9.13.2006 Anteromedial Thigh & Hip Joint

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The ______ is a cup-like depression in the hip where the _________ articulates.: acetabulum; head of the femur
The ____________ bones (3) articulate at the acetabulum.: pubis; ischium; ileum
The obturator foramen is circumscribed by:___ & ____.: ishium & pubic bones
Tlooking from within the pelvis outward, the acetabulum is located _____ to the obturator foramen.: posteriolateral
The analagous structure to tubercles of the humerous are _______ of the femur.: trochanters
The ________ trochanter is more posteriorly located.: lesser
The femur has slight ________ convexity.: anterior
The condylar surface of the knee articulates with _____.: patella (and tibia)
The ___________ is located ANTRERIORLY between the greater and lesser trochanter.: intertrochanteric line
The ___________ is located POSTERIORLY between the greater and lesser trochanter.: intertrochanteric crest
The roughened area lateral to lesser trochanter is called ___________.: gluteal tuberosity (it's also the superior lateral line of linea aspera)
The ___________ is where the gluteus maximus inserts.: gluteal tuberosity
The roughened, raised line on the posterior surface of the body of femur is _____.: linea aspera
The linea aspera descends and gives off ___________.: medial and lateral lips
The medial and lateral lips of the linea aspera descend and give off ______.: medial and lateral supracondylar ridges
On the medial epicondyle, there is a bony protuberance called the ______. What attaches here?: adductor tubercle;
hamstring part of adductor magnus
The angle that the neck of femur makes w/long axis of femur is called _____ & is about ____º: angle of inclination; 126
In females, the angle of inclination is ____ (smaller or larger). Females hips are broader because _____.: smaller; they have to adjust for smaller angle by tilting femur (greater trochanter)more latrally
The hip joint is ______ compared to the glenohumeral joint, and is ______ mobile.: tighter (more stability); less
The _____ is the thickening around the edge of the acetabulum.: acetabular labrum
___________ is a roughened area located on the lateral aspect of the superior tibia.: GERDY'S TUBERCLE
________ attaches to Gerdy's tubercle.: IT (IleoTibial) tract
_____ is a centrally located 'lump' where the ___ attaches.: tibial tuberosity
________ attaches to the tibial tuberosity.: Quadriceps tendon (indirectly from patella)
The ________ ligament is said to be strongest in the body. It runs from ____ to _____.: Iliofemoral (Y ligament of Bigelow);
AIIS to intertrochanteric line
The ______ ligament is medial to the iliofemoral lig.: pubofemoral
The ILIOPECTINEAL BURSA rests deeply between gap in _____, and superficially on the _____ muscle.: iliofemoral & pubofemoral ligaments; iliopsoas
Iliofemoral ligament limits ____ of thigh to about ___º.: extension; 30 degrees
The _______ keeps you from kicking yourself in the back of the head.: iliofemoral ligament (limits you to 30º motion)
The _____ ligamentS resist the amound of ABduction that one can do.: pubofemoral; ischiofemoral
A super deep ligament of the hip is the _______.: zona orbicularis
Clinically the only way to dislocate head of femur from acetabulum is ____________.: by stretching or disrupting the acetabular labrum
The ligament of the head (of the femur) helps to reduce the amount of _______.: adduction
The ligament of the head is most taut in _____ of the hip joint.: adduction
The _________ supplies the head of the femur, but may not be sufficient enough to supply entire head of femur.: artery of the ligament of the head
The artery of the ligament of the head arises most often from _______.: posterior branch of the obturator artery
The artery of the ligament of the head can sometimes arise from _______.: medial circumflex artery of femur
The overlying labrum in the gap of the acetabulum (_____ aspect) is called the ______.: ANTERIOR ASPECT;
TRANSVERSE ACETABULAR LIGAMENT
The ligament of the head runs right into ________.: acetabular notch
The aDductors of the thigh can be temporarily knocked out so that the legs will fully aBduct by ________.: Palpating obturator crest & injecting anesthesia so the obturator nerve will temp. be knocked out.
The main blood contribution to the proximal neck & head of femur is by ________.: lateral & medial circumflex arteries of femur.
The external iliac artery divides into ______.: femoral artery & deep femoral artery
From the profundi femoral artery comes the ___ & ____.: Medial & lateral circumflex femoral arteries
The ______ gives most of the blood supply to proximal femur, while the _____ supplies the surrounding muscles & soft tissue.: MEDIAL CIRCUMFLEX-bone;
LATERAL CIRCUMFLEX-muscles & soft tissue.
Fracturing the neck of the femur could cause necrosis of the head (and later disarticulation & FRACTURE of hip) b/c _______.: Circumflex arteries supplying hip can be disrupted thereby causing necrosis
The circumflex vessels are found just _____ to the capsule of the hip joint.: deep
The hip is innervated by which nerves?: obturator (anterior division); femoral; accessory obturator; superior gluteal; n. to quadratus femoris
HILTON'S LAW describes the hip's innervation: _______.: neres that innervate muscles that cross a joint probably also innervate that joint sensory-wise as well
Between 5-8% of population has _____________ nerve. Where does it run?: accessory obturator; ABOVE OBTURATOR FORAMEN & over pubic bone.
The superior gluteal nerve innervates _______ muscles & as well as ______.: gluteus medius & minimus; hip joint
The quadratus femorus is a _____ rotator of hip that is innervated by ______.: lateral; nerve of quadratus femoris
The femoral nerve runs _____ to hip joint.: ANTERIOR
Since HIPS are normally DISLOCATED ______, one is likely to injure the _____.: posteriorly; SCIATIC NERVE
The _______ is the fascia of the thigh.: fascia lata
Fascia lata has a defect in a place in it, which is covered by _______.: cribriform fascia
Cribriform fascia has _____ (like swiss cheese).: holes
The holes in the cribriform fascia (that is in defect of fascia lata) allow for ____.: saphenous vein to penerate that deep fascia & enter into its central vein
The _____ is the longest vein in the body.: great saphenous vein
The great saphenous vein BEGINS in the ______ and runs _____ to the MEDIAL MALLEOLUS.: dorsal venous arch of foot; ANTERIOR
The great saphenous vein runs in the _____ portion of the leg & thigh & empties into _____.: middle; femoral vein
The femoral artery is an extension of ______ below ____.: external iliac; inguinal ligament
As the femoral artery courses the ANTERIOR thigh, it will change its name to ____ once it goes through ___.: popliteal artery; adductor hiatus
The deep femoral artery gives off ______, as well as ______.: femoral circumflex aa; perforating arteries
The perforating arteries of the deep femoral aa. provide blood to ____ & ______.: some ADDUCTOR muscles; hamstrings
The medial femoral circumflex runs _____ to proximal femur, then pierces ________.: ANTERIOR; area b/tw iliopsoas & pectineus muscles
The posterior compartment of the thigh contains ______.: hamstring muscles
The medial compartment of the thigh contains ____.: most of adductor muscles
The quadriceps from the majority of the _____ portion of the thigh.: anterior
The iliopsoas muscle is compromised of ____ & ____.: Psoas major; iliacus muscles
The iliopsoas is the only muscle that attaches on the ______.: lesser tronchanter
The iliopsoas runs ____ to the inguinal ligament.: deep
The ________ is the most powerful hip flexor.: iliopsoas
The ____ &____ form the floor of femoral triangle.: iliopsoas & pectineus
The pectineus arises from ____ & attaches to _____.: pecten of pubis; pectineal line (distal to lesser trochanter)
The actions of pectineus are varied. They include _____.: minimal flexion of the thigh; adduction; some internal rotation
The sartorius muscle is the crossing legs (indian style) muscle. Actions include:____.: external rotation of hip; abduction of hip; flex the knee; flex thigh
The sartorius arises from the _____ and attaches to the _____.: ASIS; medial tibia (pes anserine).
The tensor fascia lata arises from _____ and is actually a _____ muscle.: bony parts of ASIS; gluteal
The tensor fascia lata is innervated by ____, and has function of _____.: superior gluteal nerve; anterior thigh muscle
The adductor longus arises from ___ & inserts into ____.: inferior pubic ramus; medial lip if linea aspera
The gracilis arises from ____ & inserts into ______.: inferior pubic ramus; medial tibia
The main adductors of the thigh are the _____ & ____.: adductor longis & gracilis
The _______ muscles are more or less fused and hard to separate.: vastus (medialis; intermedius; lateralis)
The action of the quadriceps is _____ & ____.: flex the hip; extend the knee
The sctions of the hamstrings are ___ & ___.: extend the hip; flex the knee
The only one of the quad muscles to cross hip joint is _______.: rectus femoris
The rectus femoris arises from ___ & extends to _____.: ASIS; tibial tuberosity
The 3 vastus muscles arise from ____ & extend to _____.: femur; patella then tibial tuberosity
A new way to think about patellar ligaments is: Patella is ____. It floats in ____. Therefore, patella acts as ______.: largest sesamoid bone in the body; quadriceps tendon; fulcrum, helping the knee to extend w/less energy.
The patella can be thought as giving _____ so the quads don't have to work so hard.: more mechanical advantage
The quadriceps as a whole tend to ___ the patella ___.: subluxate/dislocate the patella LATERALLY
The vastus medialis has ____ fibers that attach directly to patella & _____.: HORIZONTAL; compensate for lateral pull
For someone with chronic patella dislocations, a PT may ___________.: accentuate fxn of lower fibers of vastus medialis
The rectus femoris actually has 2 tendons of attachment: ___ & ___.: straight one in ASIS & a reflected one that reflects in semilunar fashion over acetabulum
The _____ tendon of the rectus femoris is the oldest embryologically.: reflected tendon
The pex anserine attach into _______ & help _____.: medial portion of proximal tibia; reinforce & strengthen medial knee joint
The ____, _____, & ____ form the pes anserine by interdigitating w/eachother.: SGSt--Sartorius; gracilis; semitendinosis
A deep special portion of the vastus intermedius is called the _______.: articularis genu
The articularis genu doesn't attach into tibia, but rather into ___.: capsule surrounding knee joint
The articularis genu attaches into _____ portion of the capsule, called _____.: superior; suprapatella bursa
The purpose of the articularis genu attaching into the suprapatella bursa is ______.: it contracts milliseconds before full knee extention, pulling suprapatella bursa out so it can't be pinched b/tw femur & knee
_______ is for the attachment of the IT BAND/TRACT.: Gerdy's tubercle
The ______ attaches into IT tract (eventually into Gerdy's tubercle).: tensor fascia lata
Borders of femoral triangle: superior:_____, lateral:___, medial:______.: S:inguinal ligament; L:medial aspect of sartorius; M:lateral aspect of adductor longus
Femoral triangle contents are: ___, ___, ___, ___.: NAVL-Nerve, Artery, Vein, Lymphatics
The femoral artery can be found 1/2 way between what 2 structures?: ASIS & pubic symphisis
DEEP to sartorious, the order of NAVL is:: LATERAL to MEDIAL
The vessels & branches of the femoral nerve travel to apex of triangle, they run deep to the sart. into _____.: adductor canal (subsartorial canal)
Two branches of the femoral nerve are ____ & ____.: nerve to vastus medialis; saphenous nerve
The ______ is the longest nerve in the body.: saphenous nerve
The saphenous nerve runs along with the ________. It is a ______ of femoral n.: saphenous vein; cutaneous branch
Adductor canal borders: Anterolateral:____; Medially (roof): ____; Posteriorly: ______: Anterolateral: vastus med.; Posterior: adductor longus & magnus; Medially: sartorius
The adductor canal carries: ________, _____, ____, & ____: femoral NAVL; saphenous nerve; nerve to vastus medialis; cutaneous branch of obturator nerve
The protrusion of fascia (iliopsoas & transversalis) form the _________.: femoral sheath
The femoral sheath runs out with _____ about 3 cm into thigh & then fuses w/adventitia.: femoral vessels (artery & nerve)& lymph node
The femoral sheat is located DEEP to _________.: inguinal ligament
The femoral nerve rests on the _______.: iliopsoas
The _____ separates femoral NERVE from the vessels (in femoral ring).: iliopectineal arch (band of fascia tissue)
The femoral canal holds the ________.: lymphatic chain of thigh
The medial border of the femoral ring is the _______.: lacunar ligament
The pectineus helps form boundary of ________.: femoral ring
The lymph node that sits just inside femoral ring is called _____.: node of cloacae
The node of cloacae is one of 3 ________.: deep inguinal nodes
Scarpa's triangle borders: Superior:_____; Medial:____; Inferolateral:______: S:inguinal ligament; M: adductor longus; IL:sartorios
The femoral nerve passes ____ to inguinal ligament and then does what?: INFERIOR; splays into many little branches (cauda equina of lower limb)
The femoral sheath is a prolongation of _____ over proximl portion of fem. vess.: pelvic fascia
The great saphenous vein penetrates femoral sheath to drain into ________.: external iliac vein
The fascia lata of the leg is fused on the _______ of inguinal ligament.: UNDERSIDE
Femoral branches of the ______ nerve supply skin ____ to femoral triangle.: genitofemoral; SUPERFICIAL
There're lots of superficial inguinal lymph nodes located ____ to fascia lata.: SUPERFICIAL
The lymphatic chain for NAVL is composed of _____ lymph nodes ____ to fascia lata.: 1-3; DEEP
The femoral artery arises from __________.: external pudendal artery
The most proximal lymph node is the ________.: node of clocae
The cutaneous nerves of the anterior thigh are primarily from ___________.: lateral femoral cutaneous & femoral nerve
The lateral cutaneous nerve is a direct branch of _____.: lumbar plexus
The femoral nerve is a direct branch off the ____ and gives off ___ & ____.: lumbar plexus; medial & intermediate cutaneous nerve
The medial thigh is mainly innervated by ______.: femoral nerve & branches (medial & intermediate cutaneous nerves)
There are 2 other nerves that just touch in the medial thigh: ___ & ___.: femoral branch of genitofemoral; anterior branch of obturator
The femoral branch of the genitofemoral nerves supplies ______.: proximal part of thigh
The anterior branch of the obturator nerve supplies ___.: area just proximal to knee
The saphenous nerve is the ____ branch of _____ nerve.: cutaneous; femoral
What does the saphenous nerve with respect to the adductor hiatus?: leaves early & runs through PES ANSERINE
Once the saphenous leaves add. hiatus and runs through pes anserine, it gives off ______ that supplies _____.: 1st major branch (INFRAPATELLAR branch); skin inferior to patella
After saphenous nerve leaves adductor hiatus early & gives off its branch, it runs with __________.: great saphenous vein
In case of femoral artery occlusion, there is an anastamosis called _______.: cruciate anastamosis
The cruciate anastamosis of fem artery involves what 4 structures?: both circumflex arteries; first perforating artery; inferior gluteal artery
The adductor magnus has 2 components: _____ & _____.: true adductor portion; descending, vertical portion
The true adductor portion of adductor magnus attaches on _______ & is innervated by ________.: proximal femur; obturator nerve
The descending adductor portion of adductor magnus attaches to _____ & forms ____.: adductor tubercle; adductor hiatus
The descending adductor portion of adductor magnus is the ____ component. What is it innervated by?: HAMSTRING; tibial nerve, part of sciatic nerve; NOT OBTURATOR!!!
The ________ innervates the hamstrings: tibial nerve
The obturator internis & obturator externis are _____ rotators of the hip.: LATERAL
You can do more _____ than ____ rotation of the hip.: LATERAL-more; internal
The perforating arteries travel between ____ & ____ to get to hamstrings.: deficits in the adductor brevis and magnus(lat side of muscle & med sideof femur)
The hamstring part of the adductor magnus attaches to ______.: adductor tubercle (medial aspect of inferior femur)
The adductor muscles are innervated by ______. Where does it come from?: obturator--L2-L4
The obturator nerve splits ______ (when?).: soon after exiting the obturator foramen
The ANTERIOR branch of the obturator supplies ____, ___, & _____.: gracilis; adductor longus & brevis
The POSTERIOR branch of the obturator supplies ____ & maybe _____.: adductor magnus and MAYBE brevis
Which nerves innervate both the hip and knee joints?: obturator & femoral
The ______ branch of the obturator nerve innervates the hip.: anterior
The ______ branch of the obturator nerve innervates the knee.: posterior
The ______ branch innervates the skin in the medial thigh.: ANTERIOR
If you have an obturator hernia, where can the referred pain be?: medial thigh & medial knee
What can the pectineus be innervated by?: obturator; accessory obturator; femoral, or a combo of the forementioned
The Howship Romberg sign is _________ pain from _______.: medial knee pain or pain or sensory deficit in middle medial thigh
Someone could present Howship Romberg sign from ___.: obturator nerve compression (like from obturator hernia)
Knee pain could be from a herniated disc (nucleus pulposos) that impinges ____?: L2, L3, or L4 (messes with obturator nerve, so sends referred pain to knee or medial thigh)
Knee pain could be referred and coming from _____ or ____.: obturator hernia; herniated nucleus pulposus
The quads and sartorius are innervated by ______.: femoral nerve
The tensor fascia lata is in anterior compartment of leg, but is innervated by __.: superior gluteal nerve

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Number of cards 171

9.13.2006 Anteromedial Thigh &amp; Hip Joint

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Deck Info

9.13.2006 Anteromedial Thigh & Hip Joint