Lower limb Week 11 Flashcards

(235 cards)

1
Q

What are the bones of lower limbs

A

Hip (Sacrum, Coccyx), Femur, Patella, Tibia, Fibula, tarsals, metatarsals, phalanges

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2
Q

What are the muscles of the hip region

A

Psoas major

Psoas minor

Iliacus

Tensor Fascia Latae

Pectineus

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3
Q

What is the proximal attachment of psoas major

A

Lumbar vertebra

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4
Q

What is the distal attachment of psoas major

A

Lesser trochanter of femur

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5
Q

What is the nerve supply of psoas major

A

Lumber plexus L1-L4

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6
Q

What is the blood supply of psoas major

A

Iliolumbar artery

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7
Q

What is the action of psoas major

A

Flexes thigh at hip joint

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8
Q

What is the proximal attachment of psoas minor

A

Bodies & intervertebral discs T12-L5

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9
Q

What is the distal attachment of psoas minor

A

Pectineal line

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10
Q

What is the nerve supply of psoas minor

A

Spinal nerves L1

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11
Q

What is the blood supply of psoas minor

A

Iliolumbar artery

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12
Q

What is the action of psoas minor

A

Flexes thigh at hip joint

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13
Q

What is the proximal attachment of iliacus

A

iliac fossa

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14
Q

What is the distal attachment of iliacus

A

lesser trochanter of femur

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15
Q

What is the nerve supply of iliacus

A

Femoral nerve

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16
Q

What is the blood supply of iliacus

A

medial circumflex femoral artery

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17
Q

What is the action of iliacus

A

flexes thigh at hip joint

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18
Q

What is the proximal attachment of tensor fascia lata

A

anterior superior iliac spin

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19
Q

What is the distal attachment of tensor fascia lata

A

iliotibial tract

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20
Q

What is the nerve supply of tensor fascia lata

A

superior gluteal nerve

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21
Q

What is the blood supply of tensor fascia lata

A

lateral circumflex femoral artery & superior gluteal artery

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22
Q

What is the action of tensor fascia lata

A

abduction & internal rotation of thigh

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23
Q

What is the proximal attachment of pectineus

A

superior ramus of pubis

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24
Q

What is the distal attachment of pectineus

A

line between lesser trochanter of femur and linea aspera

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25
What is the nerve supply of pectineus
femoral & obturator nerve
26
What is the blood supply of pectineus
medial circumflex femoral artery
27
What is the action of pectineus
adduction, flexion, medial rotation of thigh
28
What is the proximal attachment of Gluteus maximus
posterior surface of ilium, sacrum, coccyx
29
What is the distal attachment of Gluteus maximus
iliotibial tract & gluteal tuberosity
30
What is the nerve supply of Gluteus maximus
inferior gluteal nerve
31
What is the blood supply of Gluteus maximus
superior & inferior gluteal artery
32
What is the action of Gluteus maximus
abduction, extension & lateral rotation of hip
33
What is the proximal attachment of Gluteus medius
posterior surface of ilium
34
What is the distal attachment of Gluteus medius
lateral surface of greater trochanter
35
What is the nerve supply of Gluteus medius
superior gluteal nerve
36
What is the blood supply of Gluteus medius
superior & inferior gluteal artery
37
What is the action of Gluteus medius
abduction, flexion & medial rotation of thigh
38
What is the proximal attachment of Gluteus minimus
posterior surface of ilium but inferior to gluteus medius
39
What is the distal attachment of Gluteus minimus
anterior side of greater trochanter
40
What is the nerve supply of Gluteus minimus
superior gluteal nerve
41
What is the blood supply of Gluteus minimus
superior & inferior gluteal artery
42
What is the action of Gluteus minimus
abduction, flexion & medial rotation of thigh
43
What is the proximal attachment of piriformis
anterior surface of sacrum
44
What is the distal attachment of piriformis
greater trochanter of femur
45
What is the nerve supply of piriformis
sacral plexus L5 - S2
46
What is the blood supply of piriformis
superior & inferior gluteal artery
47
What is the action of piriformis
lateral rotation, abduction & extension of hip joint
48
What does the superior & inferior gluteal artery supply
gluteus maximus, medius, minimus and piriformis
49
What can be found at the femoral triangle
femoral vein, artery & nerve
50
what are the boundaries of the femoral triangle
superiorly - inguinal ligament medially - adductor longus laterally - sartorius
51
What is the proximal attachment of adductor longus
pubis
52
What is the distal attachment of adductor longus
middle 1/3 of linea aspera
53
What is the nerve supply of adductor longus
obturator nerve
54
What is the blood supply of adductor longus
deep femoral
55
What is the action of adductor longus
strong adductor of thigh & medial rotation
56
What is the proximal attachment of gracilis
pubis (inferior rami & body)
57
What is the distal attachment of gracilis
anterior medial aspect of proximal tibia
58
What is the nerve supply of gracilis
obturator nerve
59
What is the blood supply of gracilis
obturator artery
60
What is the action of gracilis
adduction of thigh at hip, flexion of leg at the knee
61
What is the proximal attachment of obturator externus
lateral surface of obturator membrane & ischiopubic ramus
62
What is the distal attachment of obturator externus
posterior part of greater trochanter
63
What is the nerve supply of obturator externus
obturator nerve
64
What is the blood supply of obturator externus
obturator artery
65
What is the action of obturator externus
adduction & lateral rotation of thigh
66
What is the proximal attachment of adductor part of adductor magnus
inferior rami of pubis & rami of ischium
67
What is the distal attachment of adductor part of adductor magnus
linea aspera of femur
68
What is the nerve supply of adductor part of adductor magnus
obturator nerve
69
What is the blood supply of adductor part of adductor magnus
deep femoral
70
What is the action of adductor magnus
adducts & flexes thigh with hamstring portion extending thigh
71
What is the proximal attachment of hamstring part of adductor magnus
ischial tuberosity
72
What is the distal attachment of hamstring part of adductor magnus
adductor tubercle & medial supracondylar line of femur
73
What is the nerve supply of hamstring part of adductor magnus
sciatic nerve
74
What is the blood supply of hamstring part of adductor magnus
deep femoral
75
what are the muscles involved in internal rotation
tensor fascia latae gluteus medius gluteus minimus
76
what are the muscles involved in external rotation
gluteus maximus piriformis bicep femoris (long head)
77
what are the muscles involved in abduction
"SPGG" sartorius piriformis gluteus maximus gluteus medius
78
what are the muscles involved in adduction
pectineus adductor brevis adductor longus adductor magnus gracilis
79
what are the muscles involved in flexion
psoas iliacus sartorius rectus femoris
80
what are the muscles involved in extension
gluteus maximus bicep femoris semimembranosis semitendinosis
81
what is the proximal attachment of bicep femoris
long head - ischial tuberosity of ischium short head - linea aspera on posterior surface of femur
82
what is the distal attachment of bicep femoris
fibular head & lateral condyle of tibia
83
what is the nerve supply of bicep femoris
long head - tibial nerve short head - common fibular nerve
84
what is the blood supply of bicep femoris
profunda femoris & inferior gluteal
85
what is the action of bicep femoris
flexion at knee extends thigh at hip laterally rotates at hip & knee
86
what is the proximal attachment of semitendinosus
ischial tuberosity
87
what is the distal attachment of semitendinosus
medial surface of tibia
88
what is the nerve supply of semitendinosus
tibial nerve
89
what is the blood supply of semitendinosus
profunda femoris & inferior gluteal
90
what is the action of semitendinosus
flex leg at knee joint extends thigh at hip medially rotates thigh at hip joint & leg at knee joint
91
what is the proximal attachment of semimembranosus
ischial tuberosity
92
what is the distal attachment of semimembranosus
medial condyle of tibia
93
what is the nerve supply of semimembranosus
tibial nerve
94
what is the blood supply of semimembranosus
profunda femoris & inferior gluteal
95
what is the action of semimembranosus
flexion & medial rotation of leg at knee joint extension & medial rotation of thigh at hip joint
96
what is the proximal attachment of tibialis anterior
lateral surface of tibia & lateral tibial condyle
97
what is the distal attachment of tibialis anterior
medial cuneiform & base of 1st metatarsal
98
what is the nerve supply of tibialis anterior
deep fibular nerve
99
what is the blood supply of tibialis anterior
anterior tibial artery
100
what is the action of tibialis anterior
dorsiflexion & foot inversion
101
what is the proximal attachment of extensor digitorum longus
upper tibia & fibula interosseous membrane
102
what is the distal attachment of extensor digitorum longus
tendon split into 4, each attaching to bases of 4 toes
103
what is the nerve supply of extensor digitorum longus
deep fibular nerve
104
what is the blood supply of extensor digitorum longus
anterior tibial artery
105
what is the action of extensor digitorum longus
extends digits 2-5 & dorsiflexion of foot
106
what is the proximal attachment of extensor hallucis longus
middle shaft of fibula interosseous membrane
107
what is the distal attachment of extensor hallucis longus
base of distal phalanx of big toe
108
what is the nerve supply of extensor hallucis longus
deep fibular nerve
109
what is the blood supply of extensor hallucis longus
anterior tibial artery
110
what is the action of extensor hallucis longus
extension of big toe & dorsiflexion and inversion of foot
111
what is the proximal attachment of fibularis tertius
anterior surface of fibula & tibiofibular ligament
112
what is the distal attachment of fibularis tertius
base of metatarsal V
113
what is the nerve supply of fibularis tertius
deep fibular nerve
114
what is the blood supply of fibularis tertius
anterior tibial artery
115
what is the action of fibularis tertius
dorsiflexion and foot eversion
116
what is the proximal attachment of fibularis longus
head of fibula lateral tibial condyle
117
what is the distal attachment of fibularis longus
medial cuneiform base of 1st metatarsal
118
what is the nerve supply of fibularis longus
superficial fibular (peroneal) nerve
119
what is the blood supply of fibularis longus
fibular artery
120
what is the action of fibularis longus
plantarflexion & foot eversion
121
what is the proximal attachment of fibularis brevis
distal 2/3 of fibular shaft surface
122
what is the distal attachment of fibularis brevis
tuberosity of 5th metatarsal
123
what is the nerve supply of fibularis brevis
superficial fibular (peroneal) nerve
124
what is the blood supply of fibularis brevis
fibular artery
125
what is the action of fibularis brevis
plantarflexion & foot eversion
126
What muscles are innervated by deep fibular nerve
"FEET" tibialis anterior extensor digitorum longus extensor hallucis longus fibularis tertius
127
What muscles are supplied by anterior tibial artery
"FEET" tibialis anterior extensor digitorum longus extensor hallucis longus fibularis tertius
128
What muscles are innervated by superficial fibular (peroneal) nerve
fibularis longus fibularis brevis
129
What muscles are supplied by fibular artery
fibularis longus fibularis brevis
130
What muscles do plantarflexion & foot eversion
fibularis longus fibularis brevis
131
what is the proximal attachment of gastrocnemius
lateral & medial heads attach to lateral & medial femoral condyles
132
what is the distal attachment of gastrocnemius
fuses w/ soleus muscle to form calcaneal tendon which inserts into calcaneus bone
133
what is the nerve supply of gastrocnemius
tibial nerve
134
what is the blood supply of gastrocnemius
sural artery & post tibial
135
what is the action of gastrocnemius
plantarflexes at ankle joint
136
what is the proximal attachment of plantaris
lateral supracondylar line of femur
137
what is the distal attachment of plantaris
calcaneal tendon inserts into calcaneus bone
138
what is the nerve supply of plantaris
tibial nerve
139
what is the blood supply of plantaris
sural artery
140
what is the action of plantaris
plantarflexes at ankle joint
141
what is the proximal attachment of soleus
soleal line of tibia proximal fibular area
142
what is the distal attachment of soleus
calcaneal tendon inserts into calcaneus bone
143
what is the nerve supply of soleus
tibial nerve
144
what is the blood supply of soleus
sural artery & post tibial
145
what is the action of soleus
plantarflexes foot at ankle joint
146
what is the action of soleus
plantarflexes foot at ankle joint
147
what is the proximal attachment of fibularis longus
head of fibula & lateral tibial condyle
148
what is the distal attachment of fibularis longus
medial cuneiform & base of 1st metacarpal
149
what is the innervation of fibularis longus
superficial fibular (peroneal) nerve
150
what is the blood supply of fibularis longus
fibular artery
151
what is the action of fibularis longus
plantarflexion & foot eversion
152
what is the proximal attachment of fibularis brevis
distal 2/3s of fibular shaft surface
153
what is the distal attachment of fibularis brevis
tuberosity of 5th metatarsal
154
what is the innervation of fibularis brevis
superficial fibular (peroneal) nerve
155
what is the blood supply of fibularis brevis
fibular artery
156
what is the action of fibularis brevis
plantarflexion & foot eversion
157
what is the proximal attachment of fibularis tertius
anterior surface of fibula & tibiofibular ligament
158
what is the distal attachment of fibularis tertius
base of metacarpal V
159
what is the innervation of fibularis tertius
deep fibular nerve
160
what is the blood supply of fibularis tertius
anterior tibial artery
161
what is the action of fibularis tertius
dorsiflexion & foot eversion
162
what is the proximal attachment of extensor hallucis longus
middle shaft of fibula & interosseous membrane
163
what is the distal attachment of extensor hallucis longus
base of distal phalanx of great toe
164
what is the innervation of extensor hallucis longus
deep fibular nerve
165
what is the blood supply of extensor hallucis longus
anterior tibial artery
166
what is the action of extensor hallucis longus
big toe extension dorsiflexion & inversion of foot
167
what is the proximal attachment of extensor digitorum longus
upper tibia & fibula interosseous membrane
168
what is the distal attachment of extensor digitorum longus
tendon splits into 4 & attaches to bases of 4 toes
169
what is the innervation of extensor digitorum longus
deep fibular nerve
170
what is the blood supply of extensor digitorum longus
anterior tibial artery
171
what is the action of extensor digitorum longus
extends digits 2-5 & foot dorsiflexion
172
what is the proximal attachment of tibialis anterior
lateral surface of tibia & lateral tibial condyle
173
what is the distal attachment of tibialis anterior
medial cuneiform & base of 1st metatarsal
174
what is the innervation of tibialis anterior
deep fibular nerve
175
what is the blood supply of tibialis anterior
anterior tibial artery
176
what is the action of tibialis anterior
dorsiflexion & foot inversion
177
what is the proximal attachment of abductor hallucis
calcaneus tuberosity plantar aponeurosis
178
what is the distal attachment of abductor hallucis
proximal phalanx of 1st toe
179
what is the innervation of abductor hallucis
medial / lateral plantar nerve
180
what is the blood supply of abductor hallucis
medial / lateral plantar artery
181
what is the action of abductor hallucis
abducts big toe
182
what is the proximal attachment of abductor digiti minimi
calcaneus tuberosity plantar aponeurosis
183
what is the distal attachment of abductor digiti minimi
proximal phalanx of 5th toe
184
what is the innervation of abductor digiti minimi
medial / lateral plantar nerve
185
what is the blood supply of abductor digiti minimi
medial / lateral plantar artery
186
what is the action of abductor digiti minimi
abducts & flexes small toe
187
what is the proximal attachment of flexor digitorum brevis
medial tubercle of plantar calcaneus plantar aponeurosis
188
what is the distal attachment of flexor digitorum brevis
medial & lateral sides of middle phalanges 2nd to 5th toes
189
what is the innervation of flexor digitorum brevis
medial / lateral plantar nerve
190
what is the blood supply of flexor digitorum brevis
medial / lateral plantar artery
191
what is the action of flexor digitorum brevis
flexes 2nd - 5th toes
192
what is the proximal attachment of lumbricals
from tendons of flexor digitorum longus
193
what is the distal attachment of lumbricals
proximal phalanx of 2nd - 4th toes
194
what is the innervation of lumbricals
medial / lateral plantar nerve
195
what is the blood supply of lumbricals
medial / lateral plantar artery
196
what is the action of lumbricals
flexes MCP joint
197
What are the ligaments of the knee joint
cruciate ligaments menisci tibial collateral ligament patellar ligament fibular collateral ligament
198
what are the ligaments of the ankle joint
medial & lateral ligaments
199
what is the proximal attachment of popliteus
lateral condyle of femur & lateral meniscus
200
what is the distal attachment of popliteus
just superior to soleal line on tibia
201
what is the nerve supply of popliteus
tibial nerve
202
what is the blood supply of popliteus
sural artery
203
what is the action of popliteus
laterally rotates femur on tibia
204
what is the proximal attachment of tibialis posterior
interosseous membrane between tibia & fibula posterior surfaces of both bones
205
what is the distal attachment of tibialis posterior
navicular tuberosity adjacent tarsal bones base of metatarsals
206
what is the nerve supply of tibialis posterior
tibial nerve
207
what is the blood supply of tibialis posterior
posterior tibial artery
208
what is the action of tibialis posterior
inverts & plantarflexes foot maintains medial arch of foot
209
what is the proximal attachment of flexor digitorum longus
medial surface of tibia
210
what is the distal attachment of flexor digitorum longus
divides into 4 parts attaching into bases of distal phalanges of 2nd - 5th toes
211
what is the nerve supply of flexor digitorum longus
tibial nerve
212
what is the blood supply of flexor digitorum longus
posterior tibial artery
213
what is the action of flexor digitorum longus
flexes lateral 4 toes
214
what is the proximal attachment of flexor hallucis longus
posterior surface of fibula
215
what is the distal attachment of flexor hallucis longus
base of distal phalanx of great toe
216
what is the nerve supply of flexor hallucis longus
tibial nerve
217
what is the blood supply of flexor hallucis longus
posterior tibial artery fibular artery
218
what is the action of flexor hallucis longus
flexes great toe
219
what is the name of flat foot
pes planus
220
what is the name of high arch of foot
pes cavus
221
What are the continuations of common iliac artery
internal iliac > gluteal & obturator arteries external iliac > femoral artery
222
What are the continuations of femoral artery
profunda femoris circumflex femoral artery (branches from profunda femoris artery)
223
What are the continuations of popliteal artery
anterior tibial artery posterior tibial artery fibular (peroneal) artery genicular branches
224
what is the branch from posterior tibial artery
fibular (peroneal) artery
225
what is the anterior tibial artery continue to become down to the toes
dorsalis pedis artery
226
when does femoral artery become popliteal artery
after passing through adductor hiatus to back of knee
227
what are the superficial veins
only 2 main veins (both formed from dorsal venous arch of foot and dorsal vein of big toe) - small saphenous vein - great saphenous vein
228
what veins drain into external iliac vein
3 femoral related veins: CPF femoral vein, profunda femoris & circumflex femoral vein
229
what veins empty into internal iliac vein
superior & inferior gluteal veins
230
what are the nerves of the hip & thigh
femoral nerve saphenous nerve obturator nerve
231
what are the nerve of popliteal fossa
tibial nerve common fibular nerve
232
what are the nerves of gluteal region
inferior & superior gluteal nerves pudendal nerves sciatic nerve
233
what are the nerves of the leg
tibial nerve deep fibular nerve superficial fibular nerve sural nerve
234
what can be found at popliteal fossa
tibial nerve popliteal vein & artery
235
what does sciatic nerve split to form
tibial nerve & common fibular nerve