USMLE Step 1 Web Prep — Lower Limb: Part 1

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Section III Gross Anatomy and Organogenesis
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Lower Limb (Part 1)
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!ermina" #er$es of L%mbosacra" P"e&%s !ermina" #er$e Femoral nerve &'turator nerve Origin '%sc"es Inner$ated

L2 through L4 Anterior ompartment o! thigh "#uadri eps !emoris$ posterior divisions sartorius pe tineus% L2 through L4 anterior divisions (edial ompartment o! thigh "gra ilis$ addu tor longus$ addu tor 'revis$ anterior portion o! addu tor magnus%

lantar mus les o! !oot )a'le ***+5+1.le/us 388320 >>> 00:03:51 SLIDE + of 14 )o""atera" #er$e )o""atera" #er$es of L%mbosacra" P"e&%s Origin '%sc"es Inner$ated L4 through -1 posterior divisions L5 through -2 posterior divisions L5 through -2 posterior divisions 4luteus medius$ gluteus mininus$tensor !as iae latae 4luteus ma/imus -uperior gemellus$ o'turator internus -uperior gluteal nerve *n!erior gluteal nerve 2erve to superior gemellus and o'turator internus )a'le ***+5+2. )erminal 2erves o! Lum'osa ral .osterior ompartment o! leg "gastro nemius$ soleus$ !le/or digitorum longus$ !le/or hallu is longus$ ti'ialis posterior% . 388325 >>> 00:07:45 SLIDE . of 14 )o""atera" #er$e )o""atera" #er$es of L%mbosacra" P"e&%s Origin '%sc"es Inner$ated 2erve to in!erior gemellus *n!erior gemellus$ L4 through -1 posterior divisions and #uadratus !emoris #uadratus !emoris .)a'le ***+5+1. 388315 >>> 00:05:44 SLIDE * of 14 !ermina" #er$es of L%mbosacra" P"e&%s()ontin%ed) !ermina" #er$e Origin '%sc"es Inner$ated 0ommon peroneal nerve -uper!i ial peroneal nerve 1eep peroneal nerve L4 through -2 -hort head o! 'i eps !emoris posterior divisions Lateral ompartment o! leg "peroneus longus$ peroneus 'revis% Anterior ompartment o! leg "ti'ialis anterior$ e/tensor hallu is$ e/tensor digitorum$ peroneus tertius% )a'le ***+5+1.osterior ompartment o! thigh "semimem'ranosus$ semitendinosus$ long head o! 'i eps !emoris$ posterior portion o! addu tor magnus% )i'ial nerve L4 through -3 anterior divisions . 388310 >>> 00:04:31 SLIDE ( of 14 !ermina" #er$es of L%mbosacra" P"e&%s()ontin%ed) !ermina" #er$e Origin '%sc"es Inner$ated .

-ign is 8)rendelen'urg gait9 Inferior G"%tea" #er$e .rodu es a om'ination o! de!i its o! lesion o! the deep and super!i ial peroneal nerves.of 14 #E. -ensor: loss on dorsum o! !oot e/ ept the !irst 7e' spa e./E I#01.9 • 1eep peroneal nerve<<7ea5ened inversion6 loss o! e/tension o! the digits6 loss o! dorsi!le/ion 8!oot drop.'ALI!IES O3 GAI! Sciatic #er$e .osterior !emoral utaneous nerve )a'le ***+5+2.Lateral !emoral utaneous L2 through L3 posterior divisions nerve . !ibia" #er$e On"y 0auses a loss o! !le/ion o! the 5nee6 and digits6 loss o! plantar !le/ion6 7ea5ened inversion and sensor: loss on the leg "e/ ept medial% and plantar !oot.IES A#D A2#O. urs on Obd%rator #er$e 0auses a loss o! addu tion o! the thigh as 7ell as sensor: loss on medial thigh. 388345 >>> 00:11:52 SLIDE 12 of 14 #E.'ALI!IES O3 GAI! )ommon Peronea" #er$e . 388335 >>> 00:09:42 SLIDE 15 of 14 #E.rings a'out a 7ea5ened e/tension o! the thigh6 loss o! !le/ion o! the 5nee6 and loss o! !un tion 'elo7 the 5nee.IES A#D A2#O.'ALI!IES O3 GAI! S%4erior G"%tea" #er$e 0auses loss o! a'du tion o! lim'6 impairment o! gait6 patient annot 5eep pelvis level 7hen standing on one leg. -ign is 8!oot drop. 388350 >>> 00:13:00 SLIDE 1 of 14 .IES A#D A2#O.IES A#D A2#O. -ensor: loss o the anterior thigh$ medial leg$ and !oot. 388330 >>> 00:08:04 -5in o! anterolateral thigh -1 through -2 posterior divisions and -2 through -3 anterior -5in o! posterior thigh divisions SLIDE .rodu es a 7ea5ened hip e/tension6 patient has di!!i ult: rising !rom a sitting position or lim'ing stairs. • -uper!i ial peroneal nerve<<loss o! eversion o! the !oot./E I#01.'ALI!IES O3 GAI! 3emora" #er$e *ndu es 7ea5ened hip !le/ion6 loss o! e/tension o! the 5nee. -ensor: loss on the posterior thigh$ leg "e/ ept medial side%$ and !oot is also o'served./E I#01./E I#01. 388340 >>> 00:10:38 SLIDE 11 of 14 #E.9 -ensor: loss on anterolateral leg and dorsum o! the !oot.

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