Term
What compartment does the thigh (femoral) region not have? |
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Definition
Lateral It has a anterior, medial, and posterior |
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Term
What compartment does the leg (crural) region not have? |
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Definition
Medial It has a anterior, posterior, and lateral |
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Term
Joints of the pelvic girdle |
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Definition
1) Pubic symphysis 2) Sacrum+ each hip bone= sacro-iliac joints 3) Sacrum+ L5= Lumbosacral joint |
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Term
What is the greater sciatic foramen a passageway for? |
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Definition
Structures entering or leaving the PELVIS |
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Term
What is the lesser sciatic foramen for? |
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Definition
Structures entering or leaving the PERINEUM |
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Term
When do the 3 hip bones fuse the triradiate cartilage? |
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Definition
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Term
What inserts on the ASIS and AIIS? |
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Definition
ASIS- Sartorius AIIS- Rectus Femoris |
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Term
Diffuse pain in lateral thigh especially during stair climbing or rising from seated position. |
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Definition
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Term
Point tenderness over greater trochanter and pain radiates down IT band |
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Definition
Tear of gluteus medius or trochanteric bursitis |
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Term
Results from excessive friction between ischial bursae and the ischial tuberosities such as from cycling |
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Definition
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Term
Complications from bursitis in people with impaired sensation |
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Definition
Pressure sores or decubitus ulcers |
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Term
What comes from the greater sciatic foramen above the piriformis muscle? |
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Definition
Superior gluteal nerve, artery, and vein |
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Term
What comes from the lower sciatic foramen? |
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Definition
Obturator internus tendon Pudendal nerve Internal pudendal vessels |
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Term
What comes from the greater sciatic foramen below the piriformis muscle? |
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Definition
Sciatic nerve Inferior gluteal nerve, artery, and vein Pudendal nerve Internal pudendal artery and vein Posterior femoral cutaneous nerve N. to obturatus internus N. to quadratus femoris |
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Term
branches of Superior gluteal nerve which comes out from ABOVE the piriformis muscle |
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Definition
Superficial- gluteus maximus; anastomoses with inferior gluteal artery Deep- glueteus medius+minimus+ TFL |
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Term
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Definition
Comes out from greater sciatic nerve BELOW piriformis to supply gluteus maximus and deep muscles |
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Term
Medial femoral circumflex |
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Definition
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Term
Ascending branch of first perforating artery |
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Definition
Froom deep artery of thigh |
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Term
Lateral femoral circumflex artery |
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Definition
Gives off ascending branch that anastomoses with the superior gluteal artery |
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Term
Ideal site for intramuscular injections |
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Definition
Upper lateral quadrant of gluteal region |
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Term
How to damage sciatic nerve and paralyze posterior thigh muscles & all muscles below knee |
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Definition
inject the lower medial quadrant of gluteal region |
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Term
How to damage superior gluteal nerve and paralyze gluteal muscles |
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Definition
inject upper medial quadrant |
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Term
What quadrant is the hip joint? |
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Definition
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Term
Insertion of semitendinosus |
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Definition
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Term
Insertion of semimembranosus |
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Definition
Posterior part of medial condyle |
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Term
Action of semitendinosus unilaterally |
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Definition
Flexes & medially rotates leg at knee joint |
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Term
Origin of biceps femoris short head |
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Definition
linea aspera & lateral supracondylar line of femur |
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Term
Hamstrings+hamstring part of adductor magnus action |
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Definition
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Term
hamstrings - hamstring part of adductor magnus action |
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Definition
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Term
What forms pes anserinus? |
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Definition
Semitendinosus, gracilis, and Sartorius. Pes anserinus bursitis may occur due to overuse of medial knee compartment |
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Term
What's in the popliteal fossa? |
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Definition
Popliteal artery and vein Small saphenous vein Tibial and common fibular branches of sciatic nerve Posterior cutaneous nerve of thigh Popliteal lymph nodes and vessels Fat |
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Term
If the femoral artery has to be ligated, where does blood bypass? |
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Definition
Through genicular anastomosis in which it then reaches the popliteal artery |
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Term
When does the popliteal vein become femoral vein? |
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Definition
When it transverses adductor hiatus |
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Term
What's in the popliteal fossa? |
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Definition
Popliteal artery and vein Small saphenous vein Tibial and common fibular branches of sciatic nerve Posterior cutaneous nerve of thigh Popliteal lymph nodes and vessels Fat |
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Term
If the femoral artery has to be ligated, where does blood bypass? |
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Definition
Through genicular anastomosis in which it then reaches the popliteal artery |
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Term
When does the popliteal vein become femoral vein? |
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Definition
When it transverses adductor hiatus |
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Term
What is the most superficial structure of the popliteal fossa? |
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Definition
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Term
Branches of the sciatic nerve |
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Definition
Tibial- bisects the fossa; supplies triceps surae, plantaris, and popliteus Tibial also gives off medial sural cutaneous |
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Term
What nerve can be injured at the neck of the fibula? |
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Definition
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Term
Branches of common fibular nerve |
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Definition
Superficial and deep fibular nerves |
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Term
What does the lateral sural cutaneous nerve supply? |
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Definition
Lateral aspect of the leg |
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Term
What does the sural nerve supply? |
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Definition
Skin on the posterior and lateral aspect of leg and lateral side of foot |
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Term
What forms the hip joint (ball and socket)? |
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Definition
Head of femur + Acetabulum |
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Term
What covers the head of the femur? |
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Definition
Hyaline cartilage and the fovea capitis femoris |
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Term
What is the fovea capitis femoris for? |
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Definition
Ligament of the head of the femur (ligamentum capitis femoris) |
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Term
What is the purpose of the ligament of the head of the femur? |
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Definition
Carries artery to the head of the femur; this artery is a branch of the obturator artery (important in children) |
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Term
What deepens the acetablum? |
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Definition
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Term
Where does the iliofemoral ligament run from? |
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Definition
Anterior inferior iliac spine (rectus femoris) and acetabular rim to the intertrochanteric line; prevents HYPEREXTENSION |
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Term
Where does the pubofemoral ligament run from? |
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Definition
Obturator crest to the iliofemoral ligament; limits excess extension and abduction |
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Term
What seperates the iliofemoral ligament and pubofemoral ligament? |
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Definition
Iliopsoas muscle and bursa |
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Term
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Definition
Ischial part of the acetabular rim to the neck of the femur medial to greater trochanter; prevents hyperextension |
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Term
Most hip dislocations are |
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Definition
Posterior- because all three hip ligaments relax during flexion and adduction of thigh |
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Term
three ligaments of the hip |
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Definition
Iliofemoral Pubofemoral Ischiofemoral |
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Term
Dislocation of the hip joint |
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Definition
Can fx. acetabulum, damage SCIATIC NERVE, and cause femoral head avascular necrosis |
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Term
5 things that limit movement in the hip joint |
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Definition
1) Soft tissue apposition 2) Joint capsule 3) 3 ligaments 4) IT Band 5) Antagonist muscles |
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Term
What is the main blood supply to the hip joint? |
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Definition
Medial femoral circumflex artery from the deep artery of the the thigh |
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Term
What is secondary blood supply to the hip joint? |
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Definition
Lateral femoral circumflex atery and retinacular branches |
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Term
In children, what is the main blood supply to the hip joint? |
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Definition
Artery to the head of the femur |
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Term
Fx. and hip dislocation can cause |
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Definition
avascular necrosis of the head of the femur and interrupt blood supply; tearing of the femoral circumflex arteries and retinacular branches can also happen |
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Term
What does the cruciate anastomosis bypass? |
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Definition
Obstruction of external iliac or femoral artery |
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Term
Total hip replacement contraindiciations |
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Definition
Internal rotation because it can cause hip dislocation |
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Term
What does osteoarthritis usually affect? |
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Definition
Articular cartilages of the hip joint due to mechanical wear and tear |
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Term
Nerve supply to the hip joint |
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Definition
Anteriorly- femoral Inferiorly - Obturator Superiorly- Superior gluteal nerve Posteriorly- N. to quadratus femoris |
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Term
Why is hip pain often referred to the knee? |
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Definition
Because articular branches of the femoral and obturator nerves innervate both the hip and knee joints |
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Term
Where may pain from the vertebral column or SI joints be referred to? |
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Definition
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