the anterior and medial thigh Flashcards

1
Q

what is the surface of the femur that lies between the lateral and medial condyles?

A

patellar surface

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2
Q

what is the name of the boney ridge found on the shaft of the femur that serves as an insertion point common to a few muscles of the thigh?

A

linea aspera

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3
Q

how to distinguish the condyles from the epicondyles?

A

the epicondyles are always positioned on the lateral medial sides of the distal femur, where as the condyles can be observed directly from the anterior and posterior view

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4
Q

what serves as an attachment point to a few muscles on the tibia?

A

soleal line

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5
Q

which bone between the tibia and the fibula articulates with the femur to form the knee joint?

A

tibia

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6
Q

what muscle inserts on tibial tuberosity?

A

quadriceps muscles

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7
Q

what is the name of the tibial region that articulates with the femur?

A

tibial plateaus

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8
Q

what is the equivalent to the styloid process found on the ulna and radius but this time in the tibia and fibula?

A

malleoli

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9
Q

how are the tibia and fibula connected?

A

by the interosseous membrane

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10
Q

which proximal bone has condyles tibia or fibula?

A

tibia

they are the tibial condyles, which their surface forms the tibial plateaus

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11
Q

what type of joint is the knee joint?

A

modified synovial hinge joint

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12
Q

what movements are permitted by the knee joint?

A

flexion/extension

slight medial and lateral rotation when seated

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13
Q

where does psoas major originate from?

A

vertebra T12 to L4-L5

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14
Q

where does iliacus originate from?

A

illiac fossa

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15
Q

what muscle is formed by the convergence of iliacus and psoas major?

A

iliopsoas

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16
Q

what action is accomplished by iliopsoas?

A

hip flexion

lateral flexion of the thigh

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17
Q

where does iliopsoas insert?

A

on the lesser trochanter of the femur

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18
Q

what is the longest muscle in the body?

A

sartorius

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19
Q

sartorius
Origin
Insertion
action?

A
Origin: ASIS
Insertion: Anteromedial tibia
action: hip flexion
knee flexion
lateral rotation
adduction of the thigh
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20
Q

what trick can be used to recall the functions accomplished by sartorius?

A

Make a 4 with limb onto opposite knee, all 4 actions are completed

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21
Q

what is the common action accomplished by the quadricep femoris?

A

knee extension

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22
Q

what is the quadricep muscle that also allows for hip flexion?

A

rectus femoris

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23
Q

Rectus femoris
Origin
Insertion

A

Origin: ASIS
Insertion: quadriceps tendon

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24
Q

what quadricep muscle travels lateral to rectus femoris?

A

vastus lateralis

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25
Q

what quadricep muscle travels medial to rectus femoris?

A

vastus medialis

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26
Q

where can vastus intermedius be observed?

A

deep to rectus femoris, between vastus lateralis and vastus medialis

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27
Q

what quadricep muscles travels straight down along the femur?

A

rectus femoris

28
Q

what are the anterior muscles of the thigh

A
  • iliopsoas
  • sartorius
  • quadriceps femoris (4)
29
Q

what are the 4 muscles that form quadriceps femoris?

A
  • rectus femoris
  • vastus lateralis
  • vastus medialis
  • vastus intermedius
30
Q

where does the patellar ligament range from?

A

from patella to tibial tuberosity

31
Q

what is Q angle?

A

quadriceps angle

32
Q

what does Q angle provide information about?

A

knee alignment and patellar tracking

33
Q

what is the normal Q angle in male and female?

A

male: 14 degrees
females: 17 degrees

34
Q

what name is given when the Q angle is smaller than normal?

A

varus

35
Q

what name is given when the Q angle is greater than normal?

A

valgus

36
Q

what are some properties associated to Varus?

A

-decreased Q angle
everything bends outwards
-R in name for rounded out

37
Q

what are some properties associated to Varus?

A

Knees point inwards

38
Q

what are the adductor muscles of the thighs?

A
pectineus
adductor longus
gracilis
adductor brevis
adductor magnus
39
Q

pectineus
origin
insertion
action?

A

origin: pubis
insertion: pectineal line on femur
action: adduction and flexion

40
Q

what is the common insertion point of the adductors of the thigh?

A

Pubis

41
Q

adductor longus
origin
insertion
action?

A

origin: pubis
insertion: linea aspera
action: adduction

42
Q

gracilis
origin
insertion
action?

A

origin: pubis
insertion: anteromedial tibia
action: adduction of the hip, flexion of the knee, medial rotation of the leg when seated

43
Q

relative to pectineus, where is adductor longus located?

A

inferior to pectineus

44
Q

Adductor Brevis
origin
insertion

A

origin: pubis
insertion: linea aspera

45
Q

relative to pectineus, where is adductor brevis located?

A

deep to pectineus

46
Q

what are the two heads that composed adductor magnus?

A

adductor and hamsting

47
Q

adductor magnus
origin
insertion
action

A

origin: pubis and ishial tuberosity
insertion: linea aspera [adductor] and adductor tubercle [hamstring]
action: adduction and hip flexion, assists with medial rotation [adductor] or extension of the hip [hamstring]

48
Q

what is Pes Anserinus

A

a term used to describe the common insertion point located on the proximal anteromedial tibia

49
Q

what are the 3 muscles that commonly insert on the anteromedial tibia?

A
  • sartorius
  • gracilis
  • semi-tendinosus
50
Q

what is the trick to recall the muscles of Pes Anserinus?

A

SGT or Say Grace before Tea

51
Q

what nerves are responsible for the innervation of the anterior and medial thigh?

A

obturator N.

femoral N.

52
Q

what spinal levels correspond to obturator N?

A

L2-L4

53
Q

what muscles from the anterior, medial thigh get their innervation for obturator N.?

A
  • obturator Externus
  • adductor longus and brevis
  • adductor magnus [ adductor part only]
  • gracilis
  • pectinus [secondary innervation]
54
Q

what the hamsting part of adductor magnus get its innervation from?

A

from the sciatic N

55
Q

what does the femoral N.. innervate in the anterior and medial thigh?

A
  • sartorius
  • quadricep femoris
  • pectineus (primary innervation)
56
Q

what does the femoral nerve terminate as?

A

saphenous N.

57
Q

what does the saphenous N innervate?

A

cutaneous innervation to the medial leg

58
Q

what are the borders of the femoral triangle?

A

lateral: medial border of sartorius
medial: lateral border of adductor longus
superior: Inguinal ligament
floor: pectineus and iliopsoas

59
Q

what is contained in the femoral triangle?

A

femoral N, V, A

inguinal lymph nodes

60
Q

what trick can be used to recall the contents of the femoral triangle?

A

N AVIL

61
Q

what are femoral Sheath?

A

funnel shaped elongation of the transversalis fascia from the abdomen?

62
Q

what is contained in the femoral Sheath and why?

A

femoral vein and artery along with inguinal Lymph as they all travel together

63
Q

is the femoral N contained by the femoral Sheath?

A

no

64
Q

what Artery provides branches that supply the head and neck of femur?

A

deep femoral A.

65
Q

what canal does the femoral A. pass through?

A

Hunter’s canal (adductors canal)

66
Q

how does the femoral A transition into the popliteal A?

A

after it passes through the adductor hiatus it becomes the popliteal A.

67
Q

what Nerve pierces through the adductors canal to go to the skin of the medial leg?

A

saphenous N.