muscles gluteal and lower limbs Flashcards

(84 cards)

1
Q

Between Iliac crest & bottom of
buttock
* Posterior and lateral to pelvis
bone
* Nerve pass through gluteal
region to lower limb.

A

gluteal region

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2
Q

transition points on the leg

A

Similar to Upper Limb, 3 transition
points where nerves, blood vessels
and lymphatics pass through to the
distal limb.

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3
Q

Extensors, Rotators, and
Abductors of the hip joint

A

muscles of gluteal region

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4
Q

know the actions of the lower limbs

A
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5
Q

flexors of the hip joint at muscles of which region

A

gluteal

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5
Q

superficial gluteal region consists of ____

A

gluteus maximus

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6
Q

whats a large superficial muscle in posterior
gluteal region
* A broad origin extending from the
ilium the dorsal surface of the lower
sacrum and the lateral surface of
the coccyx also attached to fascia
overlying the gluteus medius

A

gluteaus maximus

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7
Q

what
* Inserts in fascia lata and femur
* Extensor of thigh from seated
position
* Innervated by inferior gluteal nerve
(Lumbosacral plexus)

A

gluteaus maximus

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8
Q

describe tensor fascia latae in terms of its role in extending the knee

A

Stabilizes the knee in extension by acting
on a specialized longitudinal band of deep
fascia (the iliotibial tract) that passes
down the lateral side of the thigh to
attach to the proximal end of the tibia in
the leg.

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9
Q

whats the lliotibal band syndrome

A

Inflammation of the IT band as a result
of overuse
* Develops in response to repeated
compression on the outside of the knee
or swelling of the fat pad between the
bone and the tendon on the side of the
knee
* Often found in runners/cyclists

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10
Q

originates from
the external surface of the ilium,
between the inferior gluteal line
and the anterior gluteal line. The
muscle fibers converge inferiorly
and laterally to form a tendon,
which inserts greater trochanter of
the Femur.

A

gluteaus minimus

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11
Q

what is innervated by the superior guteal nerve (lumbosacral plexus )

A

gluteus minimus

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12
Q

what overlies gluteus minimus

A

gluteus medius

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13
Q

what is fan shaped and Broad
origin from the external surface of the
ilium and inserts on the greater trochanter
of the Femur

A

gluteaus medius

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14
Q

which muscles abduct the lower limb at the hip joint and
reduce pelvic drop over the opposite
swing limb during walking by securing the
position of the pelvis on the stance limb.

A

gluteaus medius and minimus

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15
Q

what is innervated by superior gluteal nerve
(Lumbosacral plexus).

A

gluteaus medius

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16
Q

this occurs in people with weak or paralyzed
abductor muscles (gluteus medius and gluteus minimus) of the hip

A

Trendelenburg’s sign

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17
Q

what sign is demonstrated by asking the patient to stand on one limb.
When the patient stands on the affected limb, the pelvis severely
drops over the swing limb.
* Positive signs are typically found in patients with damage to the
superior gluteal nerve

A

Trendelenburg’s Sign

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18
Q

which muscle is most superior of
the deep group of muscles and is a muscle
of the pelvic wall and of the gluteal region

  • think deep gluteal region
A

piriformis

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19
Q

what originates on the sacrum and passes
laterally and inferiorly through the greater
sciatic foramen. Inserts on the Femur

A

piriformis

its in the deep gluteal region

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20
Q

what divides greater sciatic foramen
Causes lateral rotation of thigh
Innervated by sacral plexus

A

piriformis

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21
Q

which muscles originate on the posterior abdominal wall
and descend into the upper part of the
anterior compartment of the thigh

A

psoas major and iliacus

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22
Q

illiapsoas muscle

A

A powerful flexor of the thigh at the hip
joint and lateral rotation of the thigh.

  • The psoas major is innervated by anterior
    rami of L1 to L3 and iliacus is innervated by
    femoral nerve
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23
Q

femoral nerve is located in L2-4 what does its distribution include

A

quadriceps sartorius pectineus illoposas muscles

skin of the antermedial thigh and medial surface of the leg and foot

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24
obturator nerve is located in L2-4 what does its distribution include
gracillis and adductor magnus brevis and longus muscles skin from the medial surface of the thigh
25
semimembranous semitendinosus adductor magnus muscles branches into tibial and fibular nerves
sciatic L4-S2
26
passes below piriformis deep to gluteus maximus traveling to posterior thigh, leg & foot. * Very important nerve passing in inferior medial quadrant of buttocks
sciatic nerve
27
what is the site for an intramuscular injection
gluteal region important to avoid sciatic nerve when doing this
28
passes below piriformis in greater sciatic foramen and enters perineum
pudendal nerve
29
what is the safest place to inject intramuscular injection
upper outer quadrant of either gluteal region
30
know femoral triangle
31
think innervation of lower limb where does femoral nerve innervate
anterior thigh
32
where does obturaator nerve innervate
medial thigh
33
sciatic nerve innervates what
posterior thigh leg and foot
34
tibial nerve innervates
posterior leg and foot
35
common fibular nerve innervates
anterior and lateral leg, foot
36
know compartments of the thighslide 27
37
what is compartment syndrome
when there is swelling within a fascial enclosed muscle compartment in the limbs
38
what are some causes of compartment syndrome
limb trauma, intracompartment hemorrhage, and limb compression. * As pressure within the compartment elevates, capillary blood flow and tissue perfusion is compromised, which can ultimately lead to neuromuscular damage if not treated.
39
anterior compartment Sartorius & Quadriceps Femoris—(vastus medialis, intermedius, and lateralis and rectus femoris)
40
The large quadriceps femoris muscle consists of three vastus muscles
vastus medialis, vastus intermedius, and vastus lateralis) and the rectus femoris muscle. * Innervated by Femoral Nerve
41
muscle crosses both the hip and the knee joints
rectus femoris
42
rectus femoris has two tendinous heads of origin from the pelvic bone:
From the anterior inferior iliac spine (straight head) 2. The other from the ilium superior to the acetabulum
43
the ________ tendon continues below the patella to form the _________ and is attached above to the patella and below to the tibia
quadriceps femoris patella ligament and is attached above to the patella and below to the tibia
44
originate from the femur, attaches first to the patella by the quadriceps femoris tendon and then to the tibia by the patellar ligament
vastus muscles
44
rectus femoris extends
knee and flexes hip
45
The vastus medialis is most medial * The vastus intermedius is in the center * The vastus lateralis is the largest of the vastus muscles and most lateral. * All extend ______ (not hip)
knee
46
____ meaning tailor
sartorius
46
which muscle is most superficial muscle in the anterior compartment of the thigh and is a long strap-like muscle that descends obliquely through the thigh from the iliac spine to the medial surface of the tibia
sartorius muscle
47
which muscle Flexes knee & hip, lateral rotation & abduction of hip. * Innervated by the femoral nerve.
sartorius
48
gracilis, pectineus, adductor longus, adductor brevis, adductor magnus, and obturator externus
medial compartment of the thigh
49
gracilis, pectineus, adductor longus, adductor brevis, adductor magnus, and obturator externus
mainly adduct the thigh at the hip joint; the adductor muscles also medially rotate the thigh. * Obturator externus is a lateral rotator of the thigh at the hip joint. * Most innervated by the obturator nerve
50
innervated by the femoral nerve, part of the adductor magnus innervated by the sciatic nerve
pectineus
51
posterior compartment of lower limbs has three muscles called "hamstrings"
Semitendinosus * Semimembranosus * Biceps femoris * Innervated by sciatic nerve
52
Forms a long tendon, which lies on the semimembranosus muscle and curves around the medial condyle of the tibia and inserts into the medial surface of the tibia.
semitendinosus
53
medial to the biceps femoris muscle. It originates with the long head of the biceps femoris muscle from the ischial tuberosity.
semitendinosus
54
Flexes the leg at the knee joint and extends the thigh at the hip joint. Also medially rotates the thigh at the hip joint and medially rotates the leg at the knee joint.
semitendinosus
55
Innervated by the tibial nerve (sciatic nerve).
semitendinosus
56
muscle is lateral in the posterior compartment of the thigh and has two heads – long head & short head
biceps femoris
57
biceps femoris
Fibers from the two heads form a tendon, which is palpable on the lateral side of the distal thigh. The main part of the tendon inserts into the lateral surface of the fibul
58
Flexes the leg at the knee joint. The long head also extends and laterally rotates the hip. When the knee is partly flexed, the biceps femoris can laterally rotate the leg at the knee joint * Innervated by Sciatic nerve
biceps femoris
59
common source of pain in athletes, particularly in those competing in sports such as sprinting, track and field, football by injury from excessive stretching
injury to the hamstring muscles The injury can range from a mild muscle strain to a complete tear of a muscle or a tendon. * Both ultrasound and MRI can be used to assess the hamstring injur
60
major contents are the popliteal artery, the popliteal vein, and the tibial and common fibular nerves (sciatic nerve)
popliteal fossa
60
Pes Anserinus On Medial Knee
* Gracilis – medial compartment * Semitendinosus – posterior compartment * Sartorius – Anterior compartment
61
muscles in the _____ compartment predominantly evert the foot
lateral
62
muscles in the ____ compartment dorsiflex the foot and extend the digits
anterior
63
muscles in the ____ compartment plantarflex the foot and flex the digits
posterior
64
know leg compartments slide 44 lower limbs
65
know superficial muscles slide 45
66
the most superficial and one of the largest muscles in the leg. Originates from two heads, one lateral and one medial, form the ‘calf
gastrocnemius muscle
67
Origin on posterior femur * Muscle fibers converge with deeper soleus muscle to form the calcaneal tendon which attaches to the calcaneus (heel) of the foot
gastrocnemius
68
The gastrocnemius plantarflexes the foot at the ankle joint and can also flex
the lg at the knee joint innervated by the tibial nerve
69
small muscle belly and a long thin tendon, which descends and joins the calcaneal tendon. Origin on the femur inserts at calcaneus
plantaris posterior superficial muscle
70
Causes plantarflexion of the foot at the ankle joint and flexion of the leg at the knee joint. * Innervated by the tibial nerve.
plantaris
71
large flat muscle under the gastrocnemius muscle. It is attached to the proximal ends of the fibula and tibia
soleus
72
lower leg, _____ muscle narrows to join the calcaneal tendon that attaches to the calcaneus. * Also plantarflexes the foot at the ankle joint. * It is innervated by the tibial nerve
soleus
73
popliteus, flexor hallucis longus, flexor digitorum longus, and tibialis posterior
four muscles in the deep posterior compartment of the leg
74
muscle acts on the knee, whereas the other three muscles act mainly on the foot. Innervated by the tibial nerve
popliteus
75
Inversion and plantarflexion (weak)
Tibialis posterior
76
Tendons extend into plantar surface to phalanges * Flexion of toes
Flexor digitorum longus and hallucis longus
77
Fibularis longus and brevis * Eversion of ankle
lateral compartment
78
Attaches to medial foot * Dorsiflexion and inversion of foot
tibialis anterior
79
hallucis longus * Dorsiflexion and extension of toes
Extensor digitorum longus
80
intrinsic and extrinsic muscle control * Innervation from tibial and common fibular nerve branches * Arterial arch of blood supply * Tarsal tunnel * Posterior tibial artery * Tibial nerv
foot