Hip: Anatomy 5

Question 1

Femoral nerve: originates from

Answer 1

L2-4

Question 2

Where does femoral nerve entrapment typically occur?

Answer 2

• femoral triangle

- inguinal ligament

Question 3

Femoral nerve runs between these two muscles toward the thigh

Answer 3

between psoas and iliacus

Question 4

The femoral nerve descends between the psoas and iliacus, passes over the (structure) and under the (ligament) to the thigh

Answer 4

over the superior pubic ramus

under the inguinal ligament

Question 5

Causes for femoral nerve entrapment

Answer 5

• pelvic fx
• forceps injury during labor
• scarring
• tumors
• inguinal hernia

Question 6

femoral nerve entrapment: symptoms

pain and paresthesia where?

Answer 6

anteromedial thigh

medial knee

Question 7

femoral nerve entrapment: symptoms

pain worst where? knee or thigh?

Answer 7

knee

Question 8

femoral nerve entrapment: symptoms

pain at end range with what motions?

Answer 8

hip flexion

hip extension

Question 9

femoral nerve entrapment: symptoms

which muscles are commonly weak?

Answer 9

quadriceps

sartorius

Question 10

femoral nerve entrapment: symptoms

reflexes?

Answer 10

diminished patellar reflexes

Question 11

femoral nerve entrapment: symptoms

gait

Answer 11

(+) gait abnormalities

Question 12

femoral nerve entrapment: symptoms

neural tension?

Answer 12

yes

Question 13

femoral nerve entrapment: need to differentiate between these other diagnoses

Answer 13

• L2-4 radiculopathy
• psoas strain
• hip arthritis

Question 14

femoral nerve entrapment: very similar to this level of radiculopathy

Answer 14

L4

Question 15

femoral nerve entrapment:
how to differentiate from L4 radiculopathy
check strength of…

Answer 15

paraspinals
adductors
tibialis anterior

Question 16

sciatic nerve: originates from

Answer 16

L4-S3

Question 17

sciatic nerve: where does entrapment typically occur?

Answer 17

• bony sciatic notch

- possibly myofascia of piriformis

Question 18

sciatic nerve: causes for entrapment

Answer 18

• external trauma
• scarring
• misplaced intramuscular injection to nerve
• gluteal/pelvic tumors

Question 19

sciatic nerve: symptoms

tenderness where?

Answer 19

sciatic notch

Question 20

sciatic nerve: symptoms

radiation of pain/paresthesia where?

Answer 20

posterior leg and foot

Question 21

sciatic nerve: symptoms

partial loss of sensation where?

Answer 21

posterior thigh

distal buttock

Question 22

sciatic nerve: symptoms

weakness where

Answer 22

muscles innervated by sciatic nerve

Question 23

sciatic nerve: symptoms

reflexes?

Answer 23

diminished Achilles reflex

Question 24

sciatic nerve: symptoms

neural tension?

Answer 24

yes

Question 25

sciatic nerve: differentiate from lumbar radiculopathy

what are the key nerves to test?

Answer 25

gluteal nerves are key

Question 26

sciatic nerve: differentiate from lumbar radiculopathy

palpation/neural tension?

Answer 26

palpation of nerve and neural tensioning are NOT helpful

Question 27

sciatic nerve: differentiate from lumbar radiculopathy

disc herniation

Answer 27

difficult to differentiate sciatic nerve from lumbar disc herniation