Cerebellum Neuroanatomy Lecture Quiz

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Questions and Answers

What is the primary function of the corticopontocerebellar pathway?

  • Cognitive processing and decision-making
  • Motor coordination and control (correct)
  • Emotional regulation and impulse control
  • Sensory processing and integration

Which of the following is a common symptom of cerebellar lesions?

  • Hypertonia
  • Paresis
  • Spasticity
  • Dysmetria (correct)

What is the term for the inability to make rapidly alternating movements?

  • Asynergia
  • Ataxia
  • Dysmetria
  • Dysdiadochokinesia (correct)

What is the primary output of the cerebellum that is affected in cerebellar lesions?

<p>Corticospinal tract (C)</p> Signup and view all the answers

What is the term for the inability to coordinate muscle activity during voluntary movement?

<p>Ataxia (D)</p> Signup and view all the answers

What is the primary region of the brain affected in cerebellar lesions?

<p>Cerebellum (C)</p> Signup and view all the answers

What is the primary function of the vestibulospinal tract?

<p>Balance in response to head movements (C)</p> Signup and view all the answers

Which part of the cerebellum is involved in regulating equilibrium?

<p>Floculonodular lobe (A)</p> Signup and view all the answers

What is the primary function of the dentate and interposed nuclei?

<p>Influence on voluntary movements (C)</p> Signup and view all the answers

What is the primary function of the fastigial nucleus?

<p>Regulation of balance and coordination (C)</p> Signup and view all the answers

What is the primary function of the superior cerebellar peduncle (SCP)?

<p>Transmission of signals from the cerebellum to the cortex (B)</p> Signup and view all the answers

What is the primary function of the vestibulocerebellum?

<p>Coordination of eye movements (B)</p> Signup and view all the answers

Which cranial nerves originate from specific locations outside the brainstem?

<p>CN I and II (B)</p> Signup and view all the answers

What type of fibers carry general sensation such as touch, pressure, and pain?

<p>GSA (A)</p> Signup and view all the answers

Which motor fibers are responsible for controlling involuntary muscles?

<p>GVE (D)</p> Signup and view all the answers

What is the term for motor fibers that control voluntary muscles that developed from branchial arches?

<p>SVE (B)</p> Signup and view all the answers

Which cranial nerve nucleus sends innervation to the contralateral muscle?

<p>Trochlear nucleus (C)</p> Signup and view all the answers

What is the term for the pathway from the cortex to the cranial nerves nuclei in the brainstem?

<p>Corticonuclear pathway (B)</p> Signup and view all the answers

What is one of the roles of the cerebellum mentioned in the text?

<p>Fine tuning of skilled motor functions (B)</p> Signup and view all the answers

Which function does the cerebellum NOT play a role in, as per the text?

<p>Memory recall (B)</p> Signup and view all the answers

Which of the following is NOT influenced by the cerebellum as mentioned in the text?

<p>Muscle growth (C)</p> Signup and view all the answers

What does the cerebellum compare in order to correct movements?

<p>What joints/muscles really did and what the cortex said to do (A)</p> Signup and view all the answers

What does the cerebellum allow you to do without overshooting?

<p>Start and stop movements without overshooting (B)</p> Signup and view all the answers

What does hypotonia refer to in terms of muscle tone?

<p>Low muscle tone (C)</p> Signup and view all the answers

Which term describes the lack of coordination between muscles or body parts normally working together?

<p>Asynergia (C)</p> Signup and view all the answers

What does asynergy lead to when severe?

<p>Decomposition of movement (C)</p> Signup and view all the answers

Which part of the nervous system is responsible for asynergia?

<p>Central Nervous System (A)</p> Signup and view all the answers

Which cranial nerve does not innervate the ipsilateral (same) side?

<p>CN I (B)</p> Signup and view all the answers

Which cranial nerve passes through the cranial foramen to reach peripheral targets in the face/neck?

<p>CN V (A)</p> Signup and view all the answers

What is the primary function of spinal reflexes?

<p>To maintain homeostasis (A)</p> Signup and view all the answers

What is the integrating center for spinal reflexes?

<p>Gray matter of the spinal cord (A)</p> Signup and view all the answers

What is the pathway followed by nerve impulses that produce a reflex?

<p>Reflex arc (C)</p> Signup and view all the answers

What type of reflex exhibits reciprocal innervation?

<p>Somatic reflex (A)</p> Signup and view all the answers

What is the function of the stretch reflex?

<p>To control muscle length (C)</p> Signup and view all the answers

What is the sequence of components in a reflex arc?

<p>Receptor, sensory neuron, integrating center, motor neuron, effector (D)</p> Signup and view all the answers

What is the primary function of the stretch reflex?

<p>To maintain posture (C)</p> Signup and view all the answers

What is the role of the Golgi tendon organs in the tendon reflex?

<p>To activate interneurons (A)</p> Signup and view all the answers

What is the purpose of the crossed extensor reflex?

<p>To maintain balance (A)</p> Signup and view all the answers

What is the term for the reflex that is a test for dysfunctional corticospinal tract?

<p>Babinski's reflex or Extensor Plantar Reflex (D)</p> Signup and view all the answers

What is the result of the flexor reflex on the affected limb?

<p>Flexion of the joints (D)</p> Signup and view all the answers

What is the type of reflex arc involved in the tendon reflex?

<p>Polysynaptic (B)</p> Signup and view all the answers

What is the normal response to stroking the outside sole from heel to toe with a pointed object?

<p>Downward (flexor) movement of all toes (A)</p> Signup and view all the answers

In which age group does the Babinski reflex cause an upward (extensor) movement of the big toe?

<p>Infants under 1.5 years of age (A)</p> Signup and view all the answers

What is the purpose of the Achilles Reflex test?

<p>All of the above (D)</p> Signup and view all the answers

What is the typical result of the Achilles Reflex test in disk herniation at the L5-S1 level?

<p>The reflex is absent (C)</p> Signup and view all the answers

What is the effect of peripheral neuropathy on the Achilles Reflex test?

<p>The reflex is reduced (B)</p> Signup and view all the answers

Where do the corticobulbar and corticospinal tracts originate from?

<p>Cortex (A)</p> Signup and view all the answers

What is the function of the corticospinal tract?

<p>Voluntary motor control of skeletal muscles (B)</p> Signup and view all the answers

Where do the lower motor neurons of cranial nerves have their cell bodies?

<p>Motor nuclei of cranial nerves in the brainstem (C)</p> Signup and view all the answers

What is the pathway of the corticospinal tract in the spinal cord?

<p>Antero-lateral white columns (D)</p> Signup and view all the answers

Where do the upper motor neurons terminate?

<p>Cranial nerve nuclei in the brainstem (D)</p> Signup and view all the answers

What is the function of the lower motor neurons?

<p>Innervation of muscles (A)</p> Signup and view all the answers

What is the primary function of the motor tracts of the spinal cord?

<p>To relay motor instructions to the spinal cord (A)</p> Signup and view all the answers

What are the two classifications of the motor tracts of the spinal cord?

<p>Pyramidal and extrapyramidal tracts (A)</p> Signup and view all the answers

What is the primary function of the corticospinal tract?

<p>To coordinate, precise, and voluntary skeletal muscle movements (B)</p> Signup and view all the answers

Where are the upper motor neurons (UMNs) of the pyramidal tracts located?

<p>In the cerebral hemispheres' motor cortex (C)</p> Signup and view all the answers

At what level do the majority of the corticospinal tract fibers cross?

<p>Medulla and spinal cord (D)</p> Signup and view all the answers

What is the function of the axons of the lower motor neurons (LMNs)?

<p>To exit the spinal cord as the ventral root of the spinal nerve (C)</p> Signup and view all the answers

What type of tracts regulate body movements that are subconscious or postural in nature?

<p>Extrapyramidal tracts (A)</p> Signup and view all the answers

Which part of the spinal cord contains the lateral corticospinal tract?

<p>Lateral column (B)</p> Signup and view all the answers

What is the characteristic of muscles in upper motor neuron lesions?

<p>Increased muscle tone (A)</p> Signup and view all the answers

What is the destination of the axons of the lower motor neurons (LMNs)?

<p>Skeletal muscles (D)</p> Signup and view all the answers

What inputs does the corticospinal tract receive?

<p>From the sensory cortex, cerebellum, and others (B)</p> Signup and view all the answers

What is the pathway of the descending fibers of the corticospinal tract?

<p>Internal capsule, crus cerebri, pons, medulla (B)</p> Signup and view all the answers

What is the primary function of the upper motor neuron?

<p>Control of movement, determining which LMN will be active (D)</p> Signup and view all the answers

What is the result of damage to the lower motor neuron?

<p>Flaccid paralysis (A)</p> Signup and view all the answers

What is the term for the increased muscle tone due to prolonged contraction?

<p>Spasticity (B)</p> Signup and view all the answers

Which type of paralysis occurs due to the loss of control from the upper motor neuron?

<p>Spastic paralysis (D)</p> Signup and view all the answers

What is the term for the muscle twitching seen in lower motor neuron lesions?

<p>Fasciculations (B)</p> Signup and view all the answers

What is the primary function of the corticospinal tracts?

<p>Control of movement, determining which LMN will be active (A)</p> Signup and view all the answers

What is the function of the pontine reticulospinal tract?

<p>Enables extension of the legs to maintain postural support (B)</p> Signup and view all the answers

What is the role of the spinomesencephalic tract in pain modulation?

<p>It carries pain information from the dorsal horn to the periaqueductal gray region (A)</p> Signup and view all the answers

What is the decussation pattern of the medullary reticulospinal tract?

<p>It has both crossed and uncrossed fibers (B)</p> Signup and view all the answers

Where do the reticulospinal tracts terminate?

<p>The anterior grey horn of the spinal cord (C)</p> Signup and view all the answers

What is the function of the periaqueductal gray region in pain modulation?

<p>It sends impulses to the dorsal horn to block the release of Substance P (B)</p> Signup and view all the answers

What is the role of the reticulospinal tracts in postural changes?

<p>They enable extension of the legs to maintain postural support (C)</p> Signup and view all the answers

What is the length of the spinal cord?

<p>40-45 cm (B)</p> Signup and view all the answers

Where does the spinal cord start from?

<p>Medulla oblongata (A)</p> Signup and view all the answers

What is the function of the cervical enlargement of the spinal cord?

<p>Innervating the upper limbs (B)</p> Signup and view all the answers

At what level does the spinal cord end in adults?

<p>L1/L2 intervertebral disc (A)</p> Signup and view all the answers

Why does the spinal cord extend as low as the level of the L3 vertebra in newborn infants?

<p>Due to the growth of the vertebral column (D)</p> Signup and view all the answers

What is the shape of the spinal cord when viewed externally?

<p>Cylinder with two enlargements (B)</p> Signup and view all the answers

What is the section of the spinal cord that gives rise to a pair of spinal nerves known as?

<p>Segment (A)</p> Signup and view all the answers

Where are the cell bodies of the sensory neurons associated with the dorsal root of a spinal nerve located?

<p>Ganglion (A)</p> Signup and view all the answers

What is the bundle of roots that includes the lumbar, sacral, and coccygeal spinal nerves called?

<p>Cauda equina (D)</p> Signup and view all the answers

What housing structure contains the dorsal root ganglion associated with the sensory neurons of the spinal nerves?

<p>Cell body city (B)</p> Signup and view all the answers

How many cervical segments are present in the spinal cord?

<p>8 (C)</p> Signup and view all the answers

At which level does the spinal cord end in relation to vertebrae?

<p>LI (D)</p> Signup and view all the answers

Where are the cell bodies of the sympathetic neurons located in the spinal cord?

<p>Lateral horns in T1 to L2 segments (B)</p> Signup and view all the answers

Which part of the gray matter in the spinal cord contains the motor neurons cell bodies?

<p>Ventral horns (C)</p> Signup and view all the answers

In which column of the spinal cord's white matter are myelinated nerve fibers organized for postural movements?

<p>Lateral column (A)</p> Signup and view all the answers

Which segment of the spinal cord has a larger representation of parasympathetic neurons?

<p>S2 to S4 (C)</p> Signup and view all the answers

What type of neurons are housed in the dorsal horns of the spinal cord?

<p>Sensory neurons (B)</p> Signup and view all the answers

The lateral horns of the spinal cord's T1 to L2 segments contain the cell bodies of neurons responsible for __________.

<p>Regulation of fight or flight responses (C)</p> Signup and view all the answers

What is the function of the Cranial Nerve VIII?

<p>Special Somatic Afferent for hearing and balance (A)</p> Signup and view all the answers

Which Cranial Nerve emerges from the brainstem in the lateral medulla and exits the posterior cranial fossa through the jugular foramen?

<p>Cranial Nerve IX (C)</p> Signup and view all the answers

What is the function of the chorda tympani branch of the facial nerve?

<p>Carries taste perception from the anterior 2/3 of the tongue (A)</p> Signup and view all the answers

What is the function of the GVE axons in the Glossopharyngeal Nerve?

<p>Innervate the parotid gland for secretomotor function (C)</p> Signup and view all the answers

Which of the following is NOT an extracranial branch of the facial nerve?

<p>Greater petrosal nerve (C)</p> Signup and view all the answers

What is the function of the SVA axons in the Glossopharyngeal Nerve?

<p>Carry taste perception from the posterior 1/3 of the tongue (D)</p> Signup and view all the answers

What is the function of the stapedius muscle?

<p>Helps to dampen sounds (C)</p> Signup and view all the answers

Which part of the cortex is responsible for processing taste information?

<p>Insula (C)</p> Signup and view all the answers

What is the function of the GVA axons in the Glossopharyngeal Nerve?

<p>Carry general visceral afferent sensations from the carotid body (B)</p> Signup and view all the answers

What is the function of the GSA axons in the Glossopharyngeal Nerve?

<p>Carry general somatic afferent sensations from the skin and posterior 1/3 of the tongue (C)</p> Signup and view all the answers

What is the function of the posterior auricular branch of the facial nerve?

<p>Carries general sensory fibers to the skin behind the ear (A)</p> Signup and view all the answers

Which of the following is a type of modality transmitted by the facial nerve?

<p>All of the above (D)</p> Signup and view all the answers

Which cranial nerve is responsible for the voluntary motor function of the tongue?

<p>CN XII (A)</p> Signup and view all the answers

What is the typical presentation of a patient with a CN XII injury?

<p>Tongue deviation to the same side as the injury (B)</p> Signup and view all the answers

Which muscle is innervated contralaterally by the cortex?

<p>Genioglossus (A)</p> Signup and view all the answers

What is the function of the spinal accessory nerve (CN XI)?

<p>Voluntary motor function to the Sternocleidomastoid and Trapezius muscles (B)</p> Signup and view all the answers

What is the typical response to a CN IX sensory problem?

<p>No response (A)</p> Signup and view all the answers

What is the pathway of the CN XI nerve?

<p>Begins at the medulla and exits the cranium via the jugular foramen (C)</p> Signup and view all the answers

What could be a potential cause of Bell's Palsy?

<p>Injury to the facial nerve (B)</p> Signup and view all the answers

Which type of nerve damage would likely result in dry eye or mouth in Bell's Palsy?

<p>Damage to the GVE component of the nerve (B)</p> Signup and view all the answers

What symptom would likely arise from damage to the SVE portion of the facial nerve?

<p>Paralysis of facial muscles (B)</p> Signup and view all the answers

In a Bell's Palsy patient, what might be the outcome of touching cotton gauze to the left eye only?

<p>Only left eye blinks (A)</p> Signup and view all the answers

Which area of the nerve being damaged could lead to impairment of taste in Bell's Palsy?

<p>SVA component (B)</p> Signup and view all the answers

What type of damage to the facial nerve would cause weakness, twitching, or paralysis of facial muscles in Bell's Palsy?

<p>Damage to SVE component (C)</p> Signup and view all the answers

What does the Vagus nerve innervate in the majority of the muscles of the pharynx, larynx, and soft palate?

<p>Motor axons for moving food towards the esophagus during swallowing (D)</p> Signup and view all the answers

What anatomical region is innervated by the GSA axons of the Vagus nerve?

<p>Skin posterior to the ear (D)</p> Signup and view all the answers

What senses does the SVA axons of the Vagus nerve carry from the taste regions?

<p>Taste stimuli (C)</p> Signup and view all the answers

What is the function of the GVE axons of the Vagus nerve related to the viscera?

<p>Innervating thoracic and abdominal viscera (C)</p> Signup and view all the answers

What nerves branch off from the Vagus nerve in case of injury, affecting the muscles of the larynx/voice box?

<p>Motor axons (A)</p> Signup and view all the answers

What is a common patient presentation of Vagus nerve injury related specifically to the nerves traveling posterior to the thyroid?

<p>Difficulty producing speech (C)</p> Signup and view all the answers

What is the primary function of the dorsal spinocerebellar tract?

<p>Coordinating limb movements and maintaining posture (B)</p> Signup and view all the answers

In which region of the brain does the medial lemniscus synapse with the third-order neuron?

<p>Thalamus (C)</p> Signup and view all the answers

What is the destination of the axon of the third-order neuron in the somatosensory pathway?

<p>Somatosensory area of the cerebral cortex (B)</p> Signup and view all the answers

Where does the axon of the first-order neuron synapse with the second-order neuron?

<p>Nucleus gracilis and nucleus cuneatus (D)</p> Signup and view all the answers

What is the function of the proprioceptive information transmitted by the dorsal spinocerebellar tract?

<p>Regulating posture and coordinating limb movements (B)</p> Signup and view all the answers

What is the characteristic of the pathway of the second-order neuron in the somatosensory pathway?

<p>Contralateral and ascending (A)</p> Signup and view all the answers

What is the main function of the dorsal spinocerebellar tract?

<p>it transmits information from the spinal cord to the cerebellar cortex (D)</p> Signup and view all the answers

Where do the axons of the second-order neurons form in the spinal cord?

<p>in the lateral column (C)</p> Signup and view all the answers

What is the role of the nucleus dorsalis in the dorsal spinocerebellar tract?

<p>it is the site where the first-order neurons synapse with the second-order neurons (A)</p> Signup and view all the answers

Which tract conveys unconscious proprioception from the upper limb to the cerebellum?

<p>cuneocerebellar tract (B)</p> Signup and view all the answers

What is the primary function of the anterolateral system?

<p>it mediates conscious perception of nondiscriminative touch, pain, and temperature (A)</p> Signup and view all the answers

What is the pathway of the axons originating from the posterior roots of the lower lumbar and sacral segments?

<p>they ascend in the fasciculus gracilis and then enter the nucleus dorsalis (D)</p> Signup and view all the answers

Where is the first-order neuron of the spinothalamic tract located?

<p>Dorsal root ganglion of the spinal nerve (B)</p> Signup and view all the answers

What is the neurotransmitter used at the synapse between the first- and second-order neurons of the spinothalamic tract?

<p>Substance P (D)</p> Signup and view all the answers

What is the function of the anterior spinothalamic tract?

<p>Conveying non-discriminative touch (C)</p> Signup and view all the answers

What is the result of the axon of the second-order neuron decussating in the spinothalamic tract?

<p>It ascends through the lateral column of the spinal cord (C)</p> Signup and view all the answers

What is the significance of the somatosensory map of the postcentral gyrus?

<p>It represents the sensory receptors of the body (D)</p> Signup and view all the answers

What is the concept behind the 'gate pain theory'?

<p>The mind can control pain through willpower (D)</p> Signup and view all the answers

What is the primary function of the spinoreticular tract?

<p>To provide an afferent pathway for the reticular formation influencing levels of consciousness (D)</p> Signup and view all the answers

Where do the axons of the second-order neurons in the spinoreticular tract ascend?

<p>In the lateral white column of the spinal cord (B)</p> Signup and view all the answers

What is the origin of the first-order neuron in the spinoreticular pathway?

<p>Peripheral receptor (B)</p> Signup and view all the answers

Where do the fibres of the spinoreticular tract terminate?

<p>In the medulla oblongata, pons, and midbrain (B)</p> Signup and view all the answers

What type of neurons are involved in the spinoreticular tract?

<p>Sensory neurons (D)</p> Signup and view all the answers

What is the function of the reticular formation in the spinoreticular tract?

<p>To influence levels of consciousness (B)</p> Signup and view all the answers

What is the role of the spino-olivary tract in the body?

<p>Regulation of body movements and limbs (C)</p> Signup and view all the answers

Where do the axons of the second-order neurons in the spino-olivary tract synapse?

<p>In the inferior olivary nuclei in the medulla (C)</p> Signup and view all the answers

What is the role of the PAG in relation to pain?

<p>Activation of descending analgesia system (C)</p> Signup and view all the answers

Where do the axons of the third-order neurons in the spino-olivary tract enter?

<p>The cerebellum through the inferior cerebellar peduncle (D)</p> Signup and view all the answers

What is the pathway of the spino-olivary tract in the spinal cord?

<p>Antero-lateral white columns (D)</p> Signup and view all the answers

What is the origin of the first-order neuron in the spino-olivary tract?

<p>Peripheral receptor (D)</p> Signup and view all the answers

What is the shape of the sacrum bone?

<p>Wedge-shaped (D)</p> Signup and view all the answers

What articulates with the 5th lumbar vertebra?

<p>Upper border of the sacrum (B)</p> Signup and view all the answers

What is the function of the posterior sacral foramina?

<p>Passage for posterior rami of S1-S4 nerves (A)</p> Signup and view all the answers

What is the name of the bony ridges on the posterior surface of the sacrum?

<p>Sacral crests (B)</p> Signup and view all the answers

How many pairs of posterior sacral foramina are present on the sacrum?

<p>4 (A)</p> Signup and view all the answers

What is the name of the bulge on the anterior surface of the sacrum?

<p>Sacral promontory (C)</p> Signup and view all the answers

Which part of the femur is directed upward, medialward, and a little forward?

<p>Head (A)</p> Signup and view all the answers

What is the function of the fovea capitis femoris?

<p>Attachment of the ligamentum teres femoris (B)</p> Signup and view all the answers

What is the location of the intertrochanteric line?

<p>On the anterior aspect of the proximal end of the femur (A)</p> Signup and view all the answers

What is the shape of the greater trochanter?

<p>Quadrilateral (C)</p> Signup and view all the answers

What is the location of the quadrate tubercle?

<p>About the middle of the intertrochanteric crest (B)</p> Signup and view all the answers

What is the shape of the lesser trochanter?

<p>Conical (B)</p> Signup and view all the answers

What is the primary function of the Calcaneus?

<p>To transmit the weight of the body to the ground (B)</p> Signup and view all the answers

What is the name of the groove on the superior surface of the Calcaneus?

<p>Sulcus calcaneus (B)</p> Signup and view all the answers

What is the name of the surface on the head of the Talus that articulates with the medial malleolus?

<p>Medial surface (D)</p> Signup and view all the answers

What is the name of the canal formed by the sulcus tali and the similar groove on the upper surface of the Calcaneus?

<p>Sinus tarsi (C)</p> Signup and view all the answers

How many articular facets are present on the superior surface of the Calcaneus for the Talus?

<p>Three (C)</p> Signup and view all the answers

What is the direction of the neck of the Talus?

<p>Forward and medially (D)</p> Signup and view all the answers

What is the name of the joint connecting the thigh bone to the hip bone?

<p>Hip joint (A)</p> Signup and view all the answers

Which region of the lower limb contains the tarsal bones?

<p>Pes (Foot) (C)</p> Signup and view all the answers

How many phalanges are present in the foot for the big toe?

<p>Two (C)</p> Signup and view all the answers

Which bone articulates superiorly with the L5th vertebra?

<p>Sacrum (A)</p> Signup and view all the answers

The tarsometatarsal joint is located between which foot bones?

<p>Metatarsus and tarsus (A)</p> Signup and view all the answers

Which bone is NOT part of the regions and bones of the lower limb according to the text?

<p>Parietal bone (D)</p> Signup and view all the answers

What forms the inferior border (ischiopubic ramus) of the hip bone?

<p>Ischium Ramus and inferior ramus of pubis (D)</p> Signup and view all the answers

Which structure articulates with the body of the pubic bone at the pubic symphysis?

<p>Pubic crest (C)</p> Signup and view all the answers

Where does the superior ramus of Pubis join the ilium and ischium?

<p>Iliopectineal eminence (D)</p> Signup and view all the answers

What structure forms the upper boundary of the obturator foramen?

<p>Iliopectineal eminence (C)</p> Signup and view all the answers

What will turn into the obturator canal by attachment to the margins of the obturator foramen?

<p>Obturator groove (B)</p> Signup and view all the answers

Which structure carries the pectineal line (pubic pecten)?

<p>Superior ramus of pubis (D)</p> Signup and view all the answers

What is the insertion point of the tibialis posterior muscle?

<p>Navicular, all three cuneiforms, cuboid, and calcaneus (D)</p> Signup and view all the answers

What is the function of the flexor hallucis longus muscle?

<p>Flexion of the big toe at the MTP and IP joints (B)</p> Signup and view all the answers

Which muscle is responsible for plantar flexion of the foot at the ankle joint and flexion of the leg at the knee joint?

<p>Plantaris (A)</p> Signup and view all the answers

What is the origin of the flexor digitorum longus muscle?

<p>Middle 1/3 of tibia (A)</p> Signup and view all the answers

What is the function of the popliteus muscle?

<p>Flexion of the leg at the knee joint and medial rotation of the leg (B)</p> Signup and view all the answers

What is the insertion point of the calcaneus via the Achilles tendon?

<p>Calcaneus (C)</p> Signup and view all the answers

What is the function of the Gastrocnemius muscle?

<p>Plantar flexion of the foot (ankle joint) (C)</p> Signup and view all the answers

Which nerve is responsible for the function of plantar flexion and inversion of the foot?

<p>Tibial Nerve (C)</p> Signup and view all the answers

What is the origin of the Soleus muscle?

<p>Soleal line of tibia and head of the fibula (B)</p> Signup and view all the answers

What is the function of the Triceps Surae muscle group?

<p>Plantar flexion of the foot and flexion of the leg (B)</p> Signup and view all the answers

What is the role of the Gastrocnemius and Soleus muscles in venous blood return?

<p>They act as a secondary heart (D)</p> Signup and view all the answers

What is the insertion of the Gastrocnemius and Soleus muscles?

<p>Calcaneus via calcaneal (Achilles) tendon (A)</p> Signup and view all the answers

What is the function of the Tibialis anterior muscle?

<p>Dorsiflexion of foot at ankle joint (A)</p> Signup and view all the answers

Which muscle is responsible for extension of the big toe at MTP and IP joints?

<p>Extensor hallucis longus (A)</p> Signup and view all the answers

What is the origin of the Extensor digitorum longus muscle?

<p>Proximal 2/3 of anterior surface of tibia and interosseous membrane (A)</p> Signup and view all the answers

What is the function of the Popliteus muscle?

<p>Unlocking the knee (D)</p> Signup and view all the answers

What is the innervation of the Tibialis anterior muscle?

<p>Deep fibular (peroneal) nerve (A)</p> Signup and view all the answers

What is the insertion of the Extensor hallucis longus muscle?

<p>Base of the distal phalanx of the big toe (A)</p> Signup and view all the answers

What is the origin of the Fibularis (peroneus) tertius muscle?

<p>Anterior surface of fibula and interosseous membrane (B)</p> Signup and view all the answers

What is the primary function of the Fibularis (peroneus) longus muscle?

<p>Eversion of the foot at the subtalar joint (B)</p> Signup and view all the answers

Which compartment of the leg contains the Fibularis (peroneus) brevis muscle?

<p>Superficial fibular (peroneal) compartment (A)</p> Signup and view all the answers

What is the insertion of the Fibularis (peroneus) tertius muscle?

<p>Base of the 5th metatarsal (A)</p> Signup and view all the answers

Which nerve innervates the Fibularis (peroneus) longus muscle?

<p>Superficial peroneal (fibular) nerve (D)</p> Signup and view all the answers

What is the primary function of the Fibularis (peroneus) brevis muscle?

<p>Eversion of the foot at the subtalar joint (B)</p> Signup and view all the answers

What is the insertion point of the quadriceps femoris muscle?

<p>Base of patella via the quadriceps tendon (A)</p> Signup and view all the answers

What is the function of the articularis genus muscle?

<p>Elevation of the capsule and the synovial membrane of the knee joint (B)</p> Signup and view all the answers

Which nerve is responsible for the innervation of the pectineus muscle?

<p>Femoral nerve (D)</p> Signup and view all the answers

What is the origin of the adductor brevis muscle?

<p>Body and inferior ramus of pubis (C)</p> Signup and view all the answers

What is the function of the adductor longus muscle?

<p>Adduction and flexion of the thigh at the hip joint (B)</p> Signup and view all the answers

What is the insertion point of the adductor longus muscle?

<p>Middle part of linea aspera (B)</p> Signup and view all the answers

What is the origin of the Sartorius muscle?

<p>Anterior superior iliac spine (B)</p> Signup and view all the answers

Which quadriceps femoris muscle originates from the medial lip of the linea aspera?

<p>Vastus medialis (C)</p> Signup and view all the answers

What is the function of the Psoas Major muscle?

<p>Flexion of the thigh (D)</p> Signup and view all the answers

Which nerve innervates the Extensor muscles of the knee joint?

<p>Femoral Nerve (D)</p> Signup and view all the answers

What is the insertion of the Rectus femoris muscle?

<p>Base of the patella via the quadriceps tendon (C)</p> Signup and view all the answers

What is the function of the Vastus lateralis muscle?

<p>Extension of the knee joint (D)</p> Signup and view all the answers

What is the origin of the posterior head of the adductor magnus muscle?

<p>Ischial tuberosity (A)</p> Signup and view all the answers

What is the function of the anterior head of the adductor magnus muscle?

<p>Adducts the thigh at the hip joint (D)</p> Signup and view all the answers

What is the innervation of the adductor magnus muscle?

<p>Tibial nerve and obturator nerve (B)</p> Signup and view all the answers

What is the insertion of the gracilis muscle?

<p>Proximal part of the medial surface of the shaft of the tibia (A)</p> Signup and view all the answers

What is one of the functions of the gracilis muscle?

<p>Flexes the leg at the knee joint (D)</p> Signup and view all the answers

What is the term for the combined tendons of insertion of the Sarterious, Gracilis, and Semitendinosus muscles?

<p>Pes Anserinus (C)</p> Signup and view all the answers

What is the shape of the femoral canal in the upper femoral triangle?

<p>Inverted cone (C)</p> Signup and view all the answers

What is the term for the gait pattern seen in patients with cerebral palsy, associated with the adductor muscles?

<p>Scissor's Gait (B)</p> Signup and view all the answers

What is the role of the Gracilis muscle in surgical reconstruction?

<p>Surgical reconstruction (A)</p> Signup and view all the answers

What is the term for the contents of the femoral triangle, using the mnemonic 'NAVEL'?

<p>Nerve, Artery, Vein, Empty Space, Lymph (A)</p> Signup and view all the answers

What is the name of the muscle also known as the 4th hamstring?

<p>Adductor Magnus (C)</p> Signup and view all the answers

What muscle is responsible for flexing the thigh and lateral rotation of the thigh?

<p>Psoas Major (D)</p> Signup and view all the answers

Which nerve innervates the Adductor Muscles of the hip joint?

<p>Obturator Nerve (B)</p> Signup and view all the answers

Which muscle is considered part of the iliopsoas due to its distal attachment on the femur's lesser trochanter?

<p>Iliacus (C)</p> Signup and view all the answers

Which muscle is NOT part of the Extensor Muscles of the knee joint?

<p>Adductor Longus (A)</p> Signup and view all the answers

Which of the following functions is NOT performed by the Psoas Major muscle?

<p>Abduction of the thigh (A)</p> Signup and view all the answers

Which nerve innervates the Psoas Major muscle?

<p>Femoral Nerve (D)</p> Signup and view all the answers

What type of joint is the intercoccygeal joint classified as?

<p>Synarthrosis (B)</p> Signup and view all the answers

What is the function of the extensor digitorum brevis muscle?

<p>To extend the toes (B)</p> Signup and view all the answers

What is the type of joint that the pubic symphysis is classified as?

<p>Cartilaginous symphysis (C)</p> Signup and view all the answers

What is the origin of the extensor hallucis brevis muscle?

<p>Dorsal surface of the calcaneus (B)</p> Signup and view all the answers

What is the relationship between the motion of the SI joints and the symphysis pubis?

<p>Motion at the SI joints must be accompanied by motion at the symphysis pubis (B)</p> Signup and view all the answers

Which muscle is responsible for abducting the big toe?

<p>Abductor hallucis (A)</p> Signup and view all the answers

What is the name of the fascia that lies deep to the first layer of muscles in the sole of the foot?

<p>Plantar fascia (D)</p> Signup and view all the answers

How many muscles are present in the first layer of the sole of the foot?

<p>4 (A)</p> Signup and view all the answers

Which muscle is also known as the flexor accessorius?

<p>Quadratus plantae (D)</p> Signup and view all the answers

How many dorsal interossei muscles are present in the fourth layer of the sole of the foot?

<p>4 (B)</p> Signup and view all the answers

Which muscle has its origin at the medial process of the tuberosity of the calcaneus?

<p>Flexor digitorum brevis (C)</p> Signup and view all the answers

What is the insertion point of the flexor digiti minimi brevis muscle?

<p>Base of the proximal phalanx of the 5th toe (C)</p> Signup and view all the answers

Which muscle has its origin at the cuboid and 3rd (lateral) cuneiform?

<p>Flexor hallucis brevis (B)</p> Signup and view all the answers

What is the insertion point of the adductor hallucis muscle?

<p>Base of the proximal phalanx of the great toe (A)</p> Signup and view all the answers

Which muscle has its origin at the adjacent sides of metatarsal bones?

<p>Dorsal interossei (D)</p> Signup and view all the answers

What is the insertion point of the quadratus plantae muscle?

<p>Tendon of the flexor digitorum longus (C)</p> Signup and view all the answers

Which pelvic joint is often the site of low back pain following childbirth?

<p>Sacroiliac joint (B)</p> Signup and view all the answers

Which joint of the pelvis sustains more than three times the body weight with each step?

<p>Hip joint (B)</p> Signup and view all the answers

Which region of the body transmits large forces between the trunk and the ground?

<p>Pelvic region (B)</p> Signup and view all the answers

What type of joint is the sacroiliac joint classified as?

<p>Gliding joint (C)</p> Signup and view all the answers

Which joint in the pelvis transmits forces from the head, arms, and trunk to the lower extremities?

<p>Lumbosacral joint (D)</p> Signup and view all the answers

Which statement about the hip joints is accurate?

<p>Hip joints are the most structurally stable, yet mobile, joints in the body. (C)</p> Signup and view all the answers

What is the primary difference between the coverage of the sacral surface and the iliac surface in the sacroiliac (SI) joint?

<p>Hyaline cartilage on the sacral surface versus fibrocartilage on the iliac surface (D)</p> Signup and view all the answers

Which ligament fills the space between the sacrum and the inner side of the iliac tuberosity in the sacroiliac (SI) joint?

<p>Interosseous ligament (D)</p> Signup and view all the answers

What provides excellent leverage to hold the distal aspect of the sacrum in place against anterior weightbearing forces in the sacroiliac (SI) joint?

<p>Sacrotuberous ligaments (A)</p> Signup and view all the answers

Which ligaments run obliquely upward and outward from the sacrum in the sacroiliac (SI) joint, creating a self-locking mechanism?

<p>Interosseous and posterior sacroiliac ligaments (D)</p> Signup and view all the answers

How is the sacrococcygeal joint classified, depending on the subject's age?

<p>Symphysis (secondary cartilaginous) synarthrosis joint (C)</p> Signup and view all the answers

What creates the self-locking mechanism in the sacroiliac (SI) joint by compressing the sacrum between them?

<p>Interosseous and posterior sacroiliac ligaments (C)</p> Signup and view all the answers

Where does the arcuate popliteal ligament arise from?

<p>The posterior aspect of the fibular head (A)</p> Signup and view all the answers

What is the function of the collateral ligaments in the knee?

<p>To provide transverse stability during extension (B)</p> Signup and view all the answers

Where is the anterior cruciate ligament (ACL) attached to in the tibia?

<p>The anterior intercondylar area (B)</p> Signup and view all the answers

Which ligament runs from the lateral epicondyle of the femur to the head of the fibula?

<p>Lateral collateral ligament (C)</p> Signup and view all the answers

What happens to the collateral ligaments during flexion of the knee?

<p>They become slackened (B)</p> Signup and view all the answers

Where are the cruciate ligaments located in the knee joint?

<p>In the center of the knee joint, within the intercondylar notch and fossa (C)</p> Signup and view all the answers

What is the attachment point of the posterior cruciate ligament on the tibia?

<p>Posterior intercondylar area (B)</p> Signup and view all the answers

What is the shape of the medial meniscus?

<p>C-shaped (C)</p> Signup and view all the answers

What is the function of the cruciate ligaments in the knee joint?

<p>To stabilize the joint in the antero-posterior direction (C)</p> Signup and view all the answers

What is the attachment point of the horns of the menisci?

<p>Tibial condyle (C)</p> Signup and view all the answers

What is the ligament that links the two anterior horns of the menisci?

<p>Transverse ligament of the knee (C)</p> Signup and view all the answers

What is the location of the cruciate ligaments in relation to the synovial membrane?

<p>Intracapsular and extrasynovial (A)</p> Signup and view all the answers

What anatomical feature is present on the head for the attachment of the round ligament of the head?

<p>Fovea (C)</p> Signup and view all the answers

What is defined by the increase in the angle of anteversion of the femur?

<p>Anteversion (A)</p> Signup and view all the answers

In adults, what angle does the head of the femur form with the femoral plane?

<p>10-30 degrees (D)</p> Signup and view all the answers

What is the effect of a decrease in the angle of anteversion in the femur?

<p>Out-toeing (B)</p> Signup and view all the answers

What is the primary direction in which the acetabulum is oriented?

<p>Laterally, inferiorly, and anteriorly (A)</p> Signup and view all the answers

How is femoral anteversion usually affected with the growth and development of children?

<p>Decreases (B)</p> Signup and view all the answers

Which ligament limits lateral rotation and abduction of the hip?

<p>Pubofemoral ligament (C)</p> Signup and view all the answers

What is the function of the iliofemoral ligament?

<p>Covers the hip joint anteriorly and superiorly (A)</p> Signup and view all the answers

Which structure winds the fibers of the hip joint capsule and increases stability by pulling the femur tightly into the acetabulum?

<p>Iliofemoral ligament (A)</p> Signup and view all the answers

Which ligament covers the hip joint anteriorly and superiorly?

<p>Ischiofemoral ligament (A)</p> Signup and view all the answers

In what direction do the fibers of the fibrous layer of the hip joint capsule unwind during flexion?

<p>Obliquely (D)</p> Signup and view all the answers

Which ligament limits medial rotation of the hip joint?

<p>Ischiofemoral ligament (B)</p> Signup and view all the answers

What is the name of the structure that lodges the two intercondylar tubercles?

<p>Intercondylar eminence (A)</p> Signup and view all the answers

Which part of the tibial surface acts as a pivot to allow axial rotation?

<p>Middle eminence (D)</p> Signup and view all the answers

What reinforces the knee joint capsule, forming part of its complexity?

<p>Ligaments (B)</p> Signup and view all the answers

Where does the proximal tendon of the popliteus muscle attach?

<p>Lateral femoral condyle (D)</p> Signup and view all the answers

Which muscle forms part of the oblique popliteal ligament and gives off fibers to the MCL and its large bony attachment?

<p>Semimembranosus muscle (A)</p> Signup and view all the answers

What allows the tibia to rotate around and shorten the intercondylar eminence?

<p>Intercondylar notch (A)</p> Signup and view all the answers

What is the role of the iliotibial tract in the lower limb?

<p>It forms a band that invests the tensor fascia lata muscle (A)</p> Signup and view all the answers

Which muscle is situated on the outer surface of the pelvis?

<p>Gluteus medius (B)</p> Signup and view all the answers

What is the origin of the gluteus maximus muscle?

<p>Posterior iliac crest, sacrum, and coccyx (C)</p> Signup and view all the answers

What is the main function of the gluteus maximus muscle?

<p>Knee stability and extension of the hip joint (D)</p> Signup and view all the answers

What is the deep fascia of the thigh also known as?

<p>Fascia lata (A)</p> Signup and view all the answers

What is the relationship between the gluteus maximus and gluteus medius muscles?

<p>The gluteus maximus muscle covers the posterior third of the gluteus medius muscle (B)</p> Signup and view all the answers

Where does the Superior gemellus muscle originate?

<p>Ischial spine (C)</p> Signup and view all the answers

Which nerve innervates the Quadratus femoris muscle?

<p>Nerve to quadratus femoris (A)</p> Signup and view all the answers

What is the common function of the Deep Gluteal Muscles?

<p>Hip joint extension (C)</p> Signup and view all the answers

Where does the Gluteus minimus muscle insert?

<p>Lateral surface of greater trochanter (B)</p> Signup and view all the answers

What causes the Trendelenburg Sign & Gait?

<p>Deep Gluteal Muscles weakness (B)</p> Signup and view all the answers

Where does the Inferior gemellus muscle insert?

<p>Medial surface of greater trochanter (B)</p> Signup and view all the answers

Which nerve innervates the sartorius muscle despite it being located in the anterior compartment of the thigh?

<p>Femoral nerve (C)</p> Signup and view all the answers

Which nerve innervates most of the adductor muscles in the thigh except for the pectineus muscle?

<p>Obturator nerve (C)</p> Signup and view all the answers

Which nerve innervates the adductor magnus muscle in the thigh, providing dual innervation to this muscle?

<p>Tibial nerve (A)</p> Signup and view all the answers

Which nerve innervates the hamstring muscle known as the biceps femoris?

<p>Sciatic nerve (B)</p> Signup and view all the answers

Where does the hamstring muscle semitendinosus have its insertion point?

<p>Proximal part of the medial surface of the tibia (C)</p> Signup and view all the answers

Which hamstring muscle has its insertion on the posterior aspect of the medial condyle of the tibia?

<p>Semimembranosus (C)</p> Signup and view all the answers

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Study Notes

Cerebellum

  • Affects ipsilateral motor function, balance, and posture
  • Fine-tunes skilled motor functions through feedback loops
  • Initiates, terminates, coordinates, and times movements
  • Plans motor movements, including motor learning

Cerebellum Anatomy

  • Anterior and posterior lobes: provide subconscious movements
  • Floculonodular lobe: regulates equilibrium
  • Vermis: a "worm-like" part separating the two hemispheres
  • Folia: gyri-like convolutions on the surface of the cerebellum
  • Internal anatomy includes:
    • White matter (arbor vitae)
    • Gray matter (cortex) surrounding the arbor vitae
    • Deep nuclei: dentate, interposed, fastigial
    • Peduncles: superior, middle, and inferior

Functional Divisions of the Cerebellum

  • Vestibulocerebellum (floculonodular lobe): coordinates balance, eye movements, and equilibrium
  • Spinocerebellum: involved in motor coordination and learning
  • Cerebrocerebellum: integrates cognitive and motor functions

Cerebellar Lesions

  • Causes ataxia (loss of motor coordination)
  • Symptoms include:
    • Dysmetria (inability to judge distance)
    • Dysdiadochokinesia (loss of alternating movement)
    • Asynergia (lack of coordination between muscle groups)
    • Intention tremor

Cranial Nerves

  • 12 pairs, exiting the base of the brain and brainstem
  • Pass through cranial foramina to reach peripheral targets in the face and neck
  • Functions include:
    • Motor control
    • Sensory reception
    • Special senses (taste, smell, vision, hearing, balance)

Motor Component of Cranial Nerves

  • UMNs (upper motor neurons) in the cortex send bilateral innervation to cranial nerve nuclei
  • LMNs (lower motor neurons) in the brainstem and spinal cord send ipsilateral innervation to muscles
  • Exceptions: CN IV (trochlear nerve) innervates the contralateral superior oblique muscle

Reflexes and Reflex Arcs

  • A reflex is a fast, involuntary response to a stimulus
  • Reflex arcs include:
    • Receptor
    • Sensory neuron
    • Integrating center
    • Motor neuron
    • Effector
  • Types of reflexes:
    • Somatic reflexes (spinal cord)
    • Autonomic reflexes (visceral)
    • Stretch reflex (muscle length control)
    • Tendon reflex (muscle tension control)
    • Flexor (withdrawal) reflex (pain withdrawal)

Spinal Cord

  • Extends from the medulla oblongata to the level of L1/L2
  • External features:
    • Cylindrical shape with cervical and lumbar enlargements
    • Ventral (anterior) median fissure and dorsal (posterior) median sulcus
    • Ventral and dorsal rootlets forming the ventral and dorsal roots of spinal nerves
  • Internal features:
    • Gray matter (sutural horn, ventral horn, dorsal horn)
    • White matter (tracts)

Motor Pathways

  • Pyramidal tracts (corticospinal and corticobulbar)
  • Extrapyramidal tracts (rubrospinal, tectospinal, vestibulospinal, reticulospinal)
  • UMNs (cerebral cortex, brainstem) -> LMNs (brainstem, spinal cord) -> muscles### Internal Features of the Spinal Cord
  • The spinal cord consists of gray matter and white matter
  • Gray matter is shaped like an "H" with a ventral (anterior) horn and a dorsal (posterior) horn on each side
  • The right and left halves of the gray matter are connected by a narrow strip called the gray commissure, which contains the central canal
  • In some segments (T1 to L2 and S2 to S4), there is a third horn between the ventral and dorsal horns, known as the lateral horn
  • Lateral horns of T1 to L2 segments contain cell bodies of sympathetic neurons
  • Lateral horns of S2 to S4 segments contain cell bodies of parasympathetic neurons
  • Ventral horns contain cell bodies of motor neurons
  • Dorsal horns contain cell bodies of sensory neurons

White Matter of the Spinal Cord

  • White matter surrounds the gray matter and is organized into ventral, lateral, and dorsal columns (funiculi) on each half of the spinal cord
  • These columns contain bundles of myelinated nerve fibers (tracts) that travel along the length of the spinal cord

Cranial Nerves

Vagus Nerve (CN X)

  • Has five modalities: BE/SVE, SVA, GVE, GVA, and GSA
  • Fiber types:
    • BE/SVE: innervates muscles of the pharynx, larynx, and soft palate
    • SVA: carries taste perception from the root of the tongue and epiglottis region
    • GVE: innervates thoracic and abdominal viscera up to the left colic flexure
    • GVA: carries visceral sensation from the thoracic and abdominal viscera
    • GSA: carries sensory information from skin posterior to the ear and dura in the posterior cranial fossa
  • Injury to the vagus nerve can result in hoarse voice, vocal changes, and difficulty producing speech

Glossopharyngeal Nerve (CN IX)

  • Has five modalities: BE/SVE, SVA, GVE, GVA, and GSA
  • Fiber types:
    • BE/SVE: innervates stylopharyngeus muscle
    • SVA: carries taste perception from the posterior 1/3 of the tongue
    • GVE: innervates the parotid gland
    • GVA: carries visceral sensation from the carotid body
    • GSA: carries sensory information from skin posterior to the ear and posterior 1/3 of the tongue
  • Injury to the glossopharyngeal nerve can result in no response to stimulation

Facial Nerve (CN VII)

  • Has five modalities: BE/SVE, SVA, GVE, GVA, and GSA
  • Fiber types:
    • BE/SVE: voluntary motor control to muscles of facial expression
    • SVA: carries taste perception from the anterior 2/3 of the tongue
    • GVE: innervates the submandibular and sublingual glands
    • GVA: carries visceral sensation from the lacrimal gland
    • GSA: carries sensory information from skin behind the ear
  • Injury to the facial nerve can result in weakness or paralysis of facial muscles

Spinal Accessory Nerve (CN XI)

  • Voluntary motor to sternocleidomastoid and trapezius muscles
  • General Somatic Efferent (GSE)

Hypoglossal Nerve (CN XII)

  • Voluntary motor to muscles of the tongue
  • General Somatic Efferent (GSE)
  • Injury to the hypoglossal nerve can result in tongue deviated to the same side as the injury

Reflexes

Corneal Reflex

  • Protects the eyes from foreign bodies
  • Sensory arc: CN V1 (touch to the surface of the cornea)
  • Motor arc: CN VII (orbicularis oculi)
  • Desired response: bilateral blinking regardless of input side

Pain Pathways

Spinothalamic Tract

  • Conveys pain and temperature information to the thalamus
  • First-order neuron: located in the dorsal root ganglion
  • Second-order neuron: located in the dorsal horn of the spinal cord
  • Third-order neuron: located in the thalamus
  • Axons of the third-order neuron project to the somatosensory area of the cerebral cortex

Gate Pain Theory

  • Serotonin and substance P play a role in pain modulation
  • Enkephalins and endorphins are natural painkillers

Somatic Nerve Pathways

Dorsal Spinocerebellar Tract

  • Conveys proprioceptive information from the trunk and lower limbs to the cerebellum
  • First-order neuron: located in the dorsal root ganglion
  • Second-order neuron: located in the dorsal horn of the spinal cord
  • Axons of the second-order neuron form the dorsal spinocerebellar tract
  • Terminates in the cerebellar cortex

Anterolateral System

  • Conveys nondiscriminative touch, pain, and temperature information to the thalamus
  • Divided into different tracts, including the spinothalamic tract
  • First-order neuron: located in the dorsal root ganglion
  • Second-order neuron: located in the dorsal horn of the spinal cord
  • Third-order neuron: located in the thalamus

Bones

Hip Bone

  • Composed of the ilium, ischium, and pubis
  • Ilium: forms the superior and posterior part of the hip bone
  • Ischium: forms the inferior and posterior part of the hip bone
  • Pubis: forms the anterior and inferior part of the hip bone

Sacrum

  • Composed of five fused vertebrae
  • Forms the posterior wall of the pelvis
  • Has five pairs of posterior sacral foramina
  • Has four pairs of anterior sacral foramina

Femur

  • Upper end: has a head, neck, and greater and lesser trochanters
  • Body or shaft: strengthened by the linea aspera
  • Lower end: has a medial and lateral condyleHere are the study notes for the provided text:

Superior Surface of the Talus

  • Presents a smooth trochlear surface for articulation with the inferior surface of the distal end of the tibia
  • Forms a canal (sinus tarsi) with the calcaneus, filled with the interosseous talocalcaneal ligament

Inferior Surface of the Talus

  • Presents two articular areas: the posterior and middle calcaneal surfaces, separated by a deep groove (sulcus tali)

Neck of the Talus

  • Directed forward and medially, located between the body and the head of the talus

Head of the Talus

  • Looks forward and medially, with an anterior articular or navicular surface that is oval and convex
  • Articulates with the medial malleolus

Calcaneus

  • The largest of the tarsal bones
  • Situated at the lower and back part of the foot, serving to transmit the weight of the body to the ground and forming a strong lever for the calf muscles
  • Presents six surfaces
    • Superior surface has three articular facets for the talus
    • Sulcus (calcaneal sulcus) on the superior surface

Peroneal (Fibularis) Muscles

  • Two muscles in the lateral compartment of the leg
  • Innervated by the superficial peroneal (fibular) nerve
    • Fibularis (peroneus) longus
      • Origin: Head of fibula and interosseous membrane
      • Insertion: Base of the 1st metatarsal and 1st cuneiform
      • Function: (2) 1. Eversion of the foot at the subtalar joint, 2. Plantar flexion of the foot at the ankle joint
    • Fibularis (peroneus) brevis
      • Origin: Distal 1/2 of the lateral surface of the fibula
      • Insertion: Tuberosity of the 5th metatarsal bone
      • Function: (2) 1. Eversion of the foot at the subtalar joint, 2. Plantar flexion of the foot at the ankle joint

Other Muscles

  • Tibialis posterior
    • Origin: Proximal 2/3 of the posterior surface of the tibia and fibula, and interosseous membrane
    • Insertion: 2nd, 3rd, and 4th metatarsals, navicular, cuboid, and calcaneus
    • Function: (2) 1. Plantar flexion of the foot at the ankle joint, 2. Inversion of the foot at the subtalar joint
  • Popliteus
    • Origin: Lateral surface of the lateral condyle of the femur
    • Insertion: Above the soleal line on the posterior tibia
    • Function: (2) 1. Flexion of the leg at the knee joint, 2. Medial rotation of the leg at the knee joint
  • Gastrocnemius and soleus
    • Form the triceps surae
    • Function: (2) 1. Plantar flexion of the foot at the ankle joint, 2. Flexion of the leg at the knee joint

Anterior Compartment of the Leg

  • Muscles innervated by the deep peroneal (fibular) nerve
    • Tibialis anterior
      • Origin: Lateral condyle and upper 2/3 of the lateral surface of the tibia, and interosseous membrane
      • Insertion: 1st (medial) cuneiform and base of the 1st metatarsal
      • Function: (2) 1. Dorsiflexion of the foot at the ankle joint, 2. Inversion of the foot at the subtalar joint
    • Extensor hallucis longus
      • Origin: Middle 1/3 of the anterior surface of the fibula and interosseous membrane
      • Insertion: Base of the distal phalanx of the big toe
      • Function: (3) 1. Extension of the big toe at the MTP and IP joints, 2. Dorsiflexion of the foot at the ankle joint, 3. Inversion of the foot at the subtalar joint
    • Extensor digitorum longus
      • Origin: Lateral condyle of the tibia, proximal 2/3 of the anterior surface of the fibula, and interosseous membrane
      • Insertion: Middle and distal phalanges of toes 2-5
      • Function: (3) 1. Extension of toes 2-5 at the MTP and IP joints, 2. Dorsiflexion of the foot at the ankle joint, 3. Eversion of the foot at the subtalar joint

Anatomical Structures Passing Behind the Medial Malleolus

  • Mnemonics: Tom Dick Harry (or Tom Dick And Very Nervous Harry)
  • Popliteal fossa

Muscles Moving the Ankle Joint, Foot, and Toes

  • 4 muscles: Tibialis anterior, extensor hallucis longus, extensor digitorum longus, and fibularis (peroneus) tertius

Adductor Muscles of the Hip Joint

  • Innervated by the obturator nerve
    • Adductor longus
      • Origin: Anterior surface of the pubis
      • Insertion: Middle part of the linea aspera
      • Function: (3) 1. Adduction of the thigh at the hip joint, 2. Flexion of the thigh at the hip joint, 3. Lateral rotation of the thigh at the hip joint
    • Adductor brevis
      • Origin: Body and inferior ramus of the pubis
      • Insertion: Proximal 1/3 of the linea aspera
      • Function: (3) 1. Adduction of the thigh at the hip joint, 2. Flexion of the thigh at the hip joint, 3. Lateral rotation of the thigh at the hip joint
    • Adductor magnus
      • Origin: Ischiopubic ramus and ischial tuberosity
      • Insertion: Linea aspera and adductor tubercle
      • Function: (3) 1. Adduction of the thigh at the hip joint, 2. Flexion of the thigh at the hip joint, 3. Extension of the thigh at the hip joint

Pelvic Region

  • 7 joints: Lumbosacral, sacroiliac, sacrococcygeal, symphysis pubis, hip, and 2 intercoccygeal joints
  • Hip joints are the most structurally stable and mobile joints in the body
  • Sacroiliac joint can be a site of low back pain
  • Pubic symphysis is a cartilaginous symphysis (amphiarthrosis) joint

Foot Muscles

  • Dorsal surface of the foot: Extensor digitorum brevis and extensor hallucis brevis
  • Sole of the foot: 4 layers of muscles
    • 1st layer: Abductor hallucis, flexor digitorum brevis, abductor digiti minimi, and plantar fascia
    • 2nd layer: Flexor hallucis longus tendon, flexor digitorum longus tendon, quadratus plantae, and lumbricals
    • 3rd layer: Flexor hallucis brevis, adductor hallucis, flexor digiti minimi brevis, and plantar interossei
    • 4th layer: Dorsal interossei

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