General Anatomy Study Notes

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Questions and Answers

Which nerve is primarily responsible for innervating the Tibialis anterior muscle?

  • Common peroneal nerve
  • Superficial peroneal nerve
  • Deep peroneal nerve (correct)
  • Femoral nerve

What muscle is NOT innervated by the Superficial peroneal nerve?

  • Peroneus longus
  • Tibialis anterior (correct)
  • Peroneus brevis
  • Extensor digitorum longus

Identify the muscle primarily involved in the abduction of the hip joint.

  • Peroneus longus
  • Tensor fasciae latae (correct)
  • Peroneus brevis
  • Extensor digitorum longus

Which of the following is a common site for intramuscular injections in the gluteal region?

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

What action does the Tensor fasciae latae muscle assist with during walking?

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

Which structure provides stability to the pelvic region during ambulation?

<p>Tensor fasciae latae (D)</p> Signup and view all the answers

What is the primary role of the Common peroneal nerve?

<p>Motor and sensory innervation to the lower leg and foot (B)</p> Signup and view all the answers

Which cutaneous branch is associated with the superficial peroneal nerve?

<p>Medial dorsal cutaneous nerve (D)</p> Signup and view all the answers

Which muscle is primarily innervated by the femoral nerve?

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

What characterizes the pelvic balance during walking?

<p>The iliopsoas assists in maintaining pelvic alignment. (D)</p> Signup and view all the answers

Which movement is primarily facilitated by the tension of the tensor fascia lata?

<p>Abduction of the hip (B)</p> Signup and view all the answers

In which muscle group does the obturator nerve provide motor supply?

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

Where are intramuscular injections ideally administered in the gluteal region?

<p>In the superior lateral quadrant (C)</p> Signup and view all the answers

Which muscle is primarily responsible for hip flexion during walking, as mentioned in the relationships of the femoral nerve?

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

In the context of pelvic stability during walking, what role does the tensor fasciae latae play?

<p>It stabilizes the pelvis by controlling hip abduction. (A)</p> Signup and view all the answers

Which nerve is responsible for innervating the muscle that primarily abducts the hip?

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

What is the primary action of the quadriceps femoris muscle during the gait cycle?

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

Regarding injections in the gluteal region, which landmark is critical to avoid damaging the sciatic nerve?

<p>The greater sciatic notch (B)</p> Signup and view all the answers

What is a common consequence of weakness in the tensor fasciae latae during ambulation?

<p>Pelvic drop on the opposite side (D)</p> Signup and view all the answers

Which muscle is specifically not innervated by the femoral nerve, despite its proximity?

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

Which nerve provides the longest cutaneous branch extending to the anterior thigh?

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

During normal gait, which action is most predominantly achieved by the psoas-iliacus and sartorius muscles?

<p>Hip flexion and external rotation (C)</p> Signup and view all the answers

Which of the following is the least directly associated with the actions of the femoral nerve?

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

Which nerve primarily innervates the adductor muscles of the thigh?

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

What is the first phase of the gait cycle that involves heel contact with the ground?

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

Which muscle is primarily responsible for hip abduction?

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

Which structure plays a crucial role in maintaining pelvic stability during gait?

<p>Tensor fasciae latae (D)</p> Signup and view all the answers

What is the consequence of improper injection techniques in the gluteal region?

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

During the swing phase of gait, which sequence occurs immediately after heel rise?

<p>Pre-swing (D)</p> Signup and view all the answers

What movement is facilitated by the external obturator muscle?

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

What is the role of the gracilis muscle in the lower limb movements?

<p>It aids in hip adduction and knee flexion (A)</p> Signup and view all the answers

Which of the following phases does NOT occur in the gait cycle?

<p>Pre-loading (B)</p> Signup and view all the answers

Which of the following nerves is NOT involved in the innervation of the thigh muscles?

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

Which muscles are primarily innervated by the sciatic nerve?

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

What is the main function of the ischiotibial muscles during walking?

<p>Extend the hip and flex the knee (C)</p> Signup and view all the answers

Which nerve is responsible for the innervation of the gluteus minimus and medius muscles?

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

Which muscle plays a critical role in pelvic stability during walking?

<p>Tensor fasciae latae (B)</p> Signup and view all the answers

What is the role of the tensor fasciae latae in hip abduction?

<p>It primarily aids in abducting the thigh (A)</p> Signup and view all the answers

What should be the preferred site for intramuscular injections in the gluteal region to avoid nerve damage?

<p>Inferior lateral quadrant (A)</p> Signup and view all the answers

In which phase of movement do the ischiotibial muscles play a critical role?

<p>Preparation phase of gait (B)</p> Signup and view all the answers

Which two tendons contribute to the 'goose's foot' (pes anserinus) structure?

<p>Tendons of sartorius and gracilis (C)</p> Signup and view all the answers

What is the primary action of the adductor magnus (recta portion) regarding the hip?

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

Which condition could lead to dysfunction of the gluteal muscles during movement?

<p>Injury to the lumbar spine (D)</p> Signup and view all the answers

Flashcards

Common Peroneal Nerve Branches

The common peroneal nerve divides into the superficial and deep peroneal nerves, each innervating specific muscles and providing sensory information.

Superficial Peroneal Nerve Muscles

The superficial peroneal nerve innervates the peroneus longus and peroneus brevis muscles: used for foot eversion and plantarflexion

Deep Peroneal Nerve Muscles

The deep peroneal nerve innervates muscles crucial for dorsiflexion and toe extension.

Femoral Nerve Spinal Roots

The femoral nerve arises from spinal nerve roots L2, L3, and L4.

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Femoral Nerve Location

The femoral nerve descends below and outside the psoas major in the iliac fossa, located between the iliacus and psoas major.

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Femoral Nerve Covering

The femoral nerve is covered by the iliac fascia in the iliac fossa.

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Peroneal Nerve Roots

The Peroneal nerve, both superficial and deep, originate from parts of the L4 to S2 spinal regions.

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Tibial Nerve Distribution

Sensory and motor distribution of the tibial nerve is likely to be discussed in a different anatomical section.

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Obturator nerve function

Initiates thigh flexion at the hip and leg flexion at the knee, with associated thigh adduction and external rotation during gait.

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Obturator Nerve roots

L2, L3, and L4 spinal nerves.

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Obturator nerve muscles (primary)

Obturator externus, adductor longus, brevis, magnus, pectineus, and gracilis.

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Gait cycle

Series of alternating stance (support) and swing (non-support) phases of walking.

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Support phase

Begins with heel strike, involves weight-bearing, and ends with toe-off.

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Swing phase

Starts with toe-off, includes pre-swing, initial-swing, mid-swing, and terminal-swing.

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Adductor longus

Muscle inside the thigh, involved in thigh adduction.

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Adductor brevis

Muscle inside the thigh, involved in thigh adduction.

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Adductor magnus

Muscle inside the thigh, involved in thigh adduction.

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Pectineus muscle

Muscle connecting the thigh and pelvis, contributing to thigh adduction.

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Femoral nerve pathway

The femoral nerve passes under the inguinal ligament, through the muscular hiatus, over the psoas-iliacus muscle, and outside the femoral artery, separated by the iliopectineal band or arch.

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Branches of the femoral nerve

The femoral nerve divides into motor and sensory branches. Motor branches innervate muscles like psoas-iliacus, pectineus, sartorius, and quadriceps femoris. Sensory branches supply the anteromedial thigh, knee, leg, and ankle (except areas supplied by the obturator and genitofemoral nerves).

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Femoral nerve relations

The main relation of the femoral nerve is with the external iliac and circumflex iliac vessels within the internal iliac fossa.

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Motor branches

These branches control muscles' movement. Examples provided include psoas-iliacus, pectineus, sartorius, and quadriceps femoris.

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Sensory branches

These branches provide sensation or feelings. Areas supplied include the front and inner part of the thigh, knee, lower leg, and ankle.

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Key Muscles innervated by femoral nerve

Iliopsoas, pectineus, sartorius, and quadriceps femoris are innervated by the femoral nerve.

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Nerve Root Levels

The femoral nerve originates from the lumbar spinal nerves, specifically levels L2 to L4.

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Safenous nerve

A prominent sensory branch of the femoral nerve that supplies the lower leg and foot.

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Hip and Leg Movement

The action of the femoral nerve system is crucial for important movements during walking. Notably, thigh flexion, external thigh rotation, and leg extension are involved, with specific muscles like Sartorius, psoas-iliacus, pectineus, and quadriceps femoris playing key roles.

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Inguinal Ligament

A fibrous band that separates the abdominal region from the thigh region that the femoral nerve passes beneath.

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Obturator Nerve Descent

The obturator nerve travels under and then inwards beside the psoas major muscle, parallel to the lumbosacral trunk.

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Obturator Nerve Exit

The obturator nerve exits the pelvis through the subpubic canal, passing through the obturator foramen.

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Obturator Nerve Branches - Anterior

The anterior branch of the obturator nerve provides motor innervation to the adductor longus, adductor brevis, and gracilis muscles. It also provides sensory innervation to the lower third of the inner thigh.

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Obturator Nerve Branches - Posterior

The posterior branch of the obturator nerve provides motor innervation to the obturator externus, adductor brevis, and adductor magnus muscles. It also provides articular branches for the knee.

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Sciatic nerve function

The sciatic nerve controls hip extension and knee flexion, crucial for walking, running, and jumping.

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Ischiotibial muscles

Group of muscles including the semitendinosus, semimembranosus, biceps femoris, and adductor magnus (rectus portion), innervated by the sciatic nerve.

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Semitendinosus and Semimembranosus innervation

These muscles are innervated by the tibial portion of the sciatic nerve.

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Biceps femoris innervation

The biceps femoris muscle is innervated by both the tibial and common peroneal portion of the sciatic nerve.

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Adductor magnus (rectus portion) innervation

The rectus portion of the adductor magnus is innervated by the tibial portion of the sciatic nerve.

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Sciatic Nerve Branches

The sciatic nerve has tibial and common peroneal branches that innervate various muscles.

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Common Peroneal Nerve function

The common peroneal nerve portion supplies signals to certain leg muscles.

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Tibial Nerve function

The tibial nerve part of the sciatic nerve delivers innervation to a set of muscles, critical for leg movement.

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Pata de ganso

A superficial and deep tendon group connected with Sartorius, Gracilis, and Semitendinosus.

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Pata de ganso tendons

The pata de ganso includes a direct, reflex, and recurrent tendon that form part of the knee complex.

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Study Notes

General Anatomy Study Notes

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