MMB[043] Front of Thigh Flashcards
Action of tensor fascia lata ?
-extension of knee through iliotibial tract
- acts as a splint for knee
-helps to stabilize pelvis on thigh
Root value of knee jerk reflex ?
L2,3,4
longest muscle in the body ?
Sartorius
The main nerve supply of the anterior compartment of the thigh ?
Femoral nerve
Origin of Femoral nerve ?
ventral rami of Lumbar 2,3,4
Course of Femoral nerve ?
• Enters at the midpoint of inguinal ligament
• Ends by dividing into anterior and posterior divisions
Muscular supply of Femoral nerve ?
-iliacus
-pectineus
-sartorius muscle
-quadriceps femoris
main blood supply of the lower limb ?
Femoral artery
Origin of the Femoral artery ?
Continuation of external iliac artery.
Termination of Femoral artery ?
Pass through adductor opening—popliteal artery
Surface anatomy of Femoral artery ?
Branches of the femoral artery ?
Femoral artery catheterization used in ?
• Left cardiac angiography.
• To visualize the coronary arteries
Origin of Femoral vein ?
continuation of popliteal v at opening in adductor magnus
End of Femoral vein ?
becomes external iliac vein
Course of Femoral vein ?
it ascends through adductor canal»_space; femoral triangle from apex to base»_space; leaving it behind inguinal ligament
Femoral triangle ?
A triangular depression in front of upper 1/3 of thigh just below inguinal ligament
Boundaries of the Femoral triangle ?
Apex of the Femoral triangle ?
meeting of medial & lateral borders
& is continuous below with adductor canal
Roof of the Femoral triangle ?
-Skin
-Superficial fascia :
Superficial inguinal LNs
Upper part of GSV
Cutaneous nerves
Superficial brs of femoral artery
-Deep fascia :
Saphenous opening
Floor of the Femoral triangle ?
lateral to medial :
-iliacus
-psoas major
-pectineus
-adductor longus
Three main contents of the Femoral triangle ?
List all contents of the Femoral triangle
1-Femoral artery and its branches.
2-Femoral vein and its tributaries.
3-Femoral sheath
4-Femoral nerve with its branches.
5- Femoral branch of the genitofemoral nerve.
6-Lateral cutaneous nerve of the thigh
7-Deep inguinal lymph nodes.
What structure crosses lateral angle of the femoral triangle ?
6-Lateral cutaneous nerve of the thigh
Define the Femoral sheath
Ant. wall of the Femoral sheath ?
Ant. wall is formed by fascia transversalis
Post .wall of the Femoral sheath ?
formed by fascia iliaca
Function of the femoral sheath ?
It allows easy ,smooth gliding of the femoral vessels during flexion and extension of the thigh
What’s the Femoral canal ?
-It is the medial compartment of the F. sheath.
Function of the Femoral canal ?
The femoral canal is a potential space which allows distension of the femoral vein which occurs with the increased venous return during muscular exercise.
Mention four clinically significant points at risk of abdominal hernia
How to differentiate between inguinal and femoral hernia ?
Neck of femoral hernia lies below and lateral to pubic tubercle, while that of inguinal hernia lies above and medial to it.
Define Femoral hernia
Common vessel injury that might occur during surgical reduction of femoral hernia ?
Injury of an abnormal obturator artery which crosses the lacunar ligament