Thigh Leg and Foot 2 Flashcards

1
Q

Where does the sartorius muscle originate and insert and what does it do?

A

Originates at ASIS and inserts at medial border of tibial tuberosity.

It flexes the thigh and leg

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2
Q

Where does the rectus femoris originate and insert and what is its action?

A

Origin: Acetabular groove and anterior inferior iliac spine

Inserts on tibial tuberosity

Flexes thigh and extends the leg

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3
Q

What are the muscles of the quadriceps?

A

Vastus medialis intermedius and lateralis

Rectus femoris (Only quadricaeps muscle to cross the hip joint)

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4
Q

Where does vastus intermedius originate?

A

Shaft of the femur

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5
Q

Where does vastus lateralus originate?

A

Greater trochanter and linea aspira of the femur

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6
Q

Where does vastus medialis originate?

A

Intertrochanteric line and linea aspira of femur

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7
Q

Where does the long head originate and insert and what does it do?

A

Originates at ischial tuberosity and inserts at fibula and lateral tibial condyle.

It acts to flex the leg and extend the thigh

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8
Q

Where do all the hamstring muscles originate?

A

At the ischial tuberosity

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9
Q

Which head of the hamstrings crosses both the hip and knee joint?

A

The lateral long head

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10
Q

Where does the short head originate and insert?

A

Linea aspira and inserts onto fibula and lateral tibial condyle

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11
Q

Which medial head is more fleshy?

A

The semimembranosis

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12
Q

Where does the semitendinosus originate and insert?

A

Originates at ischial tuberosity and inserts onto medial shaft of the tibia.

It flexes the leg and extends the thigh

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13
Q

Where does the semimembranosus originate and insert?

A

Originates at ischial tuberosity and inserts onto medial condyle of the tibia and it flexes leg and extends the thigh

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14
Q

What are the adductor muscles? (From most superior to most inferior insertion on the humerus)

A

Pectineus

Adductor brevis

Adductor longus

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15
Q

Where does the pectineus originate and insert and what does it do?

A

Origin: Pectineal surface

Insertion: Pectineal line of femur

Action: flexes and adducts the thigh

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16
Q

What do the adductor muscles do besides adducting the thigh?

A

They also flex the thigh (Except adductor magnus)

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17
Q

Where does adductor longus originate and insert and what does it do?

A

Origin: Pubic crest and symphysis

Insertion: Linea aspera of femur

Action: Flexes and adducts the thigh

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18
Q

Where does adductor brevis originate and insert?

A

Origin: Inferior ramus of pubis

Insertion: Linea aspera of femur

Action: Flexes and adducts the thigh

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19
Q

Where does adductor magnus originate and insert? What does it do?

A

Origin: Ischial tuberosity and ischio pubic ramus

Insertion: Linea aspira and adductor tubercle of femur

Action: Extends and adducts the thigh

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20
Q

What does adductor magnus create with its insertion points?

A

Adductor hiatus

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21
Q

Where does gracilis originate and insert?

A

Origin: Symphysis pubis

Insertion: Medial shaft of the tibia

Action: Flexes and adducts the thigh

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22
Q

What is adduction and abduction with regards to the foot?

A

Adduction towards midline of the foot

Abduction away from midline of the foot

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23
Q

Where does the tibialis anterior originate and insertion and action?

A

Origin: Lateral condyle and shaft of tibia

Insertion: 1st cuneiform and 1st metatarsal

Action: Dorsiflexion and inverts foot

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24
Q

What is the origin and insertion of extensor hallucis longus?

A

Origin: Shaft of fibula

Insertion: Distal phalanx of hallux

Action: Extends hallux

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25
What is the origin and insertion of extensor digitorum longus?
Origin: Lateral condyle and shaft of the tibia Insertion: Middle and distal phalanges of digits 2 - 5 Action: Extends digits 2 - 5
26
What are the muscles of the lateral compartment?
Fibularis/Peroneus longus Fibularis/Peroneus brevis Fibularis/Peroneus tertius
27
What are the muscles of the anterior compartment of the leg?
Tibialis anterior Extensor hallucis longus Extensor digitorum longus
28
What is the origin and insertion of peroneus longus?
Origin: Lateral tibial condyle and shaft of fibula Insertion: 1st cuneiform and 1st metatarsal Action: Plantar flexion and eversion of foot (it runs behind ankle and under foot to tarsal bones)
29
What is the origin and insertion of peroneus brevis?
Origin: Shaft of fibula Insertion: Metatarsal 5 Action: Plantar flexion and eversion of foot (also runs behind ankle but doesn't go under foot and instead ends at metatarsal 5)
30
What is the origin and insertion of peroneus tertius?
Origin: Shaft of fibula Insertion: Metatarsal 5 Action: Dorsiflexes foot (passes in front of ankle)
31
What are the muscles of the posterior compartment?
Superficial: Gastrocnemeus Soleus Plantaris Deep: Popliteus Tibialis posterior
32
What is the origin and insertion of the gastrocnemeus?
Origin: Medial and lateral femoral condyle Insertion: Calcaneal tuberosity Action: Plantar flexes foot and flexes leg (more type 2 fibers and is designed for power movements)
33
What is the origin and insertion and action of soleus?
Origin: Head of fibula and soleal line of tibia Insertion: Calcaneal tuberosity Action: Plantar flexes foot
34
What is the origin and insertion and action of plantaris?
Origin: Lateral femoral condyle and supracondylar line Insertion: Joins calcaneal tendon Action: Insignificant plantar flexion
35
Is plantaris an important muscle?
No it is inconsistent. (Only some people have it)
36
What is the origin and insertion and action of popliteus?
Origin: Lateral femoral condyle Insertion: Medial shaft of the tibia Action: Tibial medial rotation to unlock tibia from full extension of knee.
37
What is the origin and insertion and action of tibialis posterior?
Origin: Interosseus membrane, tibia and fibula Insertion: Navicular and cuneiforms 1 - 3 Action: Inverts foot
38
What are the tendons that pass through the medial maleolus in order of most superficial to deepest?
TDH (Tom Dick and Harry) Tibialis Posterior Flexor Digitorum Longus Flexor Hallucis longus
39
Where do TDH muscles originate?
On shaft of the fibula
40
What are the intrinsic muscles of the foot?
Extensor hallucis brevis Extensor digitorum brevis
41
What are the contents of the first layer of plantar muscles?
Abductor for the big toe (Abductor hallucis) Flexor for the digits (Flexor digitorum brevis) Abductor for the little toe (abductor digiti minimi)
42
What are the contents of the second layer of plantar muscles?
Quadratus plantae Lumbricals (flex the toes)
43
How are the toes prevented from moving medially despite the medial attachment of the tendons?
Tendons attach to the medial side of the toes so simultaneous contraction of the extensor digitorum longus occurs with it
44
What are the contents of the third layer of plantar muscles?
Flexor hallucis brevis Adductor hallucis Flexor digiti minimi brevis
45
What are the contents of the fourth layer of plantar muscles?
Dorsal interossei (DAB = dorsal interossei abduct) Plantar interossei (Adduct)
46
How does the femoral nerve travel through the leg? What does it innervate?
Passes through inguinal ligament to anterior thigh and innervates quadriceps, sartorius and first of the abductors, pectineus.
47
How does the lateral cutaneous nerve travel?
Around iliac crest and innervates skin of hip and lateral thigh
48
How does the obturator nerve travel?
medial thigh through obturator foramen and innervates adductor muscles
49
What 2 nerves are contained in the sciatic nerve?
Common peroneal (fibular) nerve Tibial nerve (medial and lateral plantar branches)
50
Which of the 2 nerves within the sciatic nerve innervate the hamstrings?
The tibial nerve
51
Where does the tibial nerve travel after bifurcating?
Through the popliteal fossa
52
What happens to the peroneal nerve after the sciatic nerve bifurcates?
It bifurcates again to form the deep and superficial fibular nerves
53
How does the tibial nerve reach the foot?
It passes through the medial malleolus
54
What does the femoral artery split into?
Profunda femoral artery Lateral femoral circumflex Medial femoral circumflex
55
When does external iliac artery become the femoral artery?
At the inguinal canal
56
What does the femoral artery become after producing the medial and lateral circumflex arteries?
Profunda femoral artery
57
What does the femoral artery become after the adductor hiatus (formed by adductor magnus)?
Popliteal artery
58
What does the popliteal artery split into just below the knee?
Anterior and posterior (major tributary) tibial arteries Popliteal artery
59
How does the posterior tibial artery get to the foot?
It passes through the medial malleolus and forms an anastomosis with anterior tibial
60
How does anterior tibial artery travel to the foot?
Travels through anterior compartment near interosseus membrane
61
What does the fibular artery supply?
The lateral compartment of the leg
62
What are the 2 types of venous return from the leg?
Deep return (popliteal vein, femoral vein, and external iliac vein) Superficial return (Small sand great saphenous veins)
63
How does deep venous return of blood from the leg work?
Goes to the adductor hiatus to form the femoral vein and then external iliac vein at inguinal canal.
64
How does superficial venous return of blood from the leg work?
Blood from lateral side of the leg -> small saphenous -> popliteal vein Great saphenous -> femoral vein just before inguinal canal