Lower extremity Flashcards
3 bones make up hip
- Ilium
- Ischium
- Pibis
Joint of hip? What happen if dislocate?
Femoroacetabular joint
- damage sciatic nerve
Ligament that stabalizes hip joint?
Illiofemoral ligament
-Prevent hip tilt posteriorly when stand or walk
Hip dislocation causes hip to move what direction?
Posteriorly
Intracapsular fracture vs extracapsular fracture
Intracapsular - fracture of femoral head or neck
Extracapsular - fracture trochanteric, intertrochanteric, or subtrochanteric
Intracapsular = risk avascular necrosis of femoral head
Trendelenburg sign
- Pelvis sag opposite side lesion (standing on affected limb)
- damage superior gluteal nerve = weakened gluteus medius
Abductor muscles of hip
Gluteus medius
Gluteus minimus
Where insertion of hamstring?
Ischium
Hip extensors and knee flexion
Hamstrings (3) 1. Biceps femoris (travels lateral) - innervation: fibular sciatic nerve 2. Semimembranosus (travels medial knee) - innervation: tibial sciatic nerve 3. Semitendinosus (travels medial knee) - innervation: tibial sciatic nerve Adductor magnus *all orgin at ischial tuberosity **semitendinosus on top semimembranosus
Hip flexion muscles
Psoas and iliacus (iliopsoas)
Rectus femoris
Sartorius
Pectineus
Femoral triangle contents
NAVEL ( lateral to medial) femoral Nerve femoral Artery femoral Vein Empty Lymphatics
Femoral triangle boundaries
Superior: inguineal ligament
Lateral: sartarius
Medial: adductor
Floor: iliopsoas and pectineus
Where femoral herniation goes into…
Femoral canal
Femoral artery turns into _______ after it passes through ________.
Popliteal artery after pass adductor hiatus
Muscles evert foot
Lateral comparment of lower leg
Fibularis longus - attaches to first metacarpal
Fibularis brevis - attach lateral aspect foot