Anterior Thigh Flashcards
what muscles are within the anterior thigh
pectineus
sartorius
ilopsoas (3)
quadriceps femoris (4)
what is the nerve rule of the anterior thigh
innervated by femoral nerve
what is the exception to the nerve rule
psoas major and minor
innervated by direct branches of the lumbar plexus
pectineus origin
pecten pubis
pectineus insertion
femur
pectineal line and the proximal linea aspera
pectineus innervation
femoral nerve and obturator nerve (L2,L3)
pectineus action
hip: ADD, ER, slight flexion and stabilizes the pelvis in the coronal and sagittal plane
what is special about the pectineus
transitional muscle from posterior to anterior compartments
what is special about the sartorius
longest muscle in the body
tailors muscle
sartorius origin and insertion
origin: anterior superior iliac spine
insertion: medial to the tibial tuberosity (pes anserine)
sartorius innervation
femoral nerve (L2,L3)
sartorius action
hip joint: flexion, ABD, ER
knee joint: flexion and IR
what are the three parts of the iliopsoas
psoas major
psoas minor
iliacus
psoas major origin
superficial: T12-L4 and associated intervertebral discs
deep: L1-L5 vertebrae (transverse processes)
psoas major insertion
lesser trochanter
psoas major innervation
direct branches from the lumbar plexus (L2,L4)
psoas major action
hip joint: flexion, ER
lumbar spine: unilateral contraction (w/ femur fixed), bends the trunk laterally to the same side, bilateral contraction raises the trunk from the supine position
psoas minor origin and insertion
O: T12-L1 vertebrae and intervertebral disks (lateral surfaces)
I: iliopectineal arch
psoas minor innervation
direct branches from the lumbar plexus (L2-L4)
psoas minor action
assists in upward rotation of pelvis
iliacus origin and insertion
O: iliac fossa
I: lesser trochanter
iliacus innervation
femoral nerve (L2,L4)
iliacus action
hip joint: flexion, ER
lumbar spine: unilateral contraction (w/ femur fixed), bends the trunk laterally to the same side, bilateral contraction raises the trunk from the supine position
what muscles are within quadriceps femoris
rectus femoris
vastus lateralis
vastus medialis
vastus intermedius
rectus femoris origin and insertion
O: anterior inferior iliac spine and acetabular roof of hip joint
I: tibial tuberosity via patella tendon
rectus femoris innervation
femoral nerve (L2,L4)
rectus femoris action
knee joint extension
hip joint flexion
vastus lateralis origin and insertion
O: linea aspera (lateral lip) and greater trochanter (lateral surface)
I: tibial tuberosity via the patellar tendon
vastus lateralis innervation
femoral nerve (L2,L4)
vastus lateralis action
knee joint extention
vastus medialis origin and insertion
O: linea aspera (medial lip) and intertrochanteric line (distal part)
I: tibial tuberosity via the patellar tendon
vastus medialis innervation
femoral nerve (L2,L4)
vastus medialis action
knee joint extension
vastus intermedius origin and insertion
O: femoral shaft (anterior side)
I: tibial tuberosity via the patella tendon
vastus intermedius innervation
femoral nerve (L2,L4)
vastus intermedius action
knee joint extension
when does the external iliac artery become the femoral artery
immediately after it crosses over the inguinal ligament
branches of the femoral artery
superior circumflex iliac
superficial/deep external pundendal
superficial epigastric
profunda femoris
medial femoral circumflex
lateral femoral circumflex
superior circumflex iliac
supplies the iliac crest
superficial/deep external pudendal
supplies the perineum
superficial epigastric
supplies the umbilicus
what is the largest branch of the femoral artery
profunda femoris
branches of the profunda femoris artery (perforating)
the adductor magnus
hamstrings
vastus lateralis
medial femoral circumflex
responsible for most of the blood supply to the neck and head of the femur
branches of the medial femoral circumflex
ascending and transverse
lateral femoral circumflex
mainly supplies muscles of the lateral side of the thigh
branches of the lateral femoral circumflex
ascending
transverse
descending
veins of the anterior thigh
femoral
great saphenous
femoral vein
continuation of popliteal vein
great saphenous vein
deep vein of the thigh
nerves of the anterior thigh
femoral (L2,L4)
lateral femoral cutaneous
femoral (L2,L4)
anterior femoral cutaneous
saphenous (only sensory to anteromedial aspect of knee)
lateral femoral cutaneous
only sensory to lateral thigh from lumbar spine
spaces of the anterior thigh
femoral triangle
adductor (subartorial canal)
femoral triangle boundaries
superior: inguinal ligament
medial: adductor longus
lateral: sartorius
floor: iliopsoas and pectineus
roof: fascia latae
femoral triangle contents
femoral nerve
femoral sheath (lateral compartment, intermediate compartment and medial compartment)
lateral compartment of femoral sheath
femoral artery
intermediate compartment of femoral sheath
femoral vein
medial compartment of femoral sheath
femoral canal (lymph nodes and vessels)
adductor (subartorial) canal boundaries
extends from apex of femoral triangle to the adductor hiatus
anterior and lateral: vastus medialis
posterior: adductors longus and adductors magnus
medial: sartorius (also forms roof)
adductor (subartorial) canal contents
femoral artery and vein
saphenous nerve
nerve to vastus medialis
pes anserine
attachment point for sartorius, gracilis, semitendinosus
one muscle from each compartment attaches here
Say Grace before Tea (order the muscles are in more lateral to more medial)
pes anserine
attachment point for sartorius, gracilis, semitendinosus
one muscle from each compartment attaches here
Say Grace before Tea (order the muscles are in more lateral to more medial)