Musculo-Fascial Compartments of the Limbs Flashcards

1
Q

What is a fascial compartment?

A
  • A tissue compartment that is anatomically sealed.
  • They are inexpansible and impenetrable envelopes
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2
Q

What is usually found in a fascial compartment

A
  • Muscles, organs or specialised tissue
  • Blood supply of these tissues
  • Venous drainage of these tissues
  • Neuronal innervation to these tissues
  • Sometimes lymphatic drainage of these tissues
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3
Q

State 3 facts about the importance of fascia

A
  • Body’s connective tissue matrix
  • Interwoven system of fibrous connective tissue
  • Breakdown of fascia happens naturally
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4
Q

What is necrotizing bacteria

A
  • A bacterium that feeds on the fascia
  • Known as flesh-eating bacteria
  • Spreads along fascial planes and can consume an entire person in hours
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5
Q

Where are the 3 regions where fascial spaces in the body are exaggerated

A
  • Head Region
  • Neck Region
  • Limb Region
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6
Q

What do fascial compartments in the neck allow for

A
  • Frictionless movement
  • Displacements of the neck
  • Breathing
  • Swallowing
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7
Q

Slide

A

10 lecture 2

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8
Q

What are the 2 classifications of fascia in the neck

A
  • Superficial cervical fascia
  • Deep cervical fascia
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9
Q

What are the subtypes of deep cervical fascia

A
  • Investing fascia
  • Pretracheal fascia
  • Prevertebral fascia
  • Carotid sheaths
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10
Q

Name the tissue layers of the thigh

A
  • Skin
  • Superficial fascia
  • Fascia Latta - Deep fascia
  • Muscles (and membrane coverings)
  • Femur (between periosteum and endosteum)
  • 3 Intermuscular septa
  • Neurovascular bundle
  • Lymph nodes
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11
Q

What is the investing layer of fascia in the thigh called

A

Fascia Latta

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12
Q

What does fascia latta become at the thicker lateral ends of the thighs

A
  • Iliotibial band or tract
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13
Q

What are the 3 Fascial compartments of the thigh

A
  • Anterior compartment
  • Medial compartment
  • Posterior compartment
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14
Q

What septum separates the anterior and medial compartments of the thigh

A
  • Medial intermuscular septum
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15
Q

What septum separates the medial and posterior compartments of the thigh

A
  • Posterior intermuscular septum
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16
Q

What septum separates the posterior and anterior compartments of the thigh

A

Lateral intermuscular septum

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17
Q

Name the functional compartment of each fascial compartment of the thigh

A
  • Anterior - Knee extensors (Quadriceps)
  • Posterior - Knee flexors & Hip Extensors (Hamstrings)
  • Medial - Hip Adductors (Adductors)
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18
Q

What nerve innervates the anterior compartment of the thigh and what are the neural roots of this nerve

A
  • Femoral Nerve
  • Neural Roots - Level L2, L3, L4
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19
Q

What nerve innervates the medial compartment of the thigh and what are the neural roots of this nerve

A
  • Obturator nerve
  • Neural Roots - Level L2,L3,L4
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20
Q

What nerve innervates the posterior compartment of the thigh and what are the neural roots of this nerve

A
  • Sciatic nerve
  • Nerve roots - Level L4, L5, S1, 2 & 3
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21
Q

What artery innervates the anterior compartment of the thigh

A
  • Femoral artery
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22
Q

What artery innervates the medial compartment of the thigh

A
  • Obturator Artery
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23
Q

What artery innervates the posterior compartment of the thigh

A
  • Perforating branches of profunda femoris
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24
Q

What is crural fascia

A
  • Deep investing fascia that is continuous with the deep investing fascia of the thigh
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25
Q

What are the 3 muscular compartments of the leg

A
  • Anterior compartment
  • Lateral compartment
  • Posterior compartment
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25
Q

What are the 3 muscular compartments of the leg

A
  • Anterior compartment
  • Lateral compartment
  • Posterior compartment
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26
Q

What are the 3 muscle groups that make up the posterior leg (calf specifically)

A
  • Superficial
  • Intermediate
  • Deep
27
Q

What causes compartment syndrome and where does it occur

A
  • Arterial perfusion pressure falling below tissue pressure in a closed anatomical space can cause it
  • It can happen in all of the places that anatomical compartments are present
28
Q

What causes compartment syndrome and where does it occur

A
  • Arterial perfusion pressure falling below tissue pressure in a closed anatomical space can cause it
  • It can happen in all of the places that anatomical compartments are present
29
Q

What are the 2 causes of an increase in pressure in an anatomical compartment

A
  • Decreased size of anatomical compartment
  • Increased fluid content in anatomical compartment
30
Q

What are the 2 causes of an increase in pressure in an anatomical compartment

A
  • Decreased size of anatomical compartment
  • Increased fluid content in anatomical compartment
31
Q

What are the 3 gross regions of the upper limb

A
  • Arm
  • Forearm
  • Hand
32
Q

Regions of upper limb based on bones

A
  • Brachium (Arm) - Humerus
  • Antebrachium (Forearm) - Radius, Ulna
  • Carpus (wrist) - Carpals
  • Manus (Hand) - Metacarpals, phalanges
33
Q

Regions of upper limb based on joints

A
  • Brachium (arm) - Between glenohumeral and elbow joints
  • Antebrachium (forearm) - Between elbow and radiocarpal joints
  • Carpus (wrist) - Between radiocarpal and carpometacarpal joints.
  • Manus (hands) - Between carpometacarpal joints and distal interphalangeal joints
34
Q

What is the name of the investing layer of deep fascia in the arm

A

Brachial fascia

35
Q

What structures divide the arm into compartments and what are these compartments called

A
  • Medial and Lateral intermuscular septa
  • Anterior and posterior compartments
36
Q

What is the motor action of the anterior compartment of the arm

A
  • Flexion at the elbow
37
Q

What is the motor action of the posterior compartment of the arm

A
  • Extension at the elbow
38
Q

What is the neural innervation and arterial blood supply to the anterior compartment of the arm

A
  • Musculocutaneous nerve (C5-C7)
  • Muscular branches of the brachial artery
39
Q

What is the neural innervation and arterial blood supply to the posterior compartment of the arm

A
  • Radial nerve (C5-T1)
  • Profunda brachii artery
40
Q

What is the structural organisation of the arm

A
  • Skin
  • Subcutaneous tissue
  • Brachial Fascia
  • Anterior / posterior regions
  • Shaft of humerus
41
Q

What is the name of the investing layer of deep fascia in the forearm

A

Antebrachial fascia

42
Q

What two structures extend from the brachial fascia

A
  • Interosseous membrane
  • Lateral intermuscular septum
43
Q

What is the interosseous membrane

A
  • Runs obliquely between radius and ulna to maintain the space between the 2
43
Q

What is the interosseous membrane

A
  • Runs obliquely between radius and ulna to maintain the space between the 2
44
Q

What compartments do the interosseous membrane and lateral intermuscular septum divide the forearm into

A
  • Anterior compartment
  • Posterior compartment
45
Q

What is the motor action of the anterior compartment of the forearm

A
  • Flexion at wrist and fingers and pronation
46
Q

What is the motor action of the posterior compartment of the forearm

A
  • Extension at the wrist and fingers
47
Q

What is the neural innervation and arterial blood supply to the anterior compartment of the forearm

A
  • Median nerve (from C6-T1)
  • Branches of the ulnar and radial artery
48
Q

What is the neural innervation and arterial blood supply to the posterior compartment of the forearm

A
  • Radial nerve C5-T1
  • Branches of the proximal ulnar artery, anterior and posterior interosseous arteries.
49
Q

What is the structural organisation of the forearm

A

GREYS

50
Q

What is the name of the investing layer of deep fascia in the hand

A

Palma Aponeurosis

51
Q

What three structures extend from the Palma Aponeurosis

A
  • Lateral Palmar Septum
  • Medial Palmar Septum
  • Intermediate Palmar Septum
52
Q

What compartments do the lateral, medial and intermediate septums divide the hand into and how many

A
  • 11 Compartments
  • 4 Dorsal interossei compartments
  • 3 Plantar interossei compartments
  • Thenar compartment
  • Hypothenar compartment
  • Adductor compartment
  • Midpalm compartment
53
Q

What supplied blood to the hand

A
  • Deep and superficial arches which are supplied by radial and ulnar nerves
54
Q

What is the motor action of the thenar muscles

A
  • Fine movements of thumb
55
Q

What is the motor action of the hypothenar muscles

A
  • Fine movements of the little finger
56
Q

What is the motor action of the lumbricals

A
  • Movement of the fingers
56
Q

What is the motor action of the lumbricals

A
  • Movement of the fingers
57
Q

What is the motor action of the Plantar interossei

A
  • Adduction
58
Q

What is the motor action of the Dorsal interossei

A
  • Abduction
59
Q

What is the neural innervation of the thenar muscles

A
  • Median nerve
60
Q

What is the neural innervation of the hypothenar muscles

A
  • Ulnar nerve
61
Q

What is the neural innervation of the lumbricals

A
  • Median nerve for 2 lateral lumbricals
  • Ulnar nerve for 2 medial lumbricals
62
Q

What is the neural innervation of the plantar interossei

A
  • Ulnar nerve
63
Q

What is the neural innervation of the dorsal interossei

A
  • Ulnar nerve
64
Q

Brachial

A

Plexus