upper leg muscles Flashcards
what are the borders of the femoral triangle?
Superior: Inguinal ligament
Lateral: Sartorius
Medial: Adductor longus
Apex: Lateral border of sartorius across medial
border of adductor longus
Floor: Ilioposoas (lat) + pectineus (med)
Roof : Fascia lata + cribriform facia, subcutaneous tissue + skin
2 compartments of the femoral triangle ______
which is divided by the:
Lacuna
iliopectineal arch
Lateral lacuna:
Muscular lacuna
- Iliopsoas
- Femoral nerve
Medial lacuna:
Vascular lacuna
- Arteries and veins
- Lymphatics
content of the femoral triangle
- Femoral nerve and branches
- Femoral sheath
femoral triangle is divided into:
Lateral compartment:
Femoral artery
Intermediate compartment:
Femoral vein
Medial compartment: femoral canal (smallest)
femoral canal function
- Allows femoral vein to expand during increased venous return
- or increased intra-abdominal pressure
Adductor canal:
Intermuscular passage for:
- Femoral a/v
- saphenous nerve
- nerve to vastus medius
Anterior compartment contains:
- Anterior thigh muscles
- Flexors of the hip
- Extensors of the knee
Atrophy of muscles
Rapidly with disease
Which anterior muscles does the femoral nerve supply?
Pectineus
Iliacus
Sartorius
Which anterior muscles does the anterior rami of the lumbar nerve supply?
- Iliopsoas
- Psoas minor
Pectineus muscle
Nerve supply of pectineus muscle
Femoral nerve
Pectineus proximal attachment
Superior ramus of pubis
Pectineus distal attachment
Pectineul line (femur)
Pectineus actions
adducts + flexes thigh
Medially rotates thigh
Sartorius muscles
[Tailors muscle]
-Longest muscle
Sartorius nerve supply
Femoral nerve
Sartorius proximal attachment
- Anterior, superior iliac spine
- superior part of notch
Sartorius distal attachment
Superior part of the medial surface of the tibia
Sartorius actions:
- Flexes, abducts, laterally rotates thigh at hip joint
- flexes leg at knee
- works with other muscles
Iliopsoas muscle
The iliopsoas muscle consists of:
-Psoas major, minor
(anterior rami of lumbar nerve)
-Iliacus (femoral nerve)
[Attached to the vert. column, pelvis, femur]
iliopsoas proximal attachment
- T12-L5
- Transverse processes of lumbar vert.
- Iliac crest
- Iliac fossa
- Anterior sacroiliac ligaments
Iliopsoas distal attachment:
- lesser trochanter of femur
- Pectineal line
- iliopectineal eminence
- Tendon psoas major
iliopsoas actions
- (main) flexing thigh at hip
- Stabilising
- most powerful muscles
Quadriceps femoris consists of:
- Rectus femoris
2 Vastus lateralis - vastus intermedius
- vastus medialis
[femoral nerve]
-have the same distal attachment and actions
Quadriceps femoris characteristics
- Most powerful muscles
- 3x stronger than hamstrings
- Work over two joints
- Action on hip and knee
- Tendons of muscles unite as the
quadriceps tendon - Patellar ligament continuation of
this tendon - Medial + lateral vastus also attach to
patella = form aponeuroses (medial
and lateral patellar retinacula)-
reinforce the joint capsule + keep
patella aligned
rectus femoris (runs straight down the thigh)
recuts femoris proximal attachment
- Anterior inferior iliac spine
- Ilium, superior to the acetabulum
Quadriceps femoris distal attachment
- Quadriceps tendon
- independent attachment to the patella
- aponeuroses
Quadriceps femoris actions
- extend knee joint
- flex thigh
steadies hip joint
vastus lateralis
Vastus lateralis proximal attachment
- greater trochanter of femur
- lateral lip of linea aspera of femur
vastus medialis
Vastus medialis proximal attachment
- intertrochanteric line
- medial lip of linea aspera of femur
vastus intermedius
vastus intermedius proximal attachment
- anterior and lateral surfaces of femur shaft
Medial thigh muscles, also called the ________
and consist of:
adductor canal
- Adductor longus
- Adductor brevis
- Adductor magnus
- Gracilis
- Obturator externus
what is the function of the adductor canal?
Movement of certain structures from anterior to posterior in the leg
what happens if there is variation in the line of gravity?
Variation of this can lead to injury
What medial thigh muscles does the obturator nerve supply?
- adductor longus
- adductor brevis
- obturator externus
- gracilis
adductor longus
adductor longus proximal attachment
body of the pubis
-inferior to the pubic crest
adductor longus distal attachment
middle 1/3 of proximal part of linea aspera
adductor longus action
adducts thigh
adductor brevis
adductor brevis proximal attachment
body and inferior ramus of pubis
adductor brevis distal attachment
pectineal line and proximal part of linea aspera
adductor brevis action
adducts thigh
obturator externus
obturator externus proximal attachment
- margins of obturator foramen
- obturator membrane
obturator externus distal attachment
-trochanteric fossa
obturator externus actions
- Laterally rotates thigh
- steadies femur head in acetabulum
gracilis
Gracilis proximal attachment
body and inferior ramus of pubis
gracilis distal attachment
superior part of the medial surface of the tibia
gracilis actions
- adducts thigh
- flexes leg
- helps medially rotate
adductor magnus
adductor magnus nerve supply
Adductor part: obturator nerve
hamstring part: tibial part of sciatic nerve
Proximal attachment of the adductor magnus
adductor part:
- Ramus of the pubis and ischium
hamstring part:
Ischial tuberosity
adductor magnus distal attachment
adductor part:
- gluteal tuberosity
- linea aspera
- medial supracondylar line
hamstring part:
- adductor tubercle of femur
adductor magnus actions
- Flexes, adducts and extends thigh
Posterior thigh muscles:
3- hamstings:
> Semitendinosus
> Semimembranosus
> Biceps femoris
Semitendinoses
Semitendinosus and semimembranosus share what?
- same nerve supply
- same action
- same proximal attachment
Semitendinosus proximal attachment
ischial tuberosity
Semitendinosus nerve supply
Tibial division of sciatic nerve
Semitendinosus distal attachment
medial surface of superior part of tibia
Semitendinosus action
Extend thigh,flex leg,rotate leg medially
Semimembranosus
Semimembranosus proximal attachment
Ischial tuberosity
Semimembranosus distal attachment
Posterior part of medial condyl of tibia
Some attachments form oblque popliteal ligament
Semimembranosus action
Extend thigh,flex leg,rotate leg medially
Semimembranosus Tendon divides into
- Attachment to post aspect of medial tibial
condyle - Blends with popliteal fascia
- Part reinforces intercondylar part of joint
capsule as the oblique popliteal ligament
Nerve supply of Biceps femoris
Long head of biceps femoris
> Tibial div of sciatic n
Short head of biceps femoris
> Common fibular div of sciatic n
Biceps femoris
Biceps femoris proximal attachment
Long head > Ischial tuberosity Short head > Linea aspera,lateral supracondylar line of femur
Biceps femoris distal attachment
- Lateral side of head of fibula
- Tendon split by the fibular collateral ligament knee
Biceps femoris action
Flexes knee,rotates knee laterally,extends thigh
Common tendon of insertion of
- gracilis
- sartorius
- semitendinosus
pes anserinus
Tensor fascia latae proximal attachment
Anterior iliac crest
Surface of ilium below the crest
Tensor fascia latae distal attachment
¼ down the thigh on iliotibial tract onto anterolateral tibial condyle
Tensor fascia latae action
Abduct hip,flex hip
Tensor fascia latae
Tensor fascia latae connected via the _______ to the lower leg
iliotibial tract
iliotibial tract
Veins from posterior hip joint
Great saphenous v
Femoral v
fascia lata
The fascia that are found just under the skin.
The fascia of the leg is one “sock” around the leg from superior to inferior