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