Term
inferior margin of external oblique |
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Definition
what is the inguinal ligament derived from |
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Term
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Definition
extension of the fascia lata as the vessels come through |
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Term
external iliac artery and vein |
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Definition
what vessels come under the inguinal ligament before the enter the femoral sheath |
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Term
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Definition
how many septa are in the deep fascia of the thigh |
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Term
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Definition
what is the fascia lata continuous with? |
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Term
anterior, medial, posterior |
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Definition
list the 3 compartments of the thigh |
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Term
great and small saphenous |
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Definition
the main cutaneous veins of the lower limb |
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Term
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Definition
where do the great and small saphenous veins originate? |
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Term
just anterior to the medial malleoulus (and posterior to the medial condyle of the femur) |
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Definition
where can the great sapehnous vein ALWAYS be found |
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Term
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Definition
where does the great saphenous vein drain |
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Term
ascends posterior to the LATERAL malleolus along the lateral boder of the calcaneal tendon |
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Definition
describe the path of the small saphenous vein |
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Term
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Definition
where does the small saphenous vein drain? |
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Term
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Definition
provides communication between deep and superficial veins |
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Term
muscle actions and valves |
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Definition
what helps return venous blood more efficiently in the lower limb |
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Term
adductor hiatis -becomes femoral vein |
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Definition
when does the popliteal vein change names (what does it become?) |
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Term
great saphenous, must run backwards because of the presence of valves |
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Definition
this vein is/was commonly used as a graft but must be oriented special, what vein/orientation is this |
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Term
Quadriceps femoris: 1) rectus femoris 2) vastus lateralis 3) vastus intermedius 4) vastus medialis Others: 5) articularis genu 6) sartorius 7) iliopsoas 8) pectineus |
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Definition
list the muscles of the anterior compartment of the thigh |
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Term
rectus femoris vastus lateralis vastus intermedius vastus medialis |
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Definition
list the quadriceps muscles |
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Term
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Definition
most powerful knee extensor due to short fibers along the central raphe |
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Term
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Definition
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Term
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Definition
above the patella, the quadriceps tendon is known as: |
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Term
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Definition
nerve that innervates the anterior compartment |
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Term
women-more lateral Q angle on knee joint, so vastus lateralus has a more direct pull on the knee cap |
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Definition
who is more susceptible to patellofemoral syndrome? why? |
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Term
- (old idea)vastus lateralus pulls the knee cap laterally causing pain as it is shoved into the lateral condyle
-may actually be caused by weak lesser gluteals putting pressure on the knee which stregnthens the vastus lateralus as it compensates |
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Definition
what causes patellofemoral syndrome? |
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Term
semimembranous, semitendonous, biceps femoris (long and short heads) |
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Definition
list the muscles of the posterior compartment |
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Term
adductor longus, adductor brevis, adductor magnus, gracillis |
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Definition
list the muscles of the medial compartment |
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Term
Superior: inguinal ligament Medial: adductor longus Lateral: sartorius floor/posterior: iliopsoas and pectineus roof/anterior: fascia lata |
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Definition
borders of the femoral triangle, GO! |
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Term
NAVEL! from lateral to medial N: Femoral Nerve A: Femoral Artery V: Femoral Vein E: Empty Space L: Lymph |
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Definition
contents of the femoral triangle |
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Term
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Definition
what does the external iliac artery become when it crosses the inguinal ligament |
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Term
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Definition
funnel shaped tube extending 4cm below the inguinal ligament enclosing the femoral artery, vein, and deep lymphatics, comes off the epimysium of the iliopsoas and iliacus |
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Term
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Definition
what is in the femoral triangle but not the femoral sheath? |
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Term
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Definition
most medial part of the femoral sheath |
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Term
medial compartment of femoral sheath-femoral canal/ring |
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Definition
common site of herniation in the thigh |
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Term
bowel, can cause bowel strangulation
-more common in females due to broader pelvis |
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Definition
what herniates through the femoral canal/ring? who more commonly? |
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Term
not the sheath! it comes in with the muscle compartment |
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Definition
how does the femoral nerve enter the femoral triangle? |
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Term
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Definition
what gap is formed by the two parts of the abductor magnus? |
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Term
nerves, vessels, lymph ->pass through here to go from 1 side of thigh to other (anterior to posterior?) |
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Definition
what goes through the adductor hiatus? |
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Term
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Definition
chief artery of the lower limb |
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Term
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Definition
artery found half way between anterior superior iliac spine and pubic symphysis |
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Term
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Definition
what artery comes off the femoral artery within the femoral triangle |
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Term
through anterior thigh within the adductor canal to the adductor hiatus |
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Definition
where does the femoral artery continue beyond the femoral triangle? |
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Term
semimenbranous, semitendonous, biceps femoris -long head only
(posterior compartment except biceps short head) |
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Definition
what makes up the hamstrings |
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Term
medial and lateral femoral circumflex arteries |
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Definition
what does the profunda femoris give rise to? |
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Term
genicular arteries (medial/lateral superior & inferiors-4 total)
+
tibial and peroneal |
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Definition
what comes off the popliteal artery |
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Term
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Definition
cutaneous branch of the femoral n. in the medial leg |
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Term
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Definition
the condyles are covered with ___ |
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Term
superior, suprapatellar bursa |
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Definition
the synovial joint cavity extends ____ to the joint surfaces and deep to the quadriceps tendon as the _____ |
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Term
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Definition
what lines the infrapatellar fat pad's internal surface |
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Term
between the patellar tendon and the joint cavity |
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Definition
where is the infrapatellar fat pad located |
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Term
no, synovial membrane reflects around them |
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Definition
are the cruciate ligaments included in the joint cavity proper? |
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Term
the suprapatellar is continuous with the synovial joint cavity so it can get involved in inflammation and infection of the knee joint |
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Definition
what's inflamed in suprapatellar bursitis, how does it happen? |
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Term
the subcutaneous prepatellar bursa can become inflamed as a result of compression or friction between skin and the patella |
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Definition
what's inflamed in housemaid's knee, how does it happen? |
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Term
the subcutaneous INFRApatellar bursa can become inflamed as a result of friction between skin and the tibial tuberosity (from kneeling) |
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Definition
what's inflamed in Vicar's knee, how does it happen? |
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Term
the deep infra patellar bursa lies between the patellar tendon and the tibia.
It can become inflamed as a result of overuse or in assoc. with the disease-repeated avulsion/heal/avulsion of the tibial tuberosity
this occurs in young people because their muscles pull on the tibial tuberosity, a secondary center of ossification, and causes an avulsion |
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Definition
what's inflamed in Osgood-Schlatter's disease, how does it happen? |
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Term
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Definition
flexion of the knee involves both ___ and ___ movements of the joint surfaces relative to one another |
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Term
medial,lateral,medial,lateral
results in screwing home or locking of the knee during full extension |
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Definition
the ___ condylar surface of the femur is longer than the ____ condylar surface, thus the ____ condyle continues to travel longer than the _____ condyle during knee flexion
what does this cause? |
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Term
the femur undergoes slight medial rotation movement relative to the tibia |
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Definition
what motion does the femur do when the knees lock |
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Term
since the knee is stable without muscle help, the muscles(soleus in particular) are not being used to pump blood back up and so there is a shortage of blood to the head |
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Definition
why do locked knees cause fainting? |
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Term
medial and lateral collateral ligaments |
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Definition
thickenings of the fibrous capsule of the knee that function to restrict the movement of the joint to hinge only |
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Term
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Definition
which collateral ligament of the knee is wider? |
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Term
extends from the femur to the tibia, attached firmly to medial meniscus |
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Definition
describe the attachment/path of the medial collateral ligament |
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Term
medial collateral ligament (MCL) |
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Definition
which collateral ligament of the knee is more commonly injured |
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Term
extends from femur to head of fibula (NOT attached to medial meniscus) |
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Definition
describe the path/attachment of the lateral collateral ligament |
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Term
the lateral collateral ligament |
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Definition
which collateral ligament of the knee is more cord like? |
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Term
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Definition
the menisci are c shaped and adapt to the surface of the knee joint throughout the full range of movement, what are they made from that allows this? |
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Term
ends: horns periphery: coronary ligaments |
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Definition
what attaches the menisci at the ends and periphery? |
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Term
deepen the articular surfaces to changing curvature of the femur during movements |
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Definition
what is the function of the menisci |
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Term
runs from the medial side of the lateral femoral condyle to the anterior intercondylar area of the tibia |
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Definition
what is the path/attachment of the ACL? |
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Term
runs from the lateral side of the medial femoral condyle to the posterior intercondylar area of the tibia |
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Definition
what is the path/attachment of the PCL? |
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Term
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Definition
what prevents the femur from moving posteriorly on a planted tibia |
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Term
PCL (posterior cruciate ligament) |
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Definition
what prevents the femur from moving anteriorly on a planted tibia |
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Term
cruciate ligaments (both) |
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Definition
stabilizes the knee joint in an anterior and posterior direction |
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Term
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Definition
what does anterior/posterior drawer sign evaluate? |
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Term
set patient laying on a table with hip and knee flexed and see if their bent knees push back or pull forward too far
"gross" anterior/posterior movment = bad |
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Definition
how are the cruciate ligaments evaluated? |
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Term
torn meniscus, cruciate ligament tear |
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Definition
what are 2 common knee injuries? |
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Term
semimembranous (remember that m is below t in the alphabet) |
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Definition
which is deeper semimebranous or semitendonous? |
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Term
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Definition
common innervation of the medial compartment of the thigh |
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Term
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Definition
common insertion of quadriceps femoris |
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