exam 3-1 Flashcards
Adductor Longus (General)
A muscle found just medial to the pectineus.
Adductor Longus (Origin/Insertion)
Origin: superior ramus of pubis Insertion: linea aspera of femur
Adductor Longus and Brevis (Action)
Action: adducts femur
Adductor Magnus (Actions)
Actions:* Adducts femur* Extends femur at hip joint
Adductor Magnus (General)
A large, composite muscle (part medial thigh and part posterior thigh). This muscle is found deep to the adductor longus (anteriorly), and the hamstrings (posteriorly). Its tendon of insertion has slit like opening, the hiatus tendinous which leads into the popliteal fossa. This opening is where the femoral vessels become the popliteal vessels.
Adductor Magnus (Nerve Supply)
Nerve Supply: * Obturator (L₂, L₃, and L₄) * Sciatic (L₄, L₅, S₁, S₂, and S₃)
Adductor Magnus (Origin/Insertion)
Origin: rami of the ischium and pubis Insertion: linea aspera and adductor tubercle of femur
Adductor Tubercle
Bony projection found on the medial epicondyle of the femur.
Android Pelvis
Typical male pelvis.
Angle of Inclination
The way the neck of the femur meets the shaft of the bone forms {this}. It is greatest at birth (about 145°) and gradually diminishes until adulthood (about 125°). It allows greater mobility at the femur by providing increased leverage for muscles that work at the hip joint. This is a great advantage for bipedal locomotion but puts considerable stresses on the neck of the femur which can lead to increased fractures with age.
Chondromalacia (Patella)
A condition in which there is a softening and fissuring of the articular cartilage of the patella. * Common in young adults* Usually caused by trauma, overuse, misalignment of the patella and muscle weakness* Most frequent complaints are of a dull pain around or under the patella that worsens with exercise, the pain may intensify when going from a position of flexion to extension at the knee joint
Femoral (Nerve Damage)
{This} nerve may be injured by trauma but complete division is rare. When the nerve is damaged the following problems will occur: Motor: quadriceps are involved and the leg cannot be extended, and flexion at the hip is diminished (iliopsoas)Sensory: medial and intermediate anterior aspect of the thigh, and medial aspect of the leg and foot.Test for damage by assessing both flexion at the hip and extension at the leg.
Femoral (Nerve)
Nerve:Segmental Innervation: L₂, L₃, and L₄Division: posterior Motor Supply: iliacus, psoas major, sartorius, quadriceps, and pectineus Cutaneous Supply: medial and intermediate aspect of the anterior thigh, medial aspect of the leg and foot (from specific branch saphenous nerve) Articular Supply: hip and knee
Femoral Triangle
Borders: superior - inguinal ligament, lateral - sartorius, medial - adductor longusContents (lateral to medial): femoral nerve and several of its branches, femoral sheath (femoral artery and vein), and inguinal lymph nodes
Gemellus Superior (General)
A small muscle which is situated between the piriformis and the obturator internus and deep to the gluteus maximus. Its tendon of insertion fuses with that of the obturator internus and gemellus inferior.
Gemellus Superior (Origin/Insertion)
Origin: spine of ischium Insertion: greater trochanter of femur
Gemellus Superior, Obturator Internus, Gemellus Inferior, and Quadratus Femoris (Nerve Supply)
Nerve Supply: L₄, L₅, S₁, and S₂
Genitofemoral (Nerve)
Nerve pierces the psoas major muscle and runs inferiorly on its anterior aspect. As the nerve descends it divides into a femoral and genital branch. Segmental Innervation: L₁ and L₂Division: anteriorMotor Supply: cremaster muscleCutaneous Supply: skin of the external genitalia and small area of skin below the inguinal ligament
Gluteal (Trendelenburg) Gait
A type of abnormal locomotion when there is displacement of body weight to the unaffected side when one walks with a deficient gluteus medius and minimus.
Gluteal Bursae
Group of bursae which separate the gluteus maximus from underlying bony features.
Gluteal Line
A roughened area that is found inferior to the greater trochanter of the femur.
Gluteus Maximus (Actions)
Actions:* Extends and laterally rotates the femur* Helps to stabilize the pelvic bone* Stabilizes the knee joint
Gluteus Maximus (Origin/Insertion)
Origin: posterior gluteal line of ilium, sacrum and coccyx, and posterior ligaments of the sacroiliac joint. Insertion: gluteal tuberosity of femur and iliotibial tract
Gluteus Maximus (Weakness)
Weakness of this muscle will cause patients difficulty in getting from a sitting to a standing position (patients may have to actively push themselves to the standing position), straightening from a bending position, walking uphill and up stairs. Paralysis of the muscle does not seriously affect walking on level ground or when standing still.
Gluteus Medius and Minimus (Actions)
Actions:* Abducts femur* Medially rotates the femur* Helps to keep the pelvic bone steady when foot on opposite side is raised off the ground (e.g. right muscles stabilize pelvic bone when left foot is raised off the ground)
Gluteus Medius and Minimus (Origin/Insertion)
Origin: external surface of the ilium. Insertion: greater trochanter of femur
Gracilis (Actions)
Actions:* Flexion of leg at knee joint * Adducts femur
Gracilis (General)
A long, narrow muscle which passes vertically downward on the medial aspect of the thigh and is superficial through its course. It is the only muscle of the medial thigh that crosses both hip and knee joints.Because it is a relatively weak adductor muscle, it can be removed without noticeable loss of action. Surgeons often transplant the muscle or part of it (with nerve and blood vessels) to replace a damaged muscle (e.g. hand muscles).
Gracilis (Origin/Insertion)
Origin: ramus of ischium and inferior ramus of pubis. Insertion: superior medial shaft of tibia
Gracilis, Adductor Longus and Brevis, Obturator Externus (Nerve Supply)
Nerve Supply: obturator nerve (L₂, L₃, and L₄)
Great Saphenous (Vein)
Vein: * Arises from the medial aspect of the dorsal venous arch of the foot * Passes superiorly in front of the medial malleolus * Ascends with the saphenous nerve along the medial aspect of the leg. * Passes behind the knee and curves forward on to the medial anterior aspect of the thigh. * Will pass through the saphenous opening of the fascia lata where it receives three tributaries (superficial circumflex iliac vein, superficial epigastric vein, and superficial pudendal vein) before terminating at the femoral vein
Hamstring Muscles (Actions)
Actions All Muscles:* Prime movers of flexion of the leg at the knee joint. All Muscles except Short Head of Biceps Femoris:* Stabilize the knee joint. * Extension of the femur. Semitendinous and Semimembranous also:* Medially rotate the leg (tibia). Biceps Femoris also:* Laterally rotates the leg (tibia)
Iliacus (Origin/Insertion)
Origin: iliac fossa and sacrum. Insertion: lesser trochanter of femur
Iliacus and Psoas Major (Actions)
Actions:* Flexion of the femur at the hip joint (unilateral). * Flexion of the vertebral column (bilateral). * Help maintain posture (i.e. integrity of the vertebral column)
Iliacus and Psoas Major (Nerve Supply)
Nerve Supply: femoral nerve (L₂, L₃, and L₄)
Ilioinguinal (Nerve)
Nerve:Segmental Innervation: L₁, Division: anterior, Cutaneous Supply: skin over the external genitalia and the adjacent medial aspect of the thigh
Iliotibial Band Syndrome (IBS)
An overuse syndrome which occurs when the distal end of the iliotibial band repetitively snaps over the lateral condyle of the femur. Patients describe a stinging pain at the lateral aspect of the knee. This pain appears to get worse when running up and down hills or climbing stairs.
Iliotibila Tract
The thickened lateral aspect of the fascia lata that receives insertion from the tensor fascia lata and the gluteus maximus muscles.
Ilium
The largest and uppermost portion of the innominate bone.
Inferior Gluteal (Nerve)
{This} nerve leaves the pelvis through the greater sciatic notch, inferior to the piriformis muscle and superficial to the sciatic nerve.Segmental Innervation: L₅, S₁, and S₂, Division: posterior, Motor Supply: gluteus maximus
Intertrochanteric Crest
The femur’s trochanters are joined posteriorly by {this}.
Intertrochanteric Line
The femur’s trochanters are joined anteriorly by {this}.
Ischial (Bursae)
Bursae which separates the inferior part of the gluteus maximus muscle from the ischial tuberosity.
Ischial Spine
A small projection off the body of the ischium.
Ischial Tuberosity
The large roughened area inferior to the lesser sciatic notch where the hamstring muscles originate.
Ischium
An “L” shaped bone consisting of a body and ramus. One of the three bones comprising the innominate bone.
Lateral Femoral Cutaneous (Nerve)
Nerve that enters the thigh by passing beneath the inguinal ligament, just medial to the anterior superior iliac spine.Segmental Innervation: L₂ and L₃, Division: posterior, Cutaneous Supply: lateral aspect of the anterior and posterior thigh
Lesser Saphenous (Vein)
Vein:* Arises from the lateral aspect of the dorsal venous arch of the foot, * Ascends behind the lateral malleolus, where it is accompanied by the sural nerve, * Follows the lateral border of the tendon calcaneus and runs up the posterior aspect of the leg, * It normally terminates at the popliteal vein in the popliteal fossa, * Mode of termination may be subject to variation and join the great saphenous vein or divides sending one branch to the popliteal vein and one to the great saphenous vein
Long Head Biceps Femoris (Origin/Insertion)
Origin: ischial tuberosity Insertion: head of fibula and lateral condyle of tibia