Lower Limb Flashcards

1
Q

Flexors of the Hip (3-5)

A

Iliosoas
Sartorius
Rectus femoris
(pectineus and tensor fascia lata)

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2
Q

Extensors of the Hip (4)

A

Biceps femoris (LH only)
Semitendinosus
Semimembranosus
Gluteus maximus

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3
Q

Abductors of the Hip (3)

A

Gluteus Medius
Gluteus Minimus
Deep gluteal muscles (piriformis)

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4
Q

Adductors of the Hip (5)?

A
Adductor Longus
Adductor Brevis
Adductor Magnus
Gracilis
Pectineus
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5
Q

Lateral rotators of the hip? 3

A

Gluteus Maximus
Biceps femoris
(Deep gluteals)

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6
Q

Medial rotators of the hip? 4

A

Semitendinosus
Semimembranosus
Gluteus medius
Gluteus minimis

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7
Q

Anterior Compartment of thigh - Name 7 muscles?

A

Rectus femoris
Vastus medialis
Vastus lateralis
Vastus intermedius

Iliosoas
Sartorius
Pectineus

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8
Q

Anterior Compartment of thigh innervation? Roots?

A

Femoral nerve (L2-L4)

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9
Q

Medial Compartment of thigh - Name 5 muscles?

A
Adductor Longus
Adductor Brevis
Adductor Magnus
Gracilis
Obturator externus
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10
Q

Whats the innervation of the Medial Compartment of thigh? Roots?

A
Obturator nerve (L2-L4)
(except for adductor magnus which has two innervations. Adductor part is obturator nerve and the hamstring part is L4-S3 Tibial branch of sciatic)
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11
Q

Posterior Compartment of thigh - Name 3 muscles?

A

Biceps femoris
Semitendinosus
Semimembranosus

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12
Q

Whats the innervation of the Posterior Compartment of thigh? Roots?

A

Tibial part of Sciatic nerve (L4-S3)

Except for the Biceps femoris short head which is innervated by the common fibular part of the sciatic nerve

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13
Q

Where do the hamstrings attach?

A

Ischial tuberosity

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14
Q

What’s Avulsion?

A

A fraction where the bony attachment comes away

e.g. Hamstrings attach to ischial tuberosity which can snap off

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15
Q

What is the innervation of Biceps femoris?

A

SCIATIC NERVE. Long head innervated by the tibial part of the sciatic nerve, whereas the short head is innervated by the common fibular part of the sciatic nerve.

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16
Q

What muscles lie in the anterior compartment of the leg? 4

A

Tibialis anterior,
Extensor digitorum longus,
Extensor hallucis longus
Fibularis tertius.

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17
Q

What nerve innervates the anterior compartment of the leg?

A

Deep fibular nerve

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18
Q

What causes footdrop?

How does this present?

A

When the deep fibular nerve does not work. Unopposed plantar flexion

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19
Q

What gait characteristic does footdrop cause?

A

Eversion flick

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20
Q

What does the calcaneal reflex test?

A

Spinal roots S1-S2.

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21
Q

What sort of people are most likely to suffer from a calcaneal tendon tear?

A

People with calcaneal tendonitis

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22
Q

What action is most likely to cause a calcaneal tendon tear?

A

Strong plantarflexion against resistance. Afterwards the foot will be dorsiflexed and a lump will appear in the calf region

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23
Q

What muscle unlocks the knee?

What motion is it?

A

Popliteus
Laterally rotates the femur on the tibia or
Medially rotates the tibia on the femur

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24
Q

What nerve innervates the unlocking of the knee?

A

Tibial nerve.

Popliteus is a muscle of the posterior compartment of the leg

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25
Q

Which Quad muscle stabilises the knee cap with its horizontal fibers?

A

Vastas medialis
Prevents lateral movement of patella
(feels tired after first run)

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26
Q

Who are Tom, Dick and A Very Nervous Harry

A
Tibialis posterior
Flexor Digitorum Longus
artery (tibial)
vein (posterior tibial)
nerve (tibial)
Flexor Hallucis Longus
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27
Q
Where does the great saphenous vein...
Start?
Navigate related to a malleolus?
What part of the leg does it travel up?
What does it pass through?
What does it drain into?
A

Dorsal vein of the big toe (GSV=Great/Big toe)
–Navigates anterior to medial malleolus—
Then up anterior medial leg
Entering the saphenous opening ( opening in the fascia lata)
Joins the common femoral vein in the region of the femoral triangle (sapheno-femoral junction)

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28
Q
Where does the small saphenous vein...
Start?
Navigate related to a malleolus?
What part of the leg does it travel up?
What does it drain into?
A

Dorsal vein of 5th digit (SSV=Small toe)
Navigates posteriorly around lateral malleolus
Travels up the posterior leg
Drains into popliteal vein

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29
Q

What muscles are found in the lateral compartment of the leg?

A

Fibularis/Peroneal Longus

Fibularis/Peroneal Brevis

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30
Q

What actions do the muscles in the lateral compartment of the leg do?
Innervation

A

EVERSION

Superficial fibular nerve

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31
Q

Where does the common fibular nerve bifurcate?

A

Small space through fibularis longus (near head and neck of fibula)

32
Q

What muscles are found in the posterior compartment of the leg? 7

A

Gastrocnemias
Soleus
Plantaris

Popliteus
Tibialis Posterior
Flexor digitorum longus
Flexor Hallucis Longus

33
Q

What nerve innervates the muscles found in the posterior compartment of the leg?

A

Tibial nerve

34
Q

What actions do the muscles found in the posterior compartment of the leg do?

A

Plantarflexion

Eversion

35
Q

What separates the superficial muscles in the posterior compartment to the deep muscles? Bonus points for number of muscles and names

A

Separated by a band of fasica

3 - Superficial
Gastrocnemius
Soleus
Plantaris

4- Deep
Popliteus
(Tom dick and Harry)
TP, FDL, FHL

36
Q

What 2 ways (movement/force) can cause the ACL to tear?

A

Hyperextension of the knee joint,

Large force to the back of the knee with the joint partly flexed

37
Q

What event can cause the PCL to tear?

A

Dashboard injury
When the knee is flexed, and a large force is applied to the shins, pushing the tibia posteriorly
e.g. hitting the dashboard in a car accident

38
Q

What bursa becomes inflammed in Housemaids knee?

A

Suprapatella bursa

39
Q

What bursa becomes inflammed in Clergyman’s knee?

A

Infrapatella bursa

40
Q

What bursa becomes inflammed in a Baker’s cyst?

A

Its the synovial fluid from the joint that expands out into the popliteal fossa

41
Q

What are the two functions of menisci?

A

To deepen the articular surface (increasing stability)

To act as shock absorbers.

42
Q

Which of the menisci is larger/more C shaped?

A

Medial meniscus

43
Q

What is the name of the gooses foot?

What side of the leg is it found?

A
Pes anserinus
Medial side (goose, MEALdial side)
44
Q

What muscles are involved in the gooses foot?

A

Pes anserinus aka the SGS (Special Goose Service) (anterior to posterior)
Sartorius
Gracilis
Semitendinosus

45
Q

What nerve is affected if you see a Trendelenburg sign/gait?

A

Superior gluteal nerve

46
Q

What is a Trendelenburg test?

If there is a left positive what does it mean?

A

Get the patient to stand on each leg seperately. The hips should stay horizontally aligned. If there is a hip drop (e.g. on the left) then there is a problem with medius and minimis (on the right)

47
Q

Borders of the popliteal fossa?

A

Superomedial border: Semimembranosus.
Superolateral border: Biceps femoris.
Inferomedial border: Medial head of the gastrocnemius.
Inferolateral border: Lateral head of the gastrocnemius and plantaris

48
Q

What are the contents of popliteal fossa? (medial to anterior)

A

AVN
Popliteal Artery
popliteal Vein
Tibial nerve and Common fibular nerve

49
Q

Along the tendon of which muscle does the common fibular nerve run?

A

Biceps femoris

50
Q

What superficial vein drains into the popliteal vein within the popliteal fossa?

A

Small saphenous vein

51
Q

Damage to the tibial nerve in the popliteal fossa will appear clinically?

A
Weakened plantarflexion
(appear dosiflexed)
52
Q

What is the sural nerve a branch of?

A

Tibial nerve.

It follows the small saphenous vein down the posterior leg and behind the lateral malleolus

53
Q

What does the sural nerve innervate? Muscle? Skin?

A

Innervates the skin in the posterolateral aspect of the leg.

54
Q

Tough. What is the route of the common fibular nerve distal to the knee?

A

Around the head of the femur

55
Q

Which branch of the common fibular nerve gives sensory innervation between the 1st and 2nd digits?

A

Deep fibular nerve.

Flip-flops deep down on the beach

56
Q

What is the saphenous nerve a branch of?

A

Femoral nerve

57
Q

Lateral cutaneous nerve of the thigh innervate?

A

Skin on lateral thigh

58
Q

Whats the floor of the femoral triangle?

A

IPA make you hit the floor
Iliosoas
Pectineus
Adductor longus

59
Q

Whats the roof of the femoral triangle?

A

Fascia lata

60
Q

Borders of the femoral triangle?

A

Inguinal ligament
Adductor longus
Sartorius

61
Q

Deep gluteal muscles have what action?

A

Lateral rotation

62
Q

Patella fractures can be…?

A

Displaced or undisplaced

63
Q

Which ankle ligaments are weaker?

A

Lateral (think what ankle sprain is easier)

Anterior talofibular ligament is the lateral ligament most at risk of irreversible damage.

64
Q

Name the bones in the transverse arch?

A

Cuboid and cuneiform bones

65
Q

Whats a bunion?

A

Hallux Valgus

medial deviation of the first metatarsal bone and lateral deviation of the hallux

66
Q

In terms of gait - what is the difference between walking and running?

A

Walking has a phase where there is double support. Both legs touch the ground, whereas in running there is a phase where both legs are off the ground

67
Q

What are the 5 stages of “stance phase” (gait)

A
  1. Initial contact
  2. Loading response
  3. Mid-stance
  4. Terminal stance
  5. Pre-swing
68
Q

What are the 3 stages of the “swing stage”

A
  1. Initial swing
  2. Mid swing
  3. Terminal swing
69
Q

Gait: What is cadence?

A

Cadence

70
Q

Gait: What is Stride?

A

RIGHT Initial contact to RIC. StRide = Right

71
Q

Gait: What is Step?

A

LEFT Initial contact to LIC

72
Q

Eccentric muscles?

A

Lengthening muscles

73
Q

Concentric muscles?

A

Shortening muscles

74
Q

Hemiplegic

A

Usually stroke victims. Muscle in leg are extended so as the walk they swing their leg around in a semi circle

75
Q

Diplegic

A

Paralysis of both legs. Body is flexed forward to give momentum to drive the body forward

76
Q

Trendelenberg

A

Dysfunction of gluteus medius and minimus. Results in trunk compensating

77
Q

Ataxic / Cerebellar / Broad-based

A

-