Muscles of the Lower Limb Flashcards

(68 cards)

1
Q

What are the main objectives of the lecture on muscles of the lower limb?

A

• Understand the organisation of fascia and compartments of the thigh/kūwhā and leg/waewae
• Discuss the muscles acting on the lower limb joints and their functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What movements are associated with the hip joint?

A

• Flexion
• Extension
• Abduction
• Adduction
• Medial rotation
• Lateral rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What movements occur at the knee joint?

A

• Flexion
• Extension
• Medial rotation of flexed knee
• Lateral rotation of flexed knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the movements associated with the ankle joint?

A

• Dorsiflexion
• Plantarflexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What movements occur at the subtalar joint?

A

• Inversion
• Eversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What movements are associated with the interphalangeal joints of the toes?

A

• Flexion
• Extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

List the tissue layers in the lower limb.

A

• Skin
• Superficial fascia (hypodermis)
• Deep fascia
• Muscle
• Bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the function of the deep fascia in the thigh and leg?

A

• Decrease friction
• Aids venous return
• Forms intermuscular septa for compartments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What and where is the iliotibial band?

A

(thickened deep fascia-{fascia lata} of thigh on lateral side)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What and where is the Tensor fasciae latar?

A

Superficial muscle located on the superior lateral region of the thigh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The linear aspera (pointy region of femur bone) points to what compartment of the thigh?

A

Posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Where are the intermuscular septa in the thigh?

A

Lateral and medial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where are the intermuscular septa in the leg?

A

Anterior and Posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the crural fascia

A

A thick connective tissue sheath that surrounds the muscles of the lower leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the Retinaculum

A

Thickening of the deep fascia of the leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where is the Extensor retinaculum?

A

(Dorsum of leg/ankle)
* Superior
* Inferior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Where is the Fibular retinaculum?

A

(Lateral/fibular side)
* Superior
* Inferior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Where is the Flexor retinaculum?

A

(Medial ankle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is compartment syndrome?

A

Increase in pressure within a defined compartment of the limb, demarcated by fascia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the functional groups of muscles acting on the lower limb?

A

• Muscles acting on the hip joint
• Muscles acting on the knee joint
• Muscles acting on the ankle joint
• Muscles acting on the subtalar joint
• Muscles acting on the toes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Name the hip flexor muscles.

A
  • Psoas major
  • Iliacus
  • Psoas minor (if present)
  • Rectus femoris
  • Pectineus
  • Sartorius
  • Tensor fascia latae (TFL)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Where does the psoas major run?

A

from T12-L5 vertebral bodies to lesser trochanter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Where does the iliacus run?

A

From iliac fossa to lesser trochanter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the hip extensor muscles?

A
  • Gluteus maximus
  • Semimembranosus
  • Semitendinosus
  • Biceps femoris (long head and short head)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Which muscles are responsible for hip abduction?
• Gluteus medius • Gluteus minimus
26
Where do the gluteus medius and minimums attach?
Both attach distally to greater trochanter & laterally placed
27
What is trendelenburg sign?
Contraction of gluteus medius and minimus on the stance side prevents excessive pelvic tilt/drop during the swing phase (single limb stance) on the opposite side
28
List the hip adductor muscles.
* Pectineus * Adductor longus * Adductor brevis * Adductor magnus * Gracilis
29
Where is the adductor hiatus?
Between the adductor magnus and adductor tubercle
30
What muscles are involved in lateral rotation of the hip?
* Piriformis * Gemellus superior * Obturator internus * Gemellus inferior * Quadratus femoris * Obturator externus
31
Which muscles are responsible for medial rotation of the hip?
• Gluteus medius • Gluteus minimus • Assisted by most adductors + TFL
32
What are the knee extensor muscles?
• Rectus femoris • Vastus medialis • Vastus intermedius • Vastus lateralis
33
Which muscles are categorized as hamstrings?
• Semimembranosus • Semitendinosus • Biceps femoris (long head and short head)
34
What muscles are responsible for medial rotation of the knee?
Semitendinosus, Semimembranosus
35
What muscles are responsible for lateral rotation of the knee?
Biceps Femoris
36
What is the role of the quadriceps muscles?
They are responsible for knee extension.
37
True or False: The sartorius muscle is involved in knee extension.
True
38
Fill in the blank: The _______ is a thickening of the deep fascia of the leg that stabilizes tendons.
[retinaculum]
39
What is the anatomical term for the compartment of the thigh containing the adductor muscles?
Medial compartment
40
Which muscle assists in preventing excessive pelvic tilt during the stance phase?
Gluteus medius and minimus
41
What is the origin of the psoas major muscle?
From T12-L5 vertebral bodies to lesser trochanter
42
What is the insertion point for the iliacus muscle?
To lesser trochanter
43
What is the origin of the short head of the biceps femoris?
Line aspera
44
What are the distal attachments of the biceps femoris?
Medial tibial condyle, head of fibula
45
Which nerve innervates the posterior compartment of the thigh?
Sciatic nerve
46
Name the muscles that comprise the posterior compartment of the thigh.
* Semimembranosus * Semitendinosus * Biceps femoris (long and short head)
47
What are the main compartments of the thigh?
* Anterior compartment * Medial compartment * Posterior compartment
48
What are the muscles involved in dorsiflexion at the ankle joint?
* Tibialis anterior * Extensor hallucis longus * Extensor digitorum longus
49
Which muscles are responsible for plantarflexion at the ankle joint?
* Gastrocnemius * Soleus * Plantaris (if present) * Tibialis posterior * Flexor digitorum longus * Flexor hallucis longus
50
Fill in the blank: The pes anserinus is located on the _______ tibial condyle.
medial
51
What is the mnemonic for the muscles of the deep posterior leg?
Tom Dick Harry
52
Which muscle is known as the 'unlocking muscle of the knee'?
Popliteus
53
True or False: The popliteus muscle is a plantarflexor.
False
54
What is the primary function of the plantar aponeurosis?
* Protect deeper structures in the sole of the foot * Support longitudinal arch of foot * Stabilise skin * Maintain shape of foot
55
What condition is characterized by irritation to the tendon sheath of the Achilles tendon?
Achilles tendonitis
56
Name the muscles that contribute to toe flexion.
* Flexor hallucis longus * Flexor digitorum longus
57
Which muscles are involved in toe extension?
* Extensor hallucis longus * Extensor digitorum longus
58
What are the main actions at the ankle joint?
* Plantarflexion * Dorsiflexion
59
Which muscles participate in subtalar joint inversion?
* Tibialis anterior * Tibialis posterior
60
Which muscles are responsible for subtalar joint eversion?
* Fibularis/peroneus longus * Fibularis/peroneus brevis
61
What is the clinical significance of plantar fasciitis?
Biomechanical overuse from prolonged standing or running, creating microtears at the calcaneal enthesis
62
What are the main actions of the quadriceps muscle group?
Extension of the knee
63
Fill in the blank: The deep fascia of the thigh is known as _______.
fascia lata
64
What is the primary function of the deep fascia in the limb?
Decrease friction and aid venous return
65
Which muscles are involved in hip flexion?
* Iliacus * Psoas major * Rectus femoris
66
Which muscles are responsible for hip extension?
* Gluteus maximus * Hamstrings
67
Name the two compartments of the leg.
* Anterior compartment * Posterior compartment * Lateral compartment
68
What is Haglund’s deformity?
Bony enlargement of posterior superior calcaneum