Lower limb anatomy Flashcards
L4 dermatome
Anterior knee
Medial malleolus
Medial calf
L1 dermatome
Groin
L2 dermatome
Thigh
L3 dermatome
Above and at medial knee
L5 dermatome
Lateral knee and great toe
S1 dermatome
Lateral malleolus and little toe
Hip flexors
Iliopsoas
Rectus femoris
Tensor fascia lata
Hip extensors
Gluteus maximus
Semitendinosus
Semimembranosus
Biceps femoris
Hip abductors
Gluteus medius
Gluteus minimus
Hip adductors
Adductor brevus
Adductor longs
Adductor magnus
Stab to lateral thigh
Gluteus medius
Inferior gluteal nerve injury
Supplies gluteus maximus
Weak hip extension
Unable to stand from chair
Superior gluteal nerve injury
Supplies gluteus medius and minimus
Trendelenberg test
Injury to sciatic nerve
Weakened hip extension and knee flexion
Location of sciatic nerve
Inferior border of piriformis
Innervation of long head of biceps
Tibial branch of sciatic nerve
ALL OTHER HAMSTRING MUSCLES SUPPLIED BY COMMON PERONEAL
Anterior hip dislocation
Abducted and externally rotated
Posterior dislocation
Adduction and internal rotated
Borders of femoral triangle
Roof - fascia lata
Floor - pectinous, iliopsoas, adductor longus
Superior border - inguinal ligament
Lateral border - medial border of sartorius
Medial border - adductor longus
Contents of femoral triangle
Femoral nerve, artery, vein, canal (empty space and lymph nodes)
NAVEL
Femoral nerve outside of sheath
Contents of adductor canal
Saphenous nerve
Femoral artery
Femoral vein
Lymphatic vessels
Lateral cutaneous nerve of thigh
Meralgia paresthetica
Tight - clothing
Loose - obesity, pregnancy, cyclist
Obturator nerve palsy
Pelvic surgery - radical prostatectomy
Pelvic mass - ovarian mass
Anterior hip dislocation
Blood supply to head of femur
Medial circumflex - MOST important
Lateral circumflex
Atraumatic causes of AVN
Steroids
Sickle cell disease
SLE
Spirits (alcohol)
ACL injury
Sudden haemarthrosis
Pop
ACL slender and weaker
PCL injury
Anterior force to tibia
Collateral ligaments
Valgus force –> MCL
Varus force –> LCL
Medial meniscus
Bucket handle tear
Pes Anserinus
Semitendinosis tendon
Gracilis tendon
Sartorius tendon
Runners
Hill walking
Most superficial nerve when approaching popliteal fossa
Posterior cutaneous nerve of thigh
Popliteal fossa
Popliteal artery
Popliteal vein
Common peroneal nerve
Tibial nerve
Nerve at danger during Baker’s cyst repair
Saphenous nerve
Anterior compartment lower leg
Tibias anterior
EDL
EHL
Peroneus tertius
Innervation of anterior compartment lower leg
Deep peroneal nerve
Superficial posterior muscles of lower leg
Gastroc
Plantaris
Soleus
Innervation of superficial and deep posterior compartment lower leg
Tibial nerve
Deep posterior muscles of lower leg
Tibialis posterior
FHL
FDL
Popliteus
Lateral muscles of lower leg
Peroneus longus
Peroneus brevis
Innervation of lateral compartment lower leg
Superficial peroneal nerve
Common peroneal nerve injury
Foot drop
Lateral side of lower leg
Innervation of sensation on lateral foot
Sural (tibial) nerve
Innervation of sensation of 1st webspace
Deep peroneal nerve
Contents of tarsal tunnel
Tom, Dick And Very Nervous Harry
Tibialis posterior tendon
flexor Digitorum longus tendon
posterior tibial Artery
posterior tibial Vein
tibial Nerve
flexor Hallucis longus
ATFL
Always Tears First
Sinus tarsi syndrome
Between calcaneum and talus
Lisfranc joint
Between cuneiforms and metatarsals
Chopart joint
Between talus and navicular
Most common site of stress fracture
2nd metatarsal
Mortons neuroma
Neural degeneration and perineurial fibrosis between 3rd and 4th metatarsals
Lymph drainage from lower limb
Superficial T
Horizontal –> scrotum and labia
Vertical –> lower limb
Superficial –> deep –> external iliac –> common iliac