anatomy of anterior and medial thigh Flashcards
name the shin bone
the tibia
name the thigh bone
the femur
name the knee cap
the patella
where does the head of the femur articulate with on the pelvis to form the hip joint?
the acetabulum
where is the intertrochanteric line?
between the greater and lesser trochanters on the anterior surface of the femur.(distal neck)
name the bony vertical ridge on the posterior aspect of theshaftof the femur. what is its role?
the linea aspera
site of muscle attachment.
what part of femur articulates with the knee joint?
the medialandlateral femoral condyles
where is the adductor tubercle?
- just superior to the medial femoral condyle
which muscles flex the hip? anterior, posterior or medial thigh muscles?
anterior thigh muscles
which muscles extend the hip? anterior, posterior or medial thigh muscles?
the posterior thigh muscles
which muscles adduct the hip? anterior, posterior or medial thigh muscles?
muscles in medial thigh adduct thigh at hip
name all the movements at the hip joint?
- flexion and extension
- adduction and abduction
- medial and lateral rotation
- circumduction
which muscles flex the knee? anterior, posterior or medial thigh muscles?
posterior
which muscles extend the knee? anterior, posterior or medial thigh muscles?
anterior
what is the fascia that surrounds the thigh (like a sleeve)
fascia lata
what/where is the iliotibial band? what does it do?
IT band
- strong part of fascia
- runs down outside of thigh from ilium to tibia
- stabilises knee joint
what separates the thigh into anterior posterior and medial compartments?
Intermuscular septa
what are all the muscles in the anterior thigh innervated by?
thefemoralnerve
femoral nerve
- which spinal nerves does it arise from?
- The femoral nerve originates from the lumbar plexus,
- arises from the anterior rami of spinal nerves L2-L4.
what are all the muscles in the medial thigh innervated by?
obturatornerve (spinal nervesL2-L4, lumbar plexus)
what is the group of 4 large antihero thigh muscles? name the group and each muscle
Quadriceps femoris
- rectus femoris
- vastus lateralis
- vastus medialis
- vastus intermedius
rectus fermoirs
- attachments
- action
- in midline of anterior thigh
- attached to AIIS
- contribute to flexion of hip (because crosses hip)
- knee extensor
vastus lateralis
- attachments
- action
- lateral to rectus femoris
- attaches to linea aspera on posterior aspect of femoral shaft
- knee extensor
vastus medialis
- attachments
- action
- medial to rectus femoris.
- It attaches to thelinea aspera
- knee extensor
vastus intermedius
- attachments
- action
- lies deep to rectus femoris.
- It attaches to theanterior aspect of the femoral shaft.
- knee extensor
name the other 3 muscles of the anterior thigh (other than the quadriceps femoris group)
- sartorius
- iliopsoas
- pectineus
sartorius muscle:
- describe the shape and direction
- the attachments
Sartorius
Seatbelt - thick strap that crosses from lateral to medial
from ASIS ( anterior Superior iliac spine)
sartorius muscle:
describe the actions
HIP : flexes, weakly abducts + lateral rotation
KNEE: flexes and rotates medially (cross legged)
describe the iliopsoas muscle
= iliac + psoas major muscle
in proximal anterior thigh
attached to lesser trochanter (where common tendon of the 2 muscles is)
what are the actions of the iliopsoas muscle?
- main hip flexor
pectineus muscle:
- describe the shape and direction
- the attachments
- thick band medial to iliopsoas
- from superior pubic ramps
- to femur (near lesser trochanter)
what are the actions of the pectineus muscle?
hip flexor
how many muscles in the medial thigh?
5
what do the medial thigh muscles primarily do?
adduct hip
- role in normal gait as they help to draw the leg back towards the midline as we walk.
name the 5 muscles in the medial thigh?
- adductor brevis
- adductor longus
- adductor Magnus
- gracilis
- Obturator externus
what are the attachments of the adductor brevis and longus?
pubic bone and linea aspera
which is deep to which?
adductor brevis and longus?
brevis is DEEP to longus
what nerve runs between the adductor brevis and longus?
the obturator nerve (from obturator foreamen)
describe the adductor magnus
has 2 parts:
- the adductor
- the hamstring (not a hip adductor like the rest of medial muscles)
gap between = the adductor hiatus
where do the 2 parts of the adductor magnus each attach?
ADDUCTOR:
origin - inferior pubic ramus
insertion - linea aspera
HAMSTRING:
- ischial tuberosity
- adductor tubercle
describe the gracilis
most medial
long thin strip
where does the gracilis originate and insert?
- origin: pubic bone
- insertion: medial tibia
what are the actions of the gracilis?
HIP - weak adductor and flexor
KNEE - weak flexor
where does the obturator externus originate and insert?
- origin: external surface of the obturator membrane
- insertion: femur (near the greater trochante)
what are the actions of the obturator externus?
stabilises and laterally rotates hip joint
what are the 2 arteries that innervate the anterior and medial thigh muscles?
femoral (anterior)
obturator (medial)
where do the arteries that innervate the anterior and medial thigh muscles branch from?
femoral - external iliac
obturator - internal iliac
where can the femoral artery be palpated?
when it travels deep to the inguinal ligament
at proximal anterior thigh
what is the main branch of the femoral artery?
the profunda femoris
DEEP
after adductor hiatus it becomes the popliteal artery
through what strcutre does the obturator artery travel through to reach the medial thigh?
the obturator canal
what are the 2 main veins of the anterior and medial thigh?
femoral
obturator
what does the femoral nerve innervate?
anterior thigh muscles and skin
what does the obturator nerve innervate?
medial thigh muscles and skin
what are the 3 boundaries of the femoral triangle?
lateral - medial sartorius
medial - lateral adductor longus
superior - inguinal ligament
what are the contents of the femoral triangle ?
NAV ( lat to med)
- femoral nerve
- femoral artery
- femoral vein
within the femoral triangle, the femoral vein receives blood from what superficial vein?
thegreat saphenous vein