Femoral Triangle Flashcards

1
Q

What form the boundaries of the femoral triangle?

A
Superior = inguinal ligament
Medially = lateral border of adductor longus
Laterally = medial border of sartorius
Floor = iliopsoas (laterally) & pectineus (medially)
Roof = deep fascia
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2
Q

What is inside the femoral triangle?

A

Femoral Nerve
Femoral Artery
Femoral Vein
And canal containing lymphatics (deep inguinal lymph nodes)

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3
Q

Why is palpation of the femoral artery clinically important?

A

locate vein - for cannulation
locate nerve - for administration of a nerve block

The femoral artery can be used as an access route in angiograms, coronary artery stenting, valve replacements…

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4
Q

What kind of hernia occurs through the triangle?

A

Femoral hernia through the canal (canal also contains deep inguinal lymph nodes)

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5
Q

What surrounds the femoral artery and vein?

A

Femoral sheath

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6
Q

What forms the femoral sheath?

A

Short tube of transversalis and iliopsoas fascia from the abdominal wall

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7
Q

Does the femoral sheath cover the femoral nerve?

A

No

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8
Q

Where does the femoral nerve arise from?

A

L2, L3, L4

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9
Q

What branches from the femoral nerve?

A

Saphenous nerve (sensory)

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10
Q

Which two structures does the saphenous nerve pass between?

A

the sartorius and gracilis

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11
Q

What does the saphenous nerve supply?

A

Fascia and skin of the anteromedial aspects of the knee and leg, and the medial aspect of the foot (here it accompanies the great saphenous vein)

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12
Q

How is the femoral canal related to the femoral sheath?

A

Femoral canal = most media part of the femoral sheath

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13
Q

What does the femoral canal contain?

A

The deep inguinal lymph nodes and adipose tissue

The lymph nodes run in a chain medial to the femoral vein

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14
Q

Which arteries supply the head of the femur? Through which branches?

A

Medial and lateral circumflex femoral arteries through the retinacular branches

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15
Q

What is the inferior border of the external oblique aponeurosis?

A

inguinal ligament

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16
Q

Between which two structures does the inguinal ligament run?

A

Anterior Superior Iliac Spine & Pubic tubercle

17
Q

What does the medial half of the inguinal ligament ‘gutter’ contain?

A

Spermatic cord or round ligament depending on gender

18
Q

Do the femoral vessels pass anteriorly or posteriorly to the inguinal ligament?

A

Posteriorly through the retroinguinal space

19
Q

Name the 6 muscles of the anterior thigh

A

Iliopsoas
Sartorius
Qaudriceps femoris (rectus femoris, vastus lateralis, vastus intermedius, vastus medius)

20
Q

Describe the attachments of the iliopsoas

A

Proximal - iliac fossa (iliacus)

Lumbar transverse