Anterior/Medial Thigh + Femoral Triangle Flashcards
how many muscles are there in the anterior thigh?
8:
two make up iliopsoas
4 make up quadriceps femoris
plus sartorius + gracilis
which nerve innervates the anterior compartment?
femoral (L2-L4)
what is the general function of the anterior compartment?
extensors of knee
which 2 muscles make up iliopsoas?
iliacus and psoas major
what is the function of iliopsoas?
major hip flexor
also assists in lateral rotation
what are the attachments of the iliopsoas muscle?
psoas major comes from lumbar vertebrae, iliacus from the iliac fossa
both attach to lesser trochanter of femur
what is the innervation of iliopsoas?
psoas major = anterior rami of L1-L3
iliac = femoral nerve
name the muscles of quadriceps femoris
3 vastus muscles (medialis, intermedius + lateralis) and the rectus femoris
how does the quadriceps insert?
attaches to patella via quadriceps tendon, patella attaches to tibia by patellar tendon
what is the action of the vastus muscles?
extend knee
what is the innervation of quadriceps femoris?
anterior compartment, so femoral nerve
what are the attachments of rectus femoris?
ilium to patella by quadriceps tendon
which quadriceps muscle crosses both knee and hip joints?
rectus femoris
what is the action of rectus femoris?
flexes at knee, extends at hip
what are the attachments of the sartorius?
ASIS to superior medial surface of tibia
what is the action of sartorius?
at hip = flexor, abductor + lateral rotator
at knee = flexor
(sitting cross-legged on floor)
what is the action of pectineus?
adduction and flexion at hip
why can pectineus be considered either anterior or medial?
innervation of anterior (femoral)
action of medial (adduction and flexion at hip)
what are the attachments of pectineus?
pectineal line of pelvis to pectineal line on posterior femur
what is the general action of the medial thigh compartment?
hip adduction
which nerve innervates the medial thigh muscles?
obturator
how many muscles are there in the medial thigh?
5
name the 5 muscles in the medial thigh
adductor magnus, longus and brevis
obturator externus
gracilis
what roots does the obturator nerve arise from?
L2-L4
what are the attachments of each part of the adductor magnus?
adductor part: inferior rami of pubis + rami of ischium to linea aspera
hamstring part: ischial tuberosity to adductor tubercle of distal medial femur
what are the actions of each part of adductor magnus?
both adduct thigh
adductor part also flexes thigh
hamstring part also extends thigh
which nerves innervate each part of adductor magnus?
adductor part = obturator nerve
hamstring part = tibial nerve (L4-S3)
what border of the femoral triangle does the adductor longus make up?
medial
what are the attachments of adductor longus?
pubis - expands into fan shape - attaches broadly to linea aspera
what is the action of adductor longus?
adduction and medial rotation of thigh
what muscle lies between the anterior and posterior divisions of the obturator nerve?
adductor brevis
what are the attachments of adductor brevis?
body of pubis + inferior pubic rami to linea aspera (proximal to longus)
what is the action of adductor brevis?
adduction of thigh
what are the attachments of the obturator externus?
membrane of obturator foramen and associated bone to posterior aspect of greater trochanter
what is the action of obturator externus?
laterally rotates thigh
what are the attachments of the gracilis?
inferior rami + body of pubis to medial surface of tibia
what is the action of gracilis?
adduction of thigh at hip, flexion of leg at knee
which medial thigh muscle crosses hip and knee joints?
gracilis
what makes up the superior border of the femoral triangle?
inguinal ligament
which border of the femoral triangle does the inguinal ligament make up?
superior
what makes up the lateral border of the femoral triangle?
sartorius
to which border of the femoral triangle does sartorius contribute?
lateral
what makes up the medial border of the femoral triangle?
adductor longus
what border of the femoral triangle does the adductor longus make up?
medial
what are the contents of the femoral triangle?
(lateral to medial) femoral nerve femoral artery fermoral vein femoral canal (contains lymph vessels) NAVEL