last minute f this Flashcards
retroinguinal space: muscular vs. vascular compartments
- muscular compartment: iliopsoas m. and femoral n.
- vascular compartment: femoral a., femoral v., lymphatic vessels draining inguinal LN
3 femoral sheath compartments
- lateral: fem a.
- middle: fem v.
- medial: lymphatic
- aka “femoral canal” = covered by “femoral ring”
- continuous with abdominal cavity
- aka “femoral canal” = covered by “femoral ring”
superficial inguinal lymph nodes
Drains:
- all SF structures in LE
- anal canal (below pectinate line)
- skin below umbilicus
- scrotum
- vulva
Two types:
- superior horizontal group
- inferior vertical group
- What part of the fascia lata contains vertical fibers?
- Where does #1 attach?
- iliotibial tract
- Gerdy’s tubercle
What attaches to the adductor tubercle?
adductor head of the adductor magnus m.
blood supply to the ligament of the head of the femur
acetabular branch of the obturator a.
things that insert into the gluteal tuberosity
- gluteus maximus m.
- adductor magnus m. (parts)
things that insert into the pectineal line of the femur
- pectineus m.
- abductor brevis m.
boundaries of the adductor canal
- anteromedial: sartorius m.
- lateral: vastus medialis m.
- posterior: adductor longus m & adductor magnus m.
trace lymphatic drainage of gluteal region (superficial gluteal structures)
superficial tissues of gluteal region > superficial inguinal nodes > external iliac nodes
trace lymphatic drainage of gluteal region (deeper gluteal structures)
superior and inferior gluteal nodes > internal and external iliac nodes > common iliac nodes > lumbar (caval) LN > cisterna chyli > thoracic duct
greater sciatic foramen
- superior gluteal nva
- inferior gluteal nva
- pudendal n
- sciatric n
- posterior femoral cutaneous n
- n to quadratus femoris
- n to obturator internus
- internal pudendal av
- piriformis m
lesser sciatic foramen
PIN and tendon of obturator internus m.
2 things different between the superior and inferior gemelli
origin and innervation
arterial supply of the quadratus femoris m.
medial femoral circumflex artery
safe place for intragluteal injections
- anterior and lateral (to line formed by PSIS and greater trochanter)
- between 2nd digit on ASIS and 3rd digit on tubercle of iliac crest
injection site for anesthetic block of sciatic nerve
few cm inferior to midpoint of junction of PSIS and superior part of greater trochanter
medial rotators of flexed leg/lateral rotators of flexed leg
medial rotators: semitendinosus and semimembranosus m.
lateral rotators: biceps femoris m.
perforating branches supply
- vastus medialis
- adductor magnus
- posterior thigh
floor of the popliteal fossa
- popliteal surface of femur
- oblique popliteal ligament
- posterior surface of the proximal tibia