Anterior and medial aspects of the thigh Flashcards
Deep fascia of thigh
Fascia lata
What does the Iliotibial tract attach to?
Laterally thickens
Superiorly attaches to iliac crest
Inferior attaches to Lateral condyle of tibia
Thickening of fasica lata
Iliotibial tract
What 2 muscles do the Iliotibial tract intervene?
Right: Tensor fasciae latae muscle
Left: Gluteus maximus muscle
At the upper medial aspect of the thigh opening of fascia lata?
Saphenous opening
Why is the Saphenous opening present?
The great Saphenous vein( superficial) drains into the femoral vein(deeper vein).
Blue: femoral vein
White: Fossa ovalis
Yellow: Falciform margin
Green: Great saphenous vein
Great saphenous vein
Clinical imp of great saphenous vein
Reflected and used as coronary bypass surgery
Clinical imp of great saphenous vein
Reflected and used as coronary bypass surgery
Begining and end of great saphenous vein
Begin: Dorsum of the foot (drains venous blood from the dorsum of foot)
Runs anterior to medial malleolus
Accompanies a sensory nerve called saphenous nerve.
Ascends on the medial aspect of the thigh.
Passes through the saphenous opening Drains into femoral vein.
Sensory nerve accompanying great saphenous vein
Saphenous nerve
Small saphenous vein
Beginning and end of Small saphenous vein
Begin: dorsum of the foot
runs posterior to lateral malleolus
ascends on posterior aspect of the leg
Accompanies sural nerve( cutaneous nerve)–branch of tibial nerve.
Pierces the popliteal fossa (resemble cubital fossa)
Drains into the popliteal vein.
Right: Superficial vein
Middle: Perforating vein
Left: Deep vein
Examples of superficial vein
Great saphenous vein, small saphenous vein, cephalic vein, basilic vein
Examples of deep vein
Upper extremity: Brachial vein. Axillary vein
Lower extremity: Femoral vein
Connection of the deep and superficial vein.
Perforating vein (contain valves)
What does the perforating vein contain?
All veins contain one-way valves.
Allows blood to flow toward the heart and prevents blood from flowing in the retrograde direction.
Unfunctining of the perforating vein
Varicoses (dilatation of vein)
Superficial vein or deep vein
Tensor Fascia Lata Muscle
Tensor Fascia Lata Muscle origin
anterior superior iliac spine
Tensor Fascia Lata Muscle insertion
Blends with iliotibial tract
Tensor Fascia Lata Muscle nerve
Superior Gluteal nerve
Tensor Fascia Lata Muscle function
abducts the thigh
Medially rotates the thigh
Streaches the iliotibial tract
Sartorius Muscle (longest muscle in the body)(tailors muscle)
Sartorius Muscle origin
anterior superior iliac spine
Sartorius Muscle insertion
Upper medial aspect of tibia
Sartorius Muscle nerve
Femoral nerve
Sartorius Muscle function
abducts, flexes and laterally rotates the thigh
Flexes and medially rotates the leg
3 muscles attached to upper medial aspect of tibia
Semitendinosus muscle (posterior aspect of thigh)
Sartorius muscle
Gracilis muscle
Muscular tripod (attach to same region)
Right: Semitendinosus muscle
Middle:Gracilis muscle
Left: Sartorius muscle
Muscle on anterior aspect of thigh
Quadriceps Femoris Muscle
1: Rectus femoris
2: Vastusmedialis
3:Vastus lateralis
Vastus intermedius (reflect Rectus femoris)
Quadriceps Femoris Muscle
Rectus femoris
Vastus lateralis
Vastusmedialis
Vastus intermedius
1: Rectus femoris
2: Vastusmedialis
3:Vastus lateralis
4:Vastus intermedius
Tendon and insertion of all Quadriceps Femoris Muscle?
Patellar tendon
Tuberosity of tibia
Rectus femoris origin
Straight head: anterior inferior iliac spine
Reflected head: Fibrous capsule of the hip joint
Rectus femoris insertion
Tuberosity of tibia
Rectus femoris nerve
Femoral nerve
Rectus femoris function
flexes the thigh and extends the knee
(Kicking)
Vastus lateralis origin
Intertrochanteric line, lateral lip of the asperal line
Vastus lateralis insertion
Tuberosity of tibia
Vastus lateralis nerve
Femoral nerve
Vastus medialis origin
Intertrochanteric line, medial lip of the asperal line
Vastus medialis insertion
Tuberosity of tibia, some fibers join the capsule of the knee joint and strengthen the knee joint
Vastus medialis nerve
Femoral nerve
Femoral nerve intervention?
Sartorius Muscle, Rectus femoris, Vastus lateralis, Vastus medialis, Vastus Intermedius
Vastus Intermedius origin
Anterior and lateral aspect of the shaft of the femur
Vastus Intermedius insertion
Lower fiber plays an important role in stabilizing the patella
Collective function of 4 heads is to extend the knee joint
Vastus Intermedius nerve
Femoral nerve
Muscles on the medial aspect of the thigh
Adductor longus muscle
Adductor brevis muscle
Adductor magnus muscle
Gracilis muscle
Pectineus muscle
Adductor longus
Adductor magnus
Adductor hiatus
Pectineus
Adductor brevis
Gracilis
Vastus Intermedius function
Extension of knee (imp. in standing in upright position)
Adductor longus muscle
Adductor longus muscle origin
Front of the body of pubis
Adductor longus muscle insertion
Medial lip of the asperal line
Adductor longus muscle function
Adducts, flexes and laterally rotates the thigh at the hip joint
Adductor longus muscle nerve
Obturator nerve
Adductor Brevis muscle
Adductor Brevis muscle origin
outer surface of the inferior ramus of the pubis
Adductor Brevis muscle insertion
Upper part of the asperal line
Adductor Brevis muscle function
Adducts, flexes and laterally rotates the thigh at the hip joint
Adductor Brevis muscle nerve
Obturator nerve
Adductor Magnus muscle origin
Inferior ramus of pubis, ramus of ischium, ischial tuberosity
Adductor Magnus muscle insertion
Adductor portion: asperal line
Hamstring portion: Medial epicondyle, supracondylar line
Adductor Magnus muscle function
Adductor portion: Adducts and assists in lateral rotation of the thigh
Hamstring portion: Extends the thigh at the hip joint
Adductor Magnus muscle nerve
Adductor portion: Obturator nerve
Hamstring portion: Sciatic nerve
Adductor hiatus
Why does Adductor hiatus exist
Adductor hiatus permits the femoral vessels to pass from the adductor canal into the popliteal surface
Adductor canal
Content of Adductor canal
Femoral artery(right) and femoral vein(left)
Pass through the adductor hiatus from anterior to posterior aspect of the thigh.
Names of femoral artery and femoral vein when they exit adductor hiatus
Popliteal artery and vein
Fossa behind knee joint
Popliteal fossa
Gracilis Muscle
Gracilis Muscle origin
Inferior ramus of the pubis, ramus of the ischium
Gracilis Muscle insertion
Upper medial aspect of tibia
Gracilis Muscle function
Adducts the thigh at the hip joint and flexes the leg at the knee joint
Gracilis Muscle nerve
Obturator nerve
Pectineus Muscle
Pectineus Muscle origin
Superior ramus of the pubis,
Pectineus Muscle insertion
Pectineal line
Pectineus Muscle function
Flexes, Adducts and laterally rotates the thigh at the hip joint
Pectineus Muscle nerve
Femoral nerve, sometimes Obturator nerve
Femoral triangle
Femoral triangle base
Inguinal ligament
Femoral triangle lateral boundary
Sartorius muscle
Femoral triangle medial boundary
Adductor longus
Femoral triangle floor
Iliopsoas, pectineus and adductor longus muscle
Femoral triangle roof
Skin, fascia
Name of external iliac vein and artery when they pass the inguinal ligament
Femoral artery and vein
Femoral triangle
Content of the femoral triangle
Medial →Lateral
- Femoral canal
- Femoral Vein
- Femoral Artery
- Femoral Nerve
What is the femoral sheath
Downwards protrusion of the fascia covering the anterior abdominal wall.
What does the femoral sheath enclose
- Femoral canal
- Femoral Vein
- Femoral Artery
Femoral nerve is lateral to the femoral sheath
Adductor Canal (Subsartorial canal)
Adductor canal location
Deep to the sartorius muscle
Medial third of the thigh
Adductor canal beginning
Extens from the apex of the femoral triangle to the adductor hiatus
Content of the Adductor canal and where they exit
Femoral Vein
Femoral Artery
(exit through the adductor hiatus as popliteal artery and vein)
Nerve to the vastus medialis (terminates at the muscle)
Sphanous nerve (pierces roof of adductor canal becomes cutaneous and takes sensation of medial aspect of leg)
What type of nerve is the femoral nerve
Mixed nerve (sensory and motor fibers)
What type of nerve is the obturator nerve
Mixed nerve (sensory and motor fibers)
Saphenous nerve sensation
Blue: Femoral nerve sensory fibers
Red: Femoral nerve motor fibers
Obturator nerve sensation
Femoral artery
Superficial circumflex iliac artery
Superficial epigastric artery
Superficial external pudental artery
Deep external pudental artery
Profunda femoris (most imp)
-Medial circumflex artery
-lateral circumflex artery
both surround and supply head of femur
Descending genicular artery
Femoral artery
Superficial circumflex iliac artery
Superficial epigastric artery
Superficial external pudental artery
Deep external pudental artery
Profunda femoris (most imp)
-Medial circumflex artery
-lateral circumflex artery
both surround and supply head of femur
Descending genicular artery
Superficial inguinal lymph nodes
Superficial inguinal lymph nodes Horizontal group
Anterior abdominal wall below the umblicus
Perineum
Urethra
External genital organs
Lower half of anal canal
Gluteal region
Superficial inguinal lymph nodes Vertical group
Lower limb
Knee joint (tibiofemoral joint)
Type of knee joint
synovial
hinge joint type
What bones is the knee joint between?
the femur, tibia, and patella.
Knee joint
convex condyles of the femur
concave condyles of the tibia
The patella lies in front of the femur