thigh muscles Flashcards

1
Q

the thigh muscles are divided into compartments by?

A

intermuscular septa from deep fascia attached to the femur

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2
Q

what muscles divides the thigh muscles into upper and lower parts?

A

sartorious

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3
Q

upper part muscle?

A

pectinues, illopsoas ( illiacus and psoas major)

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4
Q

sartorious origin

A

anterior superior illiac spine

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5
Q

sartorious insertion

A

upper medial surface of tibia

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6
Q

nerve supply for sartorious

A

femoral nerve

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7
Q

action of sartorious

A

flexes and laterally rotates the thigh at the hip joint, fkexion of the knee joint

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8
Q

psoa major origin

A

12 thoracic vertebra and 5 lumbar vertebra

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9
Q

psoas major insertion

A

lesser trochantar of femur

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10
Q

psoas major nerve supply

A

lumbar plexus

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11
Q

psoas major action

A

flexes the thigh on the trunk when the thigh is fixed and fkexes teh trunk on the thigh when sitting up from laying down

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12
Q

iliacus origin

A

illiac fossa of the hip bone

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13
Q

iliacus insertion

A

lesser trochanter of femur

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14
Q

iliacus nerve supply

A

femoral nerve

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15
Q

iliacus action

A

flexes the thigh on the trunk when the thigh is fixed and fkexes teh trunk on the thigh when sitting up from laying down

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16
Q

pectenius muscle origin

A

superior ramus of pubic bone

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17
Q

pectenius muscle instertion

A

upper shaft of femur medially

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18
Q

pectenius nerve supply

A

femoral nerve

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19
Q

pectenius action

A

flexes and adducts the thigh at the hip joint

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20
Q

name the four quadriceps heads

A

rectus femoris , vastus medialis, vastus lateralis, vastus intermedias

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21
Q

vastus intermedias is deep to what head?

A

rectus femoris

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22
Q

nerve supply of quadriceps femoris

A

femoral nerve

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23
Q

action of quadriceps femoris

A

extensor of the leg at the knee joint and rectus femoris is the flexor of the thigh at the hip joint

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24
Q

rectus femoris straight head origin

A

anterior inferior illiac spine

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25
Q

rectus femoris reflected head origin

A

above the acetabulum

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26
Q

vastus medialis origin

A

medail lip of linea aspera of femur

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27
Q

vastus lateralis origin

A

lateral lip of linea asoera of femur

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28
Q

vastus intermedias origin

A

anterior and lateral surface of body of femur

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29
Q

insterion of quadriceps femoris

A

attached to the patella via ligamentum patallae to thetibial tiberosity

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30
Q

what branch teh largest of the lumbar plexus?

A

femoral nerve

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31
Q

root value of femoral nerve?

A

L2,3,4

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32
Q

describe the path of teh femoral nerve

A

it emerges from the lateral sideof psoas major muscle
lateral to the femoral artery
exits the femoral dheat behidn the inguinal ligament and it terminates by dividing into anterior and posterior divisions

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33
Q

what is teh saphenous nerve

A

it is a sensory nerve branch from the femoral nerve

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34
Q

the medial compartment muscles

A

adductor longus, brevis, magnus and obturator externus

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35
Q

nerve supply for medual compartment

A

obturator nerve

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36
Q

blood supply of medial compartment

A

profunda femoris artery and obturator artery

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37
Q

adductor longus is located ? to adductor brevis

A

located anterior

38
Q

adductor brevis is located anteror to what muscle?

A

adductor magnus

39
Q

adductor longus origin

A

body of pubic bone

40
Q

adductor brevis origin

A

inferior ramus of pubic bone

41
Q

insertion , nerve supply and action of adductor brevis and longus

A

medial lip of linea aspera of femur , obvturator nerve, adducts the thigh at the hip joint

42
Q

adductor magnus has two heads what are they called?

A

medial muscles : adductor head
posterior muscles: ischial head

43
Q

origin of adductor magnus

A

ischiopubic ramus

44
Q

insertion of adductor magnus

A

mainly linea asoera and addcutor tubercle

45
Q

nerve supplyo f adductor magnus

A

obturator and sciatic nerve

46
Q

action of adductor magnus

A

adducts the thigh at the hip joint

47
Q

gracilis origin

A

inferior ramus of pubis, ramus of ischium

48
Q

gracilis insertion

A

upper part of shaft of tibia medially SGS

49
Q

gracilis innervation

A

obturator

50
Q

gracilis action

A

adducts the thigh at the hip joint and flexes the leg at the knee joint

51
Q

obturator externus origin

A

outer surafce of obturator membrane , pubic and ischial rami

52
Q

obturator externus insertion

A

greater trochantar of femur

53
Q

obturator externus nerve supply

A

obturator nerve

54
Q

action of obturator externus

A

laterally rotates the thigh at the hip joint

55
Q

obturator nerve root value

A

L2,3,4

56
Q

obturator nerve imerges from?

A

medial border of psoas major muscle

57
Q

a nerve plexus is

A

a network of anterior rami of spinal nerves

58
Q

the priciple plexuses are

A

lumbar sacral cervical and brachial

59
Q

lumbar plexus is

A

the left and righ lumbar plexus are formed from the naterior rami of L1-L4 spinal nerves

60
Q

the lumbar plexus is ubdivded into

A

anterior and posterior divisions

61
Q

the main nerve of the posterior division is

A

femoral nerve

62
Q

thr main nerve of the anterior division is

A

obturator nerve

63
Q

the 4 small nerve branches of the lumbar plexus

A

gentifemoral , lateral cutaneous nerve of tehthigh , illioinguineal , illo hypogastric

64
Q

what side of psoas major msucle does the gentiofemoral nerve emerge from?

A

anterior

65
Q

lateral side of psoas major muscle branches of lumbar plexus

A

femoral , gnetiofemoral, illioinguninal , illio hypogastric

66
Q

medial posaos major mycle nerve

A

obturator nerve

67
Q

gentio fermoarl nerve description

A

arises from the anterior rami of L1 and L2 and emerges from the anterior surface of psoas major muscle eventually dividing into gential and femoral branches

68
Q

lateral cutaneous nerve description

A

arises from L2,3
emerges from teh lateral border of psaos major muscle and it enters the thigh by passing posteriorly to the inguinal ligament and it supplies the skin on the anterior adnd lateral surface of the thigh till the level of the knee

69
Q

sacral plexus description

A

it is formed by the union of the lumbosacral trunk of the anterior primary rami of S 1,2,3 and the upper part of S4 in the pelvis infront of sacrum and the anterior rami of L4,5

70
Q

what region does the sacral plexus supply?

A

the leg , foot and the posterior compartment of the thigh and the gluteaul region

71
Q

the branches of sacral plexus

A

posterior cutaneous nerv eof t eh thigh
sciatic nerve
inferior gluteaul nerve
and superior gluteul nerve
pudendal nerve
nerve to obturator internus
nerve to quadratis frmoris

72
Q

femoral traingle description

A

a traingular depressed area in teh upper medial aspect of the thigh immediatly below the inguinal ligament

73
Q

apex of femoral traingle

A

it is directed downwards and itsis at the meeting point o f sartorious and addcutor longus

74
Q

floor of femoral traingle

A

it is gutter shaped
from lateral to medial
illposoas muscle , pectinues muscle and adductor longus

75
Q

superior boundary of femoral traingle

A

the inguinal ligament ( the base of the triangle)

76
Q

lateral border of femoral traingle

A

medial border of sartorious

77
Q

medial border of femoral traingle

A

medial border of adductor longus

78
Q

roof of femoral trangle

A

skin , superficial and deep fascia taht contain the saphenpous opening ( a rounded openng in the fascia covering the thigh)

79
Q

contents of teh femoral traingle

A

femoral nerve and its branches femoral artery and its brancjes , femoral veins and its tributaries, deeep inguinal lymph nodes and lateral cutanueous nerve of teh thigh

80
Q

description of femoral sheath

A

it is a fascia thats surrondeds the femoral arteyr , vein and lymphatuc vessels in the femoral triangle for 2.5 cm below teh inguinal lgament

81
Q

the femoral sheath is formed by

A

the downward extension of the abdomiunal fascia

82
Q

what divides teh femoral sheath into 3 compartments?

A

two septa

83
Q

lateral compartment of femoral sheath

A

femoral artery and the femoral branch of genti femoral nerve

84
Q

medial compartment of the femoral sheath

A

occupied by lymph vessels and also called teh femoral canal

85
Q

intermediate compartment of femoral sheath

A

contains the femoral vein

86
Q

adductor canal description

A

it is an intermuscylar cleft located in teh medial aspect of the middle third of the thigh below the sartorious muscle
it starts at the apex of the femoral triangle and ends at the adductor hiatus

87
Q

adductor canal contents

A

the terminal part of femoral arteyr
the femoral vein
deep lymph vessels
the sapphenous nerve
the terminal part of obturator nerve
the berve to vastus medialis

88
Q

femoral arteyr description

A

it enters the thigh behind teh inguinal ligament as a continuation of the external illiac artery
it lies midway between the anterior superior illiac spine and the ysmphysis pubis ( midinguinal point)
as it continues down it lies superficial in the upper haldf in the femoral traingle and while in the lower half it becomes deep in the adductor canal

89
Q

the femoral triangle ends at the opening of the ?

A

adductor hiatus

90
Q

femoral artery after it ends

A

it enters teh popliteial space as the popliteal artery

91
Q

femoral artery formation

A

the abdominal arteyr divides into left and right common illiac arteries at the level of L 4 and each common artery divides into external and internal illoac arteries and evry external illiac artery becomes a femoral artery

92
Q

femoral artery journery down the leg

A

The fomral artery begins at the midiguinal point below inguinal ligament and at the opening in the adductor magnus muscle it becomes THE POPLITEAL ARTERY

The popliteal artery
Ends at the lower border of the popliteus muscle by dividing into
ANTERIOR AND POSTERIOR TIBIAL
ARTERIES

The anterior tibial artery supplies
the anterior compartment of the leg and terminates
in front of the ankle joint by becoming
THE DORSALIS PEDIS ARTERY

The posterior tibial artery supplies the posterior
and the lateral compartments of the leg
ends deep to the flexor retinaculum by dividing
Into
MEDIAL AND LATERAL PLANTER ARTERIES