Hip and Thigh Flashcards
Landmark for measurement of true leg length
Anterior superior iliac spine (ASIS) to medial malleolus
Landmarks for apparent leg length
Navel/umbilicus to medial malleolus
Good source of bone graft because it is a cancellous (spongy bone)
Iliac crest
Level of iliac crest
S4 spinous process
Location of inguinal ring
Pubic tubercle
Area over the dimple of buttocks; at the spinous process of S2
Posterior superior iliac spine (PSIS)
Cause of varicose veins
Incompetent venous valves
Congenital syndrome where in lymphatic fluid cannot pass due to constriction
Amniotic Band Syndrome
Superficial Veins
Greater saphenous vein
Inguinal tributaries (superficial circumflex, superficial epigastric, superficial external pudendal)
Lesser saphenous vein
Responsible for cremasteric reflex in males
Genitofemoral nerve (L1, L2)
Innervation of lateral aspect of the thigh
Lateral femoral cutaneous nerve (L2, L3; if belt is too tight, numbness of thigh will be felt)
Innervation of the anterior aspect of thigh
Anterior femoral cutaneous nerve (L2-L4)
Innervation of the medial side of thigh
Cutaneous branch of the obturator nerve (L2-L4; goes through obturator foremen)
Nerve that may get stretched after horseback riding
Cutaneous branch of the obturator nerve
which is responsible for the innervation of the medial side of thigh!
May develop neuromas after ischial bone graft
Cluneal nerve
Innervation of the gluteal area
Superior (L1-L3) medial (S1-S3) and inferior cluneal nerve (S2, S3)
Innervates most of the posterior aspect of the thigh, knee and leg
Posterior femoral cutaneous nerve (S1-S3), which branches from the sacral plexus
Innervates, provides sensation to lateral part of leg
Lateral sural cutaneous nerve
(branch of the common peroneal nerve)
Innervation, provides sensation of the posterolateral aspect of leg
Medial sural cutaneous nerve
branch of the tibial nerve
The acetabulum is formed by the fusion of which three bony parts
Ilium, ischium and pubis
“line of hope” of the femur
Linea aspira
Average value of normal anteversion
125 degrees
Coxa vara
Less than 125 degrees
Toes pointing outward
Coxa valga
Greater than 125 degrees
Toes pointing inward, femoral torsion
Also known as Y ligament or Ligament of Bigelow
Iliofemoral ligament
Ligaments of the femur
Iliofemoral, pubofemoral, ischiofemoral
Hip flexors
Iliopsoas (psoas major, iliacus)
Sartorius
Tensor fascia latae
Rectus femoris
Knee extensors
Quadriceps femoris (rectus femoris, vastus medialis, vastus lateralis, vastus intermedius)
Boundaries of the femoral triangle
Inguinal ligament
Sartorius
Adductor longus
Floor: iliopsoas
Contents of femoral triangle
Femoral vessels, femoral sheath, femoral nerve
Contents of femoral sheath
- Deep inguinal lymph nodes
- Femoral vein
- Femoral artery
Continuation of femoral triangle
Adductor canal
Adductor canal contents
Femoral vein, femoral artery, femoral nerve (will continue to become the saphenous nerve)
Main blood supply of the femoral head
Medial femoral circumflex artery
Iliopsoas components
Psoas major and iliacus
[ACTION] Iliopsoas
Hip flexor, externally rotates
[ACTION] Sartorius
Thigh flexor, abductor and lateral rotator
Leg flexor at the knee
Balancing the pelvis
[ACTION] tensor fascia latae
Thigh flexor, abductor, medially rotates
Stabilizer of knee
[ACTION] rectus femoris
Crosses the hip and knee joint
Helps Iliopsoas flex the thigh at hip
[INNERVATION] femoral nerve
Sartorius, rectus femoris, quadriceps femoris
[INNERVATION] tensor fascia latae
Superior gluteal nerve
Medial hip and thigh components
(AAA POGi)
Adductor longus, adductor brevis, adductor Magnus, pectineus, obturator externus, gracilis
[ACTION] adductor longus
Adducts thigh, assists with medial rotation of thigh
[ACTION] pectineus
Adducts and flexes thigh; assists with medial rotation of thigh
[ACTION] adductor brevis
Adducts and flexes thigh, assists with medial rotation of thigh
[ACTION] gracilis
Adducts and flexes thigh, medial rotator when knee is flexed
[ACTION] Adductor Magnus
Powerful adductor!
Superior part: weak flexor, medial rotator
Interior part: extensor, lateral rotator
[ACTION] obturator externus
Laterally rotates the hip, steadies the head of the femur
Lateral hip and thigh components
Tensor fascia latae and iliotibial tract
[INNERVATION] pectineus
Femoral nerve and branch of obturator nerve
[INNERVATION] obturator nerve
All medial hip and thigh muscles
Components and innervation of hamstring
Posterior thigh muscles: semimembranosus, semitendinosus, biceps femoris
sciatic nerve innervation
[ACTION] gluteus Maximus, medius and minimus
Gluteus maximus : hip extensor
Gluteus medius : hip adductor
Gluteus minimus : hip abductor
Landmark structure of the gluteal area
Piriformis
Borders of the piriformis
Inferior: inferior gluteal nerve, sciatic nerve
Superior: superior gluteal vessels
The femoral artery enters the popliteal area via a gap in the ___.
Adductor longus
Arterial pulse can be felt in the ___.
Inguinal area
Components of the posterior thigh/hamstrings
Also the knee flexors
Semimembranosus
Semitendinosus
Biceps Femoris (long head)
(Bi-Te-Me!)
Most superficial and weakest of the medial muscles
gracilis
Innervation of the hamstrings
sciatic nerve