Anterior/Medial Thigh Flashcards

1
Q

Bones

A

Os Coxa
Femur
Patella

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2
Q

Cutaneous Ns

A

Ilioinguinal N. L1
Lateral femoral cutaneous N. L2-L3
Anterior (intermediate and medial) cutaneous branches of femoral N. L2-L4
Cutaneous branch of obturator N. L2
Saphenos N. (Continuous from femoral N) L3-L4

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3
Q

Femoral N.

A

Anterior thigh Ms.

L2-L4

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4
Q

Obturator N.

A

Medial thigh Ms.

L2-L4

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5
Q

Sciatic N.

A

Tibial N. L4-S3

Common fibulae N. L4-S2

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6
Q

Patellar reflex

A

Test function of femoral N.
L2-L4
Absence or decrease of this reflex is Westphal’s sign

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7
Q

Calcaneal Tendon Reflex

A

Tests S1-S2 nerve root

If cut or compressed, the ankle reflex is virtually absent

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8
Q

Muscles of Anterior Thigh

A

Pectineus
Iliopsoas
Sartorius
Quadriceps femoris

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9
Q

Iliopsoas M.

A
O: arterial portion of bodies of T12-L5
I: lesser trochanter
N: iliacus=femoral N
Psoas major= L1-L3 ventral rami
Psoas minor= L1-L2 ventral rami
A: Chief flexor of thigh
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10
Q

Iliopectineal bursa

A

Allows smooth functioning of iliopsoas

Deep to pectineus

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11
Q

Sartorius M.

A
O: ASIS
I: Pes Anserinus
N: femoral N.
A: flex, abduct, laterally rotate thigh; flex leg
Longest muscle
Most superficial anterior muscle
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12
Q

Quadriceps femoris parts

A

Rectus femoris
Vastus Lateralis
Vastus Medialis
Vastus Intermedius

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13
Q

Quadriceps femoris

A
O: Rectus femoris= AIIS
Vasti= shaft of femur
I: Tibial tuberosity
N: Femoral N.
Action: extends leg, rectus also flexes thigh (passes hip and knee joint)
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14
Q

Osgood-Schlatter Disease

A

Muscles pull on tendon that connects the kneecap to the shinbone
Affects tibial tuberosity
Cause tendon to pull away from shinbone, resulting in pain and swelling
In some cases, body may try closing gap by growing bone

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15
Q

Quadriceps tendon

A

Tendons of all 4 parts of quadriceps femoris unite to form this
Continues inferior to patella as patellar L.

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16
Q

Bursa of knee

A

Suprapatear bursa/pouch

Infrapatellar bursa

17
Q

Medial thigh muscles (adductors) Superficial

A

Pectineus
Adductor longus
Adductor brevis
Gracilis

18
Q

Pectineus M.

A

O: Pectin line of pub us (superior pubic ramus)
I: pectineal line (femur)
N: Femoral N. (Occasionally branch from obturator N.)
A: ADduct and flex thigh

19
Q

Adductor longus M.

A

O: body of pubic (inferior to pubic crest)
I: middle 1/3 of linea aspera
N: obturator N.
A: adducts and flexes thigh

20
Q

Gracilis M.

A

O: pubis body and inferior ramus
I: superior part of medial surface of tibia (part of Pes Anserinus)
N: obturator N.
A: ADduct thigh, flex and medially rotate leg
Long strap like muscle
Only adductor to cross knee joint

21
Q

Adductor brevis M.

A
Lies deep to pectineus and adductor longus
O: Pubis body and inferior ramus
I: proximal linea aspera
N: obturator N.
A: adducts and flexes thigh
22
Q

Groin pull

A

Groin-junction between thigh and trunk

Strain, stretching, and probably some tearing of the proximal attachments of thigh adductor/flexor muscles

23
Q

Deep Anterior Thigh muscles

A

Obturator Externus M.

Adductor Magnus M.

24
Q

Obturator Externus M.

A
Deep to pectineus
O: external margins of obturator foramen
I: trochanteric fossa
N: Obturator N.
A: lateral rotation of thigh
25
Q

Adductor Magnus M.

A

Largest adductor M.
Superior part lies deep to adductor brevis
1. Adductor portion
2. Hamstring portion

26
Q

Adductor portion adductor magnus

A

O: ishiopubic ramus
I: gluteal tuberosity, linea aspera, medial supracondylar line
N: obturator N.
A: adducts and flexes thigh

27
Q

Adductor magnus hamstring portion

A

O: ischial tuberosity
I: adductor tubercle (medial epicondyle)
N: tibial division of sciatic N.
A: adducts and extends thigh

28
Q

Arteries of thigh

A
Femoral A.
Deep femoral A.
Medial Circumflex femoral A.
Lateral Circumflex femoral A.
Popliteal A. (Femoral A. Becomes this after passing adductor hiatus)
Deep A. Of thigh
1st-4th perforating arteries
Descending genicular A.