32
How many ligaments do you need to injure to have an instability issue
2 out of the 3 lateral ligaments
33
What is tarsal coalition
abnormal connection between tarsal bones
34
What bones are in the hind foot
talus and calcaneus
35
What bones are in the mid foot
cuneiform ( 1,2,3) , cuboid and navicular
36
What bones are in the forefoot
Metatarsal, phalanxes and tarsometatarsal
37
Composite movements involving ankle joint,subtalar joint and mid foot
pronation and supination
38
What contributes the the medial arch
tibial posterior and plantar fascia ( if it degenerates can get micro tears and pain)
39
What do lumbricals assist in
flexion of MTPJ and extension of interphalanageal joints (PIP and DIP)
40
Imbalance of the flexor and extensor tendons can lead to...
claw and hammer toe deformities