Gluteal, Thigh, and Popliteal Fossa Flashcards

1
Q

What are the 3 fascial compartments of the thigh?

A

Anterior, posterior, and medial compartments.

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2
Q

What are the contents of the anterior compartment of the thigh?

A

Hip flexors, knee extensors.

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3
Q

What are the contents of the posterior compartment of the thigh?

A

Hip extensors, knee flexors

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4
Q

What are the contents of the medial compartment of the thigh?

A

Adductors of the thigh

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5
Q

What innervates the anterior compartment of the thigh?

A

Femoral nerve, except for TFL which is innervated by the superior gluteal nerve.

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6
Q

What innervates the posterior compartment of the thigh?

A

Tibial division of sciatic nerve, except the shorthead of biceps femoris which is innervated by the fibular division of sciatic nerve.

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7
Q

What innervates the medial compartment of the thigh?

A

The obturator nerve, except for hamstring part of adductor magnus, which is innervated by the tibial division of the sciatic nerve.

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8
Q

What is the general blood supply of the anterior compartment of the thigh?

A

Femoral A

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9
Q

What is the general blood supply of the medial compartment of the thigh?

A

Obturator A

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10
Q

What is the general blood supply of the posterior compartment of the thigh?

A

Internal iliac A

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11
Q

What are the borders of the femoral triangle?

A

Inguinal Ligament, adductor longus, and sartorius

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12
Q

What makes up the lateral floor of the femoral triangle?

A

Iliopsoas

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13
Q

What makes up the medial floor of the femoral triangle?

A

Pectineus

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14
Q

What are the contents of the femoral triangle?

A

Femoral Nerve, Artery, and Vein.

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15
Q

What passes through the greater sciatic foramen?

A

Piriformis, Sciatic N, posterior femoral cutaneous n, Superior and Inferior gluteal NAV, internal pudendal A and V, and pudendal n.

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16
Q

What passes through the lesser sciatic foramen?

A

Obturator internus, internal pudendal A and V, and pudendal n.

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17
Q

What structures are impaired in tredelenburg gait?

A

Impairment of the gluteus medius and minimus muscles cause the opposite hip to sag when walking. Could be due to lesion on superior gluteal n.

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18
Q

What are the contents of the femoral sheath?

A

Femoral artery, vein, and canal.

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19
Q

Where can you palpate the femoral pulse?

A

In the femoral triangle, inferior to the midinguinal point.

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20
Q

What are the attachments of the Medial (Tibial) Collateral ligament?

A

From the medial epicondyle of the femur to the medial condyle and shaft of tibia.

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21
Q

What motion does the MCL restrict?

A

Prevents abduction of the tibia

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22
Q

What are the attachments of the Lateral (fibular) Collateral ligament?

A

From the lateral epicondyle of the femur to the head of the fibula.

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23
Q

What motion does the LCL restrict?

A

Prevents adduction of the tibia

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24
Q

What are the attachments of ACL?

A

From the medial part of the anterior intercondylar area of the tibia to the posterior part of the medial surface of the lateral condyle of the femur.

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25
Q

What is the function of ACL?

A

Prevents posterior displacement of the femur on the tibia and hyperextension of the knee

26
Q

What are the attachments of PCL?

A

From the posterior intercondylar area of the tibia to the lateral surface of the medial condyle of the femur.

27
Q

What is the function of PCL?

A

Prevents anterior displacement of the femur on the tibia.

28
Q

What are the attachments of the patellar ligament?

A

from the apex of the patella to the tibial tuberosity.

29
Q

What is the function of the patellar ligament?

A

Resists knee flexion

30
Q

What are the attachments of the iliofemoral ligament?

A

From the AIIS to the intertrochanteric line of the femur.

31
Q

What is the function of the iliofemoral and ischiofemoral ligaments?

A

Limits extension of the thigh at hip.

32
Q

What are the attachments of the ischiofemoral ligament?

A

From the ischium posterior to the acetabulum to the greater trochanter and iliofemoral ligament

33
Q

What are the attachments of the pubofemoral ligament?

A

From the iliopubic eminence and superior pubic ramus to the fibrous capsule.

34
Q

What is the function of the pubofemoral ligament?

A

Limits abduction of the femur.

35
Q

What is the synovial classification of the sacroiliac joint?

A

Plane

36
Q

What is the synovial classification of the tibiofemoral joint?

A

Bi-condylar

37
Q

What is the synovial classification of the proximal tibiofibular joint?

A

Plane

38
Q

What are the two muscles that combine to make iliopsoas?

A

Iliacus and psoas major.

39
Q

What are the attachments of iliacus?

A

From iliac fossa, iliac crest, sacral ala and sacroiliac ligaments to the lesser trochanter of the femur.

40
Q

What are the spinal segments of iliacus?

A

L2-4

41
Q

What are the attachments of psoas major?

A

From anterior transverse processes, vertebral bodies and discs (T12-L5) to the lesser trochanter of the femur.

42
Q

What are the spinal segments of psoas major?

A

L1-4

43
Q

What are the attachments of rectus femoris?

A

From the AIIS and groove superior to the acetabulum to the base of the patella.

44
Q

What are the spinal segments of rectus femoris?

A

L2-4

45
Q

What are the attachments of sartorius?

A

From ASIS to the medial aspect of the proximal tibia

46
Q

What are the spinal segments of sartorius?

A

L2-3

47
Q

What are the attachments of tensor fasciae latae?

A

From ASIS and external lip of iliac crest to iliotibial tract

48
Q

What are the spinal segments of tensor fasciae latae?

A

L4-S1

49
Q

What are the spinal segments of the 3 vastus muscles and articularis genu?

A

L2-4

50
Q

What are the attachments of vastus intermediate?

A

From the anterior aspect of the proximal 2/3rds of the femoral shaft to the lateral border of the patella

51
Q

What are the attachments of the vastus lateralis?

A

from the intertrochanteric line, greater trochanter, gluteal tuberosity and linea aspera to the base and lateral border of the patella.

52
Q

What are the attachments of the vastus medialis?

A

From the intertrochanteric line, spiral line, linea aspera and medial supracondylar line to the base and medial border of the patella.

53
Q

What are the attachments of adductor brevis?

A

From the inferior pubic ramus to distal 2/3 pectineal line and medial lip linea aspera

54
Q

What are the spinal segments of the medial femoral muscles (except obturator externus)?

A

L2-4

55
Q

What are the attachments of adductor longus?

A

from pubic crest to medial lip linea aspera

56
Q

What are the attachments of adductor magnus?

A

From the inferior pubic ramus, ischial ramus and tiberosity to gluteal tuberosity, linea aspera (adductor part), medial supracondylar ridge and adductor tubercle of femur (hamstring part).

57
Q

What are the spinal segments of the adductor part of adductor magnus?

A

L2-4

58
Q

What are the spinal segments of the hamstring part of adductor magnus?

A

L4-S1

59
Q

What are the attachments of gracilis?

A

From the body of the pubis and inferior pubic ramus to the medial surface of tibia, distal condyle, proximal to insertion of semitendinosus, lateral to insertion of sartorius.

60
Q

What are the attachments of pectineus?

A

From superior pubic ramus to the femur between the lesser trochanter and linea aspera (pectineal line)

61
Q

What are the attachments of obturator externus?

A

From rami of the pubis and ischium and external surface of the obturator membrane to the trochanteric fossa.