lower limb Flashcards

(69 cards)

1
Q

Main supply of lower limb

A

femoral artery

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2
Q

femoral is contiunation of ?

A

External iliac artery!

behind inguinal ligament at mid inguinal point

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3
Q

mid inguinal point?

A

A POIINT MID WAY BETWEEN
ASIS AND
SYMPYSIS PUBIS

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4
Q

Course of femoral

A

proximal part : through femoral triangle

distal part : through adductor canal

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5
Q

femoral vein relations to the artery ?

A

posterolateral as it asends through lower part of adductor canal
posterior at upper part of the canal triangular apex
medially at the base of femoral triangle

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6
Q

Branches of the femoral artery

.

A
-Branches in the femoral triangle 
3superficial
Superficial epigastric artery,
Superficial external pudendal artery
Superficial circumflex iliac artery
&
3 deep
 one of  deep is  in the
adductor canal (descending genicular)
Deep external pudendal artery
Profunda femoris artery
Descending genicular artery
.
.
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7
Q

)Superficial epigastric artery

A
pierces the
cribriform fascia
& passes upwards and
medially to supply the lower part of the anterior
abdominal wall
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8
Q

Superficial external pudendal artery relation to round ligament of uterus ?

A

in front of it after pierceing the ciribriform fascia

supply external genetilia

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9
Q

Superficial circumflex iliac artery pierces ? and share in which anastomsis ?

A
fascia lata lateral to the saphenous opening
&
passes upward
& laterally to share in the
anastomosis around ASIS
.
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10
Q

deep external peudendal unlike the superficial in ?

A

passes medially (behind) the round ligamnnet of uterus

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11
Q

main art supply to the thigh

A

profunda femoris of deep branch of femoral

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12
Q

main art supply to the thigh

A

profunda femoris of deep branch of femoral

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13
Q

course of profunda femoris

A

begin 4 cm below the inguinal ligament from posterolateral aspect !
in Femoral triangle: desends medially passes below femoral vessels and above pectinus
then Adductor longus ! it passes below adductor longus so it separate it from femoral vessel
then it passes above adductor brevis and Magnus piercing it being the 4th perferator

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14
Q

lateral circimflex Fomral artety behind ?

A

sartouris and rectus femoris

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14
Q

lateral circimflex feomral artety behind ?

A

sartouris and rectus femoris

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15
Q

med. circum femoral artery lie between?

A

quadratus femoris and

adductor magnus

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16
Q

med. circum femoral artery
lat . circum femoral artery
the ascending branch share in ?

A

1- med Torchanteric anastom

2lateral asis anastom

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17
Q

first perforeator of profund share in

A

Cruciate A

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18
Q

Superior muscular branch of popliteal artery ans with ?

A

The 4th Perferator anastoms with Superior muscular branch of popliteal artery

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19
Q

the nutrient artery of femur arise from ?

A

if single 2 perferator

if double 1 and 3 perferator

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20
Q

clincal imp of femoral art

A
could be
compressed at mid
-inguinal point  against the femoral head to stop
bleeding
 or for checking pulsation

.

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21
Q

Stab wound at the apex of the

femoral triangle cut the which structures?

A
superficial to deep  
femoral artery 
femoral vein,
profunda vein
 lastly profunda artery
.
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22
Q

Obturator is a branch of ?

A

Internal iliac artery : anterior divison of internal iliac artery

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23
Q

فروع الDGA ?

A

MSA مساء
Muscluar
Sahpenous :KA
Articular :KA

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24
Main soruce odf supply the head of femur ?
The medial and lateral circumflex femoral arterirs from profunda from femoral trochanteric anastomsis
25
Course of boturatort artey
passes along lateral wall of pelvis below obuterator nerve , pass through the obturator canal with obturator nerve to reach the thigh the divides into two bran ant and post forming a cicular arterial anastomsis around oute margin of ovturator membrane under the obturator externus !
26
Branches of arterial circle ?
MANAnACET ! مانا نسيت ! Musclar branches to ADO عدوني ! Adductor muscles and obutrator externus Anastomotic with arteris in circ في السيرك Inferior gluteal arterty medial circumflex femoral artery Acetabular branch for head of femur minor !
27
Course of Acetabular branch of obturator ?
Enter the hip joint through the acetabular foramen and run in the ligament of head of femur to supply the head !
28
Arteries of the gluteal region
-The superior gluteal artery: -Theinfr gluteal artery: The internal pudendal artery:
29
-A largest branch post division of internal iliac artery
he superior gluteal artery
30
describe he superior gluteal artery
largest of internal iliac artery pass through the greater sciatic foramen above piriformis and divide into superficial for glutes maximus and deep upper and lower for other two glutei medius and minimus the upper ---- asia a the lower ----- tochanteric anastomisis!
31
gluteal branch of ant divison of intenal iliac art
Inferior gluteal artery obturator internal peudendal artery
32
branches of inferior gluteal art
MCA! مكة Musclar for deep Glutes masximus Companion Sicatic pierce sciatic and run in its substance till midlle of thigh Anastomotic ---- Crucciate x A and Trochanteric An
33
a gluteal branch of ant division of internal iliac artery that passes to pernum?
Internal peudendal art
34
شريان بيمشي بين عصبين؟
internal peudendal between | peudndal nerve and nerve to obturator internus
35
شريان بيعطي من ثقبين
internal pudendal artery reach the glutaal region through greater scaitic foramen and reach perinum through lesser sciatic foramen
36
tributaries of internal iliac vein
vena comitants of 1- superior gluteal a 2-inferior gluteal a 3 -internal pudendal a
37
ASIS ANASTOMISIS
``` 3 CIRC AND 1 GLUTEAL =4 2 circ iliac 1 circ femoral superifical and deep cir iliac ascendnig of lateral circ femoral branch of supeiror gluteal artery(upper of deep) ```
38
Trocha anastomsis
``` 2 circ 2 glut 1-Ascending branch of medial and lateral circumflex femoral arteries. 2-A branch from superior gluteal and a branch from inferior gluteal arteries ```
39
Cruciate anastomosis where
between the adjacent borders of quadratus | femoris and adductor magnus.
40
cruciate anastomisi?
طالع مستعرض نازل ؟ قولون؟؟ transvers of medial and lateral cirumflex femoral arteries Descending of inferior gluteal art ascending of 1st perferator artery `
41
Functions of gluteal anastomisis?
اتصال بين internal iliac و femoral trochanteric anstomisis مهم جدا جدا لان مصدر الغذاء الاهم لراس الفخذ !
42
deepest structure in the popliteal fossa,
Popliteal artery
43
popliteal vein relation to artery
The popliteal vein always intervenes between the popliteal artery and the tibial nerve throughout the fossa.
44
Anterior (deep): relation of popliteal art?
``` e floor of the popliteal fossa 1 popliteal surface of femur 2back of knee joint 3 popliteus fascia ```
45
branches of popliteal art
``` MAC وتفاحة بيل جتس Muscular CUTANUOUS genicular articular 5 2 up 1 mid 2 down superior genicular med lat middle genicular inf ggenicular med and lat ```
46
continues as dorsalis pedis artery passing in front of the ankle joint midway between the 2 malleoli?
ATA anterior tibial art
47
ATA (share in anastomosis around the KNEE
anterior post tibial recurrents
48
ata share in anastomosis around the ankle
ant lat and med malleolar art
49
Dorsalis pedis relation in foot
medially EHL extensor hallucis longus medial terminal branch of deep peroneal nerve MDTDPN laterally EDL extensor digitorum longus! under superior extensor reticulum !
50
HOW DOES DORSALIS PEDIS ARTERY COMPLETE PLANTAR ARCH?
It passes between the two heads of the first interossues muscle at the proximal end f first interossues space to soel of foot to complete plantar arch
51
The pulsation of dorsalis pedis artety?
mid point between 2 maleloi proximal end of first intermetatarsal space ! Lateral to Extensor Hallucis Longus
52
branches of dorsalis pedis :?
TARC MAT طارق مات tarsal -- lateral and medial tarsals arcuate art runs laterally over the base of metatarsal bones and give 234 dorsal metatarsal art - 2 dorsal digital for 2 adjoining sides of toes
52
branches of dorsalis pedis :?
TARC MAT طارق مات tarsal -- lateral and medial tarsals arcuate art runs laterally over the base of metatarsal bones and give 234 dorsal metatarsal art - 2 dorsal digital for 2 adjoining sides of toes dorsal metatarsals reciver distal perofrating from plantar metatarsals ! first dorsal metatrasl it arises from dorsalis pedis before e sole it give medial for big toe lateral giving 2 branches for adjacent sidies of 2nd toe
53
largest branch of the popliteal aert
PTA posterior tibial
54
branches of PTA
``` سفينمكومكالومب اي حاجة@@ Circumflex fibular Nutrient to tibia Muscular Communticating with communcat of pernoeal Calcanean with cal of pernoneal medial malleolar pernoeal اهم واحد فيهم ! ```
55
pernoeal course
below popliteus along medial crest of fibula between tibials pos and flexor halusis longus end behind inf tb joint giving calcnean branches !
56
فروع ال pernoeal
كومكالنب في اي حاجة برضو @@ ``` communicat with com of pta calcn with cal of pta nutrient musclar perforating anastomse with anterior lateral malleolar art! ```
57
alternative to dorsalis pedis ?
it is perforating of pernoeal !
58
medial plantar artery course?
runs under the cover of abductor haluusics then between it and the flexor digitorum brevis to the medial side of medial plantar nerve ends at the base of first metatarsal bone by anastomosing with the digital branch to the medial side of the big toe
59
superficial digital branches of the medial plantar describe.
they are 3 small branches runing with the branches of m p n | and then they anastomose with the 3 plantar metatarsals of the plantar arch
60
anastomtic branches of the lateral plantar artery ?
with branches of arcuate art and lateral tarsal branches !
61
describe the perforator branches of the plantar side of foot.
the proximal perforator directly from the lateral plantar art which anastsomos with domea dorsal metatarsal branches through interosseus spaces ; the distal perofrateros (ant) they arise from the plantar metatarsal branches of the plantar arch of lateral planatr art they join domeas dorsal metatarsal art
62
course of the longest vein
from the medial side of dova and then ant to the medial malleolus with the saphenous nerve ascending medially to tibia then posteriomedially at knee joint then medially in the thigh till it reach the saphenous opening hooking round its inferior margin then pierce ciribriform fascia and end in Femoral vein
63
tributaries of the Gs
``` ankle : medial marginal veins leg connected with the ss and the deep veins by perferators thigh receives the vena comitants of superficial circumflex iliac super external peudenal super epigastric epiexcirc ```
64
clincal imp of gGs ?
- blood and fluid perfusion | - coronary by pass ! longest vein replacement for coronary
65
course of Small saphenous vein
from the lateral side of Dova dorsal venous arch ascend behind the lateral malleolus with the Sural Nerve then lateral to tendocalcanueus then it ascend in the mid of the calf between heads of gastrocnemius then pierce the fascia to end in popliteal vein
66
ss ributaries
dorsum of foot deep veins leg cutanuous branches in the thigh with great saphenous 7-13 valves !
67
relation og the pop vein to art?
lower part medial mid post\ upper postlateral