Podcast
Questions and Answers
Which of the following compartments of the thigh does the femoral nerve supply?
Which of the following compartments of the thigh does the femoral nerve supply?
Which of the following nerves supplies the medial compartment of the thigh?
Which of the following nerves supplies the medial compartment of the thigh?
Which of the following muscles is not found in the anterior compartment of the thigh?
Which of the following muscles is not found in the anterior compartment of the thigh?
Which of the following major blood vessels runs through the femoral sheath in the thigh?
Which of the following major blood vessels runs through the femoral sheath in the thigh?
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Which of the following muscles is primarily responsible for hip extension?
Which of the following muscles is primarily responsible for hip extension?
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Which of the following nerve roots contributes to the innervation of the anterior compartment of the thigh?
Which of the following nerve roots contributes to the innervation of the anterior compartment of the thigh?
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Which nerve is responsible for the motor innervation of the adductor group of muscles in the medial thigh?
Which nerve is responsible for the motor innervation of the adductor group of muscles in the medial thigh?
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Which of the following muscles is NOT part of the medial muscle group of the thigh?
Which of the following muscles is NOT part of the medial muscle group of the thigh?
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What is the anatomical structure known as the 'adductor hiatus'?
What is the anatomical structure known as the 'adductor hiatus'?
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Which nerve is responsible for the cutaneous innervation of the lateral aspect of the thigh?
Which nerve is responsible for the cutaneous innervation of the lateral aspect of the thigh?
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Which muscle group is responsible for flexion of the thigh and extension of the knee?
Which muscle group is responsible for flexion of the thigh and extension of the knee?
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What is the function of the obturator externus muscle?
What is the function of the obturator externus muscle?
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Which of the following muscles is innervated by the femoral nerve?
Which of the following muscles is innervated by the femoral nerve?
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Which of the following structures is NOT contained within the adductor canal?
Which of the following structures is NOT contained within the adductor canal?
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Which of the following muscles is considered part of the quadriceps femoris group?
Which of the following muscles is considered part of the quadriceps femoris group?
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Which nerve passes distal to the knee joint in the anterior thigh compartment?
Which nerve passes distal to the knee joint in the anterior thigh compartment?
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Which of the following muscles is considered a gluteal muscle by innervation but is seen during dissection of the anterior thigh compartment?
Which of the following muscles is considered a gluteal muscle by innervation but is seen during dissection of the anterior thigh compartment?
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Which of the following spinal nerve roots contribute to the formation of the femoral nerve?
Which of the following spinal nerve roots contribute to the formation of the femoral nerve?
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Match the nerve with its roots
Match the nerve with its roots
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Match the nerve with the area that innervates it
Match the nerve with the area that innervates it
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Match the compartment within the THIGH with the nerve that innervates it
Match the compartment within the THIGH with the nerve that innervates it
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Match the compartment within the LEG with the nerve that innervates it
Match the compartment within the LEG with the nerve that innervates it
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Match the muscle with its primary function: rectus femoris, semimembranosus, soleus, vastus medialis
Match the muscle with its primary function: rectus femoris, semimembranosus, soleus, vastus medialis
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Match the muscle with its role in movement: vastus lateralis, popliteus, tibialis posterior, semitendinosus
Match the muscle with its role in movement: vastus lateralis, popliteus, tibialis posterior, semitendinosus
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Match the muscle with its specific function: vastus intermedius, biceps femoris, tibialis posterior, soleus
Match the muscle with its specific function: vastus intermedius, biceps femoris, tibialis posterior, soleus
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Match the muscle with its anatomical location: vastus medialis, semimembranosus, gastrocnemius, soleus
Match the muscle with its anatomical location: vastus medialis, semimembranosus, gastrocnemius, soleus
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Match the anterior compartment actions with the nerve roots that innervate them
Match the anterior compartment actions with the nerve roots that innervate them
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Match the posterior compartment actions with the nerve roots that innervate them
Match the posterior compartment actions with the nerve roots that innervate them
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Match the following dermatomal pattern of innervation with the corresponding body area in the lower limb:
Match the following dermatomal pattern of innervation with the corresponding body area in the lower limb:
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Match the following bones and ligaments of the pelvis with their respective functions:
Match the following bones and ligaments of the pelvis with their respective functions:
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Match the following femoral fractures with their corresponding descriptions:
Match the following femoral fractures with their corresponding descriptions:
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Match the following Legg Calve Perthes disease stages with their characteristics:
Match the following Legg Calve Perthes disease stages with their characteristics:
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Match the following lower limb segments with their primary actions during normal gait:
Match the following lower limb segments with their primary actions during normal gait:
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Match the following dermatomes of the lower limb with their corresponding spinal nerve roots:
Match the following dermatomes of the lower limb with their corresponding spinal nerve roots:
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Match the bones and ligaments of the pelvis with their specific anatomical locations:
Match the bones and ligaments of the pelvis with their specific anatomical locations:
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Match the type of fracture with its related information:
Match the type of fracture with its related information:
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Match the arterial supply with its anatomical location in the lower limb:
Match the arterial supply with its anatomical location in the lower limb:
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Match the following dermatomes of the lower limb with their corresponding locations:
Match the following dermatomes of the lower limb with their corresponding locations:
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Match the segment of the lower limb with its components:
Match the segment of the lower limb with its components:
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Match the following bones and ligaments of the pelvis with their functions:
Match the following bones and ligaments of the pelvis with their functions:
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Match the type of fracture with its description:
Match the type of fracture with its description:
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Match the condition with its description:
Match the condition with its description:
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Which of the following is NOT a component of the femoral sheath in the thigh?
Which of the following is NOT a component of the femoral sheath in the thigh?
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Which of the following structures passes through the adductor hiatus in the thigh?
Which of the following structures passes through the adductor hiatus in the thigh?
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What structure surrounds the thigh and divides it into three compartments?
What structure surrounds the thigh and divides it into three compartments?
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What is the primary function of the fascia lata in the thigh?
What is the primary function of the fascia lata in the thigh?
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In which compartment of the thigh do lymphatics and femoral hernias lie?
In which compartment of the thigh do lymphatics and femoral hernias lie?
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Which of the following muscles is NOT part of the quadriceps femoris group in the anterior compartment of the thigh?
Which of the following muscles is NOT part of the quadriceps femoris group in the anterior compartment of the thigh?
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Which nerve lies lateral to the femoral sheath in the thigh?
Which nerve lies lateral to the femoral sheath in the thigh?
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What is responsible for the femoral pulse and catheterization of the arteries in the femoral triangle?
What is responsible for the femoral pulse and catheterization of the arteries in the femoral triangle?
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Which muscles converge to form the iliopsoas muscle and act to flex the thigh at the hip joint?
Which muscles converge to form the iliopsoas muscle and act to flex the thigh at the hip joint?
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Which structure bypasses a blocked femoral artery by descending from the Lateral Femoral Circumflex?
Which structure bypasses a blocked femoral artery by descending from the Lateral Femoral Circumflex?
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Which artery supplies the head of the femur?
Which artery supplies the head of the femur?
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Where do the inguinal nodes and popliteal nodes drain ultimately in the lymphatic system?
Where do the inguinal nodes and popliteal nodes drain ultimately in the lymphatic system?
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Which vein forms due to incompetent valves between superficial and deep vessels, leading to varicose veins?
Which vein forms due to incompetent valves between superficial and deep vessels, leading to varicose veins?
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Which major artery runs above the inguinal ligament?
Which major artery runs above the inguinal ligament?
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What is the function of the obturator canal?
What is the function of the obturator canal?
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Which structure is not contained within the femoral triangle?
Which structure is not contained within the femoral triangle?
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Which muscle group is responsible for hip flexion?
Which muscle group is responsible for hip flexion?
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Which nerve supplies the majority of the muscles in the anterior compartment of the thigh?
Which nerve supplies the majority of the muscles in the anterior compartment of the thigh?
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Which of the following is NOT a component of the quadriceps femoris muscle group?
Which of the following is NOT a component of the quadriceps femoris muscle group?
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Which muscle can assist with thigh flexion but is innervated by the gluteal nerve?
Which muscle can assist with thigh flexion but is innervated by the gluteal nerve?
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Which nerve is the only branch of the femoral nerve that passes distal to the knee?
Which nerve is the only branch of the femoral nerve that passes distal to the knee?
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What is the name of the narrow space in the middle third of the thigh between the vastus medialis and adductor muscles, converted into a canal by the overlying sartorius muscle?
What is the name of the narrow space in the middle third of the thigh between the vastus medialis and adductor muscles, converted into a canal by the overlying sartorius muscle?
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Which structure bypasses a blocked femoral artery by descending from the lateral femoral circumflex artery?
Which structure bypasses a blocked femoral artery by descending from the lateral femoral circumflex artery?
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Which major blood vessel runs through the femoral sheath in the thigh?
Which major blood vessel runs through the femoral sheath in the thigh?
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What structure surrounds the thigh and divides it into three compartments?
What structure surrounds the thigh and divides it into three compartments?
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Which nerve primarily innervates the adductor longus and gracilis muscles in the anterior thigh?
Which nerve primarily innervates the adductor longus and gracilis muscles in the anterior thigh?
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What vessel runs through the adductor hiatus in the thigh?
What vessel runs through the adductor hiatus in the thigh?
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Which muscle group is responsible for both flexion of the thigh and extension of the knee joint in the anterior thigh?
Which muscle group is responsible for both flexion of the thigh and extension of the knee joint in the anterior thigh?
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Which nerve provides motor branches to the adductor compartment of the thigh?
Which nerve provides motor branches to the adductor compartment of the thigh?
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What is the name of the narrow space in the middle third of the thigh between the vastus medialis and adductor muscles, converted into a canal by the overlying sartorius muscle?
What is the name of the narrow space in the middle third of the thigh between the vastus medialis and adductor muscles, converted into a canal by the overlying sartorius muscle?
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Which muscle group is primarily responsible for hip flexion?
Which muscle group is primarily responsible for hip flexion?
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Which nerve provides cutaneous innervation to the lateral aspect of the thigh?
Which nerve provides cutaneous innervation to the lateral aspect of the thigh?
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Which structure bypasses a blocked femoral artery by descending from the lateral femoral circumflex artery?
Which structure bypasses a blocked femoral artery by descending from the lateral femoral circumflex artery?
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Which of the following ligaments primarily resists sacral nutation?
Which of the following ligaments primarily resists sacral nutation?
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Which condition is associated with spontaneous regression of blood supply in children leading to Legg-Calve-Perthes disease?
Which condition is associated with spontaneous regression of blood supply in children leading to Legg-Calve-Perthes disease?
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Which muscle is NOT considered a gluteal muscle but could be observed during dissection of the anterior thigh compartment?
Which muscle is NOT considered a gluteal muscle but could be observed during dissection of the anterior thigh compartment?
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Which artery supplies the head of the femur through medial and lateral femoral circumflex arteries?
Which artery supplies the head of the femur through medial and lateral femoral circumflex arteries?
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In Trendelenburg’s Sign, which gluteal muscle weakness leads to dropping of the contralateral pelvis?
In Trendelenburg’s Sign, which gluteal muscle weakness leads to dropping of the contralateral pelvis?
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A 60 yr old man had right hip arthroplasty 6 weeks ago and now presents with difficulty walking. He has difficulty abducting his right hip and when he places weight on the right lower limb his pelvis tilts to the left and he leans to the right with his upper body to compensate.
Which of the following is most likely damaged?
A 60 yr old man had right hip arthroplasty 6 weeks ago and now presents with difficulty walking. He has difficulty abducting his right hip and when he places weight on the right lower limb his pelvis tilts to the left and he leans to the right with his upper body to compensate. Which of the following is most likely damaged?
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A 40 yr old woman is having hip pain. Physical examination reveals weakness and pain on extension of the left hip. Which muscle is most responsible for extension of the hip.
A 40 yr old woman is having hip pain. Physical examination reveals weakness and pain on extension of the left hip. Which muscle is most responsible for extension of the hip.
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A 25 yr old woman is admitted to the emergency room after being struck by a car. She complains of severe right hip pain and can’t or won’t move her lower extremity. X-ray demonstrates a displaced fracture of the proximal femur at the neck. Which of the following vessels could be damaged and result in avascular necrosis of the head.
A 25 yr old woman is admitted to the emergency room after being struck by a car. She complains of severe right hip pain and can’t or won’t move her lower extremity. X-ray demonstrates a displaced fracture of the proximal femur at the neck. Which of the following vessels could be damaged and result in avascular necrosis of the head.
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Which nerve primarily innervates the deep muscles of the gluteal area?
Which nerve primarily innervates the deep muscles of the gluteal area?
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Which bony landmark is associated with the origin of the hamstrings muscles?
Which bony landmark is associated with the origin of the hamstrings muscles?
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Which nerve provides motor innervation to the hamstring muscles?
Which nerve provides motor innervation to the hamstring muscles?
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In the posterior thigh, the sciatic nerve typically emerges between which two muscles?
In the posterior thigh, the sciatic nerve typically emerges between which two muscles?
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Which of the following is a function of the sciatic nerve?
Which of the following is a function of the sciatic nerve?
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Study Notes
Femoral Nerve & Compartments
- The femoral nerve supplies the anterior compartment of the thigh.
- The obturator nerve supplies the medial compartment of the thigh.
- The biceps femoris is not found in the anterior compartment of the thigh.
- The femoral artery runs through the femoral sheath in the thigh.
- The gluteus maximus is primarily responsible for hip extension.
- The L2, L3, and L4 nerve roots contribute to the innervation of the anterior compartment of the thigh.
- The obturator nerve is responsible for the motor innervation of the adductor group of muscles in the medial thigh.
- The sartorius is NOT part of the medial muscle group of the thigh.
Adductor Hiatus & Additional Structures
- The adductor hiatus is an opening in the adductor magnus muscle that allows for the passage of the femoral artery, vein, and saphenous nerve.
Nerves & Muscles
- The lateral femoral cutaneous nerve is responsible for the cutaneous innervation of the lateral aspect of the thigh.
- The hamstrings are responsible for flexion of the thigh and extension of the knee.
- The obturator externus muscle laterally rotates and externally abducts the hip.
- The rectus femoris is innervated by the femoral nerve
- The saphenous nerve is NOT contained within the adductor canal.
- The vastus medialis is considered part of the quadriceps femoris group.
- The saphenous nerve passes distal to the knee joint in the anterior thigh compartment.
- The tensor fasciae latae is considered a gluteal muscle by innervation but is seen during dissection of the anterior thigh compartment.
- The L2, L3, and L4 spinal nerve roots contribute to the formation of the femoral nerve.
Nerve & Muscle Groups
- Femoral nerve (L2, L3, L4): Anterior thigh compartment
- Obturator nerve (L2-L4): Medial thigh compartment
- Tibial nerve (L4-S3): Posterior leg compartment
- Common peroneal nerve (L4-S2): Anterior & Lateral leg compartments
Muscle Actions & Anatomical Location
- Rectus femoris: Extends the knee, flexes the thigh
- Semimembranosus: Extends the hip, flexes the knee
- Soleus: Plantarflexes the foot
- Vastus medialis: Extends the knee
- Vastus lateralis: Extends the knee
- Popliteus: Flexes/rotates the knee
- Tibialis posterior: Plantarflexes and inverts the foot
- Semitendinosus: Extends the hip, flexes the knee
- Vastus intermedius: Extends the knee
- Biceps femoris: Extends the hip, flexes the knee
- Tibialis posterior: Plantarflexes and inverts the foot
- Soleus: Plantarflexes the foot
- Vastus medialis: On the medial thigh
- Semimembranosus: On the posterior thigh
- Gastrocnemius: On the posterior thigh
- Soleus: On the posterior leg
Lower Limb Function & Innervation
- Anterior compartment actions (Extension of the knee, flexion of the hip): L2, L3, L4
- Posterior compartment actions (Flexion of the knee, extension of the hip): L4, L5, S1, S2
- L2-L4: Anterior thigh, medial thigh
- L4-S1: Posterior thigh, posterior leg
- L5: Lateral leg
- S1-S2: Lateral leg
- S2-S5: Sole of the foot
- L3: Anterior thigh
- L4: Medial leg
- S1: Lateral foot
- S2: Sole of the foot
- S3: Sole of the foot
Pelvic Structures
- Sacrum: Supports weight, transfers weight to the legs
- Ilium: Provides attachment for muscles, forms the pelvic bowl
- Ischium: Supports weight while sitting, forms the pelvic bowl
- Pubis: Forms the anterior part of the pelvis, provides attachment for muscles
- Iliofemoral ligament: Limits hyperextension of the hip, strengthens the joint
- Pubofemoral ligament: Reinforces the anterior portion of the hip, limits abduction and external rotation
- Ischiofemoral ligament: Limits medial rotation of the hip
Femoral Fractures & Legg-Calve-Perthes Disease
- Subcapital fracture: Fracture immediately below the head of the femur
- Transcervical fracture: Fracture through the neck of the femur
- Intertrochanteric fracture: Fracture between the greater and lesser trochanters
- Subtrochanteric fracture: Fracture below the lesser trochanter
- Stage 1: Early stage of Legg-Calve-Perthes disease characterized by fragmentation of the femoral head
- Stage 2: Significant fragmentation of the femoral head with increased joint space widening
- Stage 3: Collapse of the femoral head with increased joint space narrowing
- Stage 4: Re-ossification and remodeling of the femoral head
Lower Limb Gait & Dermatomal Pattern
- Heel strike: The heel contacts the ground, the knee is slightly flexed
- Foot flat: The entire foot is flat on the ground, the knee is extending
- Midstance: The body weight is over the supporting leg, the knee is extended
- Heel off: The heel lifts off the ground, the knee is still extended
- Toe off: The toes leave the ground, the knee is flexing
- Swing phase: The leg swings forward, the knee is flexing
- L2: Anterior thigh
- L3: Medial thigh, knee
- L4: Medial leg, ankle
- L5: Lateral leg, foot
- S1: Lateral foot, little toe
- S2: Posterior thigh
- S3: Buttocks, perineum
Pelvic Structures & Fractures
- Ilium, ischium, pubis: Form the pelvic ring
- Sacroiliac joints: Connect the sacrum and the ilium
- Sacrotuberous ligament: Connects the sacrum to the ischial tuberosity, limits rotation
- Sacrospinous ligament: Connects the sacrum to the ischial spine, limits rotation, forms the greater sciatic foramen
- Open fracture: Fracture that breaks through the skin, risk of infection
- Comminuted fracture: Fracture with multiple bone fragments
- Stress fracture: Incomplete fracture caused by repetitive strain
Lower Limb Blood Supply & Dermatomes
- Femoral artery: Supplies the anterior and medial thigh
- Popliteal artery: Supplies the posterior thigh and leg
- Tibial arteries: Supply the calf muscles and foot
- Peroneal arteries: Supply the lateral aspect of the leg and ankle
- L2: Skin over the anterosuperior aspect of the thigh
- L3: Skin over the anterior thigh, medial knee
- L4: Skin over the medial leg
- L5: Skin over the lateral leg, dorsum of the foot
- S1: Skin over the lateral foot, sole of the foot
- S2: Skin over the posterior thigh, buttock
Lower Limb Segments & Pelvic Structure Functions
- Thigh: Femur, quadriceps femoris, hamstrings
- Leg: Tibia, fibula, calf muscles
- Foot: Tarsals, metatarsals, phalanges
- Ilium, ischium, pubis: Form the pelvic ring, support weight, provide attachment for muscles
- Sacroiliac joints: Connect the sacrum and ilium, allow for limited movement
- Sacrotuberous and sacrospinous ligaments: Limit rotation of the sacrum, provide stability
Femoral Sheath & Adductor Hiatus
- The femoral sheath does not contain the femoral nerve.
- The femoral artery, vein, and saphenous nerve pass through the adductor hiatus in the thigh.
- The fascia lata surrounds the thigh and divides it into three compartments: anterior, medial, and posterior.
- The fascia lata helps to support the muscles, stabilize the hip joint, and maintain blood circulation in the lower extremity.
- The femoral canal, located within the medial compartment, is where lymphatics and femoral hernias lie.
- The vastus intermedius is NOT part of the quadriceps femoris group in the anterior compartment of the thigh.
- The lateral femoral cutaneous nerve lies lateral to the femoral sheath in the thigh.
- The femoral artery is responsible for the femoral pulse and for catheterization of the arteries in the femoral triangle.
- The iliacus and psoas major muscles converge to form the iliopsoas muscle and act to flex the thigh at the hip joint.
- The descending genicular artery bypasses a blocked femoral artery by descending from the Lateral Femoral Circumflex.
- The medial and lateral femoral circumflex arteries supply the head of the femur.
- Lymph from the inguinal nodes and popliteal nodes ultimately drains into the deep lymph nodes of the thorax.
- The greater saphenous vein forms due to incompetent valves between superficial and deep vessels, leading to varicose veins.
- The femoral artery runs above the inguinal ligament.
- The obturator canal allows for the passage of the obturator nerve, artery, and vein.
- The femoral nerve is not contained within the femoral triangle.
- The iliopsoas muscle group is responsible for hip flexion.
- The femoral nerve supplies the majority of the muscles in the anterior compartment of the thigh.
- The vastus intermedius is NOT a component of the quadriceps femoris muscle group.
- The tensor fascia latae can assist with thigh flexion but is innervated by the gluteal nerve.
- The saphenous nerve is the only branch of the femoral nerve that passes distal to the knee.
- The adductor canal is the narrow space in the middle third of the thigh between the vastus medialis and adductor muscles, converted into a canal by the overlying sartorius muscle.
- The descending genicular artery bypasses a blocked femoral artery by descending from the lateral femoral circumflex artery.
- The femoral artery runs through the femoral sheath in the thigh.
- The fascia lata surrounds the thigh and divides it into three compartments: anterior, medial, and posterior.
- The obturator nerve primarily innervates the adductor longus and gracilis muscles in the anterior thigh.
- The femoral artery runs through the adductor hiatus in the thigh.
- The quadriceps femoris muscle group is responsible for both flexion of the thigh and extension of the knee joint in the anterior thigh.
- The obturator nerve provides motor branches to the adductor compartment of the thigh
- The adductor canal is the narrow space in the middle third of the thigh between the vastus medialis and adductor muscles, converted into a canal by the overlying sartorius muscle.
- The iliopsoas muscle group is primarily responsible for hip flexion.
- The lateral femoral cutaneous nerve provides cutaneous innervation to the lateral aspect of the thigh.
- The descending genicular artery bypasses a blocked femoral artery by descending from the lateral femoral circumflex artery
- The iliofemoral ligament primarily resists sacral nutation.
- Legg-Calve-Perthes disease is associated with spontaneous regression of blood supply in children.
- The tensor fascia latae is NOT considered a gluteal muscle but could be observed during dissection of the anterior thigh compartment.
- The medial and lateral femoral circumflex arteries supply the head of the femur through medial and lateral femoral circumflex arteries.
- Weakness of the gluteus medius muscle leads to dropping of the contralateral pelvis in Trendelenburg’s Sign.
- The superior gluteal nerve is most likely damaged in this scenario.
- The gluteus maximus muscle is most responsible for extension of the hip joint.
- The medial circumflex femoral artery could be damaged and result in avascular necrosis of the head in this scenario.
- The inferior gluteal nerve primarily innervates the deep muscles of the gluteal area.
- The ischial tuberosity is associated with the origin of the hamstrings muscles.
- The tibial nerve provides motor innervation to the hamstring muscles
- The sciatic nerve typically emerges between the biceps femoris and semitendinosus muscles in the posterior thigh.
- The sciatic nerve is important for controlling movement in the lower leg and foot, and for transmitting sensory information from the leg and foot to the brain.
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