Lower Limb Flashcards

1
Q

Gluteus Maximus

A

O: Posterior ilium, sacroiliac joint, sacrotuberous ligament

I: deep third - gluteal tuberosity
2 other layers - ITB (part of the Fascia Lata

Function: Extensor, Lat rotation, Adductor

Inferior Gluteal Nerve (L5, S1, S2)

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2
Q

Gluteus Medius & Minimus

A

O: Middle and anterior of iliac blade
I: greater trochanter
Medial rotation & abduction
Superior gluteal nerve (L4, L5, S1)

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3
Q

Tensor Faciae Latae

A

O: ASIS
I:ITB (Gerdy’s)
Superior gluteal nerve (L4,5, S1)

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4
Q

Lateral Rotators

A

.

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5
Q

Piriformis

A

O: Pelvis
I: greater trochanter
S1,S2

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6
Q

Obturator internus & Gemelli

A

O: inside obturator membrane, through lesser sciatic foramen
I: Greater Trochanter
L4,L5,S1,S2

GO: edge of foramen
I: Obturator internus

L4,L5,S1,S2 -Sup
L4, L5, S1 -Inf

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7
Q

Obturator Externus

A

O: outside membrane
I: base of trochanter
L2, L3, L4 (Obturator Nerve)

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8
Q

Quadratus Femoris

A

O: Ischial Tuberosity
I: middle intertrochanteric crest
L4,L5,S1

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9
Q

Blood Supply and Nerves of Gluteal Region

A

Sup. Gluteal nerve, art., veins - through greater sciatic foramen (Glut medius and minimus)

Inf. Gluteal nerve, art., veins - underneath the piriformus (glut max, lower part of region)

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10
Q

Hip Joint

A

Function: flex, extend, abduct adduct, med. lat. rotation

3 ligaments: iliofemoral ligament AIIS to intertrochanteric line

Pubofemoral and ischiofemoral

Blood and nerve supply: all nerves that cross, obt artery, iga, sga, med & lat femoral circumflex arteries

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11
Q

Anterior compartment of thigh

A

Sartorius + quads

Innervated by femoral artery

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12
Q

Sartorius

A

Flexes hip and knee joint
O: ASIS
I: anterior tibia

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13
Q

Quad femoris

A

All insert into patella

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14
Q

Rectus femoris

A

O: AIIS
Flexes hip and extends knee
Sup border of patella

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15
Q

Vastus medialis and lateralis

A

O: femur
Extend knee
Medialis is more distal and pulls patella medially

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16
Q

Vastus intermedius

A

O: shaft of femur
I: behind rectus femoris sup border of patella

17
Q

Iliopsoas (fits best in anterior compartment)

A

O: PSOAS - transverse process of lumbar
Iliacus - blade of ilium
I: lesser trochanter

Flex and lat rotate hip

Innervated by lumbar plexus

18
Q

Medial/adductor compartment

A

Adductors - innervated by Obturator nerved
All originate from pubis
Most insert on medial lip of the linea aspera

19
Q

Anterior layer of adductor compartment

A

Gracilis -medial border of thigh
I: upper tibia
Adduct, flex and medial rotate hip, weak knee flex

Pectineus
Innervated by femoral and Obturator
I: linea aspera

Adductor longus
I: linea aspera (below pectineus)

20
Q

Posterior layer of adductor

A

Adductor Brevis
I: in linea aspera behind pectineus

Adductor Magnus is deep to brevis
I: linea aspera; however, inferior portion inserts on adductor tubercle
Innervated by tibial div. of sciatic nerve

21
Q

Posterior compartment of thigh

A
Hamstrings
Innervated by tibial division
Extends hip, flexes knee
O: ischial tuberosity
Profunda femoris artery
22
Q

Biceps femoris

A

Long head
I: fibula

Short head
O: linear aspera
Innervated by common peroneal div.
No hip

23
Q

Semitendinosus

A

I: medial tibial condyle (goose foot)

24
Q

Semimembranosus

A

I: medial condyle of tibia

25
Q

Leg muscles

A

Anterior compartment - extensors dorsi flexors
O:leg bones + interosseous membrane
I: dorsum
Innervated by deep peroneal nerve

Lat. compartment - the two peronei 
Evertors
O: fibula 
I: foot
Innervated by superficial peroneal nerve

Posterior - flexors
I: heel
O: leg bones and interosseous membrane
Innervated by tibial nerve

26
Q

Anterior compartment of leg

A

Tibialis anterior
O: upper 2/3 of tibia & int. Membrane
I: first cuneiform and metacarpal 1
Dorsi flexor and inverter

Extensor Hallucis longus
O: middle half outside fibula base of distal phalanx

Extensor digitorum longus 
O: most of fibula and membrane 
I: distal phalanx 
(Peroneus tertius)
I: base of metatarsal 5
Everts and extends
Extensor digitorum brevis
4 tendons to medial 4 toes
O: calcaneus near cuboid
I: medial tendon-proximal phalanx of hallux (extensor hallusis brevis)
The rest insert on extensor expansions 
Deep peroneal nerve
27
Q

Lateral compartment of leg

A

Peroneus longus
O: head and upper 2/3 of fibula
I: medial of first metatarsal and first cuneiform
Plantar flexes and everts

Peroneus brevis
O: Distal 2/3 of fibula
I: top of metatarsal 5
Plantar flexes and everts

28
Q

Posterior compartment of leg - superficial

A

Gastrocnemius
O: femoral condyles
I: Achilles’ tendon on the calcaneus
Flexes ankle and knee

Soleus
O: back of head of fibula & soleal line
I: tendocalcaneus
Ankle flexor

Plantaris
O: lateral femoral condyle
I: Achilles’ tendon

Tibial nerve

29
Q

Posterior compartment of leg - deep

A

Politeus
O: posterior proximal tibia
I: lateral femoral condyle
Lat rotates femur (unlocks knee)

Tibialis
O: Posterior interosseous membrane
I: navicular and cuneiforms
Plantar flex and inverts

Flexor hallucis longus
O: distal 2/3 of fibula and membrane
I: base of distal phalanx
Flexes big toe and ankle

Flexor digitorum longus
O: posterior of lower tibia
I: distal phalanges of the 4 toes