READINGS & BLUE BOXES - B. Wright Flashcards
rhizotomy
cutting at spinal root level (ventral, motor) to relieve spastic paralysis
pins and needles sensation due to
presure on nerve- paresthesia
gait of paralyzed quads
can’t extend leg against resistance, usually precess on distal end of thigh during walking to prevent inadvertent flexion of knee joint
cause of chondromalacia patellae
runner’s knee - overstressing of knee region/ blow to patella/ extreme flexion of knee -soreness and aching around or deep to patella
rider’s strain from ?
muscle strains of ADDUCTOR LONGUS
varicose veins in lower limb - localized dilation of terminal part of great saphenous vein
saphenous varix
femoral hernia
protrusion of abdominal viscera through femoral ring into femoral canal
contents of adductor canal
saphenous nerve femoral artery femoral vein
s/s of injury to superior gluteal nerve
+ trendelberg sign (the site opposite to paralysis of glutes medius dips) gluteus medius limp gluteal gait - compensatory list of body to weakened gluteal side steppage gait/ swing-out gait (same ones for fibular n. footdrop)
what is the side of danger of hip for stab wounds
medial side - sciatic supplying thigh extensor, leg flexors
thrills palpated, bruits heard pain in medial aspect of calf, ankle or foot
popliteal aneurysm
posterior dislocation of knee joint will sever which nerve?
tibial nerve
paralysis of flexor muscle sin leg and intrinsic muscles in sole of foot unable to plantarflex their ankle or flex their toes loss of sensation on sole of foot
tibila nerve severed
area and pain in area of distal two thirds of tibia?
shin splints - tibialis anterior overexertion/ trauma
unique features of human foot in fibular muscles
human feet more pronated migration of distal attachment of fibularis longus across sole of foot development of fibularis tertius attached to base of 5th metatarsal
gaits due to fibular nerve injury, too long leg
waddling gait swing-out gait steppage gait
flaccid paralysis of all muscles in anterior and lateral compartments of leg (dorsiflexors of ankle and evertors of foot); maybe loss of sensation in these areas as well footdrop produces “clop” sound, no heelstrike due to?
common fibular nerve injury
audible snap sound - immediate calf pain and sudden dorsiflexion of plantarflexed foot - cannot plantarflex against resistance, have high passive dorsiflexion
ruptured calcaneal tendon
nerves tested by calcneal tendon reflex
S1 & S2
posterior tibial pulse used to check for
occlusive peripheral arterial disease
which neurovasculature bisects the popliteal fossa (superficial to deep?)
tibial nerve popliteal vein popliteal artery
nerves tested by plantar reflex
L4-L5,S1,S2
Babibski sign
abnormal response to plantar reflex stimulaiton - fanning of four toes and dorsiflexion of great toe
the five P signs of acure arterial occlusion
pain pallor apresthesia Paralysis pulseness
innervation of foot
dorsum cutaneous mostly from superficial fibular deep fibular supplis skin of web betweenand adjacent sides of 1st and 2nd medial side - saphenous n. lateral side - sural n. medial plantar nerve. - plantar aspect of medial three and half toes and adjacent sole and medial hallux and 1st lumbrical muscles only lateral plantar nerve - rest
vascularization of foot
anterior tibial artery ==> dorsal artery ==> arcuate artery posterior tibial artery ==> plantar artery ==>smaller medial and larger lateral plantar arteries
