Stegno Flashcards

1
Q

Stegno - splošno

A

3 kompartmenti, vsak ima svojo inervacijo

  • anteriorni - n. obturatorius
  • posteriorni - n. ischiadicus
  • medialni - n. femoralis
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2
Q

Stegno - posteriorni kompartment - splošno

A

fleksorji kolena

ekstenzorji stegna

hamstringi!!

veje a. femoris profundae + veje inferiorne glutealne arterije

n. ischiadicus

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3
Q

Stegno - posteriorni kompartment - mišice

A
  • Biceps femoris - 2 glavi:
    • dolga - tuber ishi -> glava fibule
    • kratka - lateralni del linea aspere femurja -> glava fibule
  • Semitendinosus - inferomedialni del tuber ishi -> medialna površina tibije
  • Semimembranosus - superlateralni del tuber ishi -> posteriona površina medialega tibialnega kondila
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4
Q

Biceps femoris

A
  • najbolj lateralno!!!
  • Origin
    • Long head: inferomedial part of the ischial tuberosity
    • Short head: lateral lip of the linea aspera
  • Insertion
    • Head of the fibula
  • Action:
    • Knee flexion
    • Hip extension
    • Lateral rotation at the hip and knee joint
  • Innervation
    • Long head: tibial division of the sciatic nerve
    • Short head: common fibular division of the sciatic nerve
  • Blood supply
    • Inferior gluteal artery supplies the superior portion of the muscle
    • Perforating arteries of profunda femoris supply the majority of the muscle
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5
Q

Semitendinosus

A
  • medialno glede na biceps!! enaki origo kot dolga glava bicepsa!!
  • Origin
    • Inferomedial part of the ischial tuberosity
    • Insertion
  • Medial surface of the tibia
  • Action
    • Knee flexion
    • Hip extension
    • Medial rotation of the thigh at the hip joint
    • Medial rotation of the lower leg at the knee
  • Innervation
    • Tibial division of the sciatic nerve
  • Blood supply
    • Inferior gluteal artery supplies the superior portion of the muscle
    • Perforating arteries of profunda femoris supply the majority of the muscle
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6
Q

Semimembranosus

A
  • bolj superiorni origo!!! najbolj medialno!!
  • Origin
    • Superolateral part of the ischial tuberosity
  • Insertion
    • Posterior surface of the medial tibial condyle
  • Action
    • Knee flexion
    • Hip extension
    • Medially rotation of the thigh at the hip joint
    • Medial rotation of the lower leg at the knee joint
  • Innervation
    • Tibial division of the sciatic nerve
  • Blood supply
    • Inferior gluteal artery supplies the superior portion of the muscle
      • Perforating arteries of profunda femoris supply the majority of the muscle
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7
Q

Clinical relevance - hamstringi

A

šport

sudden change in speed and direction

najpogosteje mišično tetivni spoj

adolescenti -> avulzijska fraktura ishialnega tuberkla!!

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8
Q

Stegno - anteriorni kompartment - splošno

A

ekstenzorji kolena

fleksorji stegna

3 mišice

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9
Q

Stegno - anteriorni kompartment - mišice

A
  • articularis genu - mini mišica OwO… won’t learn…
  • sartorius - anterior superior spina iliaka (ASIS eng) -> medialni del tibije, inferiorno glede na tuberositas tibije
  • kvadriceps femoris
    • rectus femoris - ASIS -> skupna tetiva kvadricepsa na patelo
    • vastus medialis - femur -> skupna tetiva kvadricepsa na patelo
    • vastus intermedius - antero/lateralni femur -> skupna tetiva kvadricepsa na patelo
    • vastus lateralis - velik trohanter femurja -> skupna tetiva kvadricepsa na patelo
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10
Q

Sartorius

A
  • najbolj povrhen!!!
  • medialni del mišice je lateralna stena femoralnega trigonuma
  • origo dejansko superiorno glede na ASIS
  • Origin
    • Originates on the anterior superior iliac spine (ASIS) on the pelvis
  • Insertion
    • Inserts onto the medial aspect of the tibia, just inferior to the tibial tuberosity
  • Innervation
    • Femoral nerve (L2, L3)
  • Action
    • Flexion of the hip
    • Flexion of the knee
    • Abduction of the thigh
    • Lateral rotation of the thigh
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11
Q

Rectus femoris

A
  • Origin
    • Rectus femoris has two heads of origin, one from the anterior superior iliac spine (straight head) and the other from the ilium immediately superior to the acetabulum (reflected head)
    • The two heads converge to form a common muscle
  • Insertion
    • The rectus femoris tendon converges with the quadriceps femoris tendon to form the patellar tendon
    • The patellar tendon inserts onto the base of the patella
  • Innervation
    • Femoral nerve (L2, L3, L4)
  • Action
    • Flexion of the hip
    • Extension of the knee
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12
Q

Vastus medialis

A
  • najbolj medialno!!
  • Origin
    • The vastus medialis has a long origin along the femur.
    • It starts on the intertrochanteric line, descends posteroinferiorly along the pectinate line and along the linea aspera, down to the medial supracondylar line.
  • Insertion
    • It inserts onto the medial aspect of the quadriceps tendon and the medial border of the patella.
  • Innervation
    • Femoral nerve (L2, L3, L4)
  • Action
    • Extension of the knee
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13
Q

Vastus intermedius

A
  • behind rectus in med medialnim in lateralnim vastusom
  • ​Origin
    • The muscle originates from the upper two-thirds of the anterolateral surface of the femur.
  • Insertion
    • Vastus intermedius inserts onto the quadriceps femoris tendon, as well as the lateral border of the patella and the lateral condyle of the tibia.
  • Innervation
    • Femoral nerve (L2, L3, L4)
  • Action
    • Extension of the knee
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14
Q

Vastus lateralis

A
  • največja med vsemi!!!
  • Origin
    • The muscle originates along the femur, starting from the superior intertrochanteric line, before moving laterally to the lateral gluteal tuberosity and down the lateral aspect of the linea aspera.
  • Insertion
    • Vastus lateralis inserts onto the quadriceps femoris tendon and the lateral aspect of the patella.
  • Innervation
    • Femoral nerve (L2, L3, L4)
  • Action
    • Extension of the knee
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