Leg and Head/Neck Anatomy Flashcards
The lumbar plexus (L2,3,4) gives what 3 major nerves of the lower extremity?
Obturator, femoral, and lateral cutaneous nerve of the thigh
What is the continuation and branch of the sciatic nerve?
Tibial and common fibular
What nerve roots for the sciatic nerve?
Sacral plexus, L4, L5, S1, S2, S3
What muscle group does the femoral nerve supply?
Anterior thigh
What are ALL of the anterior muscles of the thigh?
Iliopsoas
Sartorius
Quadricepts
What are the quadricepts?
Vastus medialis, intermedius, and lateralis as well as rectus femoris
What is the function of the anterior thigh muscles?
Flexion of hip joint (thigh) and extension of the knee joint (leg)
What are the roots of the femoral nerve?
Lumbar plexus L 2, 3, 4
The femoral nerve runs into what cutaneous nerve?
Saphenous
What is the function of the medial thigh muscles?
Adduction
What are the muscles of the medial thigh compartment?
Pectineus, obturator externis, gracilis, adductor longus, adductor brevis, and 1/2 of adductor magnus magnus
What nerve supplies the medial thigh?
Obturator nerve
What group of muscles does the sciatic nerve supply?
Hamstrings (posterior thigh)
What muscles make up the hamstrings?
Bicepts femoris, semitendinosus, semimembranosus, 1/2 of adductor magnus
What is the function of the hamstrings?
Extensor of hip (thigh) and flexor of knee (leg)
What muscles are supplied by superior gluteal nerve?
Gluteus medius, gluteus minimus, and tensor fasciae latae
What does the sciatic nerve bifurcate into?
Tibial and common fibular nerves
What nerve supplies obturator internus and superior gemellus?
Nerve to obturator internus
What does the nerve to quadratus femoris supply?
Quadratus femoris and inferior gemellus
What muscles does the superficial fibular nerve supply?
Fibularis longus
Fibularis brevis
What is the function of the lateral muscles of the leg?
Eversion
The anterior compartment of the leg is supplied by which nerve?
Posterior fibular nerve
What muscles are included in the anterior leg compartment?
Tibialis anterior
Extensor digitorum
Extensor halluces longus
Fibularis tertius
What is the function of the anterior leg compartment?
Dorsiflexion of the ankle and extension of the toes
What are the superficial muscles of the posterior leg?
Gastrocnemius
Soleus
Plantaris
What are the deep muscles of the posterior leg
Flexor hallucis longus
Flexor digitorum
Tibialis posterior
What is the main function of posterior leg muscles?
Plantar flexion of ankle (also inversion)
What nerve supplies the posterior leg muscles?
Tibial n.
What are the tarsal bones?
Tallus Calcaneous Cuboid Medial, intermediate, and lateral cuneiform Navicular
What is the articulation point of the ankle?
Trochlea on the tallus
The tubercle of the 5th metatarsal is an attachment site for the tendon of which muscle?
Fibularis brevis
The attachment point for the fibularis longus is the:
Cuboid groove
The flexor hallucis longus tendon attaches on the:
Calcaneus sustentaculum tali
Chopart’s amputation cuts the foot:
between the tarsal bones at the transverse tarsal joint
Lisfranc’s amputation cuts the foot:
At the tarsometatarsal joint
What joint allows inversion/eversion of ankle?
Subtalar joint
What are two commonly injured ligaments in the ankle (usually an inversion injury)?
Anterior talofibular ligament, calcaneofibular ligament
What strong ligament helps to support the medial side of the ankle and can be injured in an eversion injury?
Deltoid ligament
A Pott’s ankle fracture involves what done?
Inferior fibula
What tendon travels lateral to medial under the long plantar ligament to attach to the cuboid?
Fibularis longus
The anterior tibial artery becomes what artery in the foot?
Dorsalis pedis
What nerve supplies the patch of skin between the first and second toes?
Deep fibular
What nerve supplies most cutaneous innervation to the dorsum of the foot?
Superficial fibular nerve
What nerve supplies the patch of skin on the lateral side of the foot?
Dorsal lateral cutaneous nerve of the foot
What two nerves supply the bottom of the foot except the heel?
Medial and lateral plantar nerve
What cutaneous nerve supplies the anterior and medial side of the leg?
Saphenous
What are the muscles in the first layer of the sole of the foot?
Flexor digitorum brevis
Abductor hallucis
Adbuctor digiti minimi
What are the muscles in the second layer of the sole of the foot?
Flexor digitorum longus
Lumbricals
Quadratus plantae
What are the muscles in the third layer of the sole of the foot?
Flexor digiti minimi
Flexor hallucis brevis
Adductor hallucis
What are the muscles in the fourth layer of the sole of the foot?
Plantar interossei (PAD) Dorsal interossei (DAB)
What ligaments make up the lateral ligament of the ankle?
Anterior and posterior tibiofibular,
calcaneofibular
What ligament provides passive support for the longitudinal arch of the foot?
Long plantar ligament
What is the “Spring” ligament and what does it support?
The plantar calcaneonavicular ligament, the head of the tallus
What are the intrinsic muscles of the dorsum of the foot?
Extensor digitorum/hallucis brevis, and the dorsal interosseus muscles
The digital bands of the plantar aponeurosis are connected by the:
Superficial transverse metatarsal ligament
What are the primary hip flexors?
Iliopsoas primarily, also pectineus and sartorius
What are the primary hip extensors?
Gluteus maximus and hamstrings
What vein runs from the lateral foot up the posterior leg to the popliteal fossa?
Small saphenous vein
What vein runs from the dorsum of the foot up the medial leg and thigh?
Great saphenous vein
Where does the iliopsoas attach on the thigh?
Lesser trochanter
Where is the adductor tubercle? What muscle inserts here?
Above the medial epicondyl, adductor magnus
What is the area of the femur leftover from the obturator branch feeding the head of the femur in children?
Fovea capitis
What is the tubercle just below the greater trochanter on the posterior femur?
Quadrate tubercle
If the angle of the femur is >135 degrees the knees tilt in and we call this:
Coxa valga (genu varum)
If the angle of the femur is <120 degrees the knees tilt out and we call this:
coxa vara (genu valgum)
Disease in which the head of the femur is not perfused resulting in bone loss
Perthes Disease
What are the three muscles that attach at the pes anserinus?
Sartorius
Gracilis
Semitendinosus
What are the borders of the femoral triangle?
Inguinal ligament, sartorius, adductor longus
What is the floor of the femoral triangle made of?
iliopsoas and pectineus
What are the contents of the femoral triangle?
Femoral nerve, artery vein, and canal
What are the boundaries of the popliteal fossa?
bicepts femoris, semimembranosus/tendinosus, gastrocenemius
What nerves form the sural nerve?
Tibial (medial sural cutaneous) and common fibular (Lateral sural cutaneous, then sural communicating)
What are the contents of the popliteal fossa?
Tibial/common fibular nerve,
Popliteal and short saphenous veins
Popliteal artery
What are the branches of the profunda femoris?
Medial and Lateral circumflex femoral and perforating branches
What are the roots of the femoral and obturator nerve?
L2,3,4
What are the names of the anastimoses around the head of the femur and the knee?
Cruciate, genicular
Patellar dislocation is almost always in a ___ direction
Lateral, due to vastus lateralis
Scar tissue creating a bump below the patella due to excertion during development is called:
Osgood-Schlatter Disease
Describe the Trandelenburg sign
Instability of the pelvis when walking due to paralized superior gluteal nerve
What is the name for the fibro-cartilagenous edge of the hip’s acetabulum?
Acetabular labrum
What is the inner, working part of the acetabulum? What is the other part, where there is a deficiency in cartilage?
Lunate surface
Synovial membrane
What are the three major ligaments (zona orbicularis) to the head of the femur?
Iliofemoral
Ischiofemoral
Pubofemoral
What ligament supports the medial rotators (G. medius and minimus) of the hip?
Iliofemoral ligament
If the femoral artery is injured, what vessel can supply collateral circulation to the hip?
Inferior gluteal from internal iliac
What is the name of the small arteries which travel inside the synovial folds?
Retinacular arteries
What is the at-risk structure in a posterior hip dislocation?
Sciatic nerve
What is the opening in the fascial late thru which the great saphenous vein travels to join the femoral?
Fossa ovalis
What is the major supportive structure of the knee?
Quadricept and patellar ligament anteriorly
Reduced joint space in the knee is a common presentation of:
Osteoarthritis
What is the “unhappy triad”?
ACT, medial meniscus, and medial collateral ligament
What ligament connects the medial and lateral menisci of the knee?
Transverse genicular ligament
What tendon connects to the lateral femoral condyl inside the joint capsule of the knee?
Popliteus
Anterior drawer tests____, while posterior drawer tests the ___
ACL, PCL
Lymph from the lateral foot drains to which lymph nodes?
Popliteal
The small saphenous vein runs on the ___ side of the leg, and the great saphenous runs on the ___ side
Lateral, medial
What legaments span the patella, before the MCL and LCL
Medial and lateral patella retinaculum
What is the major posterior extracapsular ligament of the knee?
Oblique popliteal ligament
What ligament connects the oblique popliteal with the fibula?
Arcuate ligament
What muscle runs from the tibia to the lateral femur?
Popliteus
What is the purpose of the popliteus muscle?
Locking mechanism
What are the two parts of the cranium?
Calvaria (cranial vault) and cranial base
What are the three cranial sutures on top of the cranium?
Coronal, sagittal, and lambdoid