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Creighton Anatomy > Hip & Proximal Lower Limb > Flashcards

Hip & Proximal Lower Limb Flashcards

1
Q

Superficial Fascia

A

Adipose tissue

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2
Q

Deep Fascia

A

Dense fibrous connective tissue
2 types:
Fascia Lata
Crural Fascia

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3
Q

Iliotibial Tract

A

Thickening of deep fascia laterally and used as attachment point for muscles

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4
Q

Superficial Veins

A

Great Saphenous vein
Accessory Saphenous vein
Lateral and Anterior Cutaneous veins
Small Saphenous vein

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5
Q

Great Saphenous & bypass

A

Occasionally harvest the vein and cut part of it to be used in the heart and as a vessel for blood flow

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6
Q

Deep Veins

A

Venae comitantes
2 small veins “accompanying” arteries
Posteriral tibular artery & femoral artery

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7
Q

Pulmonary Embolism

A

If clot breaks off from deep vein thrombosis, it can travel up to right side of heart and still pass thru due to veins diameter increase, once it reaches pulmonary circulation, it will get stuck and could lead to death if big enough blockage

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8
Q

Inguinal Region

A

L1
Ilioinguinal & Iliohypogastric

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9
Q

Medial Thigh

A

L2
Femoral

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10
Q

Medial Knee

A

L3
Femoral

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11
Q

Medial Malleolus

A

L4
Femoral (Saphenous)

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12
Q

Lateral Leg

A

L5
Sciatic (common fibular)

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13
Q

Lateral Foot

A

S1
Sciatic (common fibular)

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14
Q

Sacral Sparing

A

Spinal/lower limb injury test to see if paralyzed or sensation of the limb, typically done in ER, look for “saddle” sensation, can feel prick in the lower limb showing sensation and not paralyzed, look for swelling & impairments

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15
Q

Boundaries of Femoral Triangle

A

Inguinal ligament
Adductor longus
Sartorius

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16
Q

Femoral Sheath

A

Femoral artery
Femoral vein
Femoral Canal (ring)

17
Q

Floor of Femoral Triangle

A

Pectineus
Iliopsoas

18
Q

Contents of Femoral Triangle

A

Femoral nerve
Femoral sheath
Femoral artery
Femoral vein

19
Q

Anterior Thigh Muscles

A

Pectineus
Iliopsoas
Sartorius
Quadriceps Femoris

20
Q

Pectineus

A

Attachments: superior ramus of pubis, pectineal line of the femure

Innervation: Femoral Nerve (L2,L3)

Actions: Adduct/flex thigh; medial rotation of thigh

21
Q

Sartorius

A

Attachments: ASIS, superior part of medial condyle of femur

Innervation: Femoral Nerve (L2,L3)

Actions: “tailor sitting” muscle; flex, abduct, externally rotate thigh; flex knee

22
Q

4 Heads of Quadriceps Femoris

A

Rectus Femoris
Vastus Lateralis
Vastus Medialis
Vastus Intermedius

23
Q

Rectus Femoris

A

Attachments: Patellar tendon to tibial tuberosity, AIIS

Innervation: Femoral Nerve (L2,L3, L4)

Action: Extend leg at knee joint; flex thigh at hip joint

24
Q

Vastus Lateralis

A

Attachments: Patellar tendon to tibial tuberosity, greater trochanter and lateral lip of linea aspera

Innervation: Femoral Nerve (L2,L3, L4)

Action: Extend leg at knee joint

25
Q

Vastus Medialis

A

Attachments: Patellar tendon to tibial tuberosity, intertrohcanteric line and medial lip of linea aspera

Innervation: Femoral Nerve (L2,L3, L4)

Action: Extend leg at knee joint

26
Q

Vastus Intermedius

A

Attachments: Patellar tendon to tibial tuberosity, anterior and lateral surfaces of body of femur

Innervation: Femoral Nerve (L2,L3, L4)

Action: Extend leg at knee joint

27
Q

Medial Thigh Muscles

A

Adductor Longus
Adductor Brevis
Adductor Magnus
Gracilis
Obturator Externus

28
Q

Adductor Longus

A

Attachments: body of pubis, middle 1/3 of linea aspera

Innervation: Obturator nerve (L3)

Actions: adduct thigh

29
Q

Adductor Brevis

A

Attachments: body of inferior ramus of pubis, pectineal line and proximal part of linea aspera

Innervation: Obturator nerve (L3)

Actions: adduct and weakly flex thigh

30
Q

Adductor Magnus

A

Attachments: inferior ramus of pubis and ischial ramus, ischial tuberosity, gluteal tuberosity, linea aspera, medial supracondylar line, adductor tubercle

Innervation: Obturator nerve (L3)

Actions: adduct and flex/extend thigh
(depends on leg position)

31
Q

Gracilis

A

Attachments: Body and inferior ramus of pubis, superior part of medial surface of tibia

Innervation: Obturator nerve (L2)

Actions: adduct thigh; medially rotate and flex leg

32
Q

Obturator Externus

A

Attachments: margins of obturator foramen and obturator membrane, trochanteric fossa of femur

Innervation: obturator nerve

Action: laterally rotate thigh

33
Q

Nerve of Anterior Thigh

A

Femoral Nerve (branches into saphenous nerve)

34
Q

Nerve of Medial Thigh

A

Obturator Nerve
(Anterior and Posterior Branch)

35
Q

Anterior Obturator Branch

A

Adductor longus
Adductor brevis

36
Q

Posterior Obturator Branch

A

Adductor magnus

37
Q

Arteries of the Thigh

A

Femoral Artery (1 major artery)
Obturator Artery
Deep Artery of Thigh
Circumflex Femoral Arteries

38
Q

Boundaries of Adductor Canal

A

Anteriorly and laterally by vastus medialis
Posteriorly by adductors longus and magnus
Medially by sartorius

39
Q

Contents of Adductor Canal

A

Femoral Artery
Femoral Vein
Nerve to Vastus Medialis

Creighton Anatomy (13 decks)

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