lecture 19: anterior and medial thigh Flashcards

(106 cards)

1
Q

true or false: the femur is completely straight

A

false, has an angle
joint of the knee are further medial in comparison to the hip

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2
Q

what is the valgus angle

A

knee goes more medial than the hip

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3
Q

the valgus angle is important for what

A

bipedal gait

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4
Q

know the differrent bony landmarks of the femur

A

.

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5
Q

what is the function of the condyles on the femur

A

articualr surfaces for the tibia

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6
Q

what is teh function of the supracondylar ridges

A

muscles attachment

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7
Q

where is the intercondylar eminence located

A

between the tibial condyles

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8
Q

what is the function of the intercondylar eminence

A

for the cruciate ligament attachemtn

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9
Q

what are the reciprocal surfaces for the artocualtion w condyles of the femur

A

tibial plateaus

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10
Q

what is the major weight bearing bone of the leg

A

tibia

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11
Q

true or false: we have both a lateral and medial malleoli

A

true

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12
Q

what type of joint is the interosseus membrane betweent he tibia and fibula

A

syndesmosis

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13
Q

know the bony lanmarks of the tibia and fibula

A
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14
Q

what type of joint is the knee

A

synovial, modified hinge joint

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15
Q

why is the knee considered a synovial, modified hinge joint

A

because it can do some medial and lateral rotation in addition to the flexion and extension

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16
Q

what are the movements possible at the knee joint

A

flexion/extension
some medial and lateral rotation

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17
Q

true or false: we have unlimited range for the medial and lateral rotation at the knee

A

false, limited

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18
Q

which has more motion possible, medial or lateral rotation at the knee

A

lateral 35 degrees

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19
Q

what is medial and lateral rotation at the knee

A

rotation of the tibia to the femur with the knee flexed (sitting)

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20
Q

true or false, medial and lateral rotation is rotation of the fibula to the femur with the knee flexed (sitting)

A

false, tibia

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21
Q

what are the major hip flexors

A

psoas major and iliacus as ilipsoas

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22
Q

what is the proximal attachment of the psoas major

A

T12- L4/L5

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23
Q

what is the porximal attachemnt of the illiacus

A

illiac fossa

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24
Q

what is the illiopsoas

A

when the illiacus and psoas major merge into the lesser trocanter

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25
what is the insertion of the iliopsoas m
lesser trochanter
26
what is the action of the psoas major and illiacus
hip flexior (and some lateral rotaion)
27
true or false: the psoas major and illiacus can only do hip flexion
false, also some lateral rotation
28
can the psoas minor contribute the hip flexion
no because it does no cross the hip joint it is responisble for weak lumbar flexion
29
does sartorius begin lateral and end medial or vice versa
begin lateral and moves mediall
30
what is the origin of sartorius
ASIS
31
what is the insertion of the sartorius
anteromedial tibia in pes anserinus
32
what type of muscle is the sartorius
strap like
33
what is the action of the sartorius
weak knee flexion HIP: flexion, lateral rotation and abduction
34
understnad the position of the sartorius
35
why is the reason for the name of teh sartorisu
sartor= latin for tailor when engaged in all its hip functions, sartorius contributes to sitting cross legged in tailor position
36
how many muscles are there part of the quadricep femoris
4
37
what is the common action of the quadricep femoris
knee extension
38
what are the 2 main hip flexors
ilipsoas rectus femoris
39
what muscle in the quadricep femoris is responsible for hip flexion
rectus femoris
40
what is the only muscle of the quads that cross the hip
rectus femoris
41
what is the origin of the rectus femoris
AIIS
42
what is teh isnertion of the rectus femoris
quadricep tendon
43
true or false: rectus femoris is the only muscle that has an additional action in comparison to the vastus group
true
44
where does the vastus group of the anterior thigh originate
femur shaft
45
what is the insertion of the quad femoris
quadricep tendon
46
what is the action of the recus femoris
knee extension and hip fliexion
47
be able to identify the quadriceps
w
48
what is embedded in the quad tendon
sesmoid bone the patella
49
what is the function of the patella
to increase the level arm for the quadriceps
50
when going to the tibial tuberocity, is it considered quadripcep tendon or patellar lgiament
patellar ligament
51
what are the superficial hip adductors
pectineus adductor longus gracills
52
what is the origin of the pectineus
pubis
53
what is the insertion of the pectineus
pectineal line on femur
54
what is the action of the pectineus
hip adduction, flexion
55
what is the origin of the adductor longus
pubis
56
what is the insertion of the adductor longus
linea aspera
57
what is the action of the adductor longus
hip adduction, lateral rotation
58
what is the most medial muscle of the thigh
gracilis
59
what is the origin of the gracilis
pubis
60
what is the insertion of the gracilis
anteromedial tibia in pes anserinus
61
what is the action of the gracilis
adduction of the hip flexion of the knee medial rotation of the leg, esp when sitting
62
what are the deep adductors of the thigh
adductor brevis adductor magnus
63
what is the origin of the adductor brevis
pubis
64
what is the isnertion of the adductor brevis
linea aspera (deep to pectineus()
65
true or false: adductor brevis is deep to pectineus
true
66
true or false: the adductor magus has 3 parts and name
false 2 adductor part and hamstring part
67
what is the origin of the adductor magnus
pubis ans ischial tuberocity to
68
what is the insertion of the adductor magnus
linea aspera (A part) adductor tubercle (H part)
69
what is the action of the adductor magnus
A) hip adduction and flexion and lateral rotation H) assits with medial rotation and extension of hip
70
what is the action of the adductor portion of the adductor magnus m
A) hip adduction and flexion and lateral rotation
71
what is the action of the hamstring portion of the adductor magnus m
H) assits with medial rotation and extension of hip
72
what is pes anserinus
common distal attachemnt (insertion) located on procimal anteromedial tibia
73
what are the 3 muscles that insert as part of pes ansirems
sartorius, gracilis, semi tendinosus
74
name the 3 muscles part of pes anse. from atnerior to psoterior
sartorius, gracilis and semitendinoses
75
what are the 2 major nerves that supply the anterior and medial thigh
obturator and demoral
76
femoral n is derevied from what spinal n
L2-L4
77
femoral n supplies what muscles of the thigh
sartorius quadriceps femoris pectinues (primary)
78
obturator n originates from what spinal n
l2-l4
79
where does the obturator n travel
trough obturator canal
80
true or false: femoral n supplies mostly the anterior compaortment
true
81
what muscles are innevated by obturator
pectineus (secondary) obturator eternus adductor longus and brevis adductor magus (adductor part \) gracilis
82
which part of the adductor magnus is innervated by the obturator n
adductor part
83
which part of the magnus adductor is innervated by the sciatic n
hamstring part
84
what are the 2 main vessels that provide blood to anterior and medial thigh
femoral and deep femoral
85
the perforating branches of the deep femoral go where
around humeurs
86
deep femoral provides branches supplying what
head and neck of femur
87
behind the knee, the femoral a becomes what
popliteal a
88
femoral artery passes through what hiatus
adductor cana
89
understand the bood vessels to anterior medial thigh
90
what is the feemoral sheath
funnel shaped elongation of traversalis from abdomen
91
what is the superior border of the femoral triangle
inguinal ligament
92
what is the lateral border of the femoral triangle
sartorius (medial edge)
93
what is the medial border of the femoral triangle
adductor longus (lateral edge)
94
what is the floor border of the femoral triangle
pectineus and ilioppsoas
95
what are the contents of the femoral sheath
femoral a and v inguinal lymphnodes
96
true or false, the femoral n is contained in the femoral sheath
false, just outside (most lateral)
97
great saphenous vein drains into what
femoral bv
98
understand the femoral triangule
99
what is the femoral canal and what does it contain
potential space, normally contains lymph nodes and fat narrower and tighter than the inguinal cana;
100
which is narrower and tighter, the femoral canal or inguinal canaal
femoral canal
101
which is the more more problematic hernia: femoral or inguinal and why
femoral because the canal is smaller and tighter so it may cause strangulation of bowel
102
what does a femoral hernia look like i nthe early stage
bulge in groin/upper thigh, may move in and out with activity
103
what happens to the femoral hernia when you lie
lump disspears
104
in the late stages of the femoral hernia what is happening and why is it dangrous
the intestines become cause in the femoral canal because it is narror and tight =may cause strangulation of bowerl
105
what is the fix for late stage femoral hernia
surgical innevration
106
inguinal canal is site for what types of hernia
inguinal hernas