MSK anatomy Flashcards
What Thick connective tissue forms the roof of the carpal tunnel
Flexor Retinaculum
What 3 structures make up the carpal tunnel
9 tendons
synovial sheaths
median nerve
How many tendons are there in the carpal tunnel and give their name
9 in total
The tendon of flexor pollicis longus
Four tendons of flexor digitorum profundus
Four tendons of flexor digitorum superficialis
What is the purpose of the synovial sheath surrounding tendons of the carpal tunnel
These sheaths allow free movement of the tendons.
Name the bones in proximal row of the carpus from lateral to medial
Scaphoid
Lunate
Triquetrum
Pisiform
Name the bones in distal row of the carpus from lateral to medial
Trapezium
Trapezoid
Capitate
Hamate
How are the metacarpal numbered
Thumb is 1
Little finger is 5
How are the phalanges of the fingers named
Distal
Middle
proximal
How are the phalanges of the thumb named
Distal
Proximal
What prevents the ulna articulating with the carpal bones
Articulate disc
What joint lies between the distal row of carpal bones and proximal parts of metacarpals
Carpometacarpal joints
What joints lie between the distal parts of the metacarpals and the proximal phalanges
Metacarpophalangeal joints
What joints lie between the phalanges
Interphalangeal jounts
What are the 2 different interphalangeal joints in the fingers
Proximal interphalangeal - between proximal and middle
Distal interphalangeal - between middle and distal
What are the 3 muscles of the thenar eminence and what innervates them
Abductor Pollicis Brevis
Flexor Pollicis Brevis
Opponens Pollicis
Innervated by recurrent branch of median nerve
How do the different muscles of the thenar eminence act on the thumb and what is there insertion
APB - abduction, proximal phalanx. (lateral aspect)
FPB - flexion, proximal phalanx
OP - opposition, 1st metacarpal
What is the name of the deep fascia that surround the thigh
Fascia lata
What muscles does the anterior part of the thigh contain
Quadriceps femoris - group of four large muscles
Sartorius
Illiopsoas
Pectineus
What are the four muscles of the quadriceps femoris
Rectus femoris
Vastus lateralis
Vastus medialis
Vastus intermedius
What is the rectus femoris attached to proximally
Anterior superior iliac spine
What are the functions of the quadriceps femoris
Prime extensor of the knee
Rectus femoris also contributes to flexion at hip
Describe the position of sartorius in the anterior thigh
Lies superficially
It attaches proximally at the ASIS and inserts on the medial aspect of the proximal tibia. It crosses both the hip and knee joints.
Function of the sartorius
It flexes and laterally rotates the hip joint and can flex the knee joint.
What is the prime flexor of the hip joint
Illiopsoas
Where does pectineus attach proximally and distally
It attaches proximally at the superior pubic ramus and distally on the femur, just inferior to the lesser trochanter
Function of pectineus
Flex and adduct hip joint
What is the iliotibial band
a thickening of the lateral part of the fascia lata. It attaches to the lateral aspect of the proximal tibia and is important for stabilising the knee joint.
Give the names and functions of the muscles that make up the medial part of the thigh
Adductor brevis Adductor longus Adductor magnus Gracilis Obturator externus
Adductors of the hip
What nerve innervates the muscles of the medial thigh compartment
Obturator nerve
L2-4
What are the 2 parts of the adductor Magnus
Give their attachments
Adductor - attaches to inferior pubis ramus and linea aspera
Hamstring - attaches to ischial tuberosity and adductor tubercle
What is the adductor hiatus and what travels through it to enter the posterior thigh
The adductor hiatus is a gap formed between the distal attachments of the two parts of adductor magnus.
The femoral artery and vein travel through the adductor hiatus to enter the posterior thigh
What is the most medial muscle of the medial compartment
What does it attach to
Gracillis
It attaches to the pubic bone and the medial aspect of the tibia.
Function of the obturator externus
It stabilises and laterally rotates the hip joint.
How do the femoral artery, vein and nerve lie relative to each other in the femoral
triangle?
Nerve is most lateral
Vein is most medial
Artery lies between them
What are the 3 boundaries of the femoral triangle
lateral - formed by the medial border of sartorius
medial - formed by the lateral border of adductor longus
superior - formed by the inguinal ligament
What forms the floor of the femoral triangle
Laterally - iliopsoas
Medially - pectineus
What nerve innervates the anterior compartment of the thigh
Femoral nerve
What does the saphenous nerve innervate
branch of femoral nerve
Innervates anterior thigh and anteromedial leg
What innervates the hamstring part of adductor Magnus
Tibial nerve
What are the 4 superficial gluteal muscles
Gluteus maximus
Gluteus medius
Gluteus minimus
Tensor fascia latae
What are the attachments of the gluteus maximus
Posterior surface of ilium
Sacrotuberous ligament
Sacrum
Where do fibres of the gluteus maximus insert
Iliotibial tract - most
Gluteal tuberosity - smaller proportion
Functions of the gluteus maximus
extensor of the hip and is important for standing from a sitting position
acts as a lateral rotator of the hip.
stabilises the knee joint.
What are the attachments and insertions of the gluteus medius and minimus
Attach to anterior parts of the posterior surface of the ilium
They both insert onto the greater trochanter.
Function of the gluteus medius and minimus
they abduct and medially rotate the hip
Attachment and insertion of tensor fascia latae
attached to the ASIS and inserts into the iliotibial band, which itself inserts onto the lateral part of the proximal tibia.
Function of TFL
contraction of the muscle tenses the fascia lata and the iliotibial band.
It stabilises the knee when it is extended and it also flexes the hip joint, but is not a prime mover.
What innervates the gluteus maximus
Inferior gluteal nerve
What innervates the gluteus medius, minimus and TFL
Superior gluteal nerve
Describe the root of the gluteal nerves
Leave the sacral plexus in the pelvis via the greater sciatic foramen
What are the deep gluteal muscle
Piriformis
The superior and inferior gemelli
Obturator internus
Quadratus femoris
What does the sciatic nerve divide into
Tibial and common peroneal nerves in the posterior thigh
What are the functions of the deep gluteal muscles
Primarily stabilise and laterally rotates hip joint
Muscles of the anterior compartment of the leg
Tibialis anterior
Extensor hallucis longus (EHL)
Extensor digitorum longus (EDL)
What is the innervation to the anterior part of the leg
Deep peroneal nerve
Function of the muscles of the anterior part of the leg
Primarily act as dorsiflexors of the foot at the ankle joint and extensors of the toe
Where does the extensor hallucis longus insert
Distal phalanx of the big toe
Where does the tibialis anterior insert
Medial cuneiform
Where do the tendons of the extensor digitorum longus insert
Distal phalanges of toes 2-5
What innervates the muscles of the lateral part of the leg
Superficial peroneal nerve
What are the 2 muscles of the lateral part of leg
Peroneus longus (fibularis longus) Peroneus brevis (fibularis brevis)
Function of muscles in the lateral part of the leg
Evert the foot at the subtalar joint
Where does the peroneus longus insert
It inserts onto the plantar surface of the medial cuneiform bone.
Where does the peroneus brevis insert
inserts onto the base of the 5th metatarsal.
Innervation of pectoral is major
Medial and lateral pectoral nerves
Innervation of pectoralis minor
Medial pectoral nerve
Origin of pectoralis minor
Ribs 3-5
Insertion of the pectoralis minor
Coracoid process of scapula
Innervation of serratus anterior
Long thoracic nerve
Function of the Serratus anterior
Rotates scapula to allow arm abduction and holds the scapula against the ribcage
When are the radius and ulnar parallel
Supination
Innervation of latissimus Dorsi
Thoracodorsal nerve
What upper limb muscles does the dorsal scapular nerve innervate
Levator scapulae
Rhomboid
What innervates deltoids
Axillary nerve
Origins of deltoids
CAS
Clavicle
Acromion
Spine
What innervates the supra and infra spinatus
Suprascapular nerve
Function of supraspinatus
Abduction of arm 0-15 degrees
Attachments of rotator cuff muscles
What muscle abducts the shoulder between 15-90 degrees
Deltoids
What muscle abducts the shoulder above 90 degrees
Serratus anterior
Trapezius
What nerve has all nerve roots in them
Radial nerve
What bifurcates into radial and ulnar arteries
Brachial arteries
What are the superficial veins of the arm
Median cubital - inside of elbow
Median antebrachial
Cephalic - head of arm
Basilic - base of arm
What innervates the anterior upper arm muscles
Musculocutaneous
What is the most superficial muscle of the anterior arm
Biceps brachii- long and short head
Function of anterior upper arm muscles
Biceps brachii - flexion of forearm at elbow and flexion of arm at shoulder. Supination
Coracobrachialis - flexion of arm at shoulder
Function of brachialis
Flexion of forearm at elbow
Contents of cubital fossa from lateral to median
Hint: Really need beer to be at my nicest
Radial nerve
Biceps tendon
Brachial artery
Median nerve
What does the anterior crucial ligament stop
The forward movement of the tibia
Which bone of the foot supports all the body weight
Talus
4 muscles of posterior thigh
Semimembranosus
Semitendinosus
Biceps femoris
Hamstrung part of adductor Magnus
Innervations to the short head of biceps femoris
Common peroneal