Jeopardy Lower Body

The TFL attaches closest to which spine of the innominate bone?

ASIS

Which muscles share a distal attachment with sartorius?

Gracilis, Semitendinosus

Which muscle, like tibialis anterior, also distally attaches to the medial cuneiform and 1st metatarsal?

FL

What 3 muscle tendons contribute to the formation of the calcaneal tendon?

Plantaris, Gastroc, Soleus

Name the action that is shared by tibialis anterior and tibialis posterior.

Inversion

Name the muscles in the leg that attach to both the tibia and fibula.

Soleus, Tibialis Posterior, Extensor Digitorum Longus

Your patient has weak dorsiflexion of the ankle. What is the primary muscle that is weak?

TA

Name a muscle that both externally rotates and extends the hip.

Glut max, Biceps femoris

Name a muscle that both plantarflexes and everts the foot.

FL, FB

Your patient has weak flexion of the hip and flexion of the knee. What muscle may be weak?

Sartorius

Name a muscle that flexes the knee and plantarflexes the ankle.

Gastroc, Plantaris -- weak knee flexor

Which quadriceps muscle originates from the greater trochanter and lateral linea aspera?

Vastus lateralis

Name the osteokinematic that would be MOST weakened with lesion to superficial fibular nerve.

Eversion

Your patient is an army recruit in the middle of boot camp. While wearing his boot he experiences numbness and tingling along the dorsum of foot. What cutaneous nerve is involved?

Superficial fibular

Your patient has a lesion of the superior gluteal nerve. Identify the 2 muscle actions that will be most weakened.

Abduction, IR

A femoral hernia compresses the femoral nerve. Name all areas of the LE that may have altered sensation.

Anterior thigh, medial leg past medial malleolus

Your patient has an impingement of the S1 spinal nerve. What osteokinematics will be most affected?

Hip extension, PF, Foot eversion

Your patient has a hyperreactive knee-jerk reflex. What nerve is overactive?

Femoral

Your patient has a stress fracture along the lateral surface of the tibia. What muscle attachment is most likely to be tender?

TA

Your patient has a fracture of the lesser trochanter. Name the muscle will be most affected?

Iliopsoas

Your patient has an avulsion fracture of the tubercle of the 5th MT. What muscle is responsible for this fracture?

FB

What nerve is endangered by a fracture of the fibular head?

Common fibular

Fracture of the sustentaculum tali would most affect what arch of the foot?

Medial longitudinal

Your patient has an avulsion fracture of the tibial tuberosity. What muscles are responsible for this fracture?

Quadriceps

Your patient has inflammation of the bursa located between the skin and the anterior side of the patella. Which bursa is inflamed?

Prepatellar subcutaneous bursa

Your patient has hyper-mobility of the midtarsal (transverse tarsal) joint. Which bones are involved in this joint?

Talus/Navicular and Calcaneus/Cuboid

Identify the 3 structures that are co-injured with the terrible triad of the knee.

ACL, MCL, medial meniscus

What artery is compressed to cause anterior compartment syndrome?

Anterior tibial a.

Your patient has avascular necrosis of the hip. Name the 3 major arteries whose blood supply to the hip may have been disrupted.

Med and Lat Circumflex Femoral, Artery of Ligamentum Teres

Your patient walks with a pronated gait. Name the osteokinematics involved in pronation.

Dorsiflexion, abduction, eversion

Which muscle attaches more distal on the tibia -- popliteus or soleus?

Soleus

Your patient's x-ray reveals degeneration on the lateral side of the patella. Name two muscles that indirectly stabilize the lateral side of the patella.

Vastus lateralis, TFL and Glut Max via ITB

Which muscle is deeper -- adductor hallucis or abductor hallucis?

Adductor hallucis

Which malleolus projects more distally -- medial or lateral?

Lateral

In the dorsum of the foot, which muscle tendon is immediately lateral to the tendon of TA?

EHL

Is the intertrochanteric crest found on the anterior or posterior part of the proximal femur?

Posterior

What ligament resists valgus (eversion) forces at the subtalar joint?

Deltoid

Name an intrinsic ligament of the knee that attaches to a meniscus?

Deep fibers of MCL, Coronary ligaments

Which 2 ligaments contribute to the formation of the greater and lesser sciatic foramen?

Sacrotuberous, sacrospinous

Which ligament limits anterior translation of the tibia with respect to the femur?

ACL

What motions of the hip are limited by the iliofemoral ligament?

Extension, ER

What motion do the anterior and posterior tibiofibular ligaments limit?

Lateral translation of the fibula (Separation of fibula and tibia) during dorsiflexion

The small saphenous vein empties into which vein?

Popliteal

The fibular artery is a branch of which vessel?

Posterior tibial

The dorsalis pedis artery is a continuation of which artery?

Anterior tibial

What arteries (in general) form an anastomosing network around the knee?

Genicular

The medial and lateral circumflex femoral arteries are a direct branch of which artery?

Deep femoral

What artery accompanies the tibial nerve through the tarsal tunnel?

Posterior tibial

Your patient experiences tightness in the thigh as he flexes his hip and extends his knee. What muscle group is tight?

Hamstrings

What muscle is being stretched most when your patient extends the knee and dorsiflexes the ankle?

Gastrocnemius

Name 2 structures in the muscular compartment of the retroinguinal space.

Iliopsoas, femoral nerve, LFC

What nerve travels with the anterior tibial artery?

Deep fibular

Which nerve innervates the most muscles in the posterior thigh?

Tibial division of the sciatic nerve

What bone is the keystone of the medial longitudinal arch?

Navicular

What type of joint is the pubic symphysis?

Cartilaginous or Syntharthrosis

Which pelvis type (male or female) has a wider subpubic angle?

Female

Which pelvis has a taller, narrower iliac crest?

Male

Which muscle of the posterior abdominal wall attaches to the iliac cest?

Quadratus lumborum

Hip flexion occurs in what anatomical plane of motion?

Sagittal (Around a medial-lateral axis)

Is the interosseous sacroiliac ligament found on the anterior or posterior side of the joint?

Posterior