Lower Limb Flashcards
Sciatic nerve
L4-S3
Femoral nerve
L2,3,4
Obturator nerve
L2,3,4
What is the collective name for ligaments of the hip?
Spiral ligaments
Name the spiral ligaments
Iliofemoral
Ischiofemoral
Pubofemoral
What are the two main arteries to head of femur?
Medial and lateral circumflex arteries
How many articulations at the knee and what are they?
3:
Tibiofemoral (medial)
Tibiofemoral (lateral)
Patellofemoral
Name the intra-articular ligaments of the knee
ACL
PCL
Name all the knee ligaments
ACL PCL Lateral collateral Medial collateral Medial menisci Lateral menisci
Describe difference between lateral and medial collaterals
Medial is much stronger and rope like
Lateral is more of a cord as not so much varus stress
Where is safe to inject bum and what are you worried about
Trying to avoid vasculature
Inject lateral superior quadrant
Pudendal nerve
S2,3,4
Name superficial muscles of gluteal region
Gluteus maximus
Gluteus minimus
Gluteus medius
Tensor fascia lata
Innervation to superficial muscles of gluteal region
All by superior gluteal nerve except maximus which is inferior gluteal nerve
Name deep muscles of gluteal region
Piriformis Superior gemellus Obturator internus Inferior Gemellus Quadratus femoris
Innervation to deep muscles of gluteal region
Sacral plexus
What is damaged in positive trendelenberg gait
Superior gluteal nerve meaning weak hip abductors (esp glut medius)
Where does sciatic exit
inferior to piriformis
What are the two divisions of sciatic nerve?
Tibial nerve and common fibular
What are the compartments of the thigh?
anterior, posterior, medial
What are the compartments of the leg?
Anterior, posterior and lateral
Name for compartment surgery
Fasciotomy
Anterior thigh muscles, hip flexors
Iliopsoas
Pectineus
Sartorius
Rectus femoris
Anterior thigh muscles, leg extensors
Rectus femoris
vastus lateralis
vastus medialis
vastus intermedius
Innervation of anterior thigh
femoral nerve L2,3,4
except iliopsoas which is L1,2,3
Contents of femoral triangle
Nerve (femoral)
Artery (femoral)
Vein (femoral)
Lymphatics
Boundaries of femoral triangle
Superior = inguinal ligament Medial = adductor longus Lateral = sartorius Floor = iliopsoas and pectineus
Muscles in medial thigh and action
Adduction: Adductor magnus Adductor longus Adductor brevis Gracilis Obturator externus
Innervation of medial thigh
Obturator nerve, L2,3,4
Muscles in posterior thigh and action
Extend thigh and flex leg:
Semitendinosus (medial)
Semimembrinosus (even more medial)
Biceps femoris (lateral)
Innervation to posterior thigh
Tibial division of sciatic (tibial nerve)
Superficial muscles of posterior leg
Gastrocnemius
Soleus
Plantaris
Deep muscles of posterior leg
Popliteus
Flexor hallicus longus
Flexor digitorum longus
Tibialis posterior
Innervation to posterior thigh
All tibial nerve
Muscles of anterior compartment of leg
Tibialis anterior
Extensor hallicus longus
Extensor digitorum longus
Fibularis tertius
Innervation to anterior leg muscles
Deep fibular
Muscles of lateral compartment of leg
Fibularis longus
Fibularis brevis
Innervation to lateral leg muscles
Superficial fibular
Consequence of deep fibular nerve injury
foot drop as no extensor action
Name for achilles tendon
Calcaneous tendon
What is the achilles tendon
Tendons of gastrocnemius and soles together that attaches at back of heel (calcaneus tuberosity)
Where do the medial and lateral circumflex arteries branch off?
Profunda femorus artery
What is the profunda femorus aftery a branch of?
Femoral artery