Femoral Triangle Flashcards
The Femoral triangle is a _______ shaped depression found at the (medial or lateral?) aspect of the ___________ of the thigh immediately below the __________.
triangular
Medial
upper 1/3rd
inguinal ligament
Femoral triangle boundaries
Superior Border (base or apex?) ) •\_\_\_\_\_\_\_ Lateral Border •\_\_\_\_\_\_\_\_\_– (medial or lateral?) edge Medial Border •\_\_\_\_\_\_\_\_\_\_ - (medial or lateral?) edge
-Apex-at point where ________________ meet
Base ;Inguinal ligament
Sartorius; medial
Adductor Longus; medial
medial and lateral borders
Femoral triangle boundaries
Boundaries Floor: •consists of : From lateral to medial • \_\_\_\_\_\_\_\_ •\_\_\_\_\_\_\_\_\_ •\_\_\_\_\_\_\_\_\_\_ and \_\_\_\_\_\_
Iliacus
Psoas major
Pectineus and Adductor Longus
Floor of femoral triangle is flat
T/F
F
Floor: is not flat but gutter shaped
ROOF
roof- *____
*superficial fascia containing -
•___________ lymph node
•________ branch of genitofemoral nerve
•branches of _____ nerve
•(superficial or deep?) branches of _____ artery with accompanying veins
• upper part of great ______ vein
deep fascia with _____ opening and cribriform fascia
skin
superficial inguinal
femoral
Superficial ; femoral
saphenous
saphenous;
FASCIA
•Fascia is a sheet or band of _____ tissue lying deep to the ___. It lines, invests, and separates structures within the body. There are three main types of fascia:
•Superficial fascia – blends with the _____ layer beneath the ____.
•Deep fascia – ______ muscles, bones, and neurovascular structures.
•Visceral fascia – provides investments that ____________
fibrous
Skin
reticular; dermis
envelopes
suspend organs within their cavities.
CONTENTS of femoral triangle
• Its contents From lateral to medial:
______ and its (terminal) branches
________ and several of its branches.
_________ and its proximal tributaries
_______ lymph nodes and associated lymphatic vessels
Femoral nerve
Femoral artery
Femoral vein
Deep inguinal
Femoral nerve and its (terminal) branches-
Innervates the (anterior or posterior?) compartment of the thigh, and provides sensory branches for the _____ and _____
Anterior
leg and foot
Femoral vein and its proximal tributaries (e.g.The ____ and ______ veins).
great saphenous and deep femoral
FEMORAL ARTERY
- DIRECT CONTINUATION OF ________ ARTERY B/H THE INGUINAL LIGAMENT
- LIES IN LAT COMPARTMENT OF FEMORAL SHEATH PROXIMAL ____ CM
•ENTERS THE ___________
EXT ILIAC
3-4
ADDUCTOR CANAL
_______ BISECTS THE FEMORAL TRIANGLE
Femoral artery
Femoral artery travels with Vein
T/F
T
BRANCHES of femoral artery
–_________
–__________
–____________
PROFUNDA FEMORIS
MEDIAL CIRCUMFLEX FEMORAL
LATERAL CIRCUMFLEX FEMORAL
Main venous trunk OF LOWER LIMB is ????
Femoral vein
FEMORAL VEIN
•ENTERS THE TRIANGLE FROM ITS (APEX or BASE?)
•TRIBUTARIES
–BRANCHES OF FEMORAL ARTERY
–POPLITEAL VEIN
–GT SAPHENOUS VEIN
Apex
Femoral TRAVELS WT ARTERY 1st(behind or infront of ?) and then (medial or lateral?)
Behind
MEDIAL
Femoral vein
Origin-__________ vein
Continues as-_______ Vein
Popliteal
External iliac
The femoral artery and vein enter the femoral triangle from beneath the ________ within a fascial tube termed the _______
inguinal ligament
femoral sheath
The femoral sheath
•Definition & shape:_____-shaped fascial tube (superior or inferior?) to the inguinal Logan
•Length: Approximately . ____CM LONG
•
•Origin & situation: distal prolongation, behind the inguinal lig- _____ and ____} fascia
•Terminates by becoming continuous with the adventitia covering the femoral vessels
funnel
Inferior
3-4
Femoral Canal
•______ in shape
•______ in length -which just admits the _________________
Conical
1.25cm
tip of the little finger.
Medial compartment of femoral sheath is ????
Femoral canal
Smallest of the femoral Sheath compartments is???
Femoral canal
The Femoral Canal
•The greater width of the female pelvis means the canal is somewhat (smaller or larger?) in the female and femoral herniae are, consequently, commoner in this sex
Larger
Femoral Canal
•The boundaries of the femoral canal are:
- anteriorly—the _______
- medially—the sharp free edge of the ____ part of the _____ ligament, termed the ______ ligament( _______ligament);
- laterally—the _______
- posteriorly— the ______ (of Astley Cooper),
inguinal ligament
pectineal; inguinal
lacunar; Gimbernat’s
femoral vein
pectineal ligament
pectineal ligament which is the thickened periosteum along the _____ border of the _______ and which continues (medially or laterally?) with the _______ part of the ____ ligament.
pectineal
superior pubic ramus
Medially
pectineal
inguinal
Content of femoral canal
–The canal contains a ________ and a constant lymph node—the node of the femoral ___________
– The canal has two functions: first, as a ______ for expansion of the distended ________ and, second, as a lymphatic pathway from the lower limb to the ______ nodes
plug of fat
canalore Cloquet’s gland.
dead space
femoral vein
external iliac
Applied/Clinical
•Access to the Femoral Artery
•The femoral artery is located (superficially or deep?) within the femoral triangle, and is thus easy to access.
This makes it suitable for a range of clinical procedures. One such procedure is coronary angiography. Here, the femoral artery is _______ with a ___ tube. This tube is navigated up the ______ artery, ______ artery, ___ , and into the coronary vessels. A radio-opaque dye is then injected into the coronary vessels, and any wall thickening or blockages can be visualised via x-ray.
Superficially
catheterised
external iliac; common iliac
aorta
Heavy bleeding in the leg can be stopped by applying pressure to points in the femoral triangle.
T/F
T
the femoral artery is positioned at the _____ point ; (medial or lateral?) to it lies the femoral vein.
Thus the femoral vein, once located, allows for femoral ______.
midinguinal
Medial
midinguinal point is the midpoint between the _______ and the ______________
pubic symphysis
anterior superior iliac spine
Femoral artery and femoral vein are highly palpable
T/F
T
both the femoral artery and vein are lacerated interior thigh wounds because they lie close together
T/F
T
Femoral artery and femoral vein are not used for pulse taking
T/F
F
Femoral pulse
•Just inferior to _________, it can be palpated to measure the femoral pulse.
where the femoral artery crosses the inguinal ligament
The presence of a femoral pulse means that blood is reaching the lower extremity.
T/F
T
Stab wound at the apex of the femoral triangle may cut only the femoral artery of the lower limb .
T/F
F
Stab wound at the apex of the femoral triangle may cut all the large vessels of the lower limb .
Injury to femoral vessels results in fatal hemorrhage.
T/F
T
________ vein is commonly used for intravenous infusions in infants.
femoral
•In the case of femoral hernia, part of the bowel pushes into the _______, underneath the inguinal ligament.
femoral canal