Anterior and Medial Thigh Flashcards
What are the three compartments of the thigh?
Anterior, Medial and Posterior
What are the function within the anterior compartment of the thigh?
Flex hip and extend knee
What are the functions within medial compartment of the thigh?
Adduct hip
What are the functions with the posterior compartment of the thigh?
Extend hip and flex knee
What are the hip flexors in the anterior thigh?
Iliacus, Psoas major, Pectineus and Sartorius
What are the knee extensors in the anterior thigh?
Quadriceps:
Rectus femoris, Vastus medialis, Vastus lateralis and Vastus Intermedius
What is the proximal attachment of the Iliacus?
Iliac crest, foss, ala of sacrum, anterior sacroiliac ligament
What is the distal attachment of the iliacus?
Psoas tenon and lesser trochanter
What is the innervation of iliacus?
Femoral nerve (L2,3)
What is the proximal attachment of the Psoas major?
T12-L5, IV discs, lumbar transverse processes
What is the distal attachment of the Psoas major?
Lesser trochanter
What is the innervation in the Psoas major?
Anterior rami L1-L3
What is the proximal attachment of the Pectineus?
Superior ramus of pubis
What is the distal attachment of the Pectineus?
Pectineal line of femur
What is the innervation of the Pectineus?
Femoral nerve (L2, L3)
What is the function of the Pectineus?
Adduct and flex hip; assist with medial rotation
What is the proximal attachment of Sartorius?
Anterior superior iliac spine
What is the distal attachment of Sartorius?
Superior part of medial surface tibia
What is the innervation of Sartorius?
Femoral nerve (L2, L3)
What is the function of Sartorius?
Flex, abduct, laterally rotate hip and flex knee
What is the proximal attachment of Rectus femoris?
AIIS, ilium above acetubulum
What is the proximal attachment of Vastus lateralis?
Greater trochanter and lateral lined aspera
What is the proximal attachment of Vastus Medialis?
Intertrochanteric line and medial linea aspera
What is the proximal attachment of Vastus Intermedius?
Anterior and lateral shaft of femur
What is the distal attachment of Rectis femurs, Vastus Lateralis, Vastus medialis and vests intermedius?
Quadriceps tendon then tibial tuberosity via patellar ligament
What innervates the knee extensors?
Femoral nerve (L2, 3 and 4)
What is the passage of the femoral nerve?
Passes deep to inguinal ligament, medial to ASIS, on tendon of iliopsoas muscle
What are the Muscular branches of femoral nerve?
Anterior thigh
What are the Articular branches of femoral nerve?
Hip and Knee
What are the cutaneous branches of the femoral nerve?
Anteromedial thigh
What are the hip adductors of the medial thigh?
Gracilis, Adductor Longus, Adductor Brevis, Adductor Magnus and Obturator Externus
What is the proximal attachment of Gracilis?
Body and inferior ramus of pubis
What is the distal attachment of Gracilis?
Superior medial surface tibia
What innervated Gracilis?
Obturator (L2,3)
What is the function of the Gracilis?
Adducts hip; flexes knee
What is the proximal attachment of Adductor Longus?
Body of pubis
What is the distal attachment of Adductor Longus?
Middle 1/3 Linea aspera
What innervates the Adductor Longus?
Obturator (L2, 3 and 4)
What is the proximal attachment of Adductor Brevis?
Body of inferior ramus of pubis
What is the distal attachment of Adductor Brevis?
Pectineal line and proximal lined aspera
What innervates the Adductor Brevis?
Obturator (L2, 3 and 4)
What is the proximal attachment of Adductor Magnus?
Ischiopubic ramus and ischial tuberosity
What is the distal attachment of Adductor Magnus?
Linea aspera, medial supracondylar line and adductor tubercle
What innervates the Adductor Magnus?
Obturator (L2,3 and 4)
Hamstring part of Adductor Magnus is innervated by?
Tibial division of Sciatic nerve L4
What is the proximal attachment of Obturator Externus?
Margins of obturator foramen and obturator membrane
What is the distal attachment of Obturator Externus?
Trochanteric fossa
What is the innervation of the obturator Externus?
Obturator (L3, 4)
What is the function of Obturator Externus?
Laterally rotates thigh
Root of Obturator nerve?
L2-4
Where does the obturator run along?
Lateral wall of pelvis to the obturator canal
What type of branches are given off the obturator nerve?
Anterior and posterior
Where do the muscular branches of obturator nerve go?
Medial thigh
What is the proximal attachment of Adductor canal?
Apex of Femoral triangle
What is the distal attachment of Adductor canal?
Adductor Hiatus
What are the boundaries of the Adductor Canal?
Sartorius, vastus medialis and Adductor Longus
Where do the femoral vessels pass through?
Adductor hiatus to reach popliteal fossa
Where do the saphenous nerve pass between?
Sartorius and gracilis to supply skin of anteromedial knee, leg and foot
What is the continuation of the femoral artery?
External iliac artery
What is the passage of the femoral artery?
Femoral triangle –> Adductor canal –> Adductor hiatus to become popliteal artery
Where does the femoral artery supply?
Anterior and anteromedial thigh
What is a branch of the femoral artery?
Profunda Femoris
Where does the obturator artery come from?
Internal iliac artery
Where does the obturator artery pass through?
Obturator foramen to medial compartment to anterior and posterior branches
What does the anterior branch of the obturator artery supply?
Muscles of medial compartment
What does the posterior branch of the obturator artery supply?
Muscles attached to ischial tuberosity