Lower Limp Mnemonics
Deep Posterior Leg Muscles
“Down The Hatch”: flexor Digitorum longus, Tibialis posterior, flexor Hallucis longus Medial Malleolus (anterior to posterior) “Tom, Dick, And Very Nervous Harry”: Tibialis Tibialis posterior, flexor Digitorum Digitorum longus tendon, posteriotibial Artery, Artery, posteriotibial Vein, Vein, tibial Nerve, Nerve, flexor Hallucis longus SGT FOS (connections to pes anserinus) Sartorius (Femoral nerve), Gracilis (Obturator nerve), SemiTendinosus (Sciatic nerve) Femoral Triangle Boundaries
“So I May Always Love Sally”: Superiorly – Inguinal Inguinal ligament, Medially – Medially – Adductor Adductor longus, Laterally – Laterally – Sartorius Sartorius Order of Structures in Femoral Triangle / Groin (lateral to medial) "NAVEL": Nerve, Artery, Vein, Empty E mpty space, Lymphatics Leg Anterior Compartment
"The Hospitals Are Not Dirty Places": Tibialis anterior, extensor Hallucis longus, anterior tibial Artery, deep fibular Nerve, extensor Digitorum longus, Peronius tertius Terrible (Unhappy) Triad Knee Injury (American football injury) “ATM” for money-maker: money-maker: Anterior cruciate ligament, Tibial (medial) collateral ligament, Medial meniscus Leg Nerves
“FED”: Fibular nerve Everts and Dorsiflexes the foot “TIP”: Tibial nerve Inverts and Plantarflexes the foot
AFA 222 FAF (plantar region of foot) Layer 1: Abductor Hallucis, Flexor digitorum brevis, Abductor digiti minimi Layer 2: Two tendons (Flexor Hallucis longus, flexor digitorum longus), Two muscles (lumbricles, quadratus plantae) Layer 3: Flexor Hallucis brevis, Adductor Hallucis (oblique and transverse heads), Flexor digiti minimi brevis Tarsal Tunnel Contents (superior to inferior) “Tiny Dogs Are Not Hunters”: Tibialis posterior, flexor Digitorum longus, posterior tibial Artery, tibial Nerve, flexor Hallucis longus Inguinal Canal Walls (superior moving around in order to posterior) "2MALT: 2M, 2A, 2L, 2T": Superior wall (roof): 2 Muscles: internal oblique Muscle, transverse abdominus Muscle Anterior wall: 2 Aponeuroses: Aponeurosis of external oblique, Aponeurosis of internal oblique Lower wall (floor): 2 Ligaments: inguinal Ligament, lacunar Ligament Posterior wall: 2Ts: Transversalis fascia, conjoint Tendon Tarsal Bones
"Traverse City (is) Noted (for) MIchigan's Lovely Cherries": Talus Calcaneus (new row), Navicular (new row), Medial Intermediate cuneiforms, Lateral cuneiform, Cuboid Hip Lateral Rotators (Femur Greater Trochanter Attachments)
“P-GO-GO-Q”: Piriformis Gemellus superior Obturator internus Gemellus inferior Obturator externus Quadratus femoris
Hip: lateral rotators "Play Golf Or Go On Quaaludes": · From top to bottom: Piriformis Gemellus superior O bturator internus Gemellus inferior O bturator externus Quadratus femoris · Alternatively: "P-GO-GO-Q".
Hip: lateral rotators "Piece Goods Often Go On Quilts": Piriformis Gemellus superior O bturator internus Gemellus inferior O bturator externus Quadratus femoris Lumbar plexus "I, I Get Laid On Fridays": Iliohypogastric [L1] Ilioinguinal [L1] Genitofemoral [L1, L2] Lateral femoral cutaneous [L2, L3] O btruator [L2, L3, L4] Femoral [L2, L3, L4] · Alternatively: "I twice Get Laid On Fridays". · Alternatively: "Interested In Getting Laid On Fridays?" Inguinal canal: walls"MALT: 2M, 2A, 2L, 2T": · Starting from superior, moving around in order to posterior: Superior wall (roof): 2 Muscles: · internal oblique Muscle · transverse abdominus Muscle Anterior wall: 2 A poneuroses: · A poneurosis of external oblique · A poneurosis of internal oblique Lower wall (floor): 2 Ligaments: · inguinal Ligament · lacunar Ligament Posterior wall: 2Ts: · Transversalis fascia · conjoint Tendon Obturator canal: relations of structures "Who's flying in the top of Obturator canal? Obviously Not A Vein!": Obturator Nerve
Artery Vein Thigh: innervation by compartment" MAP OF Sciatic": Medial compartment: O bturator Anterior compartment: Femoral Posterior compartment: Sciatic
· So all the thigh muscles in that compartment get innervated by that nerve. Leg: anterior muscles of leg"The Hospitals Are Not Dirty Places": T: Tibialis anterior H: extensor Hallucis longus A: anterior tibial Artery N: deep fibular Nerve D: extensor Digitorum longus P: Peronius tertius [aka fibularis tertius] Leg: anterior muscles of leg "Tom's Hairy ANd Dirty Penis": T: Tibialis anterior H: extensor Hollicis longus AN: anterior tibial Artery & deep fibular Nerve D: extensor Digitorum longus P: Peronius tertius [aka fibularis tertius] Ankle: anterior compartment of leg contents "The Hamptons Are Never Dull Parties": · From medial malleolus: Tibialis anterior tendon (Extensor) Hallacus longus Artery (anterior tibial) Nerve (deep peroneal) (Extensor) Digitorum
Peroneus tertius Tarsal bones "Tall Californian Navy Medcial Interns Lay Cuties": · In order (right foot, superior to inferior, medial to lateral): Talus Calcanous Navicular Medial cuneiform Intermediate cuneiform Lateral cuneifrom Cu boid Tarsal tunnel: contents "Tiny Dogs Are Not Hunters": · From superior to inferior: T: Tibialis posterior F: flexor Digitorum longus A: posterior tibial Artery N: tibial Nerve H: flexor Hallucis longus Observe Three Ducks Pecking Grass Observe Three Ducks Pecking Grass Obturator
three Adductors Pectineus Gracilus
ANATOMY 13
Big Fat Swotty Samantha Ate My Hamster’s Pens Big fat
Swotty Samantha
Ate my Hamster’s pens
Biceps femoris Semitendinous Semimembranous Adductor magnus Hamstring portion
Lesser sciatic foramen This mnemonic will remind you that the nerve to the obturator internus, and its tendon and pudendal nerve and pudendal vessels pass through the lesser sciatic foramen.
No Internals Tonight, Padre No Internals Tonight Padre Nerve to obturator Internus Tendon Pudendal nerve/vessels
Sartorius and gracilis muscles This elegant memory aid has long been used to remind us that the s artorius and gracilis are attached to the medial surface of the tibia just before (i.e. anteriorly) to the semitendinosus.
Say Grace Before Tea Say Sartorius Grace Gracilis Before Before Tea Semitendinosus
The patella – Is it a left one or a right one? Place the patella with the posterior surface on the table in front of you with the inferior border (pointy corner) pointing away from you (distally). How it comes to rest on the table will show you whether it is from a left or a right knee. Resting on its right side From a right knee Resting on its left side From a left knee
Ankle joint tendons Inferior to the medial malleolus are the tendons of the tibialis posterior, flexor digitorum longus, posterior tibial artery, posterior tibial nerve and flexor hallucis longus.
Tom, Dick and Harry Tom Tibialis posterior Dick Flexor digitorum longus And Posterior tibial artery and posterior tibial nerve Harry Flexor hallucis longus