Lower Extremity: ANT/MED Thigh; Glut Flashcards

1
Q

What structures are contained within the superficial fascia?

A
  • Deep sweat glands
  • Lymph nodes
  • Cutaneous nerves/vessels
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2
Q

Describe the attachments And form of the deep fascia of the thigh.

A
  • Encloses thigh like a trouser leg
  • Upper end attaches to pelvis and inguinal ligament
  • lateral aspect thickens to form
    IT Tract
  • encloses tensor fascia lactate and gluteus Maximus
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3
Q

What is the saphenous opening?

A

A gap in the deep fascia in front of the thigh just below inguinal ligament

Filled with loose CT called cribiform fascia

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4
Q

What are the intermuscular septa in the thigh?

A
  • Medial IM
  • Posterior IM
  • Lateral IM
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5
Q

What are the two groups of inguinal lymph nodes? What do they drain?

A

Medial: Ant abdominal wall, lower part of anal canal. External genitalia

Lateral: Buttocks and back

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6
Q

What is the main venous drainage of the thigh? Describe its path, any landmarks, etc

A

Great saphenous vein

  • Formed by dorsal venous arch of foot
  • Ascends medially and ascends anteriorly to the medial malleolus at ankle and posteriorly to medial epicondyle of knee
  • terminates and drains into femoral vein inferiorly to inguinal ligament
  • Used in coronary artery bypass
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7
Q

What are the muscles of the anterior thigh?

A

Sartorial

Quads:

  • Rectus Femoris
  • 3 Vastus mms
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8
Q

What are the muscles of the anterior hip?

A
  • Iliopsoas

- Quadratus Lamborum

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9
Q

What are the attachments and actions of sartorius?

A

ASIS —> Medial surface of tibia

Flexes, abducts, and lateral rotates thigh; flexes leg

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10
Q

What is the innervation and blood supple of Sartorius?

A

Femoral Nerve

Latearl Femoral Circumflex; Sapheous artery

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11
Q

What are the attachments and actions of rectus femoris?

A

Straight head: AIIS, Relflected head: above superior rim of acetabulum —> Patella and tibial tuberosity via patellar ligament

Extends leg; flexes thigh

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12
Q

What are attachments and actions of vastus intermedius?

A

Anterior and Lateral surface of femur —> Patella

Extends leg

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13
Q

What are attachment and actions of Vastus lateralis?

A

Lateral IM septum, Lateral lip of linea aspera, and gluteal tuberosity —> Patella and medial patellar retinaculum

Extends leg

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14
Q

What area attachments and actions of vastus medialis?

A

Medial IM septum, medial lip of linea aspera —> PAtealla and medial patellar retinaculum

Extends leg

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15
Q

What is innervation and blood supply for the Quads?

A

Femoral Nerve

Lateral femoral circumflex

** perforating branches of deep femoral supplies some of vastus lateralis

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16
Q

What muscles make up the posterior and lateral hip?

A
  • Glut max/med

- Piriformis

17
Q

What are the attachments and actions of the Tensor fascia latte?

A

Iliac crest, ASIS —> IT Tract

Flexes thigh, abduct thigh, medial rotation

18
Q

What is the innervation of the Tensor fascia Latae?

A

Superior Gluteal nerve

19
Q

What are attachments and actions of iliopsoas?

A

Side of T12-L5 Vert, Iliac crest/fossa —> Lesser trochanter of femur, pectineal line

Flexes thigh

20
Q

What is the innervation of the iliopsoas?

A

Femoral nerve

21
Q

What are the Cutaneous innervation of the Leg?

A

Latearl cut nerv eof thigh -> Latearl aspect of thigh

Intrapatellar and medial cutaneous branches of saphenous nerve -> Medial aspect of lower leg and knee joint

Anterior cutaneous branch femoral nerve —> Anterior thigh

Obturator cutaneous branch —> Posteromedial aspect of thigh

22
Q

What compartment and muscles are innervates by Obturator nerve?

A

MEdial compartment

  • Gracilis
  • Adductor Longus
  • Adductor Brevis
  • Adductor Magnus
  • Pectineus
23
Q

What are attachments and actions of gracilis?

A

Pubic symphysis, inf pubic Ramos —> Medial surface of tibia via pes anserinus

Adducts thigh, flexes and medial rotates thigh, flexes leg

24
Q

What are attachments and actions of adductor longus?

A

Medial portion of sup pubic ramus —> Linea aspera

Adducts, flexes, medially rotates femur

25
Q

What a re attachments and actions of adductor magnus?

A

Ischiopubic ramus, ischial tuberosity —> Linea aspera, adductor tubercle on femur

Adducts, flexes, medially rotates femur

Ischiocondylar part extends femur

26
Q

What are attachments and actions of adductor minimus?

A

Lower portion of inf pubic ramus —> gluteal ridge and upper part of linea aspera of femur

Adducts and laterally rotates femur

27
Q

What is the main arterial supply for the adductor muscles of the thigh?

A

Obturator artery; some deep femoral and medial femoral circumflex

28
Q

What are attachments and actions of pectineus?

A

Sup ramus of pubis —> Pectineal line of femur

Adducts and flexes thigh

29
Q

What is the innervation of pectineus (different than others)?

A

Femoral AND Obturator nerve

30
Q

What are attachments and actions of adductor brevis?

A

Inf pubic ramus —> Pectineal lines and linea aspera

Adducts, Flexes, medially rotates

31
Q

What are common symptoms of L4 compression?

A
  • Weakness of quads
  • Knee jerk diminished
  • Pain along anterolateral thigh
  • Numbness on anterior thigh/kneecap
32
Q

What are common symptoms with L5 compression?

A
  • Posterolateral pain
  • Lateral leg numbness
  • Weakness of Dorsi flexion of great toe and foot
33
Q

What are common symptoms of S1 compression?

A
  • Weak plantar flexion of great toe/foot
  • Pain on posterior thigh and leg
  • Numbeness on posterior leg and lateral foot.
34
Q

What injury is commonly associated with Obturator nerve damage?

A

Anterior hip dislocation

35
Q

What injury s associated with femoral nerve damage?

A

Pelvic fracture

36
Q

What injury is commonly associated with fibular nerve damage?

A

Fibula neck compression or fracture

37
Q

What damage is commonly associated with tibial nerve damage?

A

Knee trauma