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WEEK 26:

Anterior and medial aspects of the lower limb:

QuestionAnswer
great saphenous vein location superficial on anterior/ medial aspect of leg
iliotibial tract where fascia lata is thickened laterally
where is the fascia lata thickened laterally iliotibial tract
saphenous opening gap/ hiatus in fascia lata where the great saphenous vein passes through
fascia lata tough layer of fascia surrounding the thigh muscles
where does the great saphenous vein pass through the saphenous opening in the fascia lata
femoral sheath contains (3) femoral artery, vein, and lymph nodes
femoral canal location most medial compartment of femoral sheath
where is the adductor/ Hunter's canal (Subsartorial) in middle third of thigh extending from the apex of the femoral triangle to the opening the add
what type of tunnel is the adductor/ Hunter's canal (Subsartorial) aponeurotic tunnel
adductor/ Hunter's canal (Subsartorial) is bounded where bounded in front and laterally by the vastus medialis, behind by the adductor longus and magnus
adductor/ Hunter's canal (Subsartorial) is bounded in front and laterally by vastus medialis
adductor/ Hunter's canal (Subsartorial) behind by (2) adductors longus and adductors magnus
adductor/ Hunter's canal (Subsartorial) contains (4) femoral artery, femoral vein, saphenous nerve, and nerve to vastus medialis
hamstring portion is innervated by tibial nerve
where is the adductor canal from apex of femoral triangle to adductor hiatus
anterior thigh muscles (4) pectineus, sartorius, iliopsoas, and quadriceps
when is the vastus intermedius seen when you go deep to rectus femoris
tensor of fascia lata and iliotibial tract is lateral of thigh
medial thigh muscles (5) adductor longus, adductor brevis, adductor magnus, gracilis, and obturator externus
adductor brevis location is deep to pectineus/ adductor longus
adductor hiatus opening at distal attachment of adductor magnus where femoral vessels pass through popliteal fossa
anterior leg muscles are dorsiflexors of ankle
anterior leg muscles innervated by deep fibular nerve
muscles in the anterior leg (4) tibialis anterior (Tom), extensor digitorum longus (Dick), fibularis (most lateral of anterior leg muscles), and extensor hallucis longus (Harry)
which muscle is the most lateral of the anterior leg muscles fibularis tertius
pneumonic for muscles in anterior leg Tom, Dick And Very Nervous Harry
what is included in the tarsal tunnel (5) tibialis posterior tendon, flexor digitorum tendon, posterior tibial artery (and veins), tibial nerve, and flexor hallucis longus tendon
roof of the tarsal tunnel flexor retinaculum
floor of the tarsal tunnel medial malleolus and calcaneus bone
femoral nerve block clinical importance femoral nerve (L2-4) can be blocked 2cm inferior to inguinal ligament 1 finger breath lateral to femoral artery
gracilis clinical importance used in transplantation because it has reliable blood supply and be transplanted eg reconstructive surgery
paralysis of quadriceps cant extend knee and is caused by femoral nerve injury
patellar tendon reflex (knee jerk) results normally leg kicks out but if absent suggests femoral nerve damage
chondromalacia patellae (runner's knee) softening/ damage of cartilage under patella caused by overuse and muscle imbalance leading to anterior knee pain which worse when climbing stairs or sitting for a long time
injury to common fibular nerve usually occurs due to a fracture of fibular neck leading to foot drop, loss of sensation on lateral leg and dorsum of foot, and high stepping gait
varicose veins dilated superficial veins which is caused by valve failure (blood pools), long standing, pregnancy - leading to visible twisted veins, aching, swelling and risk of ulcers
peripheal nerve disease damage to peripheral nerves leading to weakness, loss of sensation, and reduced reflexes
location of the quadriceps anterior compartment from hip to knee
function of quadriceps extend knee
causes of DVT (Virchow's triad) stasis (immobility), hypercoagulability, and endothelial injury
femoral hernia refers to femoral ring is a weak area and a loop of intestines can protrude though and into femoral canal forming a lump, and can also pass through saphenous opening
femoral canal has high risk hernia risk
what is a major source of blood supply to the thigh deep artery of the thigh (profunda femoris)
branches of the femoral artery (4) deep artery (profunda femoris), lateral circumflex femoral, medial circumflex femoral, and perforating arteries
major deep vein draining the lower limb is femoral vein (and tributaries)
major deep vein draining the lower limb becomes external iliac vein when it passes under the inguinal ligament to enter the abdomen and follows the course of the femoral artery
the major deep vein becomes the external iliac vein when it passes under inguinal ligament to enter the abd
great saphenous vein drains into femoral vein
small saphenous vein drains into popliteal vein
perforating vein connect superficial veins to deep veins enabling use of musculovenous pump to push return blood against gravity
varicose veins venous return opposed by gravity where valves stop backflow away from heart but poor venous return from lower limb puts pressure on valve - valve becomes hardened with fibrous tissue over time leading to sensory irritation/ pain and valve cant close
Created by: kablooey
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