Femoral triangle and thigh Flashcards
Describe the location, boundaries, and floor of the femoral triangle
Superior border: inguinal ligament
Lateral border: sartorius
Medial boder: adductor longus
Floor is formed by iliosoaps laterally and pectineus medially
Know the anatomical relationships of the contents of the triangle to each other
Contains (lateral to medial): Femoral nerve Femoral artery Femoral vein Femoral canal
The femoral artery, femoral vein and femoral nerve can be located clinically by ______ of the artery in order to __________
- Palpation
2. insert a cannula or administer a femoral nerve block
Know the anatomy of femoral hernia formation
The inguinal canal is the location of femoral hernia formation. Increased abdominal pressure can result in peritoneum herniating into the canal
The lower limb has a system of ________ lymphatic vessels (following the great and small ________) and _____ lymphatic vessels (following _____ veins)
- superficial
- saphenous veins
- deep
- deep
Lymph following the great saphenous vein drains to the ___________ and then _________, some drains to ___________ between these two
- superficial inguinal nodes
- external iliac nodes
- deep inguinal nodes
Lymph following the small saphenous vein pass deep with the vein to enter the _________
Popliteal nodes
Lymph following the deep veins of the lower limb first passes through _________, then to ___________
- popliteal nodes
2. deep inguinal nodes
Proximal attachment of iliosoaps
Iliac fossa and lumbar transverse process
Distal attachment of iliosoaps
Lesser trochanter of femur
Action of iliosoaps
Flexion at hip
Innervation of iliosoaps
Anterior rami of lumbar spinal nerves
Proximal attachment of sartorius
ASIS
Distal attachment of sartorius
Medial surface of proximal tibia
Action of sartorious
Flexion at the hip and knee
Innervation of sartorius
Femoral nerve
Names of the quadriceps femoris group
Rectus femoris
Vastus lateralis
Vastus intermedius
Vastus medius
Proximal attachment of rectus femoris
ASIS
Distal attachment of rectus femoris
Patella and then tibial tuberosity
Action of rectus femoris
Extension of the knee and weak flexion of the hip
Innervation of quadriceps femoris
Femoral nerve
Proximal attachment of vastus lateralis, vastus intermedius, and vastus medius
Shaft of femur
Distal attachment of vastus lateralis, vastus intermedius, and vastus medius
Patella and then tibial tuberosity
Action of vastus lateralis, vastus intermedius, and vastus medius
Extension of the knee
Innervation of vastus lateralis, vastus intermedius, and vastus medius
Femoral nerve
The anterior division of the femoral nerve travels _____
Medially to the quadriceps tendon
Fracture of the mid-shaft of the femur could damage the ________
Profunda femoris artery
Name the muscles of the anterior compartment of the thigh
Iliosoaps
Sartorius
Quadriceps femoris
Name the muscles of the medial compartment of the thigh
Adductor magnus Adductor longus Adductor brevis Obturator brevis Obturator externus Gracilis
What are the two portions of the adductor magnus
Adductor
Hamstring
Proximal attachment of adductor portion of adductor magnus
Pubic ramus
Ischiac ramus
Distal attachment of adductor portion of adductor magnus
Linea aspera
Innervation of adductor portion of adductor magnus
Obturator nerve (L2-L4)
Proximal attachment of hamstring portion of adductor magnus
Ischial tuberosity
Distal attachment of hamstring portion of adductor magnus
Adductor tubercle and medial supracondylar line of femur
Innervation of hamstring portion of adductor magnus
Sciatic nerve (L4-S3)
Action of the adductor magnus
Adduction of the thigh
Proximal attachment of adductor longus
Pubis
Distal attachment of adductor longus
Broadly to linea aspera
Action of adductor longus
Adduction of the thigh
Innervation of adductor longus
Obturator nerve (L2-L4)
Proximal attachment of adductor brevis
Body of pubis and inferior pubic rami
Distal attachment of adductor brevis
Linea aspera on posterior proximal to adductor longus
Action of adductor brevis
Adduction of the thigh
Innvervation of adductor brevis
Obturator nerve (L2-L4)
Proximal attachment of obturator externus
Obturator foramen and adjacent bone
Distal attachment of obturator externus
Posterior of the greater trochanter
Action of obturator externus
Adduction and lateral rotation of the thigh
Innvervation of obturator externus
Obturator nerve (L2-L4)
Proximal attachment of gracilis
Anterior rami and body of the pubis
Distal attachment of gracilis
Medial surface of tibia
Action of gracilis
Adduction at the hip
Flexion at the knee
Innvervation of gracilis
Obturator nerve (L2-L4)
The anterior division of the obturator nerve descends between ___________ and _____ brevis
- adductor longus
2. brevis
Posterior division of the obturator nerve passes through ___________ then travels _______ to reach ______
- obturator externus
- anteriorly
- adductor magnus