Gluteal region and thigh dissection Flashcards
Name the 3 gluteal muscles
Gluteus maximus
Gluteus medius
Gluteus minimus
Name a short lateral rotator found in the pelvis
Piriformis
Which is the most superficial of the gluteal muscles?
Gluteus maximus
State the origin of gluteus maximus
Ilium and sacrum
State the insertion of gluteus maximus
Gluteal tuberosity on the posterior surface of the femur
Iliotibial tract
Describe the iliotibial tract
Thick fibrous band running down the lateral side of the thigh to the knee
Which muscles lie deep to gluteus maximus?
Gluteus medius and Gluteus minimus
Where do gluteus minimus and medius originate?
Ilium
Where do gluteus minimus and medius insert?
Greater trochanter of the femur
Give the origin of piriformis muscle
Sacrum
State the insertion of piriformis muscle
Greater trochanter of the femur
State the action of piriformis
Laterally rotates the thigh at the hip
Why is piriformis an important landmark?
Sciatic nerve can be seen passing below it
What can be observed as well as the sciatic nerve below piriformis?
A series of short rotator muscles
Which nerves supply the gluteal muscles?
Gluteal nerves
State the travel of the inferior gluteal nerve
Passes out of the pelvis with the inferior gluteal vessels below piriformis muscle to innervate gluteus maximus
State the travel of the superior gluteal nerve
Passes out of the pelvis with the superior gluteal vessels above piriformis to innervate the gluteus medius and minimus muscles
What is the most prominent nerve in the gluteal region?
Sciatic nerve
Describe the travel of the sciatic nerve
Enters the gluteal region through the greater sciatic foramen under the inferior border of piriformis in the posterior thigh
What is the greater sciatic foramen bordered by?
Greater sciatic notch
Sacrospinous ligament
Sacrotuberous ligament
Name the muscles of the posterior compartment
Biceps femoris
Semitendinosus
Semimembranosus
What are the muscles of the posterior compartment commonly known as?
Hamstrings
Where do the hamstrings originate?
Ischial tuberosity
Where does the long head of biceps femoris originate?
Ischial tuberosity
Where does the short head of biceps femoris originate?
Shaft of the femur
Where does biceps femoris insert?
Head of the fibula
On what side of the posterior of the leg is the biceps femoris?
Lateral
On which side of the posterior of the leg are semimembranosus and semitendinosus?
Medial
What does semitendinosus end in?
Long tendon that passes over semimembranosus
Where do both semitendinosus and semimembranosus insert?
Tibia
Which nerve supplies the hamstrings?
Tibial component of the sciatic nerve
Where does the sciatic nerve pass?
Through the posterior compartment of the thigh
Where is the popliteal fossa located?
Back of the knee
What is the shape of the popliteal fossa?
Diamond
What are the superior boundaries of the popliteal fossa?
Semimembranosus
Semitendinosus (medially)
Biceps femoris (Laterally)
What are the inferior boundaries of the popliteal fossa?
Two heads of gastrocnemius
What happens to the sciatic nerve in the popliteal fossa?
Divides into tibial and common fibular
Where does the common fibular nerve lie in the popliteal fossa?
Medial to tendon of biceps femoris
What happens to the common fibular nerve when it reaches the lateral aspect of the fossa?
Curves forwards around the neck of the fibula
What are the popliteal vessels a continuation of?
The femoral vessels
What does the short saphenous vein drain?
Lateral side of the foot
What does the short saphenous vein merge with in the popliteal fossa?
Popliteal vein
What type of joint is the hip joint?
Ball and socket
What is the hip joint between?
Head of femur
Acetabulum
What are the movements of the thigh at the hip?
extension flexion abduction adduction lateral (external) rotation medial (internal) rotation
What is the primary function of the hip joint
Weight bearing
Name the two groups of ligaments which stabilise the hip joint
Intracapsular
Extracapsular
Name the extracapsular ligaments of the hip
Iliofemoral
Pubofemoral
Ischiofemoral
Where are the extracapsular ligaments of the hip located
Anterior, inferior and posterior
Attach on the neck of the femur
What does the fascia lata form?
Sleeve around each muscle compartment
Where does the fascia lata extend?
From iliac crests and is continuous with the deep fascia of the leg
What thickens the fascia lata laterally?
Iliotibial tract
Name the muscles in the anterior compartment of the thigh
Quadriceps femoris
Sartorius
Tensor fascia lata
Give the origin of the tensor fascia lata muscle
Anterior superior iliac spine
Give the insertion of the tensor fascia lata muscle
Iliotibial tract
What is the function of the tensor fascia lata muscle?
Tightens iliotibial tract
Helps stabilize the knee when standing
What is the most superficial muscle on the anterior of the thigh?
Sartorius
Give the origin of sartorius
Anterior superior iliac spine
Where does sartorius sweep?
From lateral to medial across the thigh
Where does sartorius insert?
Tibia
Name the longest muscle in the body
Sartorius
Name the 4 parts which form quadriceps femoris muscle
Rectus femoris
Vastus intermedius
Vastus lateralis
Vastus medialis
Which muscle is the most superficial of quadriceps femoris?
Rectus femoris
Give the origin of rectus femoris
Anterior inferior iliac spine from above the acetabulum
What does rectus femoris form distally?
Quadriceps tendon
Give the origin of the 3 vasti muscles
Femur
Which tendon do the 3 vasti contribute to?
Quadriceps
Where is vastus intermedius located?
Directly below rectus femoris
Which muscles lie either side of rectus femoris?
Vastus medialis
Vastus lateralis
What is the quadriceps tendon attached to?
The superior border and sides of the patella
Name the largest sesamoid bone of the body
Patella
Describe the shape of the patella and the articulation it forms as a result
Concave posterior surface
Underlying femur articulation
Where do the oblique fibres of vastus medialis sit?
Horizontal
Where do the oblique fibres of vastus medialis insert?
Medial side of the patella
What ligament forms at the lower border of the patella?
Patella ligament
Where does the patella ligament insert?
Tibial tuberosity
Which two muscles form iliopsoas?
Iliacus
Psoas major
Where does iliacus originate?
Iliac fossa
Where does psoas major originate?
Lumbar vertebrae
Where does iliopsoas insert?
Lesser trochanter of the femur
What is the anterior compartment and skin on the thigh supplied by?
Femoral nerve
Where does the femoral nerve enter the anterior compartment?
Below the inguinal ligament into the femoral triangle
What muscles do the branches of the femoral nerve supply?
Sartorius
Quadriceps
Pectineus
Name a purely sensory nerve that the femoral nerve gives off as a branch
Saphenous nerve
List the muscles in the medial compartment of the thigh
Pectineus Gracilis Adductor longus Adductor brevis Adductor magnus
Where does pectineus originate?
Pubis
Where does pectineus insert?
Femur below lesser trochanter
Give the origin of adductor longus
Pubis
Where does adductor longus insert?
Linea aspera of the femur
Where does adductor brevis originate?
Pubis
Where does adductor brevis insert?
Linea aspera of the femur
Name the two portions of the adductor magnus muscle
Adductor part
Hamstrings part
Give the origin of the adductor part
Ischiopubic ramus
Give the insertion of the adductor part
Whole length of linea aspera
Give the origin of the hamstrings part
Ischial tuberosity
Give the insertion of the hamstrings part
Adductor tubercle of the femur
What does the tendon of the hamstring part form?
Adductor hiatus
What passes through the adductor hiatus?
Femoral artery and vein to reach the popliteal fossa
Give the origin of gracilis
Pubis
Give the insertion of gracilis
Tibia
What nerve supplies the muscles of the medial compartment of the thigh?
Obturator nerve
Which muscles doesnt the obturator nerve supply in the medial compartment of the thigh?
Pectineus
Hamstring part of adductor magnus
Which nerve supplies the skin on the medial aspect of the thigh?
Obturator nerve
Where does the obturator nerve pass out of the pelvis?
Obturator canal
What is the obturator canal?
Small opening in the obturator membrane
Where is the femoral triangle located?
Superior part of the anterior of the thigh
Give the borders of the femoral triangle
Superior - inguinal ligament
Medial - medial border of adductor longus
Lateral - sartorius
Which muscles form the floor of the femoral triangle?
Iliopsoas
Pectineus
Adductor longus
What does the femoral triangle contain?
Femoral nerve
Femoral artery
Femoral vein
Femoral canal
What is found in the femoral canal?
Lymphatics
What surrounds the femoral artery, vein and canal?
Femoral sheath
Where does the femoral nerve lie?
Lateral outside of the femoral sheath
Give the walls of the canal the femoral vessels pass through
Roof - sartorius
Lateral wall - Vastus medius
Floor - adductor longus
How do the vessels in the thigh gain access to the posterior compartment of the thigh?
Pass through the adductor hiatus