Thigh Flashcards

1
Q

What is the deep fascia of the thigh?

A

Fascia lata

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the deep fascia of the leg?

A

Crural fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What vein runs on the posterior side?

A

Small saphenous vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the course of the great saphenous vein?

A

Exits saphenous opening in proximal thigh, courses posteriorly and then back anteriorly at knee where it stays medially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the major nerve of the posterior leg?

A

Sural nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What veins “fail first” in causing vericose veins?

A

Perforating veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the IT band?

A

A thickening of the fascia lata

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the ridge of the posterior femur called?

A

Linea aspera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the compartments of the thigh?

A

Anterior (largest)
Medial
Posterior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is compartment syndrome?

A

Build up of fluid/pressure in one of the compartments of the leg because fascia separates each compartment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the muscles of the anterior thigh?

A

Psoas major
Iliacus (^ together iliopsoas)

Quadriceps femoris:
Rectus femoris
Vastus medialis
Vastus lateralis
Vastus intermedius
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the main nerve of the anterior thigh?

A

Femoral nerve (except the psoas major)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the attachments of psoas major?

A

T12 - L5

to lesser trochanter with iliacus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the attachments

A

Inside of pelvis (iliacus fossa) to lesser trochanter w/ psoas major

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does the iliopsoas do?

A

Flexes the hip! Directly anterior to hip and thus are the strongest flexors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the innervation of the psoas major?

A

??

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What 3 muscles do NOT cross the hip joint?

A

Vastus lateralis
Vastus medius
Vastus intermedius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the only muscle that acts on/crosses the hip joint of the quadriceps femoris?

A

Rectus femoris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the connections of the patellar tendon/ligament?

A

Patella to tibial tuberosity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Ligaments attach ____ to ____.

A

bone to bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What major muscle attaches to the top of the patella?

A

Rectus femoris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the long ribbon-like muscle that crosses the anterior thigh to attach posteriorly to the tibia (“pes anserinus”)?

A

Sartorius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What does the sartorius do?

A

Knee flexion
External hip rotation
Hip abduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What muscles form the pes anserinus? Where does it attach?

A

Medial aspect of the tibia

Gracilis (medial c.)
Semitendinosus (posterior c.)
Sartorius (anterior c.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is the cutaneous innervation of the medial leg and foot?

A

Saphenous nerve

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What cutaneous innervation does the femoral nerve supply?

A

Anterior and Medial thigh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

The femoral nerve travels ____ to the inguinal ligament.

A

Deep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What are the spinal cord segments of the femoral nerve?

A

L2-L4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What spinal cord levels does the patella tendon reflex test?

A

L3, L4

30
Q

What spinal cord levels involve hip flexion?

A

L2, L3

31
Q

What spinal cord levels involve knee extension?

A

L3, L4

32
Q

What are the medial compartment muscles of the thigh?

A

Pectineus
Adductor longus
Adductor brevis (deep)
Gracilis

Adductor magnus (adductor and hamstring portions)
Obturator externus
33
Q

Where do the muscles of medial thigh compartment originate?

A

Pubic bone (except…)

34
Q

What do the medial compartment muscles do?

A

Adduct the hip

pectineus and adductor longus, and adductor brevis also have minor flexion

35
Q

What is the only medial thigh compartment muscle to NOT attach to the femur?

A

Gracilis! It’s part of the pes anserinus

36
Q

What is the space of the addcutor magnus between the vertical fibers of hamstring portion and oblique adductor fibers?

A

Adductor hiatus

37
Q

What does the hamstring portion of the adductor magnus do in addition to adduction?

A

Hip extension

38
Q

What is the innervation of the innervation of the adductor magnus?

A

Adductor portion: obturator nerve

Hamstring portion: tibial nerve

39
Q

What is the innervation of the pectineus muscle?

A

Femoral nerve AND

Obturator nerve

40
Q

What are attachments of the obturator externus?

A

Obturator foramen

Greater trochanter

41
Q

What is the action of the obturator externus?

A

External rotation

42
Q

What is the course of the obturator nerve?

A

Enters LE by passing through obturator canal

Descends on either side of the adductor brevis (i.e. pretty deep)

43
Q

What is the cutaneous innervation of the obturator nerve?

A

Medial aspect of thigh

44
Q

What are the muscles of the posterior thigh compartment?

A

Semimembranosus
Semitendinosus
Biceps femoris long head
Biceps femoris short head

45
Q

What are the attachemnts of the hamstring muscles?

A

Ischial tuberosity

to tibia

46
Q

What nerves does the sciatic nerve branch into at the knee?

A

Tibial and common fibular (peroneal) nerve

47
Q

What are the spinal cord origins of the sciatic nerve?

A

L4-S3

48
Q

What muscles does the tibial division of the sciatic nerve innervate?

A

Semimembranosus
Semitendinosus
Biceps femoris long head

49
Q

What muscles does the common fibular (peroneal) nerve innervate?

A

Biceps femoris short head

50
Q

What provides cutaneous sensation to the posterior nerve?

A

Posterior cutaneous nerve of the thigh

51
Q

The sciatic nerve goes _____ to the long head of the biceps femoris. ______ to the long head is the ________ nerve.

A

Deep
Superficial
Posterior cutaneous nerve

52
Q

What forms the femoral triangle?

A
Inguinal ligament
Medial: adductor longus
Lateral: sartorius
Floor: iliopsoas and pectineus
Roof: fascia/skin
53
Q

What are the contents of the femoral triangle?

A

NAVEL (lateral to medial)

Nerve 
Artery
Vein
Empty space
Lymphatics
54
Q

What is the only thing NOT in the femoral sheath as it passes through the femoral triangle?

A

The nerve

55
Q

What is the femoral ring?

A

Proximal potential opening to the femoral canal if the femoral septum is no longer closed.

56
Q

What is the clinical correlation of the femoral ring?

A

A femoral hernia can form (i.e. intestine pouches out the thigh). More common in women due to their wider pelvis.

57
Q

What are the branches of the deep femoral artery?

A

Lateral circumflex femoral a.
Medial circumflex femoral a.
Perforating arteries (4)

58
Q

What is the “superficial femoral artery”?

A

Continuation of the femoral artery after it gives off the deep branch.

59
Q

What are the branches of the lateral circumflex femoral artery?

A

Ascending -> retinacular branches that feed the head of the femur

Transverse (cruciate anastomosis)

Descending (genicular anastomosis)

60
Q

Where does the medial circumflex femoral artery travel?

A

Between the iliopsoas and the pectineus

Winds around posteriorly

61
Q

What are the branches of medial circumflex femoral artery?

A

Ascending branch -> retinacular branch major bloody supply to the femoral head

Transverse branch (cruciate anastomosis)

62
Q

What provides the major blood supply to the femur head?

A

Ascending branch of the medial circumflex femoral artery

63
Q

What do the perforating

A

Provides blood to all compartments of thigh, esp posterior

64
Q

The ____ perforating artery contributes to the cruciate anastomosis and the ____ perforating artery forms an anastomosis with the popliteal artery.

A

1st, 4th

65
Q

What forms the cruciate anastomosis?

A

Inferior gluteal artery (i)
Medial circumflex fem a. (e)
Lateral circumflex fem a. (e)
First perforating artery (e)

Provides communication between internal and external iliac arteries

66
Q

What is the adductor canal?

A

Space from the apex of the femoral triangle to adductor hiatus.

67
Q

What travels through the adductor canal?

A

Femoral artery and vein
Saphenous nerve
Nerve to the vastus medialis

68
Q

What passes through the adductor magnus (adductor hiatus opening) to reach the popliteal fossa?

A

Femoral artery and vein

69
Q

What makes a direct anterior approach to the hip unique?

A

Between an intermuscular plane and internervous plane

Scalpel goes between sartorius and TFL

70
Q

What nerves/vessels are at risk in a THA?

A

Lateral cutaneous nerve

Ascending branch of lateral circumflex femoral artery

71
Q

What does the obturator artery do/supply?

A

Branches into anterior and posterior branch (-> acetabular artery to artery of the head of femur).