Clinical Anatomy of the Spine Flashcards
what are the three compartments of the knee joint
medial, lateral and patellofemoral
what bones make up the mortise of the ankle
tibia, fibula and talus
what bones are in the hindfoot
talus and calcaneous
which joint in foot can rotate
joints between hind and mid foot
what is the main arterial supply to the femoral head
medial circumflex
what are the two hip flexors
iliacus, psoas major
what is the origin and insertion of the iliacus
origin: iliac crest/ inner aspect of ilium
insertion: lesser trochanter of femur
what is the origin and insertion of the psoas major
origin: transverse processes L1-L5
insertion: lesser trochanter
what are the signs of a psoas abscess
irritates psoas- patients dont like having lip extended
what are the two secondary hip flexors
rectus femoris, sartorius
what is the rectus femoris part of
one of four heads of quadriceps
what is the origin an insertion of the rectus femoris
origin: AIIS
insertion: tibia via patella tendon
what is the origin and insertion of the sartorius
origin: ASIS
insertion: tibia
what is the extra hip role of the sartorius
externally rotates hip
as well as being hip flexors, hat do the rectus femoris and sartorius do
extensors of the knee
what is an avulsion fracture
injury to bone in area where tendon or ligament attaches to the bone
what are the five hip adductors
adductor brevis adductor longus adductor magnus pectineus gracilis
what is the common origin of the hip adductors
inferior pubic rami
what clinical (3) issues can arise from the hip adductors
adductor tendinopathy
osteitis pubis
spasticity in NM conditions
what comprises the iliopsoas muscle group
psoas major and illiacus
what are the main hip abductors
gluteus minimus and medius
what is the origin of the gluteus minimus and medius
origin: iliac wing
insertion: greater trochanter of femur
what is the origin and insertions of the tensor fascia lata
origin: iliac crest
insertion: lateral tibia via iliotibial tract
what is the hip extensor in the gluteal region
gluteus maximus
what is the origin an insertion of the gluteus maximus
origin: posterior aspect of ilium/ sacrum
insertion: iliotibial tract
what are the hamstring muscles
biceps femoris
semimembranosus
semitendinosus
what is the origin and insertion of the biceps femoris
origin: long head- ischial tuberosity
short head- linea aspera
insertion: fibula head
what is the origin and insertion of the semimembranosus
origin: ischial tuberosity
insertion: posterior tibia
what is the origin and insertion of the semitendinosus
origin: ischial tuberosity
insertion: medial tibia
what goes into the pes anserinus
semitendinosus, gracillis and sartorius
what pain does a trochanteric bursitis cause
lateral hip pain
what is the movements of the knee joint
mostly flexion and extension
what does the ACL resist
anterior translocation and external rotation of the tibia on the femur
what does the PCL resist
posterior translocation of the tibia on the femur
which cruciate ligament look like hand in pockets
ACL
what are the functions of the menisci
load transfer (shock absorbers)
increase femero-tibial conformity
stabilise the knee during movement
lubricate the knee
what are the types of meniscal tear
radial (transverse)
bucket handle
what is the function of the quadriceps muscle
knee extensors
what makes up the quadriceps msucle
rectus femoris
vastus lateralis
vastus intermedius
vastus medialis
what is the common insertion of the quadriceps muscles
patellar tendon
what are the components of the extensor mechanisms of the knee
quadriceps muscle- quadriceps tendon- patella- patella tendon- tibial tubercle
what is patellar stability
factors which may predispose to patellar instability/ dysfunction
what are the predisposing factors for patellar instability
genu valgum
femoral head anteversion
weak quads (vastus medialis)
ligamentous laxity
who has a larger Q angle males or females
females
what is the function of the hamstring muscles
knee flexors
what are the 4 muscles in the anterior compartment of the leg
tibialis anterior, extensor hallucis longus, extensor digitorum longus, pernoneus tertius
what are the muscles in the lateral leg compartment (2)
fibularis longus and brevis
what are the muscle in the deep posterior compartment of the leg
tibialis posterior, FHL, FDL, popliteus
what nerve supplies the lateral compartment of the leg
superficial peroneal nerve
what nerve sufflied the superficial posterior compartment of the skin
medial sural curaneous nerve
what branches come off the common fibular (peroneal) nerve
superficial peroneal (L4-S1)
deep peroneal nerve (L4-5)
where does the deep peroneal nerve supply
inbetween the big and 2nd toe
what are the ankle plantar flexors
gastrocneumius: medial and lateral head, soleus, plantaris
what is the origin of the gastrocnemius
femoral condyles
what is the origin of the soleus
broad area on the posterior tibia/fibula
what is the origin of the plantaris
lateral femoral condyle
what is the common insertion of the gastrocnemius, soleus and plantaris
calcaneus via the achilles tendon
what is the main ankle dorsiflexors
tibialis anterior
what is the origin and insertion of the tibial anterior
origin: lateral surface of proximal tibia
insertion: medial cuneiform, base 1st metatarsal
what is the ankle joint
tibiotalar
what are the medial and lateral ankle ligaments
medial- deltoid ligament
lateral- lateral ligament complex
what is the origin and insertion of the tibialis posterior tendon
origin- posterior proximal tibia/ fibula
insertion- navicular/ plantar surface of medial cuneiform
dysfunction of what tendon in common in the 6th gen + and causes pain on medial aspect and flattening of the foot
tibialis posterior tendon
what ligament in the medial arch is known as the spring ligament
calcaneonavicular ligament
what is the origin and insertion of the plantar fascia
origin: tuberosity of calcaneus
insertion: heads of metatarsals