2. Overview of lower limb Flashcards
Contents of the inguinal canal in males. (3)
1) Genital branch of genitofemoral nerve.
2) Spermatic cord.
3) Ilioinguinal nerve.
Contents of the inguinal canal in females. (3)
1) Genital branch of genitofemoral nerve.
2) Round ligament.
3) Ilioinguinal nerve.
Describe the walls of the inguinal canal. (4)
Anterior - aponeurosis of external oblique and a bit of the internal oblique.
Posterior - transversalis fascia.
Roof - transversalis fascia, internal oblique and transversus abdominis.
Floor - inguinal ligament.
“MALT”
What is the difference between an indirect and direct inguinal hernia?
Indirect - peritoneal sac enters the canal through deep ring. It is the result of an embryological failure where the processus vaginalis fails to close after the testes pass through it.
Direct - peritoneal sac enters the canal through posterior wall due to weakening of the abdominal wall.
Borders of the femoral triangle. (3)
1) Medial border of sartorius laterally.
2) Inguinal ligament superiorly.
3) Medial border of adductor longus medially.
Contents of the femoral triangle. (4)
1) Femoral nerve laterally.
2) Femoral artery.
3) Femoral vein.
4) Femoral canal.
“NAVY”
Contents of the femoral sheath.
Femoral artery, vein and femoral canal.
Borders and contents of femoral canal.
Medially - lacunar ligament.
Laterally - femoral vein.
Anteriorly - inguinal ligament.
Posteriorly - pectineal ligament and muscle.
Contents - deep lymph node (lacunar node) & lymph vessels.
Describe a femoral hernia.
Sometimes part of the intestine can pass through the femoral ring and enter the femoral canal to cause a femoral hernia.
Borders of the popliteal fossa.
Supero-medially - Semitendinosus.
Infero-medially - Medial Gastrocnemius.
Supero-laterally - Biceps femoris (long head).
Infero-laterally - Lateral Gastrocnemius.
Name the 3 hamstring muscles and their locations relative to each other.
Biceps femoris, semitendinosus, semimembranosus.
Semi-M lies deep to semi-T.
BF has 2 head and is the most lateral of the 3.
Origin and insertion: Biceps femoris.
Origin: LH- ischial tuberosity of the pelvis. SH- linea aspera of femur.
Insertion: both heads joint to form common tendon which inserts into the fibular head.
Origin and insertion: Semitendinosus.
Origin: ischial tuberosity of the pelvis.
Insertion: medial surface of tibia.
Origin and insertion: Semimembranosus
Origin: ischial tuberosity of the pelvis (superior to semitendinosus).
Insertion: medial condyle of tibia.
State a difference in function between the biceps femoris and the semimembranosus and semitendinosus.
BF rotates thigh and leg laterally whereas the other two muscles rotate medially.