Exam 3 Flashcards
Adductor Brevis and Adductor Longus Action
- hip adduction
- hip internal rotation
- assists w/ hip flexion
Gracilis A
- Hip Adductoon
- Assists w/ hip flexion
- Assists w/ knee flexion and internal rotation
Semitendonosus A
- knee flexion
- knee internal rotation
- hip extension
Semimembranosus A
- knee: flexion and internal rotation
- hip: extension and internal rotation
O: obturator membrane (internal surface) and obturator foramen
I: greater trochanter of the femur (medial surface)
Obturator Internus O, I
O: obturator membrane (external surface) obturator foramen
I: greater trochanter of the femur (posteromedial side)
Obturator Externus O, I
O: ilium (outer surface - between middle and inferior gluteal lines)
I: greater trochanter of the femur (anterior surface)
Gluteus minimus O, I
O: iliac crest and the ala of the ilium
I: greater trochanter of the femur
Gluteus medius (anterior and posterior fibers) O, I
Psoas Major A
- hip flexion
- trunk flexion (femur)
- assists w/ lateral rotation
Iliacus A
- Hip flexion
- trunk flexion (femur)
- anterior pelvic tilt (fixed thighs)
- assists w/ hip lateral rotation
Q Angle
- what lines form it?
- what are the typical angles?
- what do high w angles do?
- Angles formed by ASIS to center of patella and tibial tubérosité to center of patella
- <15 for males and <20 for females
- higher q angles prédisposé people to lateral patellar dislocation and ligamentous injuries
What is pes ansérine bursitis?
What causes it?
How do you care for it?
- Inflammatory condition of the sartorius, gracillis, and semitendonosis (attached to medial tibia)
- cause: overuse/constant friction and stress on bursa
- care: rest, anti-inflammatories, stretch hamstrings, injections
Semitendonosus and semimembranosus I
Sciatic nerve
Popliteus A
Knee: internal rotation and flexion (fixed at knee)
External and internal oblique A
Horizontal spinal rotation
Spinal flexion
Lateral spinal flexion
Posterior pelvic tilt
Rectus abdominis A
Spinal flexion
Posterior pelvic tilt
Iliocostalis and longissimus A
Spinal extension
Lateral spinal flexion
Anterior pelvic tilt
IT Band Friction Syndrome/Runner’s/Cyclist’s Knee
Cause, signs, care
- Care: repeated knee flexion and extension
- signs: tenderness, mild swelling, pain during running/cycling
- care: stretch IT Band, correct foot and leg alignment problems, proper warm up, avoid activities
Piriformis I
Direct from the sacral plexus
S1, S2
Fibularis (peroneus) brevis and longus A
Foot eversion
Assists w/ ankle plantar flexion
Lumbricals 1-4 A
MP Joint Flexion
Assists w/ IP Extension of 2nd - 5th digits
O: lateral condyle of the femur and lateral meniscus of the knee joint
I: body of the tibia (posterior surface) -> proximal to the soleal line
Popliteus O, I
Piriformis A
Hip lateral rotation
May assist w/ hip abduction when hip is flexed
O: anterior superior iliac spine, outer lip of the anterior iliac crest, fascia Latae
I: IT Band
Tensor fascia latae (TFL) O, I
Gluteus medius anterior fibers A
- Assists a/ hip medial rotation and hip flexion
- hip abduction
Adductor Magnus A
Hip adduction
Hip internal rotation
Assists w/ hip extension
Vastus intermedius, lateralis, and medialis A
Knee extension
O: greater trochanter and the lateral lip of the linea aspera of the femur
I: patella (proximal border) and tuberosity of the tibia (via patellar ligament)
Vastus lateralis O, I
O: medial lip of the linea aspera of the femur
I: patella (proximal border) and tuberosity of the tibia (via patellar ligament)
Vastus Medialis O, I
O: iliac fossa of the hip bone
I: distal to the lesser trochanter of the femur (common w/ tendon of psoas major)
Iliacus O, I
O: inferior ramis of the pubis and ischial tuberosity
I: femur: medial lip of the linea aspera and the adductor tubercle
Adductor magnus O, I
Gluteus medius and gluteus minimus I
Superior gluteal nerve
Psoas major I
Femoral nerve
Iliacus I
Femoral nerve
Flexor digitorum longus A
Plantar flexion of toes 2-5
Assists w/ ankle plantsr flexion and foot eversion
Flexor hallicus longus A
Plantar flexion of big toe
Assists w/ ankle plantar flexion and foot inversion
Extensor hallicus longus A
Extend great toe
Assists w/ ankle dorsi flexion and foot inversion
Extensor digitorum longus A
Extends lateral 4 digits
Assists w/ ankle dorsiflexion and foot eversion
Abductor hallucis A
Abducts and assists w/ flexing big toe
Flexor digitorum brevis A
Flex lateral 4 toes
Abductor digits minimi A
Abduct and flex MP joint of 5th toe
Flexor hallicus brevis A
Flex MP Joint of the great toe
Adductor hallucis A
Adduct MP Joint of the great toe
Assists w/ MP joint flexion of great toe
Flexor digiti minimi brevis A
Flex MP Joint of the small toe
Extensor Digitorum brevis A
Toe extension -> distal interphalangeal joints 2-4
O: soleal line of the tibia and upper 1/3 head and dorsal surface of the fibula
I: calcaneus (posterior side) via Achilles tendon
Soleus O, I
O: middle of the anterior surface of the fibula and interosseous membrane
I: base of the distal phalanx of the great toe
Extensor hallicus longus O, I
O: lateral condyle of the tibia, superior 3/4 of anterior shaft, interosseous membrane (anterior surface), superior tibiofibular joint
I: extensor expansion complex of toes 2-5 (middle and distal phalanges)
Extensor digitorum longus O, I
Sartorius I
Femoral nerve
Gluteus Maximus I
Inferior gluteal nerve
Achilles tendon rupture
Cause, signs, care
Cause: sudden forceful ankle plantar flexion in people >30 and dynamic movement
Signs: feel or hear pop and palpable defect on tendon
Care: surgery and immobilize for 6-8 weeks
Eversion sprains
Less common than inversion
Deltoid ligament sprained
Vastus lateralis, medialis, intermedius I
Femoral nerve
O: tibia: posterior surface, distal to popliteal line
I: base of the 2nd - 5th distal phalanges
Flexor digitorum longus O, I
O: fibula: upper 1/2 - 2/3 of lateral fibulae shaft and surface and proximal head and head
I: medial cuneiform (plantar/inferior aspect) and lateral side of 1st metatarsal bone
Fibularis (peroneus) longus O, I
Rectus femoris A
Knee extension
Hip flexion
Anterior pelvic tilt (fixed thighs)
O: anterior and lateral surface of the body of the femur
I: patella (proximal border) and tuberosity of the tibia (via patellar ligament)
Vastus intermedius O, I
Tibialis posterior I
Tibial nerve
O: posterior surface (lower 2/3) and inter muscular septum
I: base of the distal phalanx of the big toe
Flexor hallicus longus O, I
Obturator externus I
Obturator nerve
Extensor halluces longus, extensor digitorum longus, extensor digitorum brevis I
Peroneal nerve
Fibularis (peroneus) brevis, longus, tertius I
Peroneal nerve
Gastronemius I
Tibial nerve
Tibialis anterior I
Peroneal nerve
Flexor digitorum longus
Flexor hallicus longus
I
Tibial nerve
Obturator internus A
Hip lateral rotation
May assist w/ hip abduction when hip is flexed
O: long head of the ischial tuberosity
I: proximal head of the fibula
Biceps femoris long head O, I
Gluteus Maximus A
Hip: extension, extension (fixed thighs), external rotation
Knee: lateral rotation
Pelvis: medial rotation (unilateral contraction) and lateral rotation
Upper fibers: assists w/ hip abduction
Lower fibers: assists w/ hip addiction
Gluteus minimus A
Hip: abduction and medial rotation
Assists w/ hip flexion
Gluteus medius posterior fibers A
- Assists w/ hip lateral rotation
- Hip abduction
Quadratus femoris A
Hip lateral rotation
O: hip bone: iliac crest and ala of the ilium (posterior surface)
I: gluteal tuberosity of the femur and IT Band
Gluteus Maximus O, I
O: anterior surface of the pubis
I: medial lip of the linea aspera of the femur (middle 1/3)
Adductor longus O, I
Pectineus I
Femoral nerve
Inferior and superior gremellus I
Direct from the sacral plexus
L4-L5, S1-S2
Rectus femoris I
Femoral nerve
Tibialis posterior A
Ankle plantar flexion
Foot inversion
Tibialis anterior A
Ankle dorsiflexion
Assists w/ foot inversion
Quadratus lumbordum A
Spinal extension
Lateral spinal extension
Lateral pelvic tilt
Gastronemius A
Ankle plantar flexion
Assists w/ knee flexion
Adductor brevis and longus I
Obturator nerve
Biceps femoris long head I
Sciatic nerve
Compartment syndrome
Cause, sign, treatment
Cause: increase pressure in 1 in 4 lower leg compartments -> compression of muscular and neuro vascular structures
Signs: pain, tightness, swelling, less circulation and sensory changes in foot
Treatment: surgery
Inversion sprains
Most common -> lateral ligaments injured
Anterior talofibular ligament injury -> inverted and plantar flexed
Calcaneofibular and posterior talofibular ligament injury -> increased inversion force
High ankle sprains (syndesmosis sprain)
Anterior and posterior tibiofibular ligaments and interosseous membrane sprained
Cause: foot is planted and lower leg twists in opposite direction
Treatment: takes months to heal and needs surgery reduction and stabilization
Tensor fascia latae (TFL) I
Superior gluteal nerve
Obturator internus I
Direct from the sacral plexus L5, S1-S2
Quadratus femoris I
Direct from the sacral plexus L4-L5, S1-S2
Adductor magnus I
Obturator nerve
Sciatic nerve
Gracilis I
Obturator nerve
Soleus A
Ankle plantar flexion
Quadratus femoris A
Assists flexor digitorum longus in IP Joint flexion
Popliteus and Soleus I
Tibial nerve
Fibularis (peroneus) tertius A
Ankle dorsiflexion
Assists w/ foot eversion
O: distal head of the femur
I: calcaneus (posterior side) via Achilles tendon
Gastronemius lateral head O, I
O: medial head of the femur
I: calcaneus (posterior side) via Achilles tendon
Gastronemius medial head O, I
O: fibula: superior 2/3 of medial posterior surface and interosseus membrane
Tibia: superior aspect of the posterior surface
I: navicular bone, medial cuneiform, 2nd - 4th metatarsal, 2nd cuneiform
Tibialis posterior O, I
O: fibula: inferior (distal) 2/3 of lateral Fibular surface
I: base of 5th metatarsal
Fibularis (peroneus) brevis O, I
O: distal 1/3 of the anterior surface of the fibula, interosseous membrane, anterior inter muscular membrane
I: base of the 5th metatarsal
Fibularis (peroneus) tertius O, I
O: lateral condyle and lateral surface of upper 1/2 of the tibia, interosseous membrane, crural fascia
I: medial and plantar surface of medial cuneiform and base of the 1st metatarsal bone
Tibialis anterior O, I
Transverse absominis A
Abdominal hallowing
Piriformis syndrome
What is it?
Signs and causes
Sciatic nerve gets compressed and irritated from tightness or spasm of Piriformis
Signs: pain, numbness, tingling in knees and/or feet
Care stretch, message, anti-inflammatory drugs, stop doing activities, injections
Athletic pubalgia/sports hernia
Occur, cause, care
Occur: where abs and adductor attach to pubic bone
Cause forceful and/or repetitive use of leg -> tears muscles, less function, and severe groin pain
Care: rest, anti-inflammatory drugs, adductor strengthening
Biceps femoris short head A
Knee flexion and external rotation
Obturator externus A
Hip lateral rotation
Inferior and superior gremellus A
Hip lateral rotation
May assist w/ hip abduction when hip is flexed
O: linea aspera of the femur
I: proximal head of the fibula
Biceps femoris short head O, I
O: lateral border of the ischial tuberosity
I: quadratic tubercle of the femur (proximal posterior femur)
Quadratus femoris O, I
O: ischial tuberosity of the ischium
I: greater trochanter of the femur (medial surface)
Inferior gremellus O, I
O: ischial spine of the ischium
I: greater trochanter of the femur (medial surface)
Superior gremellus O, I
O: lateral process of the sacrum (anterior surface)
I: greater trochanter of the femur (superior border)
Piriformis O, I
O: anterior superior iliac sound of the pelvis
I: patella (proximal border) and the tuberosity of the tibia (via patellar ligament)
Rectus femoris straight head O, I
O: groove above acetabulum
I: patella (proximal border) and the tuberosity of the tibia (via patellar ligament)
Rectus femoris reflected head O, I
O: anterior superior iliac spine of the pelvis
I: proximal part of the medial surface of the tibia (superomedial shaft)
Sartorius O, I
O: superior ramus of the pubis
I: pectineal line of the femur (between the lesser trochanter and the linea aspera)
Pectineus O, I
O: inferior ramus of the pubis
I femur: distal 2/3 of the pectineal line and the medial lip of the linea aspera
Adductor brevis O, I
O: inferior ramus of the pubis
I: distal to the medial condyle
Gracilis O, I
O: ischial tuberosity
I: medial condyle of the tibia (posterior side)
Semimembranosus O, I
O: ischial tuberosity
I: under the medial condyle of the tibia
Semitendonosus O, I
O: thoracic vertebrae (T12), lumbar vertebrae (L1-L5), inter verbal vertebrae (T12-L5)
I: lesser trochanter of the femur
Psoas major O, I
Sartorius A
Hip: flexion and lateral rotation w/ abduction
Knee: flexion and assists in internal rotation
Anterior pelvic tilt (fixed thighs)
Pectineus A
Hip adduction
Assists w/ hip flexion
Biceps femoris long head A
Knee flexion
Knee internal rotation
Hip extension
Tensor fascia latae (TFL) A
Hip: flexion (w/ abduction and medial rotation), abduction, medial rotation
Knee: may assist w/ extension
Pelvis: anterior (fixed thigh) and lateral (unilateral contention) tilt
Medial tibial stress syndrome/shin split
What is it?
Prevention
Pain at distal 2/3 of the posterior medial aspect of the tibia -> Tibialis posterior, medial Soleus, anterior Tibialis, extensor digitorum/longus involved
Attributed to musculotendinous injuries
Partially prevent: stretch plantar flexors and strengthen dorsiflexors
Plantar fasciitis
Cause, signs/symptoms, care
Cause: inflexibility of medial longitudinal arch, Gastronemius- Soleus is tight, shoes w/o good arch support, running on soft surfaces
Signs/symptoms: anterior medial heel pain -> worse when forcibly dorsi flexed
Care: proper footwear, stretch