Musculo-Fascial Compartments of the Limbs Flashcards

1
Q

What are fascial compartments?

A

Anatomically sealed tissue compartments whose walls are formed by thickened, inexpansible and impenetrable envelopes of fascia

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2
Q

What do fascial compartments often contain?

A
  • Muscles/organs/specialised tissues
  • Blood supply to tissues
  • Venous drainage of tissues
  • Neuronal innervation to tissues
  • Lymphatics
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3
Q

Characteristics of a musculo-fascial compartment

A
  • Inexpansible
  • Impenetrable
  • Defined compartment
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4
Q

What do musculo-fascial compartments contain?

A
  • Muscles
  • Arteries
  • Veins
  • Nerves
  • Lymphatics
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5
Q

What is necrotizing fasciitis?

A
  • “Flesh eating bacteria”
  • Bacterium feeds on fascia and damage spreads along fascial planes
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6
Q

General tissue layers enveloping the body (outside-inwards)

A
  • Skin
  • Superficial fascia
  • Deep fascia
    > Investing layer
    > Intermediate layer
  • Muscles
  • Deepest layer of deep fascia
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7
Q

What do fascial compartments of the neck allow?

A
  • Ease of movement during movement, swallowing, etc.
  • Forming of natural planes of tissue packing
  • Determining of spread of infection
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8
Q

2 main classes of fascia of the neck

A
  • Superficial cervical fascia
  • Deep cervical fascia
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9
Q

Types of deep cervical fascia

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

Tissue layers of the thigh

A
  • Skin
  • Superficial fascia
  • Deep fascia (fascia lata)
  • Muscles
  • Femur
  • Intermuscular septa
    > Medial
    > Lateral
    > Posterior
  • Neurovascular bundle
  • Lymph nodes
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11
Q

3 muscular compartments of the thigh

A
  • Anterior compartment
  • Medial compartment
  • Posterior compartment
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12
Q

Which muscles are found in the anterior compartment of the thigh?

A

Knee extensors (quadriceps)

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13
Q

Which muscles are found in the medial compartment of the thigh?

A

Hip adductors

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14
Q

Which muscles are found in the posterior compartment of the thigh?

A
  • Knee flexors
  • Hip extensors (hamstrings)
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15
Q

Neural innervation of each muscular compartment of the thigh

A
  • A = femoral nerve (L2-4)
  • M = obturator nerve (L2-4)
  • P = sciatic nerve (L4-5 + S1-3)
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16
Q

Arterial supply of each muscular compartment of the thigh

A
  • A = femoral artery
  • M = obturator artery
  • P = perforating branches of profunda femoris
17
Q

What is the crural fascia and what is it continuous with?

A
  • Deep fascia investing the leg
  • Fascia lata
18
Q

What structures divide the leg into compartments?

A
  • Deep/crural fascia
  • Tibia
  • Fibula
  • Interosseus membrane
19
Q

3 compartments of the leg

A
  • Anterior compartment
  • Lateral compartment
  • Posterior compartment
20
Q

Neural innervation of each compartment of the leg

A
  • A = deep peroneal nerve
  • L = superficial peroneal nerve
  • P = tibial nerve
21
Q

3 muscles groups of the posterior compartment of the leg

A
  • Superficial
  • Intermediate
  • Deep
22
Q

What is compartment syndrome?

A

Increased pressure within a muscular compartment, reducing blood supply and causing pain

23
Q

When does compartment syndrome occur?

A

When arterial perfusion pressure falls below tissue pressure in a closed anatomical compartment

24
Q

Causes of compartment syndrome

A
  • Decreased compartment size
  • Increased fluid content
    > Burns
    > Intra-arterial injection
    > Infiltrated infusion
    > Haemorrhage
    > Envenomation