Lecture 4 Thigh and knee Flashcards

1
Q

inclination angle under 120 degrees =

A

Coxa vara genu valga = knocked knees and pronated foot

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2
Q

inclination angle above 135 degrees =

A

Coxa valga genu vara = bowed legged and supinated foot

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3
Q

Inferior gluteal nerve roots

A

L5-S2

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4
Q

Superior gluteal nerve roots

A

L4-S1

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5
Q

strutures on femur that tell you whether it is a right/left femur

A

Intercondylar fossa is posterior and the femoral head is medial`

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6
Q

structure on lateral tibial plateau where IT band attaches

A

Gerdys tubercle

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7
Q

Posterior to anterior tibial plateau attachment sites for ligs and meniscus

A

PCL
Medial meniscus
Lateral Meniscus
Lateral meniscus
ACL
Medial meniscus

(PMLLAM)

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8
Q

Neck of fibula compression with a cold pack =

A

Common fibular nerve neuropathy

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9
Q

How to tell (left or right) patella

A

Bigger of the left (posterior), its a left patella

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10
Q

Knee joint that is outside of the knee

A

Proximal Tibiofibular joint

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11
Q

Simple patellar gliding/tacking problems =

A

Patellofemoral pain syndrome

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12
Q

Joint that is important for locking/unlocking knee

A

Tibiofemoral (transverse plane)

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13
Q

Increase in Q angle arises from knocked knees or bowed legs?

A

Knocked knees (coxa vara genu valga, pronated foot)

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14
Q

Q angle normal ranges for men and women

A

Male: 14-16
Female: 16-18

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15
Q

An increase in Q angle can cause what in the knee?

A

Dislocation/subluxation/lateral shift of patella during tracking (patellofemoral pain syndrome)

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16
Q

Anterior cruciate ligament resists

A

hyperextension (tibia moving anterior)

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17
Q

Posterior cruciate ligament resists

A

hyperflexion

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18
Q

Both the PCL and ACL are intra-articular and have

A

Two bands resisting valgus/varus

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19
Q

Medial collateral ligament resists

A

Valgus (intracapsular)

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20
Q

Lateral collateral ligament resists

A

Varus (extracapsular)

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21
Q

Iliohypogentric nerve roots

A

T12-L1

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22
Q

iliolinguinal nerve roots

A

L1 (only one with 1)

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23
Q

genitofemoral nerve roots

A

L1-L2

24
Q

Femoral nerve roots and muscles innervated

A

(L2-L4); iliopsoas, sartorius, quadriceps

25
Q

Obturator nerve roots and muscles innervated

A

(L2-L4); adductors

26
Q

Muscle innervated by both Femoral and obturator nerves

A

Pectineus

27
Q

Cutaneous Nerve that continues down to medial arch of foot

A

Femoral –> saphenous nerve

28
Q

SGT FOT

A

Pes anserine distal attachments

Sartorius – Femoral nerve (L2-L4)

Gracilis – Obturator nerve (L2-L4)

Semitendinosus – Tibial nerve (L5-S2)

29
Q

Blood supply for entire thigh =

A

Profunda femoris branches

30
Q

Name change locations beginning with External Iliac artery

A

Name change occurs at the inguinal ligament and changes to femoral artery

Next the femoral artery changes to the popliteal artery at the adductor hiatus

31
Q

A femoral neck fracture will do what to blood supply

A

Disrupt the circumflex artery and avascular necrosis will begin to occur because the foveal artery will not be enough for the lost circumflex artery

32
Q

Result of increased pressure in a confined space of tissue resulting in devastating muscle and nerve loss

A

Compartment syndrome

33
Q

Muscle that contains many orphan muscles

A

Iliopsoas (psoas minor, sternalis, etc)

34
Q

Longest muscle in the body

A

Sartorius

35
Q

Hip stretch with knee flexed will involve what muscle

A

Rectus femoris

36
Q

Hip stretch with knee extended will involve which muscle

A

iliopsoas

37
Q

Tibial tuberosity overgrowth

A

Osgood schlatters disease

38
Q

jumpers knee =

A

Patellar tendinitis

39
Q

focus of post surgical knee rehab is called

A

Extensor lag

40
Q

excessive internal rotation is called

A

Anteversion

41
Q

Excessive external rotation is called

A

Retroversion

42
Q

Muscle involved in ante/retroversion of the hip =

A

Pectineus

43
Q

Sports hernia =

A

Adductor longus strain

44
Q

Muscle innervated by the obturator nerve (L2-L4) perform what action

A

Adduction

45
Q

What type of bursitis is located posterolateral to the greater trochanter

A

Greater trochanteric bursitis

46
Q

Subinguinal space (anterior outlet) contents

A
  • Lateral femoral cutaneous nerve
  • External iliac vessels to femoral vessels ( femoral sheath)
47
Q

Femoral triangle boundary and contents

A

Subinguinal space is boundary

Contains:
Femoral n. a. v.
Lymphatic duct

48
Q

Boundaries of the adductor canal

A

Anterior wall = Sartorius

Medial wall = adductor longus

Lateral wall = vastus medialis

49
Q

The femoral triangle continues into the

A

Adductor canal

50
Q

A (blank) is a synovial fluid effusion located posterior to the popliteal fossa

A

Bakers cyst

51
Q

Which muscles form the adductor canal

A

Sartorius (anterior), Adductor longus (medial), and vastus medialis (lateral)

52
Q

Innervation of Biceps femoris long head and short head

A

LH: Tibial nerve (S1-S3)
SH: Common fibular nerve (L5-S2)

53
Q

Hamsting muscles medial to lateral

A

Semimembranosus
Semitendinosus
Biceps femoris

54
Q

Where does the sciatic nerve run?

A

Deep to biceps femoris

55
Q

The femoral artery name changes to the popliteal artery where?

A

Adductor hiatus

56
Q

Attachment site of SGT FOT

A

Pes anserine (MEDIAL TIBIA)

Sartorius (Femoral nerve L2-L4)
Gracilis (Obturator nerve L2-L4)
Semitendinosus (Tibial nerve L5-S2)