Leg & Foot Flashcards

0
Q

Fovea capitus of femur

A

On head

Artery enters through here to femur. Also attachment for round ligament.

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1
Q

Head of femur

A

Articulates with acetabulum of coxal bone

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2
Q

Lesser trochanter

A
Medial aspect of femur, proximal end, just inferior to intertrochanteric line 
Muscle attachment (iliopsoas)
Palpate with client supine, figure 4,
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3
Q

Greater trochanter

A
Proximal lateral aspect of femur
Muscle attachment (lot of rotators)
Palpate iliac crest, then wing, and continue inferiorly
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4
Q

Intertrochanteric line

A

Anterior femur.
Joins greater and lesser trochanters
Ligament attachment

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5
Q

Intertrochanteric crest

A

Posterior femur, lateral to neck

Joins greater and lesser trochanters

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6
Q

Quadrate tubercle

A
On intertrochanteric crest of femur
Muscle attachment (quadratus femorus -- lateral rotator)
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7
Q

Trochanteric fossa

A
Posterior femur, just medial to intertrochanteric crest
Muscle attachment (obiturator externus)
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8
Q

Gluteal tuberosity

A

Posterior femur, distal to greater trochanter.
Connects superiorly to the lateral lip of linea aspera
Glute attachment
Patient prone. Check with hip extension with knee flexed.

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9
Q

Linea aspera

A

Two parts, connecting and dissociating like an X along posterior aspect of femur
Medial and lateral lip
Muscle attachment

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10
Q

Pectineal line

A

Intermediate lip of linea aspera

Muscle attachment

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11
Q

Spiral line of the femur

A

Posterior aspect, continuous with intertrochanteric line

Converges with Pectineal line to form medial lip of linea aspera

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12
Q

Supracondylar ridges of the femur

A

Muscle attachments (medial: vmo. Lateral: plantaris)

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13
Q

Adductor tubercle

A

Muscle attachment

Located on top of medial epicondyle

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14
Q

Patellar surface

A

Anterior distal femur

Articular surface for patella

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15
Q

Trochlear groove

A

Groove on anterior distal surface of femur, where patella sits.

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16
Q

Intercondylar fossa

A

Posterior femur

Ligament attachment for tibialfemoral joint

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17
Q

Intercondylar notch

A

Posterior distal femur

Creates borders of intercondylar fossa

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18
Q

Condyles of the femur

A

Joint surface for tibialfemoral joint. Distal end of femur.
Medial condyle longer.
Articulate through menisci with lateral and medial Condyles of tibia.
Palpate with knees bent to ninety. Found just medial and lateral to medial and lateral borders of patella.

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19
Q

Epicondyles of the femur

A
Distal end of femur, somewhat to the side 
Distal to supra condylar ridge. 
Adductor tubercle on medial condyle
Ligament attachment in lateral
Palpate distal to supracondylar ridge
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20
Q

Base of patella

A

Superior border.

Quadriceps (patellar) tendon attachment

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21
Q

Apex of patella

A

Inferior aspect

Attachment for patellar ligament

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22
Q

What do the acetabularfemoral and glenohumeral joints rely on for stability?

A

Joint capsule
Articular surface
Ligaments

GHJ to a lesser degree; also requires rotator cuff muscles

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23
Q

What are the patellar facets?

A

Lateral (thumb)
Medial
Odd

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24
Q

Condyles of the femur

A

Superior articulating surfaces
Palpate by coming inferior to medial and lateral femoral condyles.
For articulating surfaces, come to inferior aspect of tibiofemoral joint and DTMF.

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25
Q

Tibial tuberosity

A

On proximal anterior surface of tibia.
Attachment for patellar ligament
Palpate distal from inferior aspect of patella

26
Q

Fibular facet

A

On tibia, inferior on lateral condyle

Articulating surface for head of fibula

27
Q

Intercondylar eminence

A

Tibia. In between medial and lateral facets

Attachment of ligaments and menisci

28
Q

Anterior and posterior intercondylar areas

A

Tibia. Broad depressed areas between condyles.

Attachment of cruciate ligaments.

29
Q

Pes anserine

A

Proximal medial surface of tibia
Inferior aspect of medial condyle
Muscle attachment (sartorius, gracilis, semitend)
Palpate tibial tuberosity, then shift slightly inferior and medial

30
Q

Oblique line

A

Lateral anterior surface of tibia

Connects condyle to tibial tuberosity

31
Q

Gerdy’s tubercle

A

Tibia. Anterior surface of lateral condyle
IT band attachment
Palpate laterally and slightly superior to tibial tuberosity.

32
Q

Fibular notch

A

Tibia. Articulation at inferior tibfib joint

33
Q

Horizontal groove for semimembranosus

A

Posterior tibia, superior end, medial side.

Just inferior to medial facet.

34
Q

Soleal line

A

Tibia. Posterior aspect, superior 1/2, runs oblique.

Attachment for soleus

35
Q

Medial malleolus

A

Ankle bone. Ligament and tendon attachment.

Palpate medial surface distal to medial ankle

36
Q

Medial malleolar Articular surface

A

Joint surface for talocrural joint

Medial

37
Q

Inferior Articular surface (tibia)

A

Distal surface of tibia. Articulates in talocrural joint

38
Q

Grooves for Tom, Dick & Harry

A
(Medial-->Lateral)
post Tibialis
flexor Digitorum longus
flexor Hallicus longus
Palpate posterior medial malleolus
39
Q

Head of the fibula

A
Muscle attachment (biceps femoris)
Facet for articulation with tibia
Palpate lateral epicondyle of femur, travel distally, inferior to tibfib joint line. Or lateral from Tib tuberosity and Gerdy's
40
Q

Apex of fibula

A

Above the head, ligament attachment

Palpate to “superiorest” bit of head

41
Q

Lateral malleolus

A

Ankle bone

Ligament attachment

42
Q

Fossa of lateral malleolus

A

Thumb fossa!
Posterior, distal end of fibula
Ligament attachment.
Palpate the back of malleolus

43
Q

Groove for fibularus longus tendon

A

Lateral fibula

44
Q

Calcaneus

A

Short, irregular bone
Forms heel of foot
Strongest bone in foot
Forms inferior part of tarsal sinus

45
Q

Peroneal trochlea/tubercle

A

Calcaneus, lateral side
Fib longus and brevis tendons run under it
Palpate lateral malleolus. Foot in neutral, palpate inferior to trochlea

46
Q

Sustenaculum tali

A

Projection on inferior of calcaneus
Ligament attachment
Palpate distally from medial malleolus

47
Q

Calcaneal tuberosity

A

Attachment of Achilles’ tendon and plantar fascia
Posterior/inferior
Muscle attachment on medial and lateral processes (plantar)

48
Q

Calcaneal sulcus

A

Superior surface, makes up 1/2 of tarsal sinus

Posterior to the anterior facet and facet for cuboid; lateral to medial facet

49
Q

Facets on calcaneus

A

Anterior, middle and posterior for articulating with talus
And another one for cuboid
Superior aspect

50
Q

Groove for flexor hallucis longus tendon

A

Calcaneus. Inferior side of sustentaculum tali

51
Q

Groove for fibularis longus tendon

A

Calcaneus

Lateral aspect, distal to peroneal trochlea

52
Q

Talus

A

Short, rhombus shaped

53
Q

Articular surfaces of the talus

A

For navicula, tibia (trochlea : med/lat Tib), calcaneus (ant/mid/post facets)

54
Q

Talar sulcus

A

Forms top 1/2 of tarsal sinus

Inferior aspect if neck

55
Q

Trochlea of talus

A

Superior surface. Joint surface for talocrural joint

Palpate head. Keep fingers where they are and plantarflex foot.

56
Q

Posterior process of tuberosity (calcaneus)

A

Medial tubercle: ligament attachment. Palpate 45 degrees posteriorly off medial malleolus

Groove for flexor hallucis longus

Lateral tubercle: ligament attachment.

57
Q

Navicular

A

Short, flattened oval bone
At apex of medial longitudinal arch
Facets: joint surface for cuboid, cuneiforms and talus
Palpate by finding medial cuneiform and coming proximal to joint line

58
Q

Navicular tuberosity

A

Post Tib attachment. Medial plantar side.

Palpate sustentaculum tali, then move anteriorly until you feel bump.

59
Q

Cuneiforms

A

Wedge shaped short bones
Help form transverse arch of foot
Medial tuberosity: plantar surface. Ant Tib and fib long attachment
Palpate proximal to the 1st (medial), 2nd (intermediate) or 3rd (lateral) tarsometatarsal

60
Q

Cuboid

A

Short and cube shaped
Ligament attachment dorsal and plantar (tuberosity)
Palpate 4th and 5th metatarsal prox to TMT joint line. Or palpate proximal to styloid of 5th metatarsal.

61
Q

Peroneal/Fibular Sulcus/Groove

A

Cuboid. Distal to tuberosity. Track for fib long tendon to run along on way to medial cuneiform and 1st metatarsal.
Palpate plantar surface of cuboid bone

62
Q

Metatarsals

A

Each has base, body, head.
5th has styloid process (big ass bump on lateral side of foot). Fib brev attachment
1st has two sesamoid bones, on the plantar surface at the head

63
Q

Foot phalanges

A

1st toe (hallux) has proximal and distal phalanx

2-5 have prox/middle/distal

Each has base/body/head