Lower Limb Flashcards

(106 cards)

1
Q

Psoas Major Proximal and Distal attachments

A

Proximal attachment - T12-L5 vertebral bodies & transverse processes

Distal attachment - Lesser trochanter

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2
Q

Psoas Major Innervation

A

L1-3 Ventral Rami

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3
Q

Illiacus proximal and distal attachments

A

Proximal attachment - Illiac fossa

Distal attachment - Lesser trochanter & anterior capsule of hip joint

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4
Q

Illiacus innervation

A

Femoral Nerve

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5
Q

Obturator externus proximal and distal attachment

A

Proximal attachment - external surface of obturator membrane & foramen

Distal attachment - trochanteric fossa

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6
Q

Obturator externus innervation

A

Obturator nerve

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7
Q

Tensor Fascia lata proximal and distal attachments

A

Proximal attachment - Illiac crest between anterior superior iliac spine (ASIS) and tubercle of crest

Distal attachment - Anterior aspect of ITB

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8
Q

Tensor Fascia Lata innervation

A

Superior gluteal nerves L4, L5 & S1

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9
Q

Gluteus medius proximal and distal attachments

A

Proximal attachment - gluteal surface of ilium

Distal attachment - greater trochanter

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10
Q

Gluteus medius innervation

A

Superior gluteal nerves L4, L5 & S1

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11
Q

Gluteus minimus proximal and distal attachments

A

Proximal attachment - Gluteal surface of ilium

Distal attachment - Greater trochanter

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12
Q

Gluteus minimus innervation

A

Superior gluteal nerves L4, L5 & S1

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13
Q

Gluteus maximus proximal and distal attachments

A

Proximal attachment - ilium, sacrum, coccyx, sacrotuberous ligament & thoracolumbar fascia

Distal attachment - Posterior proximal femur (gluteal tuberosity) & posterior aspect ITB

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14
Q

Gluteus maximus innervation

A

Inferior gluteal nerve L5, S1 & S2

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15
Q

Piriformis proximal and distal attachments

A

Proximal attachment - anterior sacrum

Distal attachment - Greater trochanter

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16
Q

Piriformis innervation

A

L5, S1 & S2

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17
Q

Gemellus superior proximal and distal attachments

A

Proximal attachment - ischial spine

Distal attachment - greater trochanter

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18
Q

Gemellus superior innervation

A

Nerve to obturator internus

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19
Q

Obturator internus proximal and distal attachments

A

Proximal attachment - interal surface of obturator membrane & foramen

Distal attachment - greater trochanter

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20
Q

Obturator internus innervation

A

nerve to obturator internus, L5 & S1

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21
Q

Gemellus inferior proximal and distal attachments

A

Proximal attachment - ischial tuberosity

Distal attachment - greater trochanter

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22
Q

Gemellus inferior innervation

A

nerve to quadratus femoris

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23
Q

Quadratus femoris proximal and distal attachments

A

Proximal attachment - lateral aspect of ischium anterior to ischial tuberosity

Distal attachment - intertrochanteric crest

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24
Q

Quadratus femoris innervation

A

nerve to quadratus femoris

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25
Sartorius proximal and distal attachments
Proximal attachment - anterior superior iliac spine (ASIS) Distal attachment - anteromedial proximal tibia
26
Sartorius innervation
Femoral L2-4
27
Rectus Femoris proximal and distal attachments
Proximal attachment: straight head - Anterior inferior iliac spine (AIIS) reflected head - ilium above acetabulum Distal attachment - tibial tuberosity
28
Rectus femoris innervation
Femoral L2-4
29
Pectineus proximal and distal attachments
Proximal attachment - superior pubic ramus (pectineal line) Distal attachment - Proximal femur (pectineal line)
30
Pectineus innervation
Femoral & obturator nerves
31
Adductor brevis proximal and distal attachments
Proximal attachment - inferior pubic ramus Distal attachment - Proximal posterior shaft femur (upper 1/3 linea aspera)
32
Adductor brevis innervation
Obturator nerve L2-4
33
Adductor longus proximal and distal attachments
Proximal attachment - body of pubis Distal attachment - middle posterior shaft femur (middle 1/3 linea aspera)
34
Adductor longus innervation
obturator nerve L2-4
35
Adductor magnus proximal and distal attachments
Proximal attachment: Adductor part - ischiopubic ramus Hamstring part - ischial tuberosity Distal attachment: Adductor part - posterior shaft femur (linea aspera & medial supracondylar line Hamstring part - addductor tubercle & medial supracondylar line
36
Adductor magnus innervation
obturator nerve L2-4
37
Gracilis proximal and distal attachments
Proximal attachment - body of pubis & ischiopubic ramus Distal attachment - anteromedial proximal tibia
38
Gracilis innervation
obturator nerve
39
Biceps femoris long head proximal and distal attachment
Proximal attachment - ischial tuberosity Distal attachment - head of fibula
40
Biceps femoris long head innervation
Tibial nerve L5, S1, S2
41
Biceps femoris short head proximal and distal attachments
Proximal attachment - linea aspera Distal attachment - head of fibula
42
Biceps femoris short head innervation
Common fibular nerve L5, S1, S2
43
Semitendinosus proximal and distal attachments
Proximal attachment - ischial tuberosity Distal attachment - anteromedial proximal tibia
44
Semitendinosus innervation
Tibial nerve L5, 21, S2
45
Semimembranosus proximal and distal attachments
Proximal attachment - ischial tuberosity Distal attachment - posterior tibial condyle
46
Semimembranosus innervation
Tibial nerve L5, S1, S2
47
Femoral triangle borders
Base - inguinal ligament Lateral Border - medial edge of sartorius Medial Border - medial edge of adductor longus
48
Femoral triangle contents from medial to lateral
femoral vein, femoral artery, femoral nerve (VAN)
49
What is the adductor tubercle the attachment site for?
Adductor magnus
50
What is the tibial tuberosity the attachment site for?
Patellar tendon
51
What is the Anterolateral (Gerdy's) tubercle the attachment site for?
Iliotibial band
52
Where does the Anterolateral (Gerdy's) tubercle sit?
Roughly halfway between the atricular facet for fibula and tibial tuberosity
53
What attaches to the head of the fibula?
Biceps femoris and lateral collateral ligament
54
Tibial (medial) collateral ligament (TCL/MCL of knee) attachments
Medial epicondyle - fibrous capsule - tibia
55
TCL main movement resisted
valgus (lateral deviation)
56
Fibular (lateral) collateral ligament (FCL/LCL of knee) attachments
lateral epicondyle - head of fibula
57
FCL main movement resisted
varus (medial deviation)
58
Anterolateral ligament (ALL) attachments
lateral epicondyle - between Gerdy's tubercle & head of fibula
59
ALL main movement resisted
Tibia internal rotation in 30 degree Flexion, anterolateral instability
60
Anterior cruciate ligament (ACL) attachments
Anterior intercondylar area of tibia - lateral wall of intercondylar fossa of femur
61
ACL main movement resisted
Anterior translation of tibia on femur, valgus, internal and external rotation at 10 and 30 degree flexio, posterior translation of tibia on femur
62
Posterior cruciate ligament (PCL) attachments
Posterior intercondylar area of tibia - medial wall of intercondylar fossa of femur
63
PCL main movement resisted
posterior translation of tibia on femur
64
Oblique popliteal ligament (OPL) attachments
Reinforcement of posterior capsule: from semimembranosus tendon inferomedially - superolaterally across posterior capsule
65
OPL main movement resisted
Hyperextension
66
Joint classification of tibiofemoral joint
synovial bicondylar
67
Joint classification of patellofemoral joint
synovial gliding
68
Sartorius action/s
Hip flexion, lateral rotation, abduction Knee flexion, medial rotation
69
Rectus femoris proximal and distal attachments
Proximal: Straight head - Anterior inferior iliac spine (AIIS), Reflected head - superior to acetabulum Distal: Tibial tuberosity via quadriceps tendon and patella tendon
70
Rectus femoris action/s
Hip flexion and knee extension
71
Rectus femoris nerve innervation
femoral nerve
72
Vastus lateralis proximal and distal attachments
Proximal: lateral and posterior femur and greater trochanter Distal: Tibial tuberosity via quadriceps tendon and patella tendon
73
Vastus lateralis action/s
Knee extension
74
Vastus lateralis nerve innervation
femoral nerve
75
Vastus intermedius proximal and distal attachments
Proximal: upper 2/3 of anterolateral femur Distal: Tibial tuberosity via quadriceps tendon and patella tendon
76
Vastus intermedius action/s
knee extension
77
Vastus intermedius nerve innervation
femoral nerve
78
Vastus medialis longus proximal and distal attachments
Proximal: medial and posterior femur Distal: Tibial tuberosity via quadriceps tendon and patella tendon
79
Vastus medialis longus action/s
Knee extension
80
Vastus medialis longus nerve innervation
femoral nerve
81
Vastus medialis obliquus proximal and distal attachments
Proximal: adductor magnus tendon Distal: medial patella
82
Vastus medialis obliquus action/s
resist lateral patellar displacement
83
Vastus medialis obliquus nerve innervation
femoral nerve
84
Gracilis action/s
Hip adduction and knee flexion
85
Pectineus action/s
hip flexion and adduction
86
Adductor longus action/s
hip flexion, adduction and medial/internal rotation
87
Adductor brevis action/s
adduction, flexion
88
Adductor magnus action/s
superior part - lateral/external rotation adduction, extension
89
Biceps femoris short head action/s
knee flexion and lateral rotation
90
Biceps femoris long head action/s
Hip extension and knee flexion and lateral rotation
91
Semitendinosus action/s
hip extension and knee flexion and meidla rotation
92
Semimembranosus action/s
Hip extension and knee flexion and medial rotation
93
What is the "pes anserinus"?
Conjoined tendon of: sartorius, gracilis, semitendinosus insertion: anteromedial proximal tibia
94
Tensor fasciae latae proximal and distal attachments
Proximal: ASIS, iliac crest and tubercle Distal: anterior aspect of proximal ITB
95
Tensor fasciae latae action/s
Hip flexion, interal rotation and abduction ITB resists knee varus
96
Iliotibial band (ITB) insertion
inserts distally on the anterolateral (Gerdy's) tubercle of the tibia deep fibres anchor the ITB to the lateral femoral condyle
97
Gluteus maximus action/s
Hip extension, lateral rotation and abduction (superior portion), adduction (inferior portion) ITB resists knee varus
98
Gastrocnemius proximal and distal attachments
Proximal: medial head - proximal to medial femoral condyle ; lateral head - lateral femoral condyle Distal: Posterior calcaneus
99
Gastrocnemius action/s
ankle plantar flexion (foot point to floor) and knee flexion
100
Gastrocnemius nerve innervation
tibial nerve
101
Plantaris proximal and distal attachments
Proximal: lateral supracondylar line and oblique popliteal ligament Distal: posterior calcaneus
102
Plantaris action/s
weak plantar flexion (foot point to floor) and weak knee flexion
103
plantaris nerve innervation
tibial nerve
104
popliteus proximal and distal attachments
Proximal: lateral femoral condyle Distal: posterior proximal tibia
105
popliteus action/s
Lateral rotation of femur on tibia in weight bearing Medial rotation of tibia on femur in non-weight bearing
106