Gray's Review Lower Limb Flashcards

1
Q

Which spinal segments does deep fibular (peroneal) n. receive supply from?

A

L4, L5, S1

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2
Q

what does the deep fibular (peroneal) n. innervate?

A

extensor hallicus longus

extensor digitorum longus

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3
Q

what spinal segment is responsible for cutaneous innervation of the dorsum of the foot?

A

L5

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4
Q

What would an injury to L4 affect? - function and muscle

A

loss of foot inversion

tibialis anterior

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5
Q

What spinal segments make up the superficial fibular (peroneal) n.?

A

L5, S1, S2

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6
Q

What does the superficial fibular (peroneal) n. innervate?

A

fibularis longus

fibularis brevis

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7
Q

what would injury to the tibial n. cause?- function

A

loss of plantar flexion

impaired inversion

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8
Q

what spinal segment is responsible for achilles tendon reflex?

A

S1

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9
Q

injury to what nerve will result in foot drop?

A

deep fibular (peroneal) n.

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10
Q

what does the talocrural joint (tibiotalar, ankle) permit?

A

dorsiflexion

plantar flexion

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11
Q

what is considered the “key” to gluteal anatomy?

A

piriformis

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12
Q

what is the “door” to gluteal anatomy?

A

GSF

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13
Q

what can a forced inversion tear?

A

calcaneofibular l.

sometimes the anterior talofibular l.

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14
Q

what maintains the longitudinal arch of the foot?

A

long plantar l.

short plantar l.

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15
Q

what is usually torn with a eversion injury?

A

deltoid l.

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16
Q

where is can the common fibular n. be compressed?

A

neck of fibula

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17
Q

what muscles insert onto the greater trochanter?

A

gluteus medius
gluteus minimus
obturator internus
piriformis

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18
Q

what does the iliofemoral l. resist?

A

hyperextension

lateral rotation

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19
Q

what does the pubofemoral l. resist?

A

extension and abduction

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20
Q

what does the ischiofemoral l. resist?

A

extension and medial rotation

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21
Q

what does intracapsular femoral neck fracture damage and cause?

A

damages radicular a.

causes avascular necrosis

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22
Q

until age 10, what a. supplies the head of the femur?

A

branch of obturator a.

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23
Q

what would a disk lesion at L3-L4 affect?

A

L4 - foot inversion and extension (plantar flexion)

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24
Q

what would a disk lesion at L4-L5 affect?

A

L5 - hip abduction and knee flexion

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25
Q

how does a gluteal crush syndrome happen?

A

when a person lays on a hard surface unconscious and unmoving for an extended period of time

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26
Q

what would injury to L4 cause?

A

weakness in patellar reflex
loss of cutaneous innervation to medial side of leg
inverison

27
Q

what does patellar reflex test?

A

L2, L3 = motor

L4 = sensory

28
Q

what does the lateral plantar n. innervate?

A

interossei

adductor hallicus

29
Q

what does the medial plantar n. innervate?

A
LAFF
1st lumbrical
abductor hallicus
flexor hallicus brevis
flexor digitorum brevis
30
Q

what does the deep peroneal n. innervate?

A

tibialis anterior

extensor digitorum longus

31
Q

what does the superficial peroneal n. innervate

A

fibularis brevis

fibularis longus

32
Q

where can spinal TB spread?

A

sheath of psoas major

33
Q

what muscles form the tendon called the achillies tendon?

A

gastocnemius
soleus
plantaris

34
Q

what does the spring l. (plantar calcaneonavicular l. maintain?

A

longitudinal arch of foot

35
Q

what is the unhappy triad of O’Donahue?

A

MCL
ACL
medial meniscus

36
Q

what is the MCL attached to?

A

medial meniscus

37
Q

what artery passes between the tibia and fibula proximally int he posterior compartment of the leg?

A

anterior tibial a

38
Q

what continues to the posterior compartment of the leg to its division into the medial and lateral plantar arteries?

A

posterior tibial a.

39
Q

what is Pott’s fracture?

A

fracture at the fibula at the ankle - bimalleolar fracture of fibula and tibia - with maybe a tear of MCL

40
Q

what is the original axial vessel of the lower limb?

A

ischiatic branch of the inferior gluteal a.

41
Q

what are the contents of the talus tunnel (or the structures that pass beneath the flexor retinaculum)

A
Tom, dick and very nervous Harry
tibialis posterior
flexor Digitorum longus
Vessels
Nerves
Flexor hallicus longus
42
Q

what artery supplies the neck and body of talus?

A

posterior tibial a.

43
Q

where should gluteal injections be given?

A

anterior and superior to a line between the PSIS and the greater trochanter

44
Q

if pudendal n. block doesnt’ work, what other nerve can provide much of the sensory supply to the perineum in SOME indivudlas?

A

posterior femoral cutaneous –> perineal cutaneous branch –> inferior gluteal n.

45
Q

what is bow legs called?

A

genu varus

46
Q

what is knock knee

A

genu valgus

47
Q

what is coxa vara?

A

angle between shaft and neck of femur is < 120

48
Q

what is coxa valga?

A

increase in angle betwen femur shaft and neck > 120

49
Q

what is another name for bunion?

A

hallux valgus

50
Q

what happens in hammer toe?

A

MTP joint is extended
PIP is flexed
distal phalanx points downward

51
Q

what can lead to hammer toe?

A

bunion

52
Q

what is pes cavus?

A

patient has a high flexed plantar arch

53
Q

which artery can provide adequate collateral supply from the plantar surface to the toes and dorsum of the foot?

A

lateral plantar

54
Q

what is the result of housemaides knee?

A

excessive compression of prepatellar bursa=swelling of prepatellar bursa

55
Q

what is parsons knee?

A

excessive irritation of the infrapatellar bursa

56
Q

what does Morton’s neuroma involve?

A

compression of anastomosing branch that connects the medial and lateral plantar nerves between the third and fourth toes

57
Q

what does the median plantar n. provide sensation to?

A

medial 3 and 1/2 toes

58
Q

what does the lateral plantar n. provide sensation to?

A

little toe and 1/2 of 4th toe

59
Q

what is the problem with club foot?

A

talipes equinovarus

60
Q

what spinal segments supplies posterior femoral cutaneous n.?

A

S1, S2, S3

61
Q

what is the landmark for femoral artery puncture?

A

medial aspect of femoral head

62
Q

what structure is torn associated with swelling and locking of knee?

A

anterior cruciate l.

63
Q

what muscle attaches to the medial femoral condyle (tubercle on superior aspect)?

A

adductor magnus

64
Q

what are the functions of the tensor fascia lata?

A

flexion of thigh
medial rotation
abduction