Femoral triangle and thigh Flashcards

1
Q

Describe the location, boundaries, and floor of the femoral triangle

A

Superior border: inguinal ligament
Lateral border: sartorius
Medial boder: adductor longus

Floor is formed by iliosoaps laterally and pectineus medially

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2
Q

Know the anatomical relationships of the contents of the triangle to each other

A
Contains (lateral to medial):
Femoral nerve
Femoral artery
Femoral vein
Femoral canal
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3
Q

The femoral artery, femoral vein and femoral nerve can be located clinically by ______ of the artery in order to __________

A
  1. Palpation

2. insert a cannula or administer a femoral nerve block

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4
Q

Know the anatomy of femoral hernia formation

A

The inguinal canal is the location of femoral hernia formation. Increased abdominal pressure can result in peritoneum herniating into the canal

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5
Q

The lower limb has a system of ________ lymphatic vessels (following the great and small ________) and _____ lymphatic vessels (following _____ veins)

A
  1. superficial
  2. saphenous veins
  3. deep
  4. deep
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6
Q

Lymph following the great saphenous vein drains to the ___________ and then _________, some drains to ___________ between these two

A
  1. superficial inguinal nodes
  2. external iliac nodes
  3. deep inguinal nodes
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7
Q

Lymph following the small saphenous vein pass deep with the vein to enter the _________

A

Popliteal nodes

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8
Q

Lymph following the deep veins of the lower limb first passes through _________, then to ___________

A
  1. popliteal nodes

2. deep inguinal nodes

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9
Q

Proximal attachment of iliosoaps

A

Iliac fossa and lumbar transverse process

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10
Q

Distal attachment of iliosoaps

A

Lesser trochanter of femur

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11
Q

Action of iliosoaps

A

Flexion at hip

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12
Q

Innervation of iliosoaps

A

Anterior rami of lumbar spinal nerves

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13
Q

Proximal attachment of sartorius

A

ASIS

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14
Q

Distal attachment of sartorius

A

Medial surface of proximal tibia

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15
Q

Action of sartorious

A

Flexion at the hip and knee

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16
Q

Innervation of sartorius

A

Femoral nerve

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17
Q

Names of the quadriceps femoris group

A

Rectus femoris
Vastus lateralis
Vastus intermedius
Vastus medius

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18
Q

Proximal attachment of rectus femoris

A

ASIS

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19
Q

Distal attachment of rectus femoris

A

Patella and then tibial tuberosity

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20
Q

Action of rectus femoris

A

Extension of the knee and weak flexion of the hip

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21
Q

Innervation of quadriceps femoris

A

Femoral nerve

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22
Q

Proximal attachment of vastus lateralis, vastus intermedius, and vastus medius

A

Shaft of femur

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23
Q

Distal attachment of vastus lateralis, vastus intermedius, and vastus medius

A

Patella and then tibial tuberosity

24
Q

Action of vastus lateralis, vastus intermedius, and vastus medius

A

Extension of the knee

25
Q

Innervation of vastus lateralis, vastus intermedius, and vastus medius

A

Femoral nerve

26
Q

The anterior division of the femoral nerve travels _____

A

Medially to the quadriceps tendon

27
Q

Fracture of the mid-shaft of the femur could damage the ________

A

Profunda femoris artery

28
Q

Name the muscles of the anterior compartment of the thigh

A

Iliosoaps
Sartorius
Quadriceps femoris

29
Q

Name the muscles of the medial compartment of the thigh

A
Adductor magnus
Adductor longus
Adductor brevis
Obturator brevis
Obturator externus
Gracilis
30
Q

What are the two portions of the adductor magnus

A

Adductor

Hamstring

31
Q

Proximal attachment of adductor portion of adductor magnus

A

Pubic ramus

Ischiac ramus

32
Q

Distal attachment of adductor portion of adductor magnus

A

Linea aspera

33
Q

Innervation of adductor portion of adductor magnus

A

Obturator nerve (L2-L4)

34
Q

Proximal attachment of hamstring portion of adductor magnus

A

Ischial tuberosity

35
Q

Distal attachment of hamstring portion of adductor magnus

A

Adductor tubercle and medial supracondylar line of femur

36
Q

Innervation of hamstring portion of adductor magnus

A

Sciatic nerve (L4-S3)

37
Q

Action of the adductor magnus

A

Adduction of the thigh

38
Q

Proximal attachment of adductor longus

A

Pubis

39
Q

Distal attachment of adductor longus

A

Broadly to linea aspera

40
Q

Action of adductor longus

A

Adduction of the thigh

41
Q

Innervation of adductor longus

A

Obturator nerve (L2-L4)

42
Q

Proximal attachment of adductor brevis

A

Body of pubis and inferior pubic rami

43
Q

Distal attachment of adductor brevis

A

Linea aspera on posterior proximal to adductor longus

44
Q

Action of adductor brevis

A

Adduction of the thigh

45
Q

Innvervation of adductor brevis

A

Obturator nerve (L2-L4)

46
Q

Proximal attachment of obturator externus

A

Obturator foramen and adjacent bone

47
Q

Distal attachment of obturator externus

A

Posterior of the greater trochanter

48
Q

Action of obturator externus

A

Adduction and lateral rotation of the thigh

49
Q

Innvervation of obturator externus

A

Obturator nerve (L2-L4)

50
Q

Proximal attachment of gracilis

A

Anterior rami and body of the pubis

51
Q

Distal attachment of gracilis

A

Medial surface of tibia

52
Q

Action of gracilis

A

Adduction at the hip

Flexion at the knee

53
Q

Innvervation of gracilis

A

Obturator nerve (L2-L4)

54
Q

The anterior division of the obturator nerve descends between ___________ and _____ brevis

A
  1. adductor longus

2. brevis

55
Q

Posterior division of the obturator nerve passes through ___________ then travels _______ to reach ______

A
  1. obturator externus
  2. anteriorly
  3. adductor magnus