Palpation and position of DFL

Question 1

Position compared to other muscles, Scaleni

Answer 1

Superiorly is deep to scm

Question 2

Position of Longus Colli

Answer 2

Very deep in anterior neck. Deep to hyoid bone, suprahyoid and infrahyoid muscles, trachea, and the esophagus. Where the longus colli and capitis overlap, the colli is deep to the capitis

Question 3

Position of Longus Capitis

Answer 3

Very deep in anterior neck. Deep to hyoid bone, suprahyoid and infrahyoid muscles, trachea, and the esophagus

Question 4

Position of Iliopsoas

Answer 4

Deep to the inguinal ligament and directly anterior to the hip joint

Question 5

Palpation iliopsoas belly

Answer 5

Patient in forward bent position with anterior tilt of pelvis so to relax the abdominal wall muscles Palpate halfway between SIAS and umbilicus, have the patient flex the hip, feel for contraction Same can be done in supine position, but pillow under knees

Question 6

Position pectineus

Answer 6

In the proximal anteromedial thigh, part of the pectineus is superficial and lies medial to the iliopsoas and lateral to the adductor longus The femoral nerve, artery, and vein lie over the lateral aspect of the pectineus

Question 7

Position adductor longus

Answer 7

Much of the muscle is superficial in the proximal anteromedial thigh Is medial to pectineus and lateral to gracilis Adductor brevis is directly deep to the muscle The adductor magnus is directly deep to brevis again

Question 8

Position adductor brevis

Answer 8

(from anterior)Deep to adductor longus Superficial to adductor magnus

Question 9

Position adductor magnus from anterior perspective

Answer 9

Deep to pectineus, adductor longus, and adductor brevis Small portion of the adductor magnus is superficial from anterior perspective, between the sartorius, adductor longus, and the gracilis

Question 10

Position Tibialis posterior

Answer 10

Tibialis posterior, flexor digitorum longus, and flexor hallucis longus are the deepest muscles in the posterior leg. Where these muscles overlap, the tibialis posterior is the deepest Tibialis posterior is deep to the soleus

Question 11

Position flexor digitorum longus

Answer 11

Tibialis posterior, flexor digitorum longus, and flexor hallucis longus are the deepest muscles in the posterior leg. Where these muscles overlap, the tibialis posterior is the deepest Flexor digitorum longus is deep to the soleus

Question 12

Position flexor hallucis longus

Answer 12

Tibialis posterior, flexor digitorum longus, and flexor hallucis longus are the deepest muscles in the posterior leg. Where these muscles overlap, the tibialis posterior is the deepest Flexor hallucis longus is deep to the soleus

Question 13

Position quadratus lumborum

Answer 13

Majority of the muscle is deep to the erector spinae

Question 14

Position scm

Answer 14

Superficial The attachment of scm onto the mastoid process of the temporal bone and the superior nuchal line of the occipital bone is superficial to the splenius capitis

Question 15

Position of rectus femoris

Answer 15

Superficial entire way except proximal attachement, which is deep to the sartorius and the tensor fascia latae Deep to the rectus femoris is vastus intermedius

Question 16

Position tibialis anterior

Answer 16

Sueprficial in anterolateral leg Deep to the belly of tibialis anterior are the extensor digitorum longus and the extensor hallucis longus

Question 17

Position of extensor digitorum longus

Answer 17

Extensor digitorum longus is superficial except proximally, where it is deep to the tibialis anterior and fibularis longus

Question 18

Position of extensor hallucis longus

Answer 18

Extensor hallucis longus arises between the tibialis anterior and extensor digitorum longus and is deep to these muscles proximally A small portion of the belly of the extensor hallucis longus is superifical in the distal half of the leg between the tendons of tibialis anterior and extensor digitorum longus

Question 19

Position of Rectus capitis posterior major

Answer 19

Deep to the trapezius and the semispinalis capitis The occipital attachment is deep to the obliquus capitis superior

Question 20

Position of rectus capitis posterior minor

Answer 20

Deep to trapezius and semispinalis capitis Lies directly medial to the rectus capitis posterior major

Question 21

Position of biceps femoris

Answer 21

Proximally the muscle is deep to the gluteus maximus Short head is deep to the long head except distally near the knee, where some of the fibers of the short head are superficial, lateral to the long head of the biceps femoris

Question 22

Position of semitendinosus

Answer 22

Proximally the muscle is deep to the gluteus maximus Of the 3 muscles that attach into pes anserineus, this muscle attaches most posteriorly

Question 23

Position of semimembranosus

Answer 23

Proximally the muscle is deep to the gluteus maximus The proximal attachment is more lateraly on the tuberositas ischiadicum than the two other hamstrings muscles Deep to the semimembranosus from posterior perspective is the adductor magnus

Question 24

Position gastrocnemius

Answer 24

Superficial in posterior leg Distal belly and tendon of biceps femoris is superficial to the proximal attachment of lateral gastrocnemius

Question 25

Position soleus

Answer 25

Posterioly it is deep to gastrocnemius and plantaris, but medially and laterally it is superficial It is superficial to tibialis posterior, flexor digitorum longus and flexor hallucis longus

Question 26

Position splenius capitis

Answer 26

Deep to trapezius inferiorly, and the sternocleidomastoideus superioly There is a small area part of the muscle which is superficial in the posterior triangle of the neck, between trapezius and sternocleidomastoideus The erector spinae group lies deep to the splenius capitis

Question 27

Position splenius cervicis

Answer 27

Deep to trapezius, the rhomboids, and the serratus posterior superior Toward its superior attachment, the splenius cervicis is deep to the splenius capitis The cervical PT attachments of the muscle is superficial (from posterior) to the cervical PT attachments of levator scapulae and scaleni The erector spinae lies deep to the splenius cervicis

Question 28

Position external intercostals

Answer 28

Located in intercostal space between ribs 1-12, therefore deep to all muscles that overlie the ribcage. Not located between costal cartilages of the ribs External intercostals are directly superficial to the internal intercostals

Question 29

Position internal intercostals

Answer 29

Located in intercostal space between ribs 1-12, therefore deep to all muscles that overlie the ribcage. Not located between costal cartilages of the ribs External intercostals are directly superficial to the internal intercostals Internal intercostals are superficial to the subcostals, and the pleural membrane of the lung

Question 30

Position external obliques

Answer 30

Superficial. Deep to it lies internal oblique, and deep to that the transversus abdominis

Question 31

Position gluteus maximus

Answer 31

Superficial Attachment onto gluteal tuberosity is between vastus lateralis and adductor magnus

Question 32

Position tensor fascia latae

Answer 32

Is anterior to the gluteus medius and posterior to the sartorius

Question 33

Position gluteus medius

Answer 33

Posterior 1/3 is deep to glut max Portion of the anterior part is deep to the tensor fascia latae Middle portion is superficial

Question 34

Position gluteus minimus

Answer 34

Deep to the gluteus medius

Question 35

Position fibularis longus

Answer 35

Proximally is superficial to the extensor digitorum longus Distally is superficial to the fibulars brevis

Question 36

Position fibularis brevis

Answer 36

Deep to the fibularis longus, but not entirely covered by it

Question 37

Palpation popliteus

Answer 37

Patient seated Slide hand around medially of the tibial tuberosity to the posterior shaft Palpate deep to the gastrocnemius Ask patient to medially rotate leg(knee), feel for contraction

Question 38

Palpation tibialis posterior

Answer 38

Tendon at medial malleolus Have the patient invert ankle 3 tendons (tibalis posterior, flexor digitorum longus, flexor hallucis longus), the tibialis posterior is the closest to the medial malleolus

Question 39

Palpation flexor digitorum longus

Answer 39

Tom dick and Harry, middle at tendon medial malleolus Palpate between the soleus and the shaft of the tibia in the medial leg