Organization Randoms Flashcards

1
Q

Fascia Lata - 4 parts

A
  • most superior portion of deep fascia - surrounds the thing and portion of gluteal region

Includes:

  • Gluteal Aponeurosis: forms intermuscular septum between gluteus maximus and medius muscles
  • Intermuscular Septa: inward projections that extend to femur and delineate musc. compartments
  • Iliotibial Tract: lateral thickening of fascia lata - serves as tendon for tensor fascia lata and gluteus maximus muscle
  • saphenous vein opening
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2
Q

Deep Tendon Reflexes

A
  • Quadriceps: L3/L4**
  • Achilles: S1**/S2
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3
Q

Cural Fascia - includes 4 things

A
  • extension of fascia below the knee

Includes:

  1. Intermuscular septa: anterior and posterior attach as inward extensions of crural fascia to fibula - delineate anterior and lateral crural compartments. Transverse attaches between the tibia and fibula posteriorly and delineates superficial and deep posterior compartments
  2. Retinacula: thickening of crural fascia which prevents tendons from bowstringing
  3. fascia of dorsum of the foot
  4. plantar fascia - includes plantar aponeurosis
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4
Q

Anterior Femoral Compartment

A
  • majority of muslces (quads and sartorius) flex the thing and extend the leg
  • branches of femoral a. and n.
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5
Q

Femoral Triangle

A
  • transitional space b/w abdominoplevic region and lower limb
  • boundaries: inguinal ligament, sartorius and adductor longus muscle, covered by fascia lata
  • contains: femoral vein, femoral artery, nerve and deep inguinal lymph nodes
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6
Q

Medial Femoral Compartment

A
  • muscles here flex, adduct and rotate thigh
  • branches of obturator a. and n.
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7
Q

Adductor Canal (“subsartorial”, Hunter’s)

A
  • canal connecting femoral triangle with popliteal fossa
  • bounded by adductor musculature, vastus medialis and sartorius muscle
  • contains femoral a. , v. , saphenous n. and nerve to the vastus medialis
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8
Q

gluteal compartment

A
  • superficial:
  • (muscles like deltoid) - abduct, flexes and medially rotates, extends and laterally rotates the thigh
  • deep:
  • contains muscles which abduct and laterally rotate the thigh
  • gluteal aa. and nn.
  • sciatic nerve transverses the entire length of this compartment to gain the posterior thing
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9
Q

Posterior Femoral compartment

A
  • muscles (hamstrings) - flex the leg and extend the thigh
  • branches of deep femoral a. and v.
  • sciatic n. traverses the entire length of this compartment and provides innervation to all its musculature
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10
Q

Popliteal Fossa

A

area posterior to knee; transitional zone for structures passing from thing to leg

  • bounded by semimembranosus, semitendinosus, biceps femoris and gastrocneumius muscles and covered by fascia lata
  • contains popliteal a., popliteal v, bifurcation of sciatic nerve into its commmon fibular and tibial branches
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11
Q

Posterior Crural compartment

A

Superficial: gastrocnemius, soleus, plantaris - which flex leg and plantar flex foot

Deep: muscles plantar flex and invert foot

  • tibial n. and posterior tibial a. distribute to this compartment
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12
Q

Lateral Crural compartment and dorsum of foot

A
  • muscles plantar flex and evert the foot
  • branches of superficial fibular n. and fibular a.
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13
Q

anterior crural compartment and dorsum of foot

A
  • contains muscles which dorsi flex and invert he foot - extend the toes and assist in eversion of the foot
  • deep fibular n. and anterior tibial a.
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14
Q

Plantar foot

A
  • 4 compartments
  1. Medial (great toe - hallux)
  2. Lateral (small toe - digit minimi)
  3. central
  4. interosseous
  • posterior tibial a. bifurcates to form lateral and medial plantar aa. which distribute to these compartments
  • tibial n. bifurcates –> lateral and medial plantar nn.
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15
Q

Femoral A.

A
  • enters femoral triangle from abdominopelvic cavity deep to inguinal ligament
  • enters adductor canal in order to travel posteriorally to popliteal fossa
  • becomes popliteal a. after leaving adductor canal - provides collateral branches to knee joint: when leaving popliteal fossa, bifurcates to form anterio and posterior tibial a.
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16
Q

Great saphenous vein

A
  • begins on medial side of dorsum of foot
  • ascends medially along leg and thing (anterior to medial malleolus at ankle, posterior to medial condyle of the femur of knee)
  • in leg parallels course of saphenous n.
  • empties into femoral v. after passing through the sphenous veing opening of fascia lata
17
Q

Lesser Saphenous vein

A
  • begins on lateral side of dorsum of foot (dorsal venous arch)
  • ascends behind lateral malleolus and along midline of calf paralleling the sural n.
  • pierces the crural fascia to join the populiteal v.
18
Q

Lymph nodes of legs

A
  1. Popliteal: located within popliteal fossa
  2. Superficial Inguinal: located inferior to inguina ligament within superficial fascia layer
  3. deep inguinal: located deep to fascia lata within the femoral triangle, medial to femoral v.
  4. iliac nodes - external, internal and common

superficial lymph drainage is accomplished by channels which parallel superficial veins

19
Q

Motor innervation of Leg

A

composed of spinal cord segments L2-4 via femoral and obturator nerves and L4-S3 from sacral plexus via the sciatic n. and its branches

20
Q

Femoral N.

A
  • L2,3,4
  • enters femoral triangle deep to inguinal ligament
  • provides motor and sensory branches in triangle
  • innervates anterior femoral musculature and skin of anterior thing, medial leg, and medial foot
21
Q

Obturator n.

A

L2,3,4

  • enters thigh via oturator canal
  • provides motor to adductor muscles of thing and cutaneous innervation to medial surface of thigh
22
Q

Sciatic n.

A

L4,5 and S1,2,3

  • exits pelvis via greater sciatic foramen
  • courses through posterior thigh to bifurcate in popliteal fossa into tibial and common fibullar nn.
  • innervates posterior thigh, leg ad plantar musculature as well as specific cutaneous portions