lecture 2 Flashcards

1
Q

what is the function of the deep fascia

A

divide the lower limb into muscle compartments and hold them together to increase venous return

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2
Q

what can the superficial fascia also be called

A

the hypodermis due to its high adipose content

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3
Q

what is the deep fascia of the thigh called

A

the fascia lata

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4
Q

whats the thickened lateral part of the fascia lata

A

this is the iliotibial band

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5
Q

what are the muscle compartments of the thigh and what are they separated by

A

anterior, medial and lateral compartments
medial intermuscular septum septum separates the medial and anterior compartment.
the lateral intermuscular septum separates the posterior and anterior compartment
these septums are extensions of the deep fascia

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6
Q

whats the linear aspera

A

its the pointy bit on the femur and it points to the posterior compartment of the thigh.

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7
Q

whats the deep fascia thickening called in the leg and the foot

A

on the leg its the Crural fascia on the foot its the retinaculum

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8
Q

what does the retinaculum do on the foot

A

these hold/stabilise the tendons of the foot in place and they aid in smooth movement of the tendons

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9
Q

what are the retinaculum of the foot and where are they

A

on the dorsum of the foot we have the Superior and inferior extensor retinaculum
on the lateral side we have the inferior and superior fibular retinaculum
medially we have the flexor retinaculum

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10
Q

what are the compartments of the leg and what separates them

A

anterior, posterior and lateral
anterior intermuscular septum separates the anterior from the lateral
the posterior intermuscular septum separates the lateral from the posterior
the interosseous membrane separates the anterior and posterior compartment

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11
Q

what muscles help hip flexion

A

psoas major and iliacus - making the iliopsoas. psoas minor, rectus femoris, pectinius, sartorious, tensor fascia lata.

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12
Q

both the muscles in the iliopsoas group have the same innervation and distal connection. what is the connections of these muscles

A

iliacus is from the iliac fossa to the lesser trochanter. the psoas major is from the T12-L5 vertebrae to the lesser trochanter. both pass under the inguinal ligament

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13
Q

what muscles do hip extension

A

mainly the gluteus maximus. the quadriceps muscles (semitendon, semimembran and the long and short head of biceps femoris). the gluteus minimus and the gluteus medias

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14
Q

where does the gluteus maximus attach

A

the iliac fossa proximally, distally to the gluteal tuberosity of the femur and the iliotibial band

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15
Q

what are the two muscles that attach to the iliotibial band

A

the gluteus maximus and the tensor fascia lata

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16
Q

what are the muscles of hip abduction

A

gluteus medias and the gluteus minimus

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17
Q

where do the gluteus medias and minimus attach

A

they are both deep to the gluteus maximus. \medias is more superficial tho
both attach to the iliac fossa proximally and distally to the greater trochanter.

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18
Q

whats trendelenburg sign

A

when we have the circular gait due ti weakness of the gluteus minimus and medias on one side of the hip. this weakness causes lesser contraction of these muscles resulting in pelvic drop on the other side of the hip. thus we swing leg in circular motion to avoid dragging leg.

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19
Q

what muscles are the hip adductors

A

these are muscles on the medial compartment of the thigh. from the top to bottom : pectineus, adductor longus, behind the longus is the adductor brevis, then more medial is the adductor magnus, then the Gracilis.

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20
Q

of the hip adductor muscles what one has 2 parts and where do they connected

A

adductor magnus has two parts. adductor part and a hamstring part.
adductor attaches to the linera aspera the hamstring part attaches to the adductor tubercule

21
Q

whats between the hamstring part and the adductor part

A

the adductor hiatus

22
Q

what muscles do hip rotation laterally

A

piriformis, gemellus superior, obturator internus, gemellus inferior, quadratus femoris and the obturator externus

23
Q

where do lateral hip rotators attach

A

all attach to the greater trochanter

24
Q

describe the muscle arrangment of the obtruator internus, gellemus superior, gellemus inferior

A

the obturator internus and obturator externus cover the foramen magnum.
the obtruator internus is between the gellemus superior and gellemus inferior

25
Q

what muscles do medial rotation of the knee

A

semimembranosus and the semitendonosus

26
Q

how many and what muscles are in the anterior compartment of the thiigh

A

5, sartorious, rectus femoris, vasti medialis, vasti lateralis, vasti intermedius

27
Q

what muscles do knee extension

A

the quadriceps muscles
rectus femoris and the vasti

28
Q

where does the sartorious attach to

A

ASIS and the pes-anserinus

29
Q

where do all the quadriceps groups attach distally

A

to the quadriceps tendon which becomes the patella tendon which attaches to the tibial tuberosity

30
Q

what helps stabilise the patella and prevent its lateral displacement

A

the vastus medialis oblique - the most distal part of the vasti medialis.

31
Q

what muscles do knee flexion

A

the hamstrings muscles, basically the msuscles whiich do hip extension
semitendonosus, semimembranosus and biceps femoris and the sartorious

32
Q

whats the attachments of the hamstrings group

A

proximally :ischial tuberosity for ST, SM and the long head of BF and the linea aspera for the short head
distally the SM and ST attach to the medial condyle, the BF is the head of the fibula

33
Q

what muscles do knee rotation

A

the biceps femoris do lateral rotation
the SM and ST do medial rotation.

34
Q

what muscles attach to the pes anserinus

A

the sartorius the gracilis and the semitendonosus

35
Q

where does the pes anserinus attach

A

attach to the medial epicondyle of the tibia ( just below the medial condyle)

36
Q

what muscles do ankle dorsiflexion

A

the anterior compartment muscles.
medial to lateral
tibialis anterior, extensor hallucis longus and extensor digitorium longus

37
Q

attachment of the tibialis anterior EHL and EDL

A

TA: tibial tuberosity medial foot
EHT: tibial tuberosity to the great toe
EDT: tibial tuberosity to the 2nd to 5th metatarsals

38
Q

what movements do the EHT and EDT do

A

dorsiflexion and extension of the toes

39
Q

what muscles do plantarflexion

A

the posterior leg muscles
gastrocnemius, soleus, plantaris - if present
tibialis posterior, Flexor Digitorim Longum and Flexor Hallucius Longum

40
Q

distal connection of the triceps surae

A

they become the calcaneal tendon which attach to the calcaneal tuberosity

41
Q

where do the deep plantarflexors attach

A

the same as the dorsiflexors but posterior. they run posterior to the medial malleous and FHL is the great toe, FDL is the 2 to 5th metatarsals

42
Q

what do the FDL and FHL also do

A

they do toe flexion and plantar felxion

43
Q

whats the popliteus muscle and whats it do

A

its the unlocking muscle of the knee. acts as a lateral rotator of the demur and medial rotator of the tibia to unlock the knee when its extended

44
Q

what does subtalar inversion

A

tibialis anterior and tibialis posterior

45
Q

what muscles do foot eversion

A

fibularis longus and fibularis brevis

46
Q

how do we differentiate the fibularis brevis from the fibularis longus

A

the longus sits a top of the brevis. the brevis attaches to the base of the 5th metatarsal. the longus goes to the base of the first metatarsal

47
Q

whats the plantar aponeurosis whats it do

A

thickening of the plantar fascia. protect deep structures in the sole of the foot, also support longitudinal arches, maintain foot shape

48
Q

where os the plantar aponeurosis

A

anchored to the plantar fascia