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OMM - Upper Extremity
Flashcards for 2nd exam OMS-II
38
Medical
Professional
11/14/2011

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Cards

Term
Hip - Primary Extensor
Definition
Gluteus Maximus
Term
Hip: Primary Flexor
Definition
Iliopsoas
Term
Knee: Primary Extensor
Definition
Quadriceps (rectus femoris, vastus lateralis, medialis and intermedius)
Term
Knee: Primary Flexors
Definition
Semimembranosus and semitendinosus (hamstrings)
Term
Femoral Nerve (L2-L4)
Definition

Motor: innervates quadriceps, ilacus, sartorius and pectineus

Sensory: anterior thigh and medial leg

Term
Sciatic Nerve (L4-S3)
Definition

Courses through greater sciatic foramen, in 85% sciatic nerve will be inferior to piriformis

 

2 Divisions:

Tibial

Motor: Hamstrings except short head of biceps femoris, most plantar flexors and toe flexors

Sensory: Lower leg and plantar aspect of foot

 

Peroneal:

Motor: Short head of biceps femoris, evertors and dorsiflexors of the foot and most extensors of the toes

Sensory: lower leg and dorsum of foot

Term
Coxa Vara
Definition
Angle between neck and shaft of the femur <120 degrees
Term
Coxa Valga
Definition
Angle between neck and shaft of the femur is >135 degrees
Term
Anterior Cruciate Ligament (ACL)
Definition
Originates at posterior aspect of the femur and attaches to anterior aspect of the tibia.  It prevents anterior translation of the tibia on the femur
Term
Posterior Cruciate Ligament (PCL)
Definition
Originates on the anterior aspect of the femur and inserts on the posterior aspect of the tibia.  It prevents posterior translation of the tibia on the femur
Term
Medial Collateral Ligament (MCL)
Definition

Origin: Femur

Insertion: Tibia

Also articulates with the medial meniscus

Term
Lateral Collateral Ligament (LCL)
Definition

Origin: Femur

Insertion: Fibula

Term
Pronation of the Ankle
Definition
Dorsiflexion, eversion and abduction (fibular head glides anteriorly)
Term
Supination of the Ankle
Definition

Plantarflexion, inversion and adduction

Fibular head glides posteriorly

Term
Genu Varum
Definition
Decreased Q ankle, patient is bow-legged
Term
Genu Valgum
Definition
Increased Q angle, patient is knock-kneed.
Term
Posterior Fibular Head
Definition

Proximal fibular head resists anterior spring

Distal fibula may be anterior and resists posterior springing

Talus internally rotated causing foot to invert and plantarflex

Term
Anterior Fibular Head
Definition

Proximal fibular head resists posterior spring

Distal fibula may be posterior

Talus externally rotated causing foot to evert and dorsiflex

Term
Iliopsoas
Definition

Origin:  VBs of T12-L5

Insertion: Lesser Trocanter of femur

Innervation: Femoral nerve (L1, L2, L3)

Action: Flexes hip

Term
Sartorius (anterior thigh)
Definition

Origin: ASIS

Insertion: Upper medial side of tibia

Innervation: Femoral nerve (L2, L3)

Action: Flexes, abducts and externally rotates thigh

Term
Rectus femoris (anterior thigh)
Definition

Origin: AIIS and groove of acetabulum

Insertion: Base of patella

Innervation: Femoral nerve (L2, L3, L4)

Action: Flexes hip and extends knee

Term
Vastus Medialis (anterior thigh)
Definition

Origin: Medial lip of femur

Insertion: Base of patella

Innervation: Femoral nerve (L2, L3, L4)

Action: Extends knees

Term
Vastus Lateralis (Anterior Thigh)
Definition

Origin: Greater trocanter and body of femur

Insertion: Base of patella

Innervation: Femoral nerve (L2, L3, L4)

Action: Extends knees

Term
Vastus Intermedius (Anterior Thigh)
Definition

Origin: Body of femur

Insertion: Base of patella

Innervation: Femoral nerve (L2, L3, L4)

Action: Extends knees

Term
Adductor Longus (Medial Thigh)
Definition

Origin: Body of pubis

Insertion: Middle 1/3 of linea aspera of femur

Innervation: Obturator nerve (L2, L3, L4)

Action: Adducts, flexes and internally rotates thigh

Term
Adductor Brevis (medial Thigh)
Definition

Origin: Body of inferior pubic ramus

Insertion: Pectineal line, upper part of linea aspera

Innervation: Obturator nerve (L2, L3, L4)

Action: Adducts, flexes and internally rotates thigh

Term
Adductor Magnus (Medial Thigh)
Definition

Origin: IT, inferior pubic ramus

Insertion: Linea aspera, adductor tubercle, supracondylar line

Innervation: Obturator and sciatic nerve (L2, L3, L4)

Action: Adducts, flexes and extends thigh

Term
Gracilis (Medial Thigh)
Definition

Origin: Body and inferior pubic ramus

Insertion: Superior part of medial tibia

Innervation: Obturator nerve (L2, L3)

Action: Adducts thigh, flexes leg

 

Term
Semitendinosis (Posterior Thigh)
Definition

Origin: Ischial Tuberosity (IT)

Insertion: Superior part of medial tibia

Innervation: Sciatic nerve (tibial portion), L5, S1, S2

Action: Extends thigh, flexes and internally rotates leg

Term
Semimembranosis (Posterior Thigh)
Definition

Origin: Ischial Tuberosity (IT)

Insertion: Medial condyle of tibia

Innervation: Sciatic nerve (tibial portion)/L5, S1, S2

Action: Extends thigh, flexes and externally rotates leg

Term
Biceps Femoris (Posterior Thigh: Extensors of the hip joint and flexors of the knee joint)
Definition

Origin: Long Head: IT; Short head: Posterior femur

Insertion: Head of fibula

Innervation: Sciatic (LH: tibial, SH= peroneal)/L5, S1, S2

Action: Extends thigh, flexes and externally rotates leg

Term
Gluteus Maximus (Gluteal region: abductors and rotators of the thigh)
Definition

Origin: Ilium, sacrum, coccyx, sacrotuberous ligament

Insertion: Gluteal tuberosity and iliotibial tract

Innervation: Inferior gluteal nerve (L5, S1, S2)

Action: Extends hip

Term
Gluteus Medius (Gluteal Region: Abductors and Rotators of the Thigh)
Definition

Origin: Ilium

Insertion: Greater trocanter

Innervation: Superior gluteal nerve (L5, S1)

Action: Abducts hip

 

Term
Tensor Fascia Lata (Gluteal Region: Abductors and Rotators of the Thigh)
Definition

Origin: Iliac crest and ASIS

Insertion: Iliotibial tract

Innervation: Superior Gluteal Nerve (L4, L5)

Action: Flexes, abducts hip

Term
Piriformis (Gluteal Region: Abductors and Rotators of the Thigh)
Definition

Origin: Anterior sacrum and sacrotuberous ligament

Insertion: Greater trocanter

Innervation: Sacral nerve (S1, S2)

Action: Externally rotates leg

 

Term
Tibialis Anterior (Anterior and Lateral Compartments of the Leg)
Definition

Origin: Lateral tibial condyle, IO membrane

 

Insertion: 1st cuneiform, 1st metatarsal

 

Innervation: Deep peroneal nerve (L4, L5)

 

Action: Dorsiflexes and inverts foot

Term
Extensor Hallucis Longus (Anterior and Lateral Compartments of the Leg)
Definition

Origin: IO membrane, anterior fibula

 

Insertion: Distal phalanx of big toe

 

Innervation: Deep peroneal nerve (L5, S1)

 

Action: Extends big toe, dorsiflexes foot

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