Overview of the anatomy of the lower limb Flashcards
What are the four major parts of the lower limb?
Foot, leg, thigh, pelvic girdle
Where is the leg?
Knee to ankle
What are the two rings of the inguinal canal?
Deep and superficial
Where is the deep ring of the inguinal canal located?
More lateral
Medial to digastric vessel
Where is the superficial ring of the inguinal canal located?
Triangular opening at medial end of ext oblique aponeurosis sup lat to pubic tubercle
What does the inguinal canal do?
Transmits structures from the pelvis to the perineum
How is the inguinal canal formed?
Fetal migration of gonads from abdomen to labioscrotal folds
What dos the inguinal canal contain for males?
Spermatic cord
What does the inguinal canal contain for females?
Round ligament
What contents of the inguinal canal are common for both males and females?
Ilioinguinal nerve and genital branch of genitofemoral nerve
Where is an indirect hernia located?
Deep ring, lateral to vessels
Where is a direct hernia located?
Medial side of vessels
How can you detect a hernia?
Feel for tapping
What does MALT stand for?
- M: internal oblique Muscle, transversus abdominus Muscle
- A: external oblique Aponeurosis, internal oblique Aponeurosis
- L: inguinal Ligament, lacunar Ligament
- T: Transversalis fascia, conjoint Tendon
Where is MALT located?
Travels anticlockwise from roof of inguinal canal
What are the three borders of the femoral triangle?
Inguinal ligament superiorly
Adductor longus medially
Sartorius laterally
Where is the inguinal ligament?
Between hip and pubic symphysis
Where is the sartorius located?
Anterior superior fossa to tibia
What does the sartorius do?
Helps hip flexion
What does NAVY stand for?
Femoral Nerve, femoral Artery, femoral Vein, Y-fronts
What shape is the popliteal fossa?
Diamond
What are the borders of the popliteal fossa?
Laterally: biceps femoris
Medially: semitendinosus and semimembranosus
What does the tibia nerve split into in the popliteal fossa?
Popliteal artery
What is Baker’s cyst?
Synovial out-pouching between MHG and semi-membranous
What is popliteal artery entrapment syndrome?
Pinched by MHG
What blood vessels and nerves are in the popliteal fossa?
Popliteal artery, popliteal vein, tibial nerve and peroneal nerve
What do flexors do?
Decreases angle between bones at a joint
What do extensors do?
Increases angle between bones
What do adductors do?
Bringing thighs together
Muscles in the anterior compartment
Sartorius, quadriceps, articularis genus
What are the four heads of the quadricep?
Rectus femoris
Vastus lateralis
Vastus intermedius
vastus medialis
Which nerve innervates the anterior compartment?
Femoral nerve
Which muscles are in the medial compartment?
Pectineus, external obturator, gracilis, adductors (longus, brevis, minimus)
Which nerve innervates the medial compartment?
Obturator
Which muscles are in the posterior compartment?
Adductor Magnus, biceps femoris, semitendinosus and semimebranosus
Which muscle innervates the posterior compartment?
Sciatic nerve
What does the anterior compartment do?
Extend knee and flex hip
What does the iliopsoas do?
Flexes thigh at hip
What does the rectus do?
Flex thigh at hip, extends at knee
What does the vastus do?
Extend knee joint, stabilise patella
What does the sartorius do?
Flexor/abductor/lateral rotator at hip, flexor at knee
What does the pectinous do?
Adducts and flexes hip
What does the medial compartment do?
Adduction
What does the adductor Magnus?
Adducts/flexes/extends thigh
What does the adductor longus do?
Adducts thigh
What does the adductor brevis do?
Adduction of thigh
What does the obturator externus do?
Adduction and lateral rotation of thigh
What does the gracilis do?
Adduction of thigh at hip, flexion of leg at knee
What does the posterior compartment do?
Flexes knee and extends hip
What does the biceps femoris do?
Flexion at knee, extends thigh, laterally rotates at hip and knee
What do the semis do?
Flex leg at knee, extends thigh at hip, medially rotates thigh at hip and leg at knee
Which semi is behind the other?
Semimembranosus underneath semitendinosus
Symptoms of compartment syndrome
Pain disproportionate to injury Pain refractory to analgesia Pain on passive stretch Pins and needles Pulse normal
Which muscles move the hip?
Originate from pelvic girdle
Gluteus maximus/medius/minimus
Tensor fascia lata
What does the gluteus Maximus do?
Extensor and lateral rotation
What does the gluteus medius do?
Abductor and rotation
What does the gluteus minimus do?
Abductor and medial rotator
What does the fascia lata do?
Flexes and abducts hip and locks knee in extension
Where is the tensor fascia lata?
Encircles thigh, inserts to illiotibial tract
What are the abductors?
Piriformis Glut med and min Obturator internus/externus Superior/inferior gemellus Quadratus femoris
What does the anterior compartment of the leg do?
Dorsiflex and invert foot
Which nerve innervates the anterior compartment of the leg?
Deep fibular nerve
What does the tibialis anterior do?
Dorsiflexion and inversion of the foot
What does the extensor digitorum longus?
Extension of lateral four toes, dorsiflexion of foot
What does the extensor hallucis longus do?
Extension of great toe and dorsiflexion of foot
Which muscles are in the anterior compartment of the leg?
Tibialis anterior
Extensor digitorum longus
Extensor hallucis longus
What does the lateral compartment of the leg fo?
Eversion of the foot
Which nerve innervates the lateral compartment of the leg?
Superficial fibular nerve
Which muscles are part of the lateral compartment of the leg?
Fibularis longus
Fibularis longus
What does the fibularis longus do?
Eversion and planter flexion of the foot, supports lateral and transverse arches of foot
What does the fibularis brevis do?
Eversion of the foot
What muscles are in the posterior superficial compartment of the leg?
Gastrocnemius
Plantaris
Soleus
Cancaneal (achilles) tendon
What does the posterior superficial compartment of the leg do?
Plantarflex and invert foot
Which nerve innervates the posterior superficial compartment of the leg?
Tibial nerve
What does the gastrocnemius do?
Plantarflexes the ankle, flexes knee
What does the planteris do?
Plantarflexes ankle, flexes knee
What does the soles do?
Plantarflexes ankle
What does the achilles tendon do?
Plantarflexion
What does the posterior deep compartment of the leg do?
Plantarflex and invert foot
Which nerve innervates the deep posterior compartment of the leg?
Tibial nerve
Which muscles are in the deep posterior compartment of the leg?
Popliteus
Tibialis posterior
Flexor digitorum longus
Flexor hallucis longus
What does the popliteus do?
Laterally rotates femur on tibia, flexes knee
What does the tibialis posterior do?
Inverts and plantar flexes the foot and maintains medial arch
What does the flexor digitorum longus do?
Flexes lateral 4 toes
What does the flexor hallucis longus do?
Flexes great toe
What does Tom, Dick and Nervous Harry stand for?
Tibialis posterior Flexor Digitorum longus Tibial artery Tibial nerve Flexor hallucis longus
Which muscles make up the hip?
Greater sciatic notch Acetabulum Obturator foramen Ischial tuberosity Ischial spine
Characteristics of the femur
Greater trochanter Head Lesser trochanter Linea aspera Lateral/medial epicondyle Intercondylar fossa
How do you determine if the knee is left or right?
Place patella on the table with the point facing away
Falls to lateral side because it is heaviest
Symptoms of osteoarthritis
Osteophyte forms
Joint space narrows
Subchondral sclerosis
Cysts
Mnemonic for learning foot bones
Tiger
Cubs
Need
MILC
What are the bones of the foot?
Talus Calcaneus Navicular Medial cuneiform Intermediate cuneiform Lateral cuneiform Cuboid
What is osteomyelitis?
Bacteria attacks bone
When does the femoral artery turn into the popliteal artery?
Hiatus canal