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Anatomy Block-4 Gems-4
AUC Glut
23
Anatomy
Graduate
04/09/2011

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Cards

Term
Femoral Nerve
L2-4
Definition
Sensory:
Anterior/middle thigh. (Ant femoral cut)
medial/Posterior. (Post Femoral cutan)

medial Leg/foot: saphenous

Muscle: Anterior thigh.
Hip flexion/knee extension
Term
Obturator
L2-4
Definition
Sensory: medial thigh

Motor: adductors of thigh
Term
Tibial n
Definition
Sensory: Plantar foot (medial/lateral plantar)

muscle: posterior leg, post knee joint
plantar foot
Term
Common Fibular
Definition
Sensory: lateral leg, dorsal foot

Muscle: lateral leg(superficial branch)
Anterior leg & dorsal foot(deep branch)
Term
Corona Mortis
Definition
Aberent obturator a or v.

Can be injured in groin or pelvic surgeries.

Anastomose between epigastric and obterator
Term
Most pwoerful hip extensor
Definition
Gluteus maximus
Term
Piriformis syndrome
Definition
Compressed sciatic nerve by the piriformis m.

pain, tingling, numbness in gluteal region and sciatic nerve path down leg.
Term
Cluneal nerves
Definition
Sensory nerves supplying the butt
Term
Meralgia paresthetica
(Calvin kelin)
Definition
Compression the lateral thigh cutaneous nerve
Term
Hypoplastic femoral
(Ischiatic artery)
Definition
Replaces femoral as main blood supply to leg. Runs in posterior leg.

(femoral still runs in anterior just smaller)
Term
Intramuscular injection
Definition
inject into upper right quadrant.

Put middle finger on asses, spread your index finger, inject in that area.

Others can damage superior gluteal and sciatic
Term
Superior Gluteal Nerve Lesion
Definition
side affected -contralateral to n. injury

Trendelenburg gait: downward tilting of
the hip on the non weight bearing
side due to inability of the gluteues
medius and minimus to abduct the hip on
weight bearing side.

Trendelenburg sign: Patients hip tilts down when the limb is not weight bearing(lifted up)
Term
Obturator n lesion
Definition
Waddling gait. hip can't be adducted.

foot on affected side cant be placed under pelvis

Decreased sensation over upper medial thigh

Cause of injury: anterior hip dislocation, radical retropubic prostatectomia
Term
Medial and Lateral Plantar nerves
Definition
Branches of the Tibial n

Tibial n runs with posterior tibial artery
Term
Acetabulum
Definition
Femur articulates with Hip bone here.
Term
Tensor Fascia lata
Definition
Thigh - flexion, medial rotation, abduction. Trunk stabilization.
Term
Alignment of femur
Definition
Angle of inclination: Angle between
neck and shaft of femur. 125-130normal

Coxa Vara: less then100 shortening of
the limb

Coxa Valga: greater then 130.
Lengthening of the limb
Term
Hip Dislocation
Definition
Posterior 9/10 times

Congenital is more common in girls. Click test. Circumduction of hips 90 degrees
Term
Injury of gluteal region: Fractures of Femoral Neck
Definition

Common in elderly women w/ osteoporosis

-causes shortness and lateral rotation of lower limb

-often disrupts blood supply to head of femur

-Treatment: hip replacement
Term
Transcervical fracture of femor
Definition
disrupts blood supply to head of femur via retinacular arteries (from medial circumflex femoral a.) -> result in avascular necrosis of femoral head
Term
Injury to Sciatic n.
Definition
weakened hip extension and knee flexion

foordrop -lack of dorsiflexion

Flail foot -lack of dorsiflexion and plantar flexion

Result of improperly placed gluteal injections or posterior hip dislocation
Term
Posterior hip dislocation
Definition
femoral head out of acetabulum -common from head on collisions
inf. &post. rupture of joint capsule
fracture of ischium
tear of ishiofemoral ligament

head of femur is displaced to ilium
Term
inferior gluteal n. lesion
Definition
weakened hip extension from glut max
-noticeable when climbing stairs or standing from seated position

Cause: Posterior hip dislocation, or surgery
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