Anatomy(Lower Limb) Flashcards

(206 cards)

1
Q

Blood supply of sciatic nerve

A

Inferior gluteal artery

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2
Q

Along with foot drop sciatic nerve injury may cause what motor defect

A

Weak knee flexion
(Can be done with sartorius and gracilis)

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3
Q

Nerve of long and short head of biceps femoris

A

Long-tibial
Short -common Peroneal

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4
Q

Which nerve emerges from the medial border of psoas

A

Obturator L234

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5
Q

Nerve of adductor magnus

A

Obturator nerve
(Not the lower part-sciatic nerve)

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6
Q

Palpation of common Peroneal nerve

A

POSTERIOR to head of fibula

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7
Q

Location of terminal branching of common Peroneal nerve

A

Neck of fibula

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8
Q

Nerve supply of sartorius

A

Superficial (anterior) branch of femoral nerve

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9
Q

Longest strap muscle of body

A

Sartorius

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10
Q

In which canal lies nerve to vastus medialis

A

Adductor canal

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11
Q

Insertion of psoas major

A

Lesser trochanter

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12
Q

Nerve most prone to injure during TURP

A

Obturator

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13
Q

Nerve most prone to injure during TURP

A

Obturator

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14
Q

Location of obturator nerve in lesser pelvis

A

Lateral to internal iliac vessels and ureter

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15
Q

Cutaneous supply of obturator nerve

A

Distal 2/3 of medial thigh

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16
Q

Contents of popleteal fossa

A

From medial to lateral
Popleteal Artery
Popleteal vein
Tibial nerve
Commonly Peroneal nerve

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17
Q

Origin of superior Gluteal artery

A

Posteriorly trunk of
Internal iliac artery

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18
Q

Origin of inferior gluteal artery

A

Anterior trunk of internal iliac artery

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19
Q

Nerve to tensor fascia lata

A

Superior gluteal L45S1

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20
Q

What is Trendelenburg Sign and cause

A

Injury to the superior gluteal nerve

Trendelenburg Sign is described as a dipping of the pelvis toward the contralateral side. Because the lesioned abductors cannot maintain the pelvis in a level plane, the patient “falls” toward the good side and simultaneously leans the torso toward the lesioned side to maintain balance.

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21
Q

Location of base of metatarsal

A

Proximal expansion

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22
Q

Nerve supply of intrinsic muscles of foot

A

Apart from extensor digitorum brevis and first 2 dorsal interossei
All are supplied by branches of TIBIAL nerve

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23
Q

Terminal branches of TIBIAL nerve

A

Medial and lateral planter nerve

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24
Q

Nerve of extensor digitorum brevis of foot

A

Deep peroneal nerve

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25
Nerve to first 2 dorsal interossei of foot
Deep peroneal
26
Muscles in dorsal layer of foot
Only one Extensor digitorum brevis
27
Origin and insertion of extensor digitorum brevis with their number
Origin - superolaterally on calcaneus Insertion- first one on base of proximal phalanx Other 3 on lateral side of TENDONS of extensor digitorum longus
28
Function and innervation of extensor digitorum brevis of foot
Extension of MTP joint Innervated by deep peroneal nerve
29
Layers of planter group of intrinsic muscles of foot
4 layers
30
Muscles of first planter muscle groups
3 Flexor digitorum brevis Abductor hallucis Abductor digiti minimi
31
Origin,insertion, function & innervation of flexor digitorum brevis
Origin -medial process of calcaneum Insertion- on sides of middle phalanx of lateral 4 digits Function-flexion of PIP joint Innervation- medial plantar nerve
32
Origin,insertion, function & innervation of abductor hallucis
Origin-Medial process of calcaneal tuberosity Insertion- Medial side of base of proximal phalanx of great toe Function- abductor and flexion of MTP joint Innervation- medial plantar nerve,
33
Origin,insertion, function & innervation of abductor digiti minimi
Origin -lateral and medial(by extending) tuberosity of calcaneus Insertion- Lateral to hear of proximal phalanx of little toe Function - abduction of little toe Innervation- lateral planter nerve
34
Origin,insertion, function & innervation of quadratus panatae
Origin- 2 heads from medial and lateral Calcaneal tuberosity Insertion -lateral side on tendon of flexor digitorum longus Function - helps FDL tendons Innervation -lateral planter nerve
35
Origin,insertion, function & innervation of lumbricals of foot
Origin-1st one is unipenete other 3 are bipenete arising from tendons of flexor digitorum longus Insertion - extensor hood of lateral 4 digits Function- flexion of MTP joints extension of IP joints Innervation - 1st one by medial and other 3 by lateral planter nerve
36
Muscles in 2nd layer of planter muscle
2 muscles Quadratus plantae 4 lumbricals
37
Muscles of 3rd layer of planter muscle
3 muscles (associated with little toe and big toe) Flexor digiti minimi brevis Flexor hallucis brevis Adductor hallucis
38
Origin,insertion, function & innervation of flexor hallucis brevis
Lies deep to tendon of flexor hallucis longus It has two origins and two insertions Origin -one from cuboid another from tendon of tibialis posterior Insertion - metal and lateral sides of base of proximal phalanx of great toe Function-flexion MTP joint of big toe Innervation -medial plantar nerve
39
Origin,insertion, function & innervation of flexor hallucis
Has 2 heads- transverse and oblique Origin- transverse from deep transverse metatarsal ligament and planter ligaments of lateral 3 toes Origin of oblique head from bases of 234 metatarsals and from tendon of peroneus Longus Insertion - base of proximal phalanx of big toe Function- adduction of great toe at MTP joint Innervation -lateral plantar nerve
40
Origin,insertion, function & innervation of flexor digiti minimi brevis
Smallest flexor of smallest toe Origin -base of fifth metatarsal and tendon of peroneus Longus Insertion - laterally on base of proximal phalanx of little toe Function -flexion of little toe at MTP joint Innervation - lateral plantar nerve
41
Groove on undersurface of cuboid bone for what
Tendon of peroneus Longus
42
Muscles in 4th layer of planter
Interosseous 3 palmar unipenete PAD 4 dorsal bipenete DAB
43
Origin,insertion, function & innervation of palmar interossei of foot
Originated from the same metatarsal of the acting toe Origin- medial side of base of 345 metatarsals Insertion- medial side ot base of proximal phalanx of 345 toes and also on the extensor expansion of these digits Function- adduction of 345 toes Innervation - lateral planter nerves
44
Origin,insertion, function & innervation of dorsal interossei of foot
They act on 234 toes Origin -base of metatarsals of all intermetatarsal spaces Insertion - 1st one on medial side of base of proximal phalanx of 2nd toe 2nd,3rd, 4th ones on lateral side of bases of proximal phalanx of 234 toes respectively Function - abduction of 3rd 4th toes away from 2nd toe and 2nd toe can be abducted on either sides because of first two dorsal interossei Innervation - first two by deep peroneal nerve, other two by lateral plantar nerve.
45
Relation of medial plantar artery and nerve
Artery passes forward medical to nerve I'm a space between adductor hallucis and flexor digitorum brevis The Artery ends by uniting with 1st plantar metatarsal artery
46
Relation of lateral plantar artery and nerve
Artery lies lateral to nerve
47
Continuation of dorsalis pedis artery
As 1st dorsal metatarsal artery
48
What muscle crosses the dorsalis pedis srtery
Extensor hallucis brevis
49
Extracapsular ligaments of hip joint
Iliofemoral Pubofemoral Ischiofemoral
50
Structures passing through greater and lesser sciatic foramina
Medial to lateral PIN pudendal nerve internal pudendal artery nerve to obturator internus
51
Passage of pudendal nerve after origin
Between Piriformis and coccygeus muscles
52
Counterpart of dorsal nerve of penis in female and origin
From pudendal nerve Dorsal nerve it clitoris
53
Nerves passing through greater sciatic foramen
Sciatic Superior gluteal Inferior gluteal Pudendal Posterior femoral cutaneous To obturator internus To quadratus femoris
54
Vessels passing through greater sciatic foramen
Superior gluteal Inferior gluteal Internal pudendal
55
Which muscle divides greater sciatic foremen
Piriformis
56
Contents if lesser sciatic foramen
Pudendal nerve Internal pudendal artery Nerve to obturator internus Tendon of obturator internus
57
Tributaries of great saphenous vein
Superficial epigastric Superficial circumflex iliac Superficial external pudendal Medial marginal
58
Termination of small saphenous vein
Passes between heads of gastrocnemius and approximately at or above the level of the knee joint drains into the popleteal vein
59
sensory nerve on posterior thigh
PFCN+SCIATIC The PFCN originates from the sacral plexus and its nerve roots are the first, second, and third sacral (S) nerve roots. The S2 nerve root is the main one. The posterior femoral cutaneous nerve (PFCN) is the sensory nerve that provides sensation to the skin of the back of the thigh. It's also known as the posterior cutaneous nerve of the thigh or the lesser sciatic nerve. The PFCN's sensory innervation includes: The back of the thigh, including the popliteal fossa The lower half of the buttock The posterior part of the scrotum or labium majus A variable area of the posterior calf
60
Nerve for knee extension
Femoral Obturator
61
Location of origin of tibial and common peroneal nerve
Halfway down the posterior thigh Or Upper part of piolets fossa
62
Articular branch of sciatic nerve to which joint
Hip joint
63
Cuteneous supply of gluteal region
Sciatic
64
Other name of Trendelenburg gait and cause
Waddling gait Caused by injury to superior Gluteal nerve
65
What does absent of foot drop with hip drop indicate
No polio Or No L5 radiculopathy
66
Difference of insertion of gluteus medius and minimus
Medius to lateral greater trochanter Minimus to anterior greater trochanter
67
Injured superior gluteal nerve
Damage to superior Gluteal nerve will result in the patient developing as Trendelenburg gait. Affected patients are unable to abduct the thigh at hip joint. During the stance phase, the weakened abductor muscles allowe the pelvis to tilt down on the opposite side. To compensate, the truck lurches to the weakened side to attempt to maintain a leveled pelvis throughout the gait cycle. The pelvis sags on the opposite side of the lesioned superior gluteal nerve.
68
What part of iliopsoas lies behind the femoral nerve in Femoral triangle
Iliacus
69
Sheath anterior to iliacus and pectineus muscle
Femoral sheath
70
Thigh muscles supplied by femoral nerve
Quadriceps femoris Sartorius Pectineus
71
Muscle penetrated by femoral nerve
Psoas major
72
Insertion of iliofemoral ligament
Intertrochanteric line
73
Origin of iliofemoral ligament
Anterior inferior iliac spine
74
Insertion of pubofemoral ligament
Lesser trochanter
75
Insertion of ischiofemoral ligament
Greater trochanter
76
Blood supply of hip joint
Anterior and posterior circumflex femoral arteries from profunda femoris artery Inferior gluteal artery
77
Root of lateral cuteneous nerve of thigh
L23
78
Relation of tibial nerve to posterior tibial artery
Nerve lies medial to artery for about 2.5 cm from its origin Then nerve crosses artery posteriorly to lie on lateral side for the rest of their course
79
Origin of posterior tibial artery
Largest terminal branch of popliteal artery
80
Termination of posterior tibial artery
By dividing into medial and lateral plantar arteries
81
Accompanied vein of posterior tibial artery
Posterior tibial vein & Peroneal vein
82
Muscles deep to posterior tibial artery
Tibialis posterior Flexor digitorum longus
83
Superficial muscles to posterior tibial artery
Gastrocnemius and soleus
84
Muscles attached to greater trochanter
POGO
85
Location of quadrate tubercle
On intertrochanteric crest
86
Structure along medial border of tendon of biceps femoris in popliteal fossa
Common Peroneal nerve
87
Deepest structure of popliteal fossa
Popleteal artery
88
Relation of tibial nerve to popleteal vessels
Nerve lies lateral to vessels in fossa
89
Relation of tibial nerve to popliteal vessels
Nerve lies lateral to vessels in fossa then nerve passes posteriorly to lie medial to popleteal artery In lower part it crosses posterior tibial artery posteriorly to lie laterally
90
Location of genicular branch of obturator nerve
Popliteal fossa
91
Root of Femoral nerve
L234
92
Structures passing behind medial malleolus
In order from anterior to posterior- Tibialis posterior tendon Flexor digitorum longus tendon Posterior tibial vein >(popleteal) Posterior tibial artery Tibial nerve Flexor hallucis longus tendon
93
Formation of popliteal vein
Union of anterior and posterior tibial veins at the bottom of the popliteus muscle.
94
Floor of femoral triangle
Pectineus Iliopsoas Adductor Longus
95
Floor of femoral triangle
Pectineus Iliopsoas Adductor Longus
96
Function of Peroneus Longus
Eversion at SUBTALAR joint Assist in plantar flexion
97
Function of peroneus brevis
Plantar flexion
98
Function of gastrocnemius
Plantar flexion May also flex the knee
99
Function of ribosomes posterior
Plantar flexion Inversion of SUBTALAR joint
100
Cuteneous supply of lateral plantar
Sural
101
Most common site of avulsion of biceps femoris during explosive bending of knee
At attachment of long head to ischial tuberosity
102
Actually of biceps femoris
Knee flexion Lateral rotation of tibia Hip extension
103
Nerve supply of biceps femoris
Long head by tibial division of sciatic Short head by Common Peroneal Both are L5S12
104
Blood supply of biceps femoris
Both heads— Profundus femoris Inferior gluteal Superior muscular branch of popliteal artery
105
Origin of short head of biceps femoris
Lateral lip of linea aspera Lateral supracondylar ridge of femur
106
Sciatic nerve lies deep to following structures
Gluteus maximus Long head of biceps femoris Branch of inferior gluteal artery Femoral cutaneous nerve
107
Muscle of foot not supplied by tibial nerve and what supplies it
Extensor digitorum brevis Supplied by deep peroneal nerve
108
Which type of hernia has the highest risk of strangulation
Femoral
109
Anterior border of femoral canal
Inguinal ligament
110
Site of Femoral hernia
Femoral canal
111
Rami of sciatic nerve
Ventral Rami of L45S123
112
Nerve supply of adductor Magnus
Upper part obturator Lower part sciatic
113
Cutaneous supply of sciatica nerve
Gluteal region Posterior thigh Entire lower limb except medial aspect which is supplied by saphenous nerve(from femoral)
114
Structures posterior to lateral malleolus and SUPERFICIAL to superior peroneal retinaculum
Sural nerve Short saphenous vein
115
Structures posterior to lateral malleolus and DEEP to superior peroneal retinaculum
Peroneus Longus Peroneus brevis
116
Attachment of calcaneofibular ligament
To lateral malleolus
117
Veins associated with dorsalis pedis artery
dorsalis pedis veins These are the venae comitantes of the dorsalis pedis artery, and there are usually two veins around the artery. The dorsalis pedis veins are connected to the superficial venous system and drain the deep structures of the foot. dorsalis pedis veins are connected to the great saphenous vein and the small saphenous vein by the anteromedial and anterolateral malleolar veins, respectively. The dorsalis pedis veins continue proximally as the anterior tibial veins.
118
Relation of extensor retinaculum with dorsalis pedis artery
Artery passes deep to inferior extensor retinaculum
119
Summit of longitudinal arch of foot with its location
Head of talus located between sustentaculum Tali and navicular bone
120
Location of transverse arch of foot
Bases of metatarsals
121
Origin of adductor Longus
Anterior body of pubis
122
Insertion of adductor Longus
Middle third of linea aspera
123
Which vein crosses anatomical snuff box
Cephalic vein
124
Nerve to sartorius
SUPERFICIAL division of the femoral nerve provides motor innervation to the sartorius muscle.
125
Branches of Femoral nerve
Superficial Deep
126
Site of branching of femoral nerve
The femoral nerve splits into superficial and deep divisions after passing under the inguinal ligament.
127
Coverages of deep femoral nerve
The deep division of the femoral nerve provides motor branches to the quadriceps muscles.
128
difference between superficial femoral nerve and saphenous nerve
The saphenous nerve and the superficial femoral nerve are both nerves in the leg, but they have different functions and locations: Location The saphenous nerve is located deep within the leg, while the superficial femoral nerve branches off near the pubic bone. Function The saphenous nerve provides sensation to the lower knee, calf, ankle, and foot arch, while the superficial femoral nerve provides motor innervation to the muscles that extend the knee and flex the hip. Branches The saphenous nerve is the terminal branch of the femoral nerve, while the superficial femoral nerve branches into the anterior (superficial) femoral nerve and the posterior (deep) femoral nerve.
129
Importance of SAPHENOUS nerve
The saphenous nerve can be blocked to relieve pain or numb the area before a procedure. Damage to the saphenous nerve can occur during procedures that strip the saphenous vein, which can lead to pain, loss of sensation, or paraesthesia.
130
Ending of Femoral nerve
The femoral nerve ends as the saphenous nerve in the leg's gaiter region.
131
Mode of injury of Femoral nerve and manifestation
The femoral nerve can be injured by a number of things, including stab wounds, pelvic fractures, and hip replacements. Symptoms of femoral nerve injury include motor loss, sensory impairment, and an inability to extend the knee.
132
Serial of PES ANSERINUS
From anterior to posterior Sa G Se
133
Function of sartorius of right side
Placing right heel on left knee while sitting on a chair Or Slight abduction and lateral rotation of thigh
134
Nerves in adductor canal
Saphenous nerve Nerve to vastus medialis
135
Termination of superficial peroneal nerve
By branching into — Intermediate dorsal cuteneous nerve Medial dorsal cuteneous nerve
136
What structure separates posterior cruciate ligament from popliteal artery
Oblique popliteal ligament
137
Name of joint between patella and femur
Sellar joint /saddle joint
138
Largest joint in our body
Knee
139
Which joint is most complicated
Knee
140
Anterior cruciate ligament
Anterior tibia to LATERAL intercondylar notch of femur
141
Posterior cruciate ligament
Posterior tibia to MEDIAL intercondylar notch of femur
142
Relation of meniscus and collateral ligament of knee
Medial meniscus is attached to tibial collateral ligament But lateral meniscus id attached to loose fibres at lateral edge of joint and is separated from fibular collateral ligament
143
Function of medial and lateral collateral ligaments
Medial for valgus stability Lateral for varus stability
144
Formation of muscular compartments of thigh
Formed by septae passing from the femur to the fascia lata
145
Formation of muscular compartments of leg
Formed by Interosseous membrane Anterior fascial septum Posterior fascial septum
146
Muscles of superficial posterior compartment of leg
Gastrocnemius Soleus Plantaris
147
Muscles of deep posterior compartment of leg
Popliteus Tibialis posterior Flexor digitorum longus Flexor hallucis longus
148
Root of deep peroneal nerve
L45S12
149
Termination of deep peroneal nerve
After bifurcation past ankle joint — Lateral branch innervates EDB,EHB Medial branch innervates 1st web space
150
hardinge style of hip surgery
The Hardinge approach is a surgical technique for accessing the hip joint during total hip replacement: Patient positioning: The patient lies on their side with a sterile drape folded into a "saddle bag" shape. Incision: A 6 cm incision is made on the anterolateral side of the thigh. Muscle movement: The muscles below the skin are moved aside without cutting them. Dissection: The tensor fasciae latae is split in line with the femur, and the most anterior fibers of the medius are split. The Hardinge approach has several benefits, including: Improved function Pain relief Good visualization of the acetabulum Optimal cup positioning Excellent stability of the total hip joint Less post-operative abductor weakness Faster patient rehabilitation The Hardinge approach is more difficult than the posterior approach, but it can reduce the incidence of dislocation.
151
Most posterior structure at the Medial malleolus
Flexor hallucis longus tendon
152
Ligaments of ankle joint
Deltoid (medially) Lateral collateral Talofibular (anteriorly & posteriorly)
153
Is calcaneofibular ligament a part of ligaments of ankle joint
No This ligament is separate from the fibrous capsule of the joint.the two talofibular ligaments are fused with it.
154
Components of syndesmosis of tibia and fibula
Anteroinferior tibiofibular ligament Posteroinferior tibiofibular ligament Inferior transverse tibiofibular ligament Interosseous ligament
155
Movements of ankle joint
Plantar flexion 55° Dorsiflexion 35° Inversion & eversion at subtalar joint
156
Innervation of ankle joint
TIBIAL Deep Peroneal
157
Innervation of long head of biceps femoris and root
Tibial division of sciatic nerve L5S12
158
Blood supply of biceps femoris
Inferior gluteal Profunda femoris Superior muscular branch of popliteal
159
Division of common Peroneal nerve at which side of neck of fibula
Lateral side
160
Which division of sacral plexus gives rise to common Peroneal nerve
Dorsal division of L45S12
161
Where common Peroneal nerve is palpable
Behind head of fibula
162
Muscle in thigh supplied by Common Peroneal nerve
Short head of biceps femoris
163
Origin of lateral cuteneous nerve of calf
In popliteal fossa from common Peroneal nerve
164
Compartments of popliteus and plantaris
Popliteus deep posterior Plantaris superficial posterior
165
Which artery lies deep to saphenofemoral junction prone to be injured in Trendelenburg procedure for varicose vein
Deep external PUDENDAL artery
166
Origin of great SAPHENOUS vein
At the first digit where the dorsal vein merges with dial venous arch of foot
167
Origin of Psoas major
Deep part from transverse processes of cover lumber vertebrae Superficial part from T12 & first 4 lumbar vertebrae
168
Innervation of psoas major
Anterior Rami of L123
169
Muscle raising trunk from spine position other than rectus abdominis
Bilateral contraction of Psoas major
170
Symptom of PES ANSERINUS bursitis
Pain and swelling on medial aspect of knee joint while climbing up stairs but not while walking on flay ground
171
The McMurray test
The McMurray test is a series of knee movements that helps a healthcare provider diagnose a torn meniscus in the knee. It's often part of an initial exam for patients with knee pain or after an injury. Here's how the test is performed: The provider bends the patient's knee The provider straightens and rotates the knee The provider applies valgus stress while rotating the tibia internally and externally The test is considered positive if the provider hears or feels a click or thud when the knee is bent beyond 90 degrees. A negative result means the provider didn't hear or feel anything
172
What is the test to slide medial meniscus injury
McMurray test
173
Cause of pes anserinus bursitis
Overuse injury
174
Relation of TIBIAL nerve with popliteal artery and posterior tibial artery
TIBIAL nerve lies medial to popliteal artery and lateral to posterior tibial artery
175
Origin of deep circumflex iliac artery
Arises above inguinal ligament
176
Origin of superficial circumflex iliac artery
Arises below inguinal ligament
177
Floor of femoral triangle
Iliotibial Pectineus Adductors longus
178
Nerves encountered in femoral triangle
Femoral nerve Femoral branch of genitofemoral nerve Lateral cuteneous nerve of thigh
179
Most muscles of foot are innervated by which nerve
TIBIAL Except EDB & EHB
180
Relation of synovial cavity with patella
Posterior surface is patella in intrasynovial
181
Exit of posterior femoral cutaneous nerve
Greater sciatic foramen
182
Origin of anterior tibial artery
Begins opposite the DISTAL border of popliteus muscle Then the ATA passes through an oval opening in the interosseous membrane between the tibia and fibula. Then ATA travels between Tibialis anterior and extensor digitorum longus muscles ATA becomes the dorsalis pedis artery in the foot.
183
relation of popliteal artery with political muscle
Artery is superficial to muscle
184
Femoral stretch test
The prone knee bending test is a neural tension test used to stress the femoral nerve and the mid lumbar (L2-L4) nerve roots.
185
Features of L3 nerve root compression
Sensory loss over after thigh/knee Weak quadriceps Reduced knee reflex Positive femoral stretch test
186
Features of L5 nerve root compression
Sensory loss over dorsum of foot Weakness in foot and big toe dorsiflexion Reflex intact Positive sciatic nerve stretch test
187
Features of S1 nerve root compression
Sensory loss posterolateral aspect of leg and lateral aspect of foot Weakness in plantar flexion of foot Reduced able reflex Positive sciatic nerve stretch test
188
Origin of ilioinguinal nerve
From first lumbar ventral ramus with iliohypogastric
189
Muscles related to ilioinguinal nerve
After origin from L1 it passes through substance of Psoas major and over the anterior surface of quadrate lumborum. It pierces internal oblique muscle she passes deep to aponeurosis of external oblique muscle. It enters the inguinal canal and passes through superficial inguinal ring
190
Innervation of ilioinguinal nerve
Muscles through which it passes Skin & fascia over pubic symphysis Superomedial femoral triangle Scrotal surface Surface of dorsum of penis Labia majora
191
Artery at risk near saphenofemoral junction
Deep external pudendal artery It is of lesser importance so if injured, better ligated
192
Relation of peroneus Tertius with malleolus
Passes anterior to lateral malleolus
193
Lateral rotators of hip
P-GO-GO-Q
194
Features of LMN lesion
Flaccid paralysis Atrophy Lost reflexes Fasciculations
195
Relation of LMN lesion with spinal cord level
For lesion below L1 LMN signs will occur
196
Which structure attaches periosteum to bone
Sharpey's fibres
197
Relation of medial femoral circumflex artery with quadratus femoris
Artery rings deep to muscle
198
Root of nerve to extensor hallucis longus
L5
199
Knee dermatome
L3
200
Nerves tried to knee joint
Infrapatellar branch of SAPHENOUS nerve, lateral cuteneous nerve of thigh, anterior cuteneous nerve of thigh (both lateral and medial branches)
201
Treatment of pudendal nerve injury
Sacral neuro modulation
202
Feature of injury to hypogastric autonomic plexus
Constipation
203
Features of thoracic cord lesion
Spastic paraparesis Hyperreflexia Extensor plantar response(UMN) incontinence Sensory ataxia (lost below lesion) —these features typically manifest several weeks later, once spinal shock (in which areflexia predominates) has resolved.
204
Structure posterior to femoral nerve in femoral triangle
Iliacus muscle
205
Most superficial structure of popliteal fossa
Tibial nerve
206
Origin of superior and inferior gluteal arteries
S- posterior trunk of internal iliac artery I- anterior trunk of internal iliac artery