Knee Flashcards
Where does the abdominal aorta bifurcate?
L3/L4
What is the path of the sciatic nerve?
-comes underneath piriformis and has two branches: tibial nerve and common peroneal nerve
What are the boundaries of the femoral triangle?
- inguinal ligament
- sartorius muscle
- adductor longu muscle
What is the adductor canal?
tunnel in middle third of thigh from apex of femoral triangle to opening in adductor magnus
What is in the femoral triangle?
femoral nerve femoral artery femoral vein lymphatics NAVL
Femoral nerve:
L2-L4
anterior cutaneous nerve branches
motor nerves to muscles of anterior compartment
saphenous nerve
Saphenous nerve is
medial cutaneous nerve
Nerves of thigh
- obturator (L2-L4)
- sciatic (L4-S3)
- femoral (L2-L4)
Obturator nerve (L2-L4) posterior branch
- obturator branch
- adductor brevis
- adductor portion of adductor magnus
Obturator nerve (L2-L4) anterior branch
- adductor longus
- gracilus
- adductor brevis
- cutaneous branches to skin on medial thigh
Sciatic nerve branches
tibial nerve
common fibular nerve
Tibial nerve
biceps femoris (long head)
- semitendinosus
- semimembranosus
Common fibular nerve
-biceps femoris (short head)
Pectineus orgin
pecten pubis and pectineal surface of pubis
Pectineus insertion
pectineal line of femur
Pectineus action
adducts the thigh and flexes the hip joint
if top muscle is tight=lateral tilt
Pectineus innervation
femoral but may receive innervation from obturator nerve
Adductor Brevis origin
Anterior surface of inferior pubic ramus, inferior to origin of adductor longus
Adductor Brevis insertion
Pectineal line and superior part of medial lip of linea aspera
Adductor brevis action
Adducts and flexes the thigh, and helps to laterally rotate the thigh
Adductor brevis innervation
Anterior or posterior division of obturator nerve (L2, L3, L4)
Adductor Longus origin
Anterior surface of body of pubis, just lateral to pubic symphysis
Adductor Longus Insertion
Middle third of linea aspera, between the more medial adductor magnus and brevis insertions and the more lateral origin of the vastus medialis
Adductor longus action
Adducts and flexes the thigh, and helps to laterally rotate the hip joint
Adductor longus innervation
anterior division of obturator nerve (L2,L3,L4)
Adductor magnus origin
Inferior pubic ramus, ischial ramus, and inferolateral area of ischial tuberosity
Adductor magnus insertion
Gluteal tuberosity of femur, medial lip of linea aspera, medial supracondylar ridge, and adductor tubercle
Adductor magnus action
Powerful thigh adductor; superior horizontal fibers also help flex the thigh, while vertical fibers help extend the thigh
Adductor magnus innervation
Posterior division of obturator nerve innervates most of the adductor magnus; vertical or hamstring portion innervated by tibial nerve (L2, L3, L4
What leaves through the adductor hiatus?
femoral nerve and femoral artery