Lower limb 2 Flashcards
Pelvic girdle
bony ring consisting of sacrum and Left and right hip bones, joined anteriorly at pubic symphysis and posteriorly by SI joints
Sciatic foramen for structures entering/leaving pelvis
greater
sciatic foramen for structures entering/leaving perineum
lesser
How many layers of gluteal muscles?
2 - superficial and deep
4 muscles of superficial layer of gluteal muscles
gluteus maximus
gluteus medius
gluteus minimus
TFL
4 muscles of deep layer of gluteal muscles
piriformis
obturator internus
superior and inferior gemelli
quadratus femoris
What is fascial lata?
deep fascia of the thigh
2 muscles attached to iliotibial tract
TFL
gluteus maximus
Actions of gluteus maximus
extend the hip and lateral rotation
Innervation of gluteus maximus
inferior gluteal nerve (L5-S2)
gluteus medius+ minimus and TFL action
abduction and medial rotators of hip
innervation of gluteus medius+ minimus and TFL
superior gluteal nerve (l4-s1)
deep gluteal muscles action
stabilise hip joint and lateral rotators
Anterior to which muscle is sacral plexus found?
piriformis
Sacral plexus is formed by what?
ventral rami of L4-S4
2 main branches of sacral plexus
sciatic
pudendal
What is the lumbosacral trunk formed by?
union of L4+5
superior gluteal nerve roots
L4-S1
Inferior gluteal nerve roots
L5-S2
2 branches of sciatic nerve
common fibular
tibial
How many heads does biceps femoris have?
2
Hamstrings
long and short head of biceps femoris
semitendinous
semimembranosus
action of hamstrings on knee and hip
hip - extend
knee - flex
Which nerve innervates posterior thigh muscles?
sciatic
Knee joint type
compound hinge
Movements at knee joint
flexion and extension
small active and passive rotation
Articular surfaces of knee
medial and lateral condyles of femur
tibia
posterior surface of patella
Most important muscle to stabilise knee joint
quadriceps femoris
Ligaments of knee are thickening of what?
joint capsule
Lateral collateral ligament attachments
lateral epicondyle of femur
fibula head
What muscle separates LCL and lateral meniscus?
popliteal muscle
Medial collateral ligament attachments
medial epicondyle of femur
medial surface of tibia
Is MCL attached to medial meniscus?
yes - at its midpoint
MCL and medial meniscus attachment importance
damage to MCL can tear medial meniscus
2 things the ACL prevents
femur slipping posteriorly on tibia
hyperextension of knee
Why is ACL prone to injury and poor to repair?
poor blood supply
PCL -things it prevents
femur sliding anteriorly on tibia
Main functions of menisci
deepen surface and shock absorption
“unhappy triad”
most injuries are lateral direction
load on MCL which is attaches to medial meniscus
both tear
puts load on ACL which tears
Prepatellar bursitis
housemaids knee
Which bursa communicates with articular cavity of knee?
suprapatellar