last minute f this Flashcards

1
Q

retroinguinal space: muscular vs. vascular compartments

A
  • muscular compartment: iliopsoas m. and femoral n.
  • vascular compartment: femoral a., femoral v., lymphatic vessels draining inguinal LN
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2
Q

3 femoral sheath compartments

A
  • lateral: fem a.
  • middle: fem v.
  • medial: lymphatic
    • aka “femoral canal” = covered by “femoral ring”
      • continuous with abdominal cavity
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3
Q

superficial inguinal lymph nodes

A

Drains:

  • all SF structures in LE
  • anal canal (below pectinate line)
  • skin below umbilicus
  • scrotum
  • vulva

Two types:

  • superior horizontal group
  • inferior vertical group
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4
Q
  1. What part of the fascia lata contains vertical fibers?
  2. Where does #1 attach?
A
  1. iliotibial tract
  2. Gerdy’s tubercle
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5
Q

What attaches to the adductor tubercle?

A

adductor head of the adductor magnus m.

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6
Q

blood supply to the ligament of the head of the femur

A

acetabular branch of the obturator a.

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7
Q

things that insert into the gluteal tuberosity

A
  • gluteus maximus m.
  • adductor magnus m. (parts)
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8
Q

things that insert into the pectineal line of the femur

A
  • pectineus m.
  • abductor brevis m.
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9
Q

boundaries of the adductor canal

A
  • anteromedial: sartorius m.
  • lateral: vastus medialis m.
  • posterior: adductor longus m & adductor magnus m.
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10
Q

trace lymphatic drainage of gluteal region (superficial gluteal structures)

A

superficial tissues of gluteal region > superficial inguinal nodes > external iliac nodes

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11
Q

trace lymphatic drainage of gluteal region (deeper gluteal structures)

A

superior and inferior gluteal nodes > internal and external iliac nodes > common iliac nodes > lumbar (caval) LN > cisterna chyli > thoracic duct

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12
Q

greater sciatic foramen

A
  • superior gluteal nva
  • inferior gluteal nva
  • pudendal n
  • sciatric n
  • posterior femoral cutaneous n
  • n to quadratus femoris
  • n to obturator internus
  • internal pudendal av
  • piriformis m
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13
Q

lesser sciatic foramen

A

PIN and tendon of obturator internus m.

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14
Q

2 things different between the superior and inferior gemelli

A

origin and innervation

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15
Q

arterial supply of the quadratus femoris m.

A

medial femoral circumflex artery

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16
Q

safe place for intragluteal injections

A
  • anterior and lateral (to line formed by PSIS and greater trochanter)
  • between 2nd digit on ASIS and 3rd digit on tubercle of iliac crest
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17
Q

injection site for anesthetic block of sciatic nerve

A

few cm inferior to midpoint of junction of PSIS and superior part of greater trochanter

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18
Q

medial rotators of flexed leg/lateral rotators of flexed leg

A

medial rotators: semitendinosus and semimembranosus m.

lateral rotators: biceps femoris m.

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19
Q

perforating branches supply

A
  1. vastus medialis
  2. adductor magnus
  3. posterior thigh
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20
Q

floor of the popliteal fossa

A
  • popliteal surface of femur
  • oblique popliteal ligament
  • posterior surface of the proximal tibia
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21
Q

2 branches of the descending genicular artery

A
  • saphenous branch
  • articular branch
22
Q

what supplies the articular capsule and ligaments of knee joint?

A

genicular anastamosis

23
Q

superficial and deep popliteal lymph nodes

A
  • superficial: cutaneous fluid (small saphenous vein)
  • deep: leg and foot (popliteal vein)
  • *proximal drainage accompanies femoral v to deep inguinal nodes
24
Q

most common distal femoral fracture

A

metaphyseal fx (transverse fx across shaft)

25
Q

transverse fx involving epiphyseal plate

A

physeal fractures (Salter-Harris classificaton)

26
Q

Salter-Harris Classification

A
  1. through growth plate
  2. through growth plate and metaphysis
  3. through growth plate and epiphysis
  4. through all
  5. crush injury
27
Q
  • enlargement of gastrocnemius-semimembranosus bursa
  • assoc w/ DJD or joint injury
  • complications:
    • enlargement > similar to DVT
    • rupture > thrombosis or muscle rupture
A

Popliteal/Baker’s Cysts

28
Q
  • enlargement of artery due to weakening of arterial wall
  • most common true version of this diagnosis
  • symptoms due to: thromboembolism, mass effect, rupture
  • present w/: claudication or ischemic pain at rest, sens/motor, pain behind knee
A

peripheral aneurysm

29
Q
  • atherosclerosis leading to occlusion
  • lack of blood flow > pain
  • present w/: claudication, ischemic pain at rest, diffuse pain, non-healing ulcer, gangrene
A
30
Q

2 types of weighted MRI

A
  • T1: longitudinal relaxation time - time to realign with MF (fluid = dark)
  • T2: transverse relaxation time - time to lose phase coherence (fluid = light)
31
Q

2 types of transducers for US

A
  • high-frequency: 7-15, superficial structures
  • low-frequency: 1-3.5, deep structures
32
Q

tibial nerve and posterior tibial vessels are deep to what structure?

A

transverse crural intermuscular septum

33
Q

fabella is typically on which head of the gastrocnemius?

A

lateral head (to provide leverage)

34
Q

proprioceptive organ for foot position (high density of prioprioceptive receptor end organs)

A

plantaris m.

35
Q

used in reconstructive surgery of hand tendons

A

plantaris tendon

36
Q

largest deep posterior muscle

A

flexor hallucis longus m.

37
Q

palpate the dorsalis pedis pulse

A

lateral to the EHL tendon (or medial to the EDL tendon)

38
Q

deep fascia of the leg continuous with the fascia lata

A

crural fascia

39
Q

ridge on the lateral surface of the calcaneus

A

fibular trochlea

40
Q

functions of musces with “fibularis” in the name

A
  • fibularis tertius: dorsiflexion and eversion
  • fibularis longus and brevis: plantarflexion and eversion
41
Q

from where do the dorsalis pedis a. and deep fibular n. emerge?

A

emerge beneath the inferior border of the extensor retinaculum

42
Q

proximal attachment of the plantar aponeurosis

A

medial tubercle of the calcaneus

43
Q

calcar femorale

A

dense, vertically oriented bone in posteromedial aspect of proximal femur

44
Q

Stinchfield test

A

supine and resist hip flex with straight leg at 45 deg

(+) if pain

test: intraarticular pathology (OA)

45
Q

failure of superolateral portion of the patella to fuse

A

bipartite patella

46
Q

Screw Home

A
  • tibia externally rotates 5 degrees in last 15 degrees extension
  • cruciates tighten and decreasee quad work while standing
  • popliteus unlocks tibia via IR to initiate flexion
47
Q

Thessaly test

A

stands on affected leg at 20 deg knee flexion the nrotates on leg

(+) pain

48
Q

transverse tarsal joints made of

A
  • calcenocuboid joint
  • talonavicular joint
49
Q

2 important intertarsal joints

A

transverse tarsal joint & subtalar joint

50
Q

surgical amputation of foot

A

across transverse tarsal joint

51
Q
A