Lecture: Thigh I/II - Butaric Flashcards

1
Q

pelvic girdle

A

os coxa and sacrum

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2
Q

what side of the femur is the linea aspera on?

A

posterior

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3
Q

medial lip of the linea aspera leads proximally to …

A

pectineal line and spiral line

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4
Q

the lateral lip of linea aspera leads proximally to …

A

gluteal tuberosity

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5
Q

demarcates boundary between tibia articular surface and patellar articular surfaces

A

medial and lateral sulcus meniscus

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6
Q

largest sesamoid bone

A

patella (froms within quadriceps femoris tendon)

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7
Q

lateral v. medial facet of the patella

A

medial - more shallow

lateral - larger and deeper

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8
Q

femur ossification

A

1 primary center (shaft)

4 secondary centers

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9
Q

femoral head present, but no greater trochanter

A

1-4 years

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10
Q

greater trochanter apparent, but open triradiate suture and no lesser trochanter

A

4-14 yrs

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11
Q

superficial fatty subcutaneous fascia

A

camper’s fascia

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12
Q

deep membranous subcutaneous fascia

A

scarpa’s fascia

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13
Q

investing fascia of thigh

A

fascia lata

- thickened laterally (IT band), thin medially

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14
Q

oval shaped opening in deep fascia, allows for passage of great saphenous v

A

saphenous hiatus (fossa ovalis)

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15
Q

innervation quadriceps fermoris

A

femoral nerve

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16
Q

only quad to flex the thigh

A

rectus femoris

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17
Q

non-quad anterior thigh muscles

A
  • iliopsoas
  • sartorius
  • articularis genu
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18
Q

helps you sit cross legged

A

sartorius

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19
Q

makes sure synovial membrane of the knee doesn’t get caught with flexion or extension

A

articularis genu

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20
Q

forms the medial border of femoral triangle

A

adductor longus

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21
Q

which neurovasculature structure is not part of the femoral sheath?

A

femoral n.

22
Q

intermuscular tunnel for femoral neurovasculature

A

adductor (subsartorial) canal

23
Q

the short head of biceps femoris is grouped with but technically not a hamstring. why not?

A

doens’t extend the thigh, different innervation, different attachment

24
Q

lumbar plexus levels

A

L1-L4 ventral primary rami

all the plexuses are ventral primary rami not dorsal (just goes to the back)

25
Q

posterior divisions of lumbar plexus

A

lateral femoral cutaneous n.
femoral n.

** typically extensors and abductors

26
Q

anterior division of lumbar plexus

A

ilioinguinal and iliohypogastric n
genital femoral n.
obturator n
lumbosacral trunk n.

*** typically flexors, adductors

27
Q

root ilioinguinal and iliohypogastric n.

A

L1

28
Q

root genital femoral n.

A

L1-2

29
Q

root lateral femoral cutaneous n.

A

L2-3

30
Q

root femoral n.

A

L2-4

31
Q

root obturator n.

A

L2-4

32
Q

root lumbosacral trunk

A

L4-5

33
Q

tingling, numbness, or burning in lateral thigh

A

entrapment of lateral femoral cutaneous n.

34
Q

sacral plexus roots

A

(L4) L5-S4

35
Q

tibial n root

A

L4-S3

36
Q

where does the tibial n. come from

A

tibial n.
L4-S#
anterior division of sacral plexus

37
Q

where does the common peroneal n. come from

A

L4-S2

posterior division of sacral plexus

38
Q

lumbosacral trunk root

A

L4,L5

39
Q

superior gluteal n. root

A

L4,5 S1

40
Q

inferior gluteal n. root

A

L5 S1,2

41
Q

posterior femoral cutaneus n. root

A

S1-S3

** mixed anterior and posterior

42
Q

sciatic n. root

A

L4-S3

43
Q

pudendal n. root

A

S2-S4

44
Q

anterior v. posterior branch of obturator n.

A

posterior - muscular

anterior - muscular and cutaneous

45
Q

posterior v. anterior divsions of plexuses general rules

A

posterior: typically extensors, abductors, everters
anterior: typically flexors, adductors, inverters

46
Q

motor to short head biceps femoris

A

common peroneal n.

47
Q

where is the inferior cluneal branch? ***

A
  • comes off the posterior femoral cutaneous n.
  • supplies sensory to transverse gluteal line
  • the other cluneal nerves come from dorsal primary rami (inferior comes from ventral)
48
Q

cruciate blood supply to hip joint

A

superior: inferior gluteal
medial: medial femoral circumflex
lateral: lateral femoral circumflex
inferior: 1st perforating a.

all but superior come from profunda femoris,

form a cross-shaped anastomosis

49
Q

main blood supply to femoral head

A

medial femoral circumflex

50
Q

which genicular a. goes into the knee joint?

A

middle genicular a.