MSK Anatomy Flashcards
What are the functions of the lower limb?
supports body weight
locomotion
maintain balance
What are the 6 regions of the lower limb?
gluteal femoral knee leg ankle foot
What muscles make up the superficial muscle group of the gluteal region?
Gluteus maximus
Gluteus medias
Gluteus minimus
Tensor fascia latae
What is the function of the superficial muscle group of the gluteal region?
extensors, abductors and medial rotators of the thigh
Describe innervation of the superficial muscle group of the gluteal region?
Gluteus maximus is supplied by inferior gluteal nerve. All others (gluteus medius, gluteus minimus and tensor fascia latae) are supplied by the superior gluteal.
What is Trendelenburg’s gait?
A clinical sign. When you lift a leg, the pelvis tilts and the muscles pull it back into alignment. In Trendelenburg’s gait, the superior gluteal nerve has been damaged, allowing the pelvis to tilt to the unsupported side. The contralateral side then drops. The limb is now too long. The patient leans to the opposite side to shorten the limb.
What muscles make up the deep muscle group of the gluteal region?
piriformis, obturator internus, gemelli and quadratus femoris
What is the function of the deep muscle group of the gluteal region?
lateral rotators of thigh and hip stabilisers
Describe the innervation of the deep muscle group of the gluteal region.
Each deep muscle is supplied by a different nerve from the sacral plexus
Where do nerves enter and exit the pelvis and perineum?
via the greater and lesser sciatic foramen
What structures form the greater and lesser sciatic foramen?
the sacrotuberous and sacrospinous ligaments
Describe the attachments of the sacrotuberous ligament.
sacrum and ischial tuberosity
Describe the attachments of the sacrospinous ligament.
sacrum and ischial spine
Where should injections be given in the gluteal region?
Upper outer quadrant
What nerve is the largest in the body?
Sciatic nerve
What are the branches of the sciatic nerve called?
Tibial and common fibular
What parts of the lower limb are supplied by the sciatic nerve?
posterior thigh, all leg and foot muscles and most of the skin
From what spinal level does the posterior cutaneous nerve of the thigh arise?
S1-S3
What structures are supplied by the posterior cutaneous nerve of the thigh?
Skin over the posterior thigh, popliteal fossa, lateral perineum and upper medial thigh
Describe the route of the pudendal nerve into the perineum.
Passes through the greater sciatic foramen into the pelvis then back out through the lesser sciatic foramen.
Where does the sciatic nerve exit the greater sciatic foramen?
Inferior to the piriformis. It is usually the most lateral structure exiting the greater sciatic foramen.
What artery supplies the sciatic nerve?
Artery to the sciatic nerve
Where does the sciatic nerve normally divide
the distal third of the thigh
What division of the sciatic nerve is more lateral?
Common fibular
What division of the sciatic nerve is more medial?
Tibial
What is the superior boundary of the femoral triangle?
Inguinal ligament
What structure forms the inguinal ligament?
the thickened edge of the external oblique aponeurosis
What are the attachments of the inguinal ligament?
ASIS to pubic tubercle
What is the medial border of the femoral triangle?
The lateral border of the adductor longus
What is the lateral border of the femoral triangle?
Medial border of the sartorius
What is the longest muscle in the body?
Sartorius
What forms the floor of the femoral triangle?
Iliopsoas laterally and pectineus medially
What is the function of the sartorius muscle?
Flexion of the knee and hip
What forms the roof of the femoral triangle?
deep fascia (fascia lata)
Describe the position of the structures within the femoral triangle from lateral to medial.
Nerve, artery, vein, lymphatics
What structures are contained within the femoral sheath?
Artery, vein and lymphatics
Is the femoral nerve in the femoral sheath?
NO
What structure splits the limb into different compartments?
Deep fascia
What procedure can be done to relieve pressure in an emergency in a patient with compartment syndrome?
Fasciotomy
What are the 3 compartments in the thigh?
Anterior, medial and posterior
What are the 3 compartments in the legs?
Anterior, posterior and lateral
What muscles are contained within the anterior compartment of the thigh?
Pectineus, ilipsoas and sartorius (flexors of the thigh) quadriceps femoris (extensors of the leg)
What nerves supply the anterior compartment of the thigh?
Femoral nerve (L2, 3 and 4) Psoas major is supplied by anterior rami from L1, 2 and 3.
What muscles are contained within the medial compartment of the thigh?
Adductor longus, adductor brevis, adductor magnus, gracilis, obturator externus (adductors of the thigh)
What nerves supply the medial compartment of the thigh?
Obturator nerve (L2, 3 and 4) The hamstring part of the adductor magnus is supplied by the tibial nerve
What muscles are contained within the posterior compartment of the thigh?
Semitendinosus, semimembranosus and biceps femoris. (extensors of the thigh and flexors of the leg)
What nerves supply the posterior compartment of the thigh?
Tibial division of the sciatic nerve (L5, S1 and S2)
The short head of the biceps femoris is supplied by the common fibular division of the sciatic nerve)
What muscles are contained within the anterior compartment of the leg?
Tibialis anterior, extensor digitorum longus, extensor hallucis longus, fibularis tertius
What nerves supply the anterior compartment of the leg?
Deep fibular nerve (L4 and 5)
What muscles are contained in the lateral compartment of the leg?
Fibularis longus, fibularis brevis (evert the foot and weakly plantarflex the ankle)
What nerves supply the lateral compartment of the leg?
Superficial fibular nerve (L5, S1 and 2)
What superficial muscles are contained within the posterior compartment of the leg?
Gastrocnemius, soleus and plantaris (plantarflexors of the ankle)
What nerves supply the superficial muscle group of the posterior compartment of the leg?
Tibial nerve
What deep muscles are contained within the posterior compartment of the leg?
popliteus,flexor hallicus longus, flexor digitorum longus and tibialus posterior (flexors of the toes and plantarflexors of the ankle)
What nerves supply the deep muscles of the posterior compartment of the leg?
Tibial nerve
What movements can the hip joint perform?
flexion/extension
abduction/adduction
medial/lateral rotation
circumduction
What is the function of the acetabular labrum?
Deepens the hip joint and bring more stability
What is the most commonly fractured part of the femur?
Neck
Damage to which ligament can result in disruption to the blood supply to the head of the femur?
Ligamentum teres
What three ligaments strengthen the hip joint capsule and aid stability?
iliofemoral
pubofemoral
ischiofemoral
What artery is supplies the head of the femur?
Branch of the obturator
Which arteries arise from the deep femoral artery to supply the hip joint?
medial and lateral circumflex femoral arteries
How many articulations does the knee have?
3
Describe the articulations of the knee.
2x femerotibial
1x femeropatellar
What muscle group is the main stabiliser of the knee?
Quadraceps femoris
What extracapsular ligaments strengthen the knee?
patellar ligament
lateral collateral ligament
medial collateral ligament
What intra-articular ligaments strengthen the knee?
anterior cruciate
posterior cruciate
Which ligament in the knee is commonly damaged by footballers?
anterior cruciate ligament (ACL)
What would anterior/posterior drawer signs indicate?
Damaged cruciate ligaments allowing the femur to slide over the tibia
What is the function of the menisci in the knee?
Fibrocarilage found both medially and laterally to offer protection
What forms the superolateral border of the popliteal fossa?
biceps femoris
What forms the superomedial border of the popliteal fossa?
semimembranosus
What forms the inferior border of the popliteal fossa?
gastrocnemius