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Anatomy Test 3 > Hip Joint/Anterior/Medial Thigh > Flashcards

Hip Joint/Anterior/Medial Thigh Flashcards

1
Q

What are the bony landmarks on the femur? (12)

A
  1. head
  2. neck
  3. greater trochanter
  4. lesser trochanter
  5. intertrochanteric line
  6. linea aspira
  7. M/L supracondylar ridge
  8. M/L epicondyle
  9. intercondylar fossa
  10. adductor tubercle
  11. patellar surfaces
  12. angles
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2
Q

what connects the linea aspira to the lesser/greater trochanters?

A
  1. pectineal line
  2. gluteal tuberosity
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3
Q

name the angles of the femur

A
  1. angle of inclination
  2. angle of torsion
  3. Q angle
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4
Q

what attaches to the greater trochanter?

A

abductors and lateral rotators (ERs)

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5
Q

what attaches to the lesser trochanter?

A

iliopsoas muscle

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6
Q

what attaches at the intertrochanteric line?

A

iliofemoral ligament

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7
Q

what is the linea aspira?

A

a ridge on the post femur that the adductors attach to

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8
Q

where is the pectineal line?

A

runs from linea aspera to lesser trochanter

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9
Q

where is the gluteal tuberosity?

A

runs from linea aspera to greater trochanter

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10
Q

what is the angle of inclination?

A

angle between neck and shaft of the femur.

Results in distal femur moving medially to more effectively support the body when standing

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11
Q

what is the Q angle?

A

the angle between the shaft of the femur and tibia.

Determines valgus/varus at the knee

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12
Q

what are ligaments in the hip?

A
  1. Iliofemoral
  2. pubofemoral
  3. ischiofemoral
  4. ligament of head of femur
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13
Q

pectineus prox attachment

A

pubic bone/superior ramus

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14
Q

pectineus distal attachment

A

femur/pectineal line

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15
Q

pectineus innervation

A

femoral and obturator nerves (L2-3

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16
Q

pectineus action

A

flex, adduct, and IR femur at hip joint

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17
Q

iliacus prox attachment

A

iliac/iliac fossa

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18
Q

iliacus distal attachment

A

femur/lesser trochanter

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19
Q

iliacus innervation

A

femoral nerve (L2, 3)

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20
Q

iliacus action

A
  1. flex femur at hip
  2. flex trunk at thigh
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21
Q

psoas major prox attachmen

A

lower T and upper L vert bodies and transverse p

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22
Q

psoas major distal attachment

A

femur/lesser trochanter

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23
Q

psoas major innervation

A

lumbar plexus (L1, 2)

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24
Q

psoas major action

A
  1. flex femur at hip
  2. can also flex trunk at thigh
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25
Q

sartorius prox attachment

A

ilium/ASIS

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26
Q

sartorius distal attachment

A

prox/med/post tibia

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27
Q

sartorius innervation

A

femoral n (L2, 3)

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28
Q

sartorius action

A
  1. hip – flex, ER, ABD
  2. knee – flex
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29
Q

describe the force chain of the quadriceps femoris

A

quadriceps muscles→ quadriceps tendon→ patella→ tibia/tibial tuberosity

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30
Q

rectus femoris prox attachment

A

ilium/AIIS

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31
Q

rectus femoris distal attachment

A

quadriceps tendon/patella/patellar ligament/tibial tuberosity

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32
Q

rectus femoris innervation

A

femoral nerve (L2, 3, 4)

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33
Q

rectus femoris action

A
  1. hip - flex femur
  2. knee - extend tibia
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34
Q

vastus lateralis prox attachment

A

femur

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35
Q

vastus lateralis distal attachment

A

quadriceps tendon/patella/patellar ligament/tibial tuberosity

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36
Q

vastus lateralis innervation

A

femoral nerve (L2, 3, 4)

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37
Q

vastus lateralis action

A
  1. extend leg at knee
  2. help stabilize patella at the knee
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38
Q

what part of the vastus lateralis stabilizes the knee?

A

vastus lateralis oblique = lateral retinaculum

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39
Q

vastus medialis prox attachment

A

femur

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40
Q

vastus medialis distal attachment

A

quadriceps tendon/patella/patellar ligament/tibial tuberosity

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41
Q

vastus medialis innervation

A

femoral nerve (L2, 3, 4)

42
Q

vastus medialis action

A
  1. extend leg at knee
  2. helps stabilize knee
43
Q

what part of the vastus medialis stabilizes the knee?

A

vastus medialis oblique = medial retinaculum

44
Q

vastus intermedius prox attachment

45
Q

vastus intermedius distal attachment

A

quadriceps tendon/patella/patellar ligament/tibial tuberosity

46
Q

vastus intermedius innervation

A

femoral nerve (L2, 3, 4)

47
Q

vastus intermedius action

A
  1. extend at knee
  2. articularis genu elevates patellar bursa when leg is extending knee
48
Q

medial thigh muscles

A
  1. adductor longus
  2. adductor brevis
  3. adductor magnus
  4. Gracilis
  5. obturator externus
49
Q

adductor longus prox attachment

A

pubis/body

50
Q

adductor longus distal attachment

A

femur/linea aspira

51
Q

adductor longus innervation

A

obturator nerve (L2, 3, 4)

52
Q

adductor longus action

A

ADD, flex, IR femur at hip

53
Q

adductor brevis prox attachment

A

pubis/inferior ramus

54
Q

adductor brevis distal attachment

A

femur/linea aspira

55
Q

adductor brevis innervation

A

obturator nerve (L2, 3, 4)

56
Q

adductor brevis action

A

ADD, flex, IR femur at hip

57
Q

adductor magnus note

A

has 2 parts:

  1. hamstring part in posterior
  2. adductor part in anterior
58
Q

prox attachment adductor magnus posterior

A

ischium/ishial tuberosity

59
Q

distal attachment adductor magnus posterior

A

adductor tubercle

60
Q

adductor magnus posterior innervation

A

tibial nerve (L4)

61
Q

adductor magnus posterior action

A

extend femur at hip

62
Q

prox attachment adductor magnus anterior

A

pubis/inferior ramus

63
Q

distal attachment adductor magnus anterior

A

femur/linea aspira/medial supracondular ridge

64
Q

adductor magnus anterior innervation

A

obturator nerve (L2, 3, 4)

65
Q

adductor magnus anterior action

A

ADD, flex, IR femur at hip

66
Q

Gracilis prox attachment

A

pubis/body

67
Q

Gracilis distal attachent

A

prox/medial/posterior tibia

68
Q

Gracilis innervation

A

obturator nerve (L2, 3)

69
Q

Gracilis action

A
  1. hip - ADD, flex, IR femur
  2. knee - flex
70
Q

Obturator externus prox attachment

A

external surface of obturator membrane

71
Q

obturator externus distal attachment

A

greater trochanter

72
Q

obturator externus innervation

A

obturator nerve (L3, 4)

73
Q

obturator externus action

A

ER, ABD femur at hip

74
Q

what inserts at the pes anserinus?

A
  1. Sartorius
  2. Gracilis
  3. Semitendinosus
75
Q

all medial thigh muscles but ____ and ______ cross the hip anteriorly to flex the thigh at the hip

A
  1. posterior adductor magnus
  2. obturator externus
76
Q

all medial thigh muscles but _____ contribute to IR of the thigh at the hip when the hip is laterally rotated

A

obturator externus

77
Q

All medial thigh muscles but ________ and _________ attach distally to the linea aspira for the femur

A
  1. Gracilis 2. Obturator Externus
78
Q

what forms the adductor hiatus?

A

distal attachments of hamstring and adductors

79
Q

what passes through the adductor hiatus?

A

femoral artery and vein from anterior thigh to posterior thigh

80
Q

superior boundary of the femoral triangle

A

inguinal ligament running from ASIS to pubic tubercle

81
Q

medial boundary of the femoral triangle

A

lateral border of the adductor longus

82
Q

lateral/inf boundary of the femoral triangle

A

superior border of Sartorius

83
Q

floor of femoral triangle

A
  1. iliopsoas 2. pectineus
84
Q

roof of femoral triangle

A

skin and fascia

85
Q

what passes through the retroinguinal space?

A

blood and lymph vessels, and nerves from the pelvic cavity to the leg

86
Q

femoral triangle contents

A
  1. femoral nerve
  2. femoral artery and vein
  3. inguinal lymph nodes
87
Q

lateral border of adductor (femoral) canal

A

vastus medialis

88
Q

medial border of adductor (femoral) canal)

A

adductor longus and magnus

89
Q

roof of adductor (femoral) canal

90
Q

origin of adductor (femoral) canal

A

apex of femoral triangle

91
Q

terminus of adductor (femoral) canal

A

adductor hiatus in aponeurosis of adductor magnus

92
Q

adductor (femoral) canal contents

A
  1. femoral artery and vein
  2. saphenous nerve
93
Q

what is the saphenous nerve?

A

cutaneous branch of femoral nerve

94
Q

Main arteries of the thigh

A
  1. femoral artery 2. deep femoral artery 3. obturator artery
95
Q

Femoral Artery route

A

from external iliac artery at inguinal ligament to adductor hiatus where ir becomes the poplieteal artery

96
Q

deep femoral artery route

A

branch of femoral to muscles of the medial and posterior thigh and femur

97
Q

obturator artery route

A

branch of internal iliac artery to muscles of medial and posterior thigh

98
Q

Veins of the thigh

A
  1. Femoral vein 2. Great Saphenous vein
99
Q

Nerves of the Thigh

A
  1. Femoral nerve (L2-4) 2. Obturator nerve (L2-4)
100
Q

terminal sensory branch of femoral nerve

A

saphenous nerve

Anatomy Test 3 (6 decks)

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