Anterior and Medial Thigh Flashcards

1
Q

Describe what movements the different compartments of the thigh complete

A
Anterior = Flex hip; extend knee
Medial = Adduct hip
Posterior = Extend hip; flex knee
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where does the head of the femur sit in the hip

A

Within the acetabulum of the hip joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the midline ridge of bone on the posterior compartment of the femur called

A

Linea aspera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does the linea aspera split into

A

The two supracondylar lines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What do the medial and lateral condyles of the femur form anteriorly

A

An anterior articular surface for the patella called the patellar surface

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Name the 4 hip flexors located on the anterior thigh

A
  1. Iliacus
  2. Psoas major
  3. Pectineus
  4. Sartorius
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What group of muscles act to extend the knee

A

The quadriceps

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Name the 4 quadricep muscles

A
  1. Rectus femoris
  2. Vastus medialis
  3. Vastus lateralis
  4. Vastus intermedius
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe the attachments sites of the iliacus muscle

A

Iliac crest, fossa, sacrum, anterior sacroiliac ligament –> psoas tendon and lesser trochanter of the femur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What nerve innervates the iliacus muscle

A

Femoral nerve (L2, 3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Describe the attachments sites of the psoas muscle

A

T12-L5, IV discs, lumbar transverse processes –> lesser trochanter of the femur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the innervation of the psoas muscle

A

Anterior rami of L1-3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Describe the attachments sites of the pectineus muscle

A

Superior ramus of the pubis bone –> pectineal line of the femur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the innervation of the pectineus muscle

A

Femoral nerve (L2, 3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the actions of the pectineus muscle

A
  1. Adduct and flex hip

3. Assists with medial rotation of the lower limb

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Describe the attachment sites of the sartorius muscle

A

Anterior superior iliac spine (ASIS) –> superior part of the medial surface of the tibia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What nerve innervates the sartorius muscle

A

Femoral nerve (L2, 3)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the actions of the sartorius muscle

A
  1. Flex, abduct and laterally rotate hip

2. Flex knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Describe the proximal attachment of the rectus femoris muscle

A

Anterior inferior iliac spine (AIIS) and the ilium above the acetabulum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Describe the proximal attachment of the vastus lateralis muscle

A

Greater trochanter of the femur and the lateral edge of the linea aspera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Describe the proximal attachment of the vastus medialis muscle

A

Intertrochanteric line and the medial edge of the linea aspera

22
Q

Describe the proximal attachment of the vastus intermedius muscle

A

Anterior and lateral shaft of the femur

23
Q

Describe the distal attachment of the quadricep muscles

A

The quadricep tendon proximal to the knee; passes over the knee; continues as the patellar ligament to the tibial tuberosity

24
Q

What is the function of the quadricep muscles

A
  1. Extend the knee

2. Rectus femoris also flexes the hip

25
What nerve innervates the quadricep muscles
Femoral nerve (L2, 3, 4)
26
Describe the pathway of the femoral nerve
Passes deep to the inguinal ligament, medial to the ASIS, on the tendon of the iliopsoas muscle
27
Name the terminal cutaneous branch of the femoral nerve, and where does it pass to
Saphenous nerve to the anteromedial knee, leg and foot
28
Describe the pathway of the femoral nerve branches
1. Muscular branches to the anterior thigh 2. Articular branches to the hip and knee 3. Cutaneous branches to the anteromedial thigh
29
How many hip adductor muscles are there
5
30
Name the 5 hip adductor muscles
1. Gracilis 2. Adductor longus 3. Adductor brevis 4. Adductor magnus 5. Obturator externus
31
Describe the attachment sites of the gracilis muscle
Body and inferior ramus of the pubis bone --> superior medial surface of the tibia
32
What is the function of the gracilis muscle
1. Adducts hip | 2. Flexes knee
33
Describe the attachment sites of the adductor longus muscle
Body of the pubis bone --> middle 1/3 of the linea aspera
34
What is the function of the adductor longus muscle
Adducts the thigh
35
Describe the attachment sites of the adductor brevis muscle
Body and inferior ramus of the pubis bone --> pectineal line and proximal linea aspera
36
What is the function of the adductor brevis muscle
1. Adducts thigh | 2. May assist with flexion of the thigh
37
Describe the attachment sites of the adductor magnus muscle
Ischiopubic ramus and ischial tuberosity --> linea aspera, medial supracondylar line and the adductor tubercle
38
What is the function of the adductor magnus muscle
1. Adducts thigh 2. Adductor section flexes the thigh 3. Hamstring part extends the thigh
39
Describe the attachment sites of the obturator externus muscle
Margins of the obturator foramen and the obturator membrane --> trochanteric fossa
40
What is the function of the obturator externus muscle
It laterally rotates, and adducts, the thigh
41
What branches does the obturator nerve divide into, and where
Anterior and posterior branches; relative to the adductor brevis muscle
42
Name the boundaries of the adductor canal
1. Sartorius muscle 2. Vastus medialis muscle 3. Adductor longus muscle
43
What structures pass through the adductor canal
1. Femoral vessels | 2. Saphenous nerve
44
What muscles does the saphenous nerve pass between to supply cutaneous innervation
Sartorius and gracilis muscles
45
Why do the femoral vessels pass through the adductor canal
To pass through the adductor hiatus where they reach the popliteal fossa
46
What section of the thigh does the femoral artery supply
Anterior and anteromedial
47
What muscle does the profunda femoris artery pass deep to
The adductor longus and has branches that perforate through the adductor magnus
48
Name the 2 main branches of the profunda femoris artery
1. Medial circumflex femoral artery | 2. Lateral circumflex femoral artery
49
What anastomosis do the main branches of the profunda femoris artery (and 2 other arteries) create
The cruciate anastomosis
50
Name the 4 arteries that help to form the cruciate anastomosis
1. Medial circumflex femoral artery 2. Lateral circumflex femoral artery 3. Inferior gluteal artery 4. 1st perforating branch of the profunda femoris artery
51
What branches arise from the obturator artery, and what do they supply
Anterior branch = muscles of medial compartment | Posterior branch = muscles attached to the ischial tuberosity