Precautions Flashcards
Gluteus Maximus
Sciatic nerve
Gluteus Medius
Joint capsule of the hip and the sciatic nerve
Gluteus Minimus
Joint capsule of the hip and the sciatic nerve
Piriformis
Sciatic nerve
Iliopsoas
Ilioinguinal and lateral femoral cutaneous nerves (when needling iliacus).
Femoral nerve, artery and vein (when needling insertion/distally).
Quadratus Femoris
Sciatic nerve, joint capsule of the hip.
Tensor Fascia Latae
None
Sartorius
Femoral triangle and associated structures
Rectus Femoris
Femoral artery and nerve (femoral triangle).
Vastus Lateralis
None
Vastus Medialis
Femoral artery and femoral nerve
Vastus Intermedius
None
Biceps Femoris
Throughout the posterior thigh the sciatic nerve lies deep to the hamstring muscles. The tibial nerve must also be avoided.
Semitendinosus
Sciatic nerve, popliteal artery, tibial nerve
Semimembranosus
Sciatic nerve, popliteal artery, tibial nerve.
Adductor Longus
Femoral artery, nerve and vein (femoral triangle)
Adductor Brevis
Femoral artery, nerve and vein (femoral triangle)
Adductor Magnus
Femoral nerve, artery & vein. Caution with the sciatic nerve as it passes between the adductor magnus and the hamstring muscles.
Pectineus
The femoral triangle, from medial to lateral, houses the femoral vein, femoral artery, and the femoral nerve. Care must be taken to stay to the medial side of these structures through good patient positioning and accurate palpation.
Gracilis
None
Gastrocnemius
Popliteal fossa and associated neurovascular structures.
Soleus
Tibial nerve and posterior tibial artery and veins particularly if required to needle in the midline of the muscle.
Peroneus Longus
The common peroneal nerve (common fibular nerve) enters the anterior leg through a gap between the two origins of the muscle
Peroneus Brevis
The common peroneal nerve (common fibular nerve) enters the anterior leg through a gap between the two origins of the muscle