Above The Knee Flashcards

(73 cards)

1
Q

Iliohypogastric

A

ventral division of L1

cutaneous posterolateral gluteal

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2
Q

Ilioinguinal

A

Ventral division of L1. Cutaneous Superomedial thigh

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3
Q

Genitofemoral

A

Ventral Division of L1,2.

cutaneous femoral triangle

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4
Q

lateral femoral cutaneous

A

dorsal! L2,3

cutaneous anterolateral thigh

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5
Q

Obturator nerve

A

ventral division of L2,3,4

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6
Q

Accessory obturator

A

ventral division L3,4

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7
Q

Femoral nerve

A

dorsal L2,3,4
motor (anterior thigh)
sensory (hip/knee)
cutaneous- anterior/inferomedial thigh

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8
Q

nerves to psoas major muscle

A

dorsal L2,3,4

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9
Q

Lumbosacral trunk

A

L4 (portion) L5 (all)

joins sacral plexus

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10
Q

iliopsoas

A

advances the loer extremity during gait

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11
Q

main nerve supply of anterior compartnment

A

femoral

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12
Q

main nerve of medial compartment

A

obturator

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13
Q

main nerve of posterior compartment

A

sciatic

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14
Q

Lateral to Medial arrangement of structures passing under ligament (vascular compartment) of the retro inguinal space

A
NAVEL
femoral branch of Genitofemoral nerve 
Femoral Artery 
Femoral Vein 
Femoral canal (empty space, lymphatics)
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15
Q

what separates the muscular and vascular compartments of the retroinguinal space

A

iliopectineal arch

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16
Q

what veins are tributaries to GREAT saphenous

A

anterior and posterior accessory saphenous
superficial epigastric
Superficial circumflex iliac
external pudendal (sometimes small saphenous)

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17
Q

superior boundary of femoral triangle

A

inguinal ligament (pouparts)

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18
Q

medial boundary of femoral triangle

A

medial border of adductor longus

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19
Q

lateral boundary of femoral triangle

A

medial border of sartorius

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20
Q

floor of femoral triangle

A

iliopsoas, pectineous, adductor longus

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21
Q

foor of femoral triangle

A

fascia lata/cribriform fascia

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22
Q

content of femoral triangle

A
Femoral Branch of genitofemoral nerve 
femoral artery 
femoral vein 
femoral canal (lymphatics)
Deep Inguinal 
Femoral Nerve and branches 
Termination of saphenous vein 
Profunda femoris artery 
Lateral and medial Femoral Circumflex
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23
Q

is femoral nerve in the femoral sheath

A

Negative

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24
Q

femoral sheath compartments

A

Lateral: Femoral artery
intermediate: femoral vein
Medial: Femoral Canal (empty space, lymph)

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25
boundaries of femoral canal
Lateral: Intermediate compartment (Femoral vein) Medial: Lacunar ligament Anterior: Inguinal ligament Posterior: Superior pubic ramus (pectineal ligament
26
Blockage of external iliac or proximal femoral, blood can still reach lower extremity HOW?
Internal iliac to inferior gluteal to trochanteric/cruciate anastomosis
27
major supplier of the head and neck of femur after age 3?
trochanteric anastomoses, mostly ascending brach of Medial femoral circumflex
28
Trochanteric Anastamosis
Ascending branch of medial femoral circumflex Ascending branch of lateral femoral circumflex Descending branch of inferior gluteal descending branch of superior gluteal
29
cruciate anastomosis
descending branch of inferior gluteal transverse branch of lateral femoral circumflex transverse branch of medial femoral circumflex
30
all quad muscles are innervated by descending branch of lateral femoral circumflex except
vastus medalis. this is supplied by profunda femoris and superior medial genicular
31
what content of the adductor canal does not pass through the adductor hiatus
the saphenous nerve (pierces fascia becomes cutaneous)
32
anterior branch of obturator innervates
Adductor longus | adductor brevis
33
anterior branch of obturator innervates
adductor magnus (adductor part)
34
the hamstring part of adductor magnus is innervated by
tibial part of sciatic
35
Patellar Plexus
cutaneous inervation around the patella - intermediate femoral cutaneous - medial femoral cutaneous - lateral femoral cutaneous - saphenous (infrapatellar)
36
subsartorial plexus
medial thigh cutaneous innervation -deep to sartorious and distal part of add long composed of: Anterior branch of obtorator -medial femoral cutaenous -saphenous
37
what nerves are apart of both patellar plexus and subsartorial
- saphenous nerve | - medial femoral cutaneous
38
most commonly strained adductor
adductor longus
39
teardrop muscle
vastus medialis
40
internal iliac artery begins at what level
L5/S1
41
inferior gluteal artery passes between `
S1/2 S2/3
42
corona mortis
Anastomosis between external iliac or inferior epigastric and obturator artery and/or vein
43
medial sacral artery arises from
posterior abdominal aorta
44
External iliac (inferior epigastric) annastamoses with
obturator artery
45
gluteal arteries can anastamose with
profunda femoris branches
46
medial circumflex femoral and inferior gluteal can anastamose with
obturator artery
47
ASIS anasamoses
Deep and superficial circumflex iliacs, iliac branch of iliolumbar and ascending branch of lateral circumflex femoral
48
Superior Gluteal nerve
dorsal division of L4-S1
49
Inferior Gluteal nerve
dorsal divison L5-S2
50
Nerve to piriformis
dorsal divisions of S1,2
51
perforating cutaneous nerve
dorsal division os S2,3
52
sciatic
dorsal divisions of L4-S2 | Ventral L4-S3
53
Posterior cutaneous nerve of thigh
dorsal divisions of S1, 2 | Ventral S2,3
54
Nerve to quadratus femoris
ventral divisions of L4-S1
55
Nerve to obturator internus
Ventral L5-S2
56
pudendal nerve
ventral divisions of S2-4
57
what muscles insert on the IT band
Tensor Fascia Latae | Gluteus Maximus
58
nerve to obturator internous innervates
superior gemellus | obturator internous
59
which nerve is effected with piriformis syndrome
sciatic
60
inferior gluteal nerve innervates
gluteus maximus
61
superior gluteal nerve innervates
gluteus minimus, medius, TFL
62
trendelenberg tests
superior gluteal nerve | Glut Min, MEd, TFL
63
intragluteal injections
superolateral quadrant •above line from PSIS to greater trochanter tip • Triangular area between ASIS, tubercle of crest, greater trochanter
64
greater sciatic foramen content
``` Content passing through: • Piriformis muscle Above piriformis • Superior gluteal artery, vein, nerve Below pirifromis • Inferior gluteal artery, vein, nerve • Internal pudendal artery and vein • Pudendal nerve • Sciatic nerve • Posterior femoral cutaneous nerve • Nerve to obturator internus • Nerve to quadratus femoris ```
65
lesser sciatic foramen
Internal pudendal artery and vein • Pudendal nerve • Nerve to obturator internus Tendon of obturator internus
66
gluteal lurch what is effected
glut max and inferior gluteal nerve
67
all posterior compartment muscles | (except BF short head) ...
originate on ischial tuberosity innervated by tibial nerve supplies by perforating arteries of PF, popliteal (superior genicular branches) and inferior gluteal
68
short head of bicep femoris
- supplied by perforating arteries and popliteal - common fibular branch of sciatic - only crosses knee, not thigh
69
pes ansurinus
sartorious, gracilis, semitendonosis
70
what nerve runs meidal to the sciatic
posterior femoral cutaneous
71
what artery supplies sciatic nerve
inferior gluteal
72
popliteal fossa content
``` small saphenous vein popliteal artery and branches popliteal vein and tributaries tibial nerve medial sural cutaneous common fibular nerves (lateral sural cutaneous, sural/fibular communicating) posterior cutaneous nerve of thigh popliteal lymph nodes ```
73
popliteal fossa boundaries
superolateral: bicep femoris superomedial: semimembranosus/semitendinosus inferolateral: lateral head gastroc/plantaris inferomedial: medial head gastroc roof: skin and superficial fascia and deep fascia floor: popliteal surface of femur, inversting fascia over popliteus, knee joint capsule, oblique ligament