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Study Guide for Final Exam

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At Home Lecture Objectives
ABDOMEN Review
Basic Functions of Abdomen
What are the main roles of the abdomen?
(Hint: 3)
What is the direction that the lungs and
diaphragm move during inhalation and
exhalation?
During inhalation, is the diaphragm
contracting or relaxing?
During exhalation, is the diaphragm
contracting or relaxing?
Components of Abdominal Wall
Name the components of the anterior
abdominal wall. If there are multiple layers of
a component, list each of them.
Visually, what is an easy way to differentiate
between the various muscles of the abdominal
wall?
The Peritoneum and Mesentery
Peritoneum
Mesentery
Describe the role of each of
these structures.
(3)
N/A
Name the layers of the
structure.
N/A
What specifically does the
outer layer, which you just
listed above, cover?
N/A
What specifically does the
inner layer, which you just
listed above, cover?
N/A
The layer in between these
two also has a role. What is
that role?
Mesenteries
Please give an
example or two of
organs that are
suspended within
mesenteries.
Please provide an
example of an organ
that is not suspended
within the mesentery
(location also known
as retroperitoneal).
Lesser Omentum
Greater Omentum
Transverse
Mesocolon
What main organs do
each of these bind
together or cover?
(hint: answers are in
video lecture @ 4:20)
Muscles of the Abdomen
External
Obliques
Rank the
muscles of the
abdominal wall
from superficial
(1) to deep (4).
What direction
do the fibers of
each abdominal
muscle run?
Name ALL the
actions of each
of the muscles.
Internal
Obliques
Transverse
Abdominis
Rectus
Abdominis
Which of the
(Answer in lecture video @~9:30)
muscles contains
a region of
particular
weakness and
what is that
region called?
Please also
explain what
that region is
formed by.
What is the
(Answer in lecture video @ ~10:00)
clinical
significance of
this region being
damaged? List at
least two
possible
structures that
could be
affected.
True/False - The
rectus abdominis
is the deepest
abdominal
muscle above
the arcuate line?
Poster-Lateral Muscles of the Abdomen
Please list the three muscles that help form the postero-lateral border of the abdominal cavity
in each of the boxes numbered below.
(1)
(2)
(3)
What is the
origin/insertion of
each of these
muscles?
What is the action(s)
of each of these
muscles?
Quadrants of the Abdomen
What organs/structures are found within each of these
regions? These are often going to be red flag conditions if we
can rule out musculoskeletal issues.
Right Upper Quadrant
Left Upper Quadrant
Right Lower Quadrant
Left Lower Quadrant
The Salivary Glands
Parotid Glands
Submandibular
Glands
Sublingual Glands
Where can each of
these glands be
found?
What is the main
function of the
salivary glands?
True/False: food is
broken down
chemically and
mechanically in the
mouth.
The Esophagus and Stomach
Esophagus
What is the role of each
organ?
Does the esophagus join the
stomach superior or inferior
to the diaphragm?
Please list the 4 regions and 2
sphincters found within the
stomach.
What happens during reflux?
What role does the cardiac
sphincter play in preventing
this?
What structure can the
stomach sometimes herniate
through?
(hint: think superiorly)
Stomach
The Small Intestine
What is the main role
of the small intestine?
Duodenum
Jejunum
How much of the
small intestine do
each of these
structures take up?
What abdominal
quadrant can each of
these structures be
found?
What nerve are the
parasympathetic
fibers innervated by?
Where nerve
innervates the
sympathetic fibers?
The Large Intestine
What are the main functions of the large
intestine? Think about absorption and
peristaltic movements.
Ileum
Please list the 8 structures that waste will
travel through in the large intestine.
What clinical diagnosis is likely if a patient is
experiencing pain at McBurney’s point?
Is there a parasympathetic response involved
in defecation? If so, what happens to the
musculature found in the internal sphincter
region?
True/False. We also have volitional control
over the external anal sphincter?
The Liver
True/False: the liver is the largest gland in the
body.
What are the main roles of the liver?
What are the vessels in which blood enters
and exits around the liver?
One of the products of the liver is stored in
another organ. What is this organ?
After this step, the product produced by the
liver is expelled into the first region of the
small intestine. What is this region?
What role does bile play in digestion,
specifically related to fats?
The Pancreas
What abdominal quadrant is the head of the
pancreas found in?
What abdominal quadrant is the tail of the
pancreas found in?
What is the exocrine function of the pancreas?
In regard to the exocrine function of the
pancreas, what type of structure do the
products exit through?
What is the endocrine function of the
pancreas?
In regard to the endocrine function of the
pancreas, what structure do the products enter
into?
The Spleen
What abdominal quadrant can the spleen be
found in?
What is the primary role of the spleen
specifically for the immune system?
What are some secondary functions of the
spleen?
The Kidney
What is the basic functional unit of the
kidney?
What is the main function of the kidney?
What is the outer portion of the kidney called?
What is the inner portion of the kidney called?
Does filtration occur in both of those regions?
Which kidney tends to be higher than the
other?
What structure/gland is found superior to the kidneys?
THIGH Review
Thigh Compartments
Anterior
Medial
Posterior
What is the general
action(s) of the
muscle groups within
this compartment?
What nerve
innervates a majority
of the skeletal muscle
within this
compartment?
Bonus: What are the
two exceptions to the
main nerve in this
compartment?
Which artery supplies
the structures within
this compartment?
(hint: branch of the
artery that supplies
the anterior
compartment)
Compartment Borders
(hint: another branch
of the artery that
supplies the anterior
compartment)
What separates each of the compartments
from each other? What bony landmark do
these structures attach to on the posterior
femur?
Anterior
Compartment
There is a muscle
located on the medial
portion of a structure
that helps form the
anterior to medial
compartment borders.
What is that muscle?
(There is an additional structure that separates
this compartment from the medial
compartment. List it as well)
N/A
Medial Compartment
Posterior
Compartment
N/A
Muscles of the Compartments of the Thigh
List the muscles in each compartment of the
thigh.
(4) - Knee extensors
(2) - Hip Flexors
Anterior Compartment
(1) - “Cross-Legged Position”
(5) - Adductors
Medial Compartment
(1) - External Rotator
(3) - Knee Flexors
Posterior Compartment
(1) - Accessory Abductor w/ IR
Important Landmarks of the Thigh
Adductor Canal
Which compartment
of the thigh is this
landmark located in?
What is the clinical
significance of this
region of the thigh?
(list structures that
insert or pass through
here)
Gerdy’s Tubercle
Pes Anserine
Superficial Gluteal Muscles
Glute Max
Glute Med
List the actions of
this muscle
Name the nerve that
innervates the muscle
and where it exits the
pelvis. (hint: above or
below a specific deep
gluteal muscle).
A deficit or weakness
in this muscle can
lead to __________?
Please describe what
movement a patient
would be unable to
perform with this
condition.
The Deep Gluteal Muscles
Name the six deep gluteal muscles.
What is the primary action of each of these
muscles?
What is the secondary action of each of these
muscles?
Specifically, how do these muscles perform their
secondary action? What do they do to the head of
the femur as it relates to the acetabulum?
Glute Min
Blood Supply to the Thigh
Femoral Artery
Deep Femoral Artery
Which region of the thigh is
supplied by this artery?
What artery does this branch
into as it descends down the
thigh?
N/A
List respective spinal segment for Anterior and Posterior Dermatome map
List Respective Myotome Action
Spinal Segment
Myotome Action
L1/2
L3
L4
L5
S1
S2
S4
KNEE Review
Osteology of Knee
What are the two joints found within the
knee? What two bones are articulating in each
of these?
What type of joint is the knee considered?
What is the main plane of motion that occurs
at the knee?
There is a secondary passive motion that
occurs at the knee. What type of movement is
it and what bone moves in what direction?
True/False: the knee has the largest joint
cavity in the body.
The knee joint unites the two ________ levers
in the body.
Why is the above significant as it relates to
forces and stability?
Distal Femur: Table 1
What bone articulates with this bony structure?
Medial Epicondyle
Lateral Epicondyle
What muscle attaches to the adductor tubercle and what is its location on the distal femur?
Posterior Distal Femur
What structure are the medial
and lateral supracondylar
lines an extension of?
ACL
On the posterior distal femur,
is the facet for each ligament
found on the medial or lateral
side of the intercondylar
fossa?
Distal Femur: Table 2
What is the region between the epicondyles
called?
What important non-contractile structures
attach at the intercondylar fossa?
Anatomical or structural abnormalities to this
surface can lead to risk factors for what
specific non-contractile structure to be
damaged?
What type of non-contractile tissue is found
PCL
on the articulating surface of the femur?
Describe what
subchondral
lesions are and
what specific type
of bone becomes
exposed as a
result.
Which surface (medial/lateral) is the more
likely site for these lesions?
Briefly describe the treatment procedure for
these lesions and what it encourages as far as
the healing process goes.
The Anterior Proximal Tibia
What muscle(s)/tissue inserts on each of the
following structures found on the anterior
proximal tibia?
Tibial Tuberosity
Pes Anserine
Attachment
Gerdy’s Tubercle
What articulates with
the tibial plateaus?
Where is each of
these structures found
on the tibia?
The Posterior Proximal Tibia
What muscle(s)/tissue/bone inserts on
Where is each of
each of the following structures found on these structures found
the anterior proximal tibia?
on the tibia?
Soleal Line
Facet for proximal fibular
head
The attachment site for the
medial meniscus and
posterior cruciate ligament
can both be found on the
posterior proximal tibia.
Which one is lateral and
which is medial?
The Posterior Proximal Tibia
What is the intercondylar
eminence?
What non-contractile
structures are attached in
this region?
What structure is lateral to
the intercondylar
eminence?
What structure is medial to
the intercondylar
eminence?
Patella
What type of bone (shape) is the patella?
What non-contractile tissue is the patella
embedded in?
The patella is responsible for force
transmission from which bone to which bone,
and during what joint motion does this occur?
How does the patella assist in improving
efficiency in what you just explained above?
Describe using levers and torques.
What part of the femur (ant/post; prox/distal)
does the patella articulate with?
In order for the patella to glide
superiorly/inferiorly, it sits in a groove. What
is the groove called and what is the groove
covered in to reduce friction?
How many facets does the patella have and
are they on the anterior or posterior side of the
patella?
Name the facets on the patella.
What separates the two main facets?
One of these facets is often exposed to
increased forces, especially during what knee
motion? Please state which facet this is as
well.
This same joint can often be implicated in
knee joint pathologies. What would an
example of a pathology be?
Menisci
Describe the general shape
and what direction the
concavity of the menisci face.
How do the menisci enhance
joint stability? What do they
do to the contact surface?
What other structure is this
similar to (hint: these
structures are found in the
GH and hip joint).
The general shape of the
menisci helps with
multidirectional stability.
What motions are limited by
the shape of the menisci (3)?
What is the role of the
meniscus?
The menisci can help prevent
damage to the articular
cartilage. What is an example
of one of these conditions?
How do the menisci help to
reduce forces to the articular
cartilage?
Is blood flow better or worse
towards the center of the
menisci?
Is damage to the outside of
the menisci more or less
likely to heal without surgical
intervention?
Medial Meniscus
Lateral Meniscus
What is the general shape of
each meniscus?
Is each meniscus attached to
the respective collateral
ligament on the medial/lateral
knee?
The tendon of a muscle on the
posterior thigh also attaches
to the medial meniscus. What
is this muscle?
N/A
Mark which meniscus bears
more load in weight-bearing?
Which meniscus is more
commonly damaged and
why?
Which meniscus is more
implicated in long-term
damage to the knee?
Ligaments of the Knee
Transverse Ligament
Coronary Ligament
(Meniscotibial)
Posterior
Meniscofemoral
Ligament
What is the role/what
do each of these
ligaments attach to?
What region of the
knee is the ligament
found (e.g., anterior,
lateral, etc.)?
Collateral Ligaments 1
Medial Collateral Ligament
Lateral Collateral Ligament
Describe the general
appearance of each ligament
(e.g., diameter, length).
Where do each of the
ligaments attach?
What movements does each
ligament resist
(varus/valgus)?
What are the 3 layers of the
MCL?
The Joint Capsule
The joint capsule surrounds the entire joint,
except for one region. What is that region and
what other structure(s) is found there?
True/False: In utero, the joint capsule is fully
formed as one unified capsule.
What are the thickenings on the posterior
capsule called? (hint: 2 ligaments)
True/False: The synovial cavity is the deepest
layer of the joint capsule.
Entrapment of vestigial structures called plica
within the knee can display as another
common injury (specifically a tearing of a
structure) to the knee. What is that other
injury?
The infrapatellar synovial fold is a part of the
synovium often found within the knee joint.
What is it commonly confused with during
dissections?
Popliteal Ligaments
Oblique Popliteal
Arcuate Popliteal
Are these ligaments found on
the anterior or posterior side
of the knee?
What direction do the
ligaments run?
Cruciate Ligaments
Anterior Cruciate Ligament
(ACL)
Describe the attachment sites
of each of the cruciate
ligaments.
Describe the direction(s) in
which each cruciate ligament
runs.
Are each of the cruciate
ligaments found within the
synovial capsule?
Describe what direction of
displacement is restricted by
each ligament, specifically of
the tibia on the femur.
Bursa
How many bursae are found in the knee?
Describe how the bursae found around the
knee can be inflamed. What movements can
Posterior Cruciate Ligament
(PCL)
cause this and what condition can result?
Describe where each of the following bursae
are found (be pretty general):
-
Subcutaneous prepatellar
Subcutaneous infrapatellar
Deep infrapatellar
The Screw-Home/Locking Home Mechanism
Describe the movement of the
tibia as the knee moves
toward full extension.
Does this occur during a
closed or open chain activity?
True or false: the
screw-home/locking home
mechanism is a purely
mechanical event.
Can this mechanism occur
passively?
What is the structural reason
that this mechanism occurs?
What muscle performs the
“unlocking of the knee” from
full extension?
What direction does this
muscle rotate the tibia?
Popliteal Fossa
What muscles form the upper and lower
borders of the popliteal fossa?
What structures are contained within the
popliteal fossa (3)?
LOWER LEG (SHANK)
PROXIMAL TIBIOFIBULAR JOINT
Type of joint?
Tendon / ligaments inserting here?
Describe what occurs at this joint during knee
flexion. What happens to the tendon/ligament
that inserts here and what direction is the motion
of the fibular head?
Describe what occurs at this joint while in knee
extension. What happens to the tendon/ligament
that inserts here and what direction is the motion
of the fibular head?
What is the role of the popliteus muscle in this
region? (3)
What are the primary and secondary functions
of the interosseous membrane in this region?
DISTAL TIBIOFIBULAR JOINT
Type of joint?
What is the primary function of this joint?
What structures reinforce this joint? (4)
Label structures 1-5 – What function do they perform together?
Label structures 6-7, the medial malleolus and the lateral malleolus
What is a trimalleolar fracture? _____________________________________________
What is the typical cause of a trimalleolar fracture? _____________________________
COMPARTMENTS OF THE LOWER LEG
ANTERIOR COMPARTMENT
Muscle groups/collective actions (2)
Muscles Present (2)
Innervation from what nerve?
(Sensory, Motor, Both?)
Blood Supply
(Major artery, where does it come from, where
does it go)
Which muscles attach to the anterior
interosseous membrane? (4)
What SYNDROME is typically found in the anterior compartment? _______________________________
Causes?
Symptoms? (5)
Treatment?
INNERVATION OF THE ANTERIOR COMPARTMENT – Deep Peroneal N.
What role do the dorsiflexor muscles play
during gait?
What happens to the gait pattern when there is
a partial lesion to the deep peroneal n.?
What happens to the gait pattern when there is
a FULL lesion to the deep peroneal n.?
During peripheral nerve testing of the deep
peroneal n., is it generally better to test the
strength of ankle dorsiflexion or toe extension?
Why?
The common peroneal nerve is a branch off of? _____________________________________________
The common peroneal nerve splits into? ___________________________________________________
Where does this split occur? ____________________________________________________________
The region where this nerve split occurs is a common site of? __________________________________
The deep peroneal nerve continues to what region? __________________________________________
RETINACULUMS OF THE ANTERIOR COMPARTMENT
What are the two retinaculums of the distal
anterior compartment? (2)
What is their function? (1)
O/I of superior retinaculum?
O/I of inferior retinaculum?
LATERAL COMPARTMENT
Muscle groups/collective actions (2)
Muscles Present (2)
What structure do the tendons of these muscles
pass behind?
What is different about the insertion of each of
these two muscles?
Which muscle is involved in supporting the
lateral arch of the foot?
Innervation from what nerve?
(Sensory, Motor, Both?)
Proximally:
Blood Supply
Distally:
How would you muscle test the muscles of this
compartment?
What is a Jones Fracture? ________________________________________________________________________
RETINACULUMS OF THE LATERAL COMPARTMENT
What are the retinaculums of the lateral
compartment? (2)
What is their function? (1)
O/I of superior retinaculum?
O/I of inferior retinaculum?
What happens to the tendons of the lateral
compartment if the retinaculums get ruptured?
T/F:The peroneus longus and brevis share a common synovial sheath that splits distally. _____________
Innervation of the Lateral Compartment
What nerve innervates the lateral compartment?
Does the nerve provide motor innervation,
sensory innervation, or both?
This nerve provides motor innervation to what two
muscles?
What region does this nerve provide cutaneous
sensation to?
Blood Supply of the Lateral Compartment
Does the lateral compartment have a dedicated
blood supply?
What vessel(s) supply the proximal lateral
compartment?
What vessel(s) supply the distal lateral
compartment?
POSTERIOR COMPARTMENT
Muscle groups/collective actions (2)
Superficial:
Innervation from what nerve?
-
Motor:
-
Sensory:
Deep:
-
Superficial:
Blood Supply
Deep:
** Divisions
List the muscles of the superficial and deep posterior compartments
Superficial (3)
Deep (4)
In the superficial compartment, how would you differentiate between gastroc and soleus tightness?
____________________________________________________________________________________
____________________________________________________________________________________
What tendon do the superficial muscles in the posterior compartment insert into? ___________________
What superficial posterior compartment muscle is considered vestigial and is often used for autografts?
__________________________________
True or False: The deep posterior compartment muscles insert into the same tendon as the superficial
muscles. ________________
What structure do these muscles pass posteriorly to? _________________________________________
What is the name of this region? _________________________________________________________
What potential syndrome can occur in this region and what two structures can be affected?
____________________________________________________________________________________
From anterior to posterior, list the structures that pass through this region (hint: use mnemonic).
-
Why don’t these muscles attach to the posterior calcaneus? What role does the calcaneus have during
gait?
____________________________________________________________________________________
***Zeni’s favorite lower extremity muscle is the soleus!
Why is the posterior compartment of the lower leg so large? (Hint: what do the muscles of this region
need to do in respect to the body as a whole?)
____________________________________________________________________________________
____________________________________________________________________________________
What is the pathway of major blood supply to the lower leg and where do the arteries change names?
Anterior Geniculars and Recurrents
Posterior Geniculars and Recurrents
Ankle and Foot Review
Foot: General Info
List the reasons why the hand and foot are
analogous (Hint: 4 reasons)
Explain the ways in which the hand and foot
differ from each other in terms of design and
function
Label the osteology of the foot
Foot Osteology: Important Things to Know
Which bones articulate to form the talocrural
(ankle) joint?
Which bone of the foot has no tendon or
muscle attachments?
Which muscle passes through the groove
between the medial and lateral tubercles of
the posterior talus?
Which bone is considered the “heel” bone?
The posterior projection of the heel bone
allows for an increased lever arm of this
muscle group:
This part of the heel bone is the weight
bearing surface and attachment site of the
Achilles tendon:
The medial navicular tuberosity serves as the
insertion of this muscle:
In a normal arched foot, this bone will not be
touching the ground due to the pull of the
above muscle^:
The tuberosity of the cuboid forms a groove
for this muscle tendon to pass through:
The lateral tubercle at the base of digit 5
serves as the attachment site of this muscle:
Explain the mechanism of a “Jones Fracture”
Arthrology of the Foot
Talocrural
Talo-Calcanea Transverse
l (Subtalar)
(Mid) Tarsal
Metatarsal
Phalangeal
N/A
N/A
Which
functional
division of
the foot is
this joint
located in?
(ex. rearfoot,
midfoot,
forefoot)
Classify this
joint type:
Name the
bones that
articulate to
form this
joint
List the
actions that
occur at this
joint
Explain the
significance
of the distal
tibio-fibular
joint in terms
of injury
(Note: the
position of
the medial
and lateral
malleolus)
N/A
Interphalange
al
Name the
Deltoid
action of the
Ligament:
foot that is
restricted by
each ligament
Anterior
Talofibular
Ligament:
Posterior
Talofibular
Ligament:
Interosseous
Talocalcaneal
Ligament:
*For these
Collateral
ligaments,
Ligaments:
describe what
bones they
join together
and what
purpose they
serve in terms
of support
Medial
Talocalcaneal: Long plantar
ligament:
Plantar
Ligaments:
Lateral
Talocalcaneal:
Deep
transverse
ligaments:
Short plantar
ligament:
Calcaneofibu
lar
Ligament:
Spring
ligament:
Collateral
Ligaments:
Plantar
Ligaments:
Plantar Surface of Foot
Where does the plantar fascia attach on the
inferior portion of the foot?
List the two main functions of the plantar
fascia:
Describe the condition of plantar fasciitis
(what it is, symptoms, treatment methods)
List the three arches of the foot and which
direction they are oriented:
Foot Muscle Layers
List the muscles
within each
layer of the foot
1st layer
(Superficial)
2nd layer
3rd layer
4th layer
(3)
(2)
(3)
(2 groups)
What nerve
innervates this
layer of muscle?
What common
attachment site
to all of the
muscles in this
layer have?
N/A
Explain the extensor mechanism of the lumbricals and interossei of the foot. Which actions do
they perform? What is the functionality of the mechanism, specifically during the gait cycle?
________________________________________________________________________
________________________________________________________________________
Blood Supply to the Foot
Posterior tibial artery
Anterior tibial artery
(2)
(1)
Where does this artery enter
the foot?
Name the branches of this
artery
Innervation to the Foot
Live Lecture Guide Portion
PELVIC CAVITY Review
What is the innominate bone? ___________________________________________________
Where do they meet? __________________________________________________________
What are the bones that make up the pelvis? ________________________________________
Identify the bony structures of the pelvis
Identify the ligaments of the SI Joint
What are the main ligaments of the SI joint? (3) Describe them
What are the additional ligaments of the SI Joint?
Ligament
Location
Function
PUBIC SYMPHESIS
What type of joint? _______________________________________
When does motion at this joint increase and why? _____________________________________________
How can this joint be dislocated? ___________________________________________________________
Describe the differences between the Greater Pelvis and Lesser Pelvis
What are the lateral pelvic borders? What are their functions?
What is the pelvic outlet? What structures is it formed by?
What are the functions of the pelvic floor? (2)
What is the function of the tendinous arch? ____________________________________________________
What is the function of the coccygeus muscle in humans? _________________________________________
What are the levator ani muscles? (3) What do they do as a group?
What is the function of the midline raphe? _________________________________________________
What is the function of the puborectalis? What type of muscle is it? What other muscles are in this region?
PERINEAL MEMBRANE
What is the function of this structure? _______________________________________________________
When can this membrane rupture? _________________________________________________________
What are possible complications to rupturing this structure? (3)
What two structures does this membrane connect? _____________________________________________
What are the major functions of the urogenital triangle and external genitalia muscles? (3)
What are the two additional sphincters located in FEMALES ONLY? What is their function?
What is different between the male and female bladder?
LUMBOSACRAL PLEXUS Review
What are the terminal nerves of the LUMBAR plexus – from most superior to most inferior? (6)
Terminal Nerves
Spinal Roots
The spinal nerves of the lumbar plexus are all branches of? _______________________________________
The positions of the terminal nerves are described in relation to what structure? _______________________
ILIOHYPOGASTRIC NERVE
Spinal Nerve Roots
Position relative to Psoas Major?
Runs adjacent to which nerve?
Runs between which muscles?
(Iliophypogastric N. continued)
Motor Function
Sensory Function
ILIOINGUINAL NERVE
Spinal Nerve Roots
Position relative to Psoas Major?
Found along which
osteological structure?
Motor Function
Sensory Function
GENITOFEMORAL NERVE
**Two nerves, one sheath**
Spinal Nerve Roots
Position relative to Psoas Major?
Genital Branch - Motor Function
Genital Branch - Sensory Function
*Present in both men and women?
Femoral Branch - Motor Function
Femoral Branch - Sensory Function
LATERAL FEMORAL CUTANEOUS NERVE
Spinal Nerve Roots
Runs deep to which ligament?
Motor Function
Sensory Function
FEMORAL NERVE
Spinal Nerve Roots
Deep to which ligament?
Name change at what body segment?
Motor Function
Sensory Function
OBTURATOR NERVE
Spinal Nerve Roots
Position relative to Psoas Major?
Primary motor nerve to which
compartment?
Motor Function
Sensory Function
SACRAL PLEXUS
Terminal Nerves
Spinal Roots
The spinal roots of the sacral plexus are branches to what structure? ________________________________
What are the divisions of the sacral plexus? ____________________________________________________
The sacral plexus lies anterior to what structure(s)? ______________________________________________
VENTRAL DIVISION
Motor Branches
Sensory Branches
DORSAL DIVISION
Nerves
Motor Function
What is different about the Sciatic Nerve from the other nerves of the dorsal division?
What are the clunial nerves? Where do they derive from?
What is a common pathology of clunial nerves? _______________________________________________
APERTURES OF THE PELVIS
What are the foramen of the pelvis? What structures run through each?
BLOOD SUPPLY OF THE PELVIS
What is the path of blood supply to the pelvis and lower extremities? What is the location of each artery and
what do they supply blood to?
What are the branches of the external iliac artery? Where do they pass and what structures do they supply
blood to?
Hip Review
Exiting the Pelvis into the Lower Leg
The Femoral Nerve
What structure does the femoral nerve travel
underneath before descending into the thigh?
What muscle group does it innervate?
Is the femoral nerve found in a connective
sheath with other structures or by itself?
What structures are not found within the
femoral sheath? (Hint: 3)
Are the structures enclosed together or
separate?
Which structure contains a hollow space?
Why is this?
What artery does the femoral artery originate
from?
Femoral Triangle
Femoral Vein
Femoral Artery
Femoral Nerve
Sartorius
Adductor Longus
Inguinal Ligament
What is the location of
each structure from
medial to lateral?
Describe which border of
the femoral triangle each
of these structure forms.
Where does the femoral
triangle lead into?
At the end of the
structure mentioned
above, there is an
opening that allows the
femoral artery to travel
to the posterior knee.
What is that opening
called?
The Hip Joint
What type of synovial joint (shape) is the hip?
What are the two articulations of the hip
joint?
True/False: The hip socket is deeper than the
shoulder.
What is the role of the acetabular labrum?
Is the acetabulum a complete circle?
Where is the opening on the acetabulum and
what structure closes it?
What ligament creates the attachment
between the head of the femur and the
acetabulum?
Does the head of the femur articulate directly
with the surface of the innominate bone?
What structure/surface does it articulate with?
Ligaments of the Hip Joint
Ligamentum
Teres
Iliofemoral
Ligament
Pubofemoral
Ligament
Describe the
general areas of
attachment for
each ligament.
What
movement(s)
does each
ligament resist?
What movement
would these
three ligaments
collectively
resist?
N/A
When would
they be on
slack?
N/A
Trochanteric Bursitis
What is this condition?
What type of movements typically cause
trochanteric bursitis?
What type of hip motion (active and passive)
would cause point tenderness on the greater
trochanter?
What muscle is implicated?
Ischiofemoral
Ligament
Iliopectineal Bursa
What region would have pain given
inflammation at this bursa?
What hip motions would increase pain (active
and passive)?
Ischial Tuberosity Bursa
What position is implicated in pain to this
bursa?
Blood Supply of the Hip
What are the main arteries found in the hip
joint? (Hint:5)
What is an example of a pathological
condition found if the hip blood flow is lost?
What age group is particularly at risk?
What other conditions are commonly
implicated with this?
What part of the femur is at risk with this
condition?
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