Thigh Region (2) Flashcards
(Femur) where is the intertrochanteric line (front or back)?
Front
Why is the medial condyle larger ?
Weight distribution.
What attaches to the quadrate tubercle?
Quadratus Femoris
Identify 3 common femur fractures.
- Neck (due to weak trabecular bone and less compact bone)
- Spiral Fracture (different direction)
- Intertrochnteric
Femoral Triangle:
- borders
- contents
Borders:
Sartorious (lateral), adductor longs (medial), inguinal ligament (superior)
Contents (NAVL)
Femoral: Nerve, artery, vein, deep inguinal lymphatic nodes (from medial to lateral)
Floor: Pectinius + Illiopsoas
Retroinguinal Space
- compartments
- contents
Compartments:
Muscular compartment (illiacus + psoas major)
Illiopectinial Arch (between)
Vascular Compartment (fem. artery, vein + compartment)
Lacuna Ligament
Adductor Canal
- Borders
- Contents
Borders: Vastus Medialis (Lateral), Sartorius (Anterio-medial), Adductor Longus (Posterior-medial)
Contents: Fem artery and Vein, SAPHENOUS NERVE AND NERVE TO VASTUS MEDIALIS
What are the two nerves in the Adductor Canal?
- Saphenous Nerve
2. Nerve to Vastus Medialis
What does the adductor Longus turn into?
1/3 the way down the thigh, the adductor longs turns into the adductor Magnus.
What is he Vastus Lateralis good for?
Inromuscular injections.
What happens if the ‘Articularis Genu’ is not working properly?
Supra patella bursa can get caught behind the patella during extension. (The Articularis gene stops the impingement of the bursa).
What makes up 22% of thigh movement?
Adductor Longus (brings thigh toward midline)
What is the largest muscle in the thigh?
Adductor Magnus
What is the weakest muscle in the thigh? And what can be done to it?
Gracillus. It can be used in implants. (e.g. anus implant)
Sartorius Attachment
ASIS and sup 1/2 pf notch inferior to ASIS > superior medial tibia (pes anserinus)
Sartorius Action
Action: Flexes thigh at hip, abducts thigh, laterally rotates thigh, flexes leg at knee
Sartorius Innervation
Inner: femoral nerve (L2,L3)
Rec Fem (attach)
Attach: ASIS and illium to acetabulum > base of patella and tibial tuberosity
Rec Fem (action)
Action: flexion of thigh at hip, extension of leg at knee
Rec Fem (Inner)
Inner: femoral nerve (L2,L3,L4)
Vastus Medialis (attach)
Attach: intertrochanteric line and medial lip of linea aspera > base of patella
Vastus Medialis (action)
Action: extend leg at knee + counterbalance lateral pull of rectus femoris and VMO