lec 14 osteofacial compartments of thigh & anterior compartment Flashcards

1
Q

what are the osteofacial compartments

A

gluteal region
anterior compartment
medial compartment
posterior compartment

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2
Q

what is fascia lata

A

deep fascia of thigh

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3
Q

what is intermuscular septa

A

sheets of connective tissue that extend from femur to fascia lata

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4
Q

Where can you expect to find the medial intermuscular septum?

A
Stretches from fascia lata to:
Spiral line
Medial lip of linea aspera
Medial supracondylar ridge
Adductor tubercle
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5
Q

where can you find the lateral intermuscular septeum

A

stetches from IT tract to:
gluteal tuberosity
lateral lip of linea aspera
lateral supracondylar ridge

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6
Q

where can you find posterior intermuscular septum

A

Probably epimysium of adductor Magnus separating it from hamstrings

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7
Q

what is general action of anterior compartment of thigh

A

knee extension

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8
Q

what is action of posterior compartment of thigh

A

knee flexion and hip extension

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9
Q

what is action of medial compartment

A

adductors

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10
Q

what is general nerve innervation of anterior thigh compartment

A

femoral nerve

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11
Q

what is general nerve innervation of medial thigh compartment

A

obturator nerve

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12
Q

what is general nerve innervation of posterior thigh compartment

A

tibial nerve

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13
Q

what is the blood supply to anterior compartment

A

femoral and deep femoral arteries and veins

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14
Q

what is blood supply to medial compartment

A

deep femoral and obturator arteries and veins

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15
Q

what is blood supply to posterior compartment

A

perforating branches of deep femoral artery and vein

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16
Q

What muscles make up the quadriceps femoris?

A
anterior compartment
Rectus femoris
Vastus lateralis
Vastus medialis
Vastus intermedius
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17
Q

what kind of muscles in medial compartment

A

adductors (&flexors) of hip

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18
Q

what kind of muscles in posterior compartment

A

hamstrings which are knee flexors and some hip extension

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19
Q

what does medial intermuscular septum separate

A

medial and anterior compartments

20
Q

what does lateral intermuscular septum separate

A

posterior and anterior compartments

21
Q

What is the lower portion of the vastus medialis called?

A

vastus medial oblique VMO

22
Q

what is action of vastus medial oblique and what does it resist

A

knee extension

and lateral tracking of patella

23
Q

What muscle crosses over the quadriceps, but is not considered a quad muscle?

A

sartorius

24
Q

sartorius

A

O: ASIS & interspinous fossa
is: pes anserinus

A: hip flexion, lateral rotation& abduction knee flexion, medial rotation of leg with knee flexed
IN: femoral nerve anterior division

25
Q

rectus femoris

A

o: straight head from AIIS
reflected head from supra-acetabular sulcus
ins:aponeurotic insertion into base of patella

A: knee extension &flip flexion(both tg)
in: femoral nerve posterior division

26
Q

vastus lateralis

A

o: upper part of intertrochanteric line
anterior/inferior borders of greater trochanter
lateral edge of gluteal tuberosity
proximal part of lateral lip of linea aspera

ins: base &lateral border of patella
patellar ligament &lateral patellar retinaculum

A: knee extension
IN: femoral nerve post division

27
Q

vastus medialis

A

A: knee extension & prevents lateral patellar tracking (VMO)

in: femoral nerve post div

28
Q

vastus intermedius

A

A: knee extension
IN: femoral nerve post div

29
Q

what forms the patellar ligament

A

tendons of quadriceps femoris muscle group

extends from patella to distal 1/2 of tibial tuberosity

30
Q

articularis genu

A

o: femur
ins: suprapatellar bursa

A: stabilizes bursa
IN: twig from femoral N branch to vastus intermedius

31
Q

What are the boundaries of the femoral triangle?

A
Lateral: sartorius
Medial: adductor longus
Base: Inguinal ligament
Floor: pectineus & iliopsoas
Roof: fascia lata (+ subcutaneous tissue and skin)
32
Q

What are the structures found within the femoral triangle?

A

femoral artery and vein

great saphenous vein

33
Q

what is femoral sheath composed of anteriorly and posteriorly

A

transversalis fascia anteriorly

iliacus fascia posteriorly

34
Q

what is clinical relevance of empty space in femoral sheath

A

femoral hernias

35
Q

What are the walls of the adductor canal?

A

Roof: sartorius
Anterolateral: vastus medialis
Posterior: adductor longus & magnus

36
Q

What are the contents of the adductor canal?

A

Femoral artery & vein
Saphenous nerve
Nerve to vastus medialis

***femoral artery is anterior to vein at the proximal end of the canal

37
Q

Where does the adductor canal end?

A

inferiorly at adductor hiatus

38
Q

femoral artery is __ vein at proximal end of adductor canal

A

anterior

39
Q

where does adductor canal end

A

adductor hiatus

40
Q

Once the femoral artery and vein pass through the adductor hiatus, what are they called?

A

popliteal vessels

41
Q

what is the IT band

A

thickening of the fascia lata along the lateral side of the thigh

42
Q

what is proximal attachment of IT band

A

iliac crest

43
Q

what is distal attachment of IT band

A

lateral tibial condyle, femur, head of fibula, aponeurosis of vastus lateralis

44
Q

Where does the IT band attach along much of its length?

A

lateral intermuscular septum

45
Q

What are the two muscles that insert into the IT tract?

A

Gluteus Maximus and tensor fascia latae and its superficial fibers which acts and their aponeurosis

46
Q

what is the function of IT band

A

stability of hip and knee (thru deep fibers)

47
Q

what is ITBS

A

Inflammation of ITB as it crosses the lateral femoral epicondyle