Anterior and medial aspects of the thigh Flashcards

(115 cards)

1
Q

Deep fascia of thigh

A

Fascia lata

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2
Q

What does the Iliotibial tract attach to?

A

Laterally thickens
Superiorly attaches to iliac crest
Inferior attaches to Lateral condyle of tibia

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3
Q

Thickening of fasica lata

A

Iliotibial tract

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4
Q

What 2 muscles do the Iliotibial tract intervene?

A

Right: Tensor fasciae latae muscle
Left: Gluteus maximus muscle

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5
Q

At the upper medial aspect of the thigh opening of fascia lata?

A

Saphenous opening

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6
Q

Why is the Saphenous opening present?

A

The great Saphenous vein( superficial) drains into the femoral vein(deeper vein).

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7
Q
A

Blue: femoral vein
White: Fossa ovalis
Yellow: Falciform margin
Green: Great saphenous vein

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8
Q
A

Great saphenous vein

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9
Q

Clinical imp of great saphenous vein

A

Reflected and used as coronary bypass surgery

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10
Q

Clinical imp of great saphenous vein

A

Reflected and used as coronary bypass surgery

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11
Q

Begining and end of great saphenous vein

A

Begin: Dorsum of the foot (drains venous blood from the dorsum of foot)
Runs anterior to medial malleolus
Accompanies a sensory nerve called saphenous nerve.
Ascends on the medial aspect of the thigh.
Passes through the saphenous opening Drains into femoral vein.

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12
Q

Sensory nerve accompanying great saphenous vein

A

Saphenous nerve

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13
Q
A

Small saphenous vein

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14
Q

Beginning and end of Small saphenous vein

A

Begin: dorsum of the foot
runs posterior to lateral malleolus
ascends on posterior aspect of the leg
Accompanies sural nerve( cutaneous nerve)–branch of tibial nerve.
Pierces the popliteal fossa (resemble cubital fossa)
Drains into the popliteal vein.

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15
Q
A

Right: Superficial vein
Middle: Perforating vein
Left: Deep vein

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16
Q

Examples of superficial vein

A

Great saphenous vein, small saphenous vein, cephalic vein, basilic vein

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17
Q

Examples of deep vein

A

Upper extremity: Brachial vein. Axillary vein
Lower extremity: Femoral vein

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18
Q

Connection of the deep and superficial vein.

A

Perforating vein (contain valves)

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19
Q

What does the perforating vein contain?

A

All veins contain one-way valves.
Allows blood to flow toward the heart and prevents blood from flowing in the retrograde direction.

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20
Q

Unfunctining of the perforating vein

A

Varicoses (dilatation of vein)
Superficial vein or deep vein

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21
Q
A

Tensor Fascia Lata Muscle

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22
Q

Tensor Fascia Lata Muscle origin

A

anterior superior iliac spine

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23
Q

Tensor Fascia Lata Muscle insertion

A

Blends with iliotibial tract

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24
Q

Tensor Fascia Lata Muscle nerve

A

Superior Gluteal nerve

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25
Tensor Fascia Lata Muscle function
abducts the thigh Medially rotates the thigh Streaches the iliotibial tract
26
Sartorius Muscle (longest muscle in the body)(tailors muscle)
27
Sartorius Muscle origin
anterior superior iliac spine
28
Sartorius Muscle insertion
Upper medial aspect of tibia
29
Sartorius Muscle nerve
Femoral nerve
30
Sartorius Muscle function
abducts, flexes and laterally rotates the thigh Flexes and medially rotates the leg
31
3 muscles attached to upper medial aspect of tibia
Semitendinosus muscle (posterior aspect of thigh) Sartorius muscle Gracilis muscle
32
Muscular tripod (attach to same region) Right: Semitendinosus muscle Middle:Gracilis muscle Left: Sartorius muscle
33
Muscle on anterior aspect of thigh
Quadriceps Femoris Muscle
34
1: Rectus femoris 2: Vastusmedialis 3:Vastus lateralis Vastus intermedius (reflect Rectus femoris)
35
Quadriceps Femoris Muscle
Rectus femoris Vastus lateralis Vastusmedialis Vastus intermedius
36
1: Rectus femoris 2: Vastusmedialis 3:Vastus lateralis 4:Vastus intermedius
37
Tendon and insertion of all Quadriceps Femoris Muscle?
Patellar tendon Tuberosity of tibia
38
Rectus femoris origin
Straight head: anterior inferior iliac spine Reflected head: Fibrous capsule of the hip joint
39
Rectus femoris insertion
Tuberosity of tibia
40
Rectus femoris nerve
Femoral nerve
41
Rectus femoris function
flexes the thigh and extends the knee (Kicking)
42
Vastus lateralis origin
Intertrochanteric line, lateral lip of the asperal line
43
Vastus lateralis insertion
Tuberosity of tibia
44
Vastus lateralis nerve
Femoral nerve
45
Vastus medialis origin
Intertrochanteric line, medial lip of the asperal line
46
Vastus medialis insertion
Tuberosity of tibia, some fibers join the capsule of the knee joint and strengthen the knee joint
47
Vastus medialis nerve
Femoral nerve
48
Femoral nerve intervention?
Sartorius Muscle, Rectus femoris, Vastus lateralis, Vastus medialis, Vastus Intermedius
49
Vastus Intermedius origin
Anterior and lateral aspect of the shaft of the femur
50
Vastus Intermedius insertion
Lower fiber plays an important role in stabilizing the patella Collective function of 4 heads is to extend the knee joint
51
Vastus Intermedius nerve
Femoral nerve
52
Muscles on the medial aspect of the thigh
Adductor longus muscle Adductor brevis muscle Adductor magnus muscle Gracilis muscle Pectineus muscle
53
Adductor longus Adductor magnus Adductor hiatus
54
Pectineus Adductor brevis Gracilis
55
Vastus Intermedius function
Extension of knee (imp. in standing in upright position)
56
Adductor longus muscle
57
Adductor longus muscle origin
Front of the body of pubis
58
Adductor longus muscle insertion
Medial lip of the asperal line
59
Adductor longus muscle function
Adducts, flexes and laterally rotates the thigh at the hip joint
60
Adductor longus muscle nerve
Obturator nerve
61
Adductor Brevis muscle
62
Adductor Brevis muscle origin
outer surface of the inferior ramus of the pubis
63
Adductor Brevis muscle insertion
Upper part of the asperal line
64
Adductor Brevis muscle function
Adducts, flexes and laterally rotates the thigh at the hip joint
65
Adductor Brevis muscle nerve
Obturator nerve
66
Adductor Magnus muscle origin
Inferior ramus of pubis, ramus of ischium, ischial tuberosity
67
Adductor Magnus muscle insertion
Adductor portion: asperal line Hamstring portion: Medial epicondyle, supracondylar line
68
Adductor Magnus muscle function
Adductor portion: Adducts and assists in lateral rotation of the thigh Hamstring portion: Extends the thigh at the hip joint
69
Adductor Magnus muscle nerve
Adductor portion: Obturator nerve Hamstring portion: Sciatic nerve
70
Adductor hiatus
71
Why does Adductor hiatus exist
Adductor hiatus permits the femoral vessels to pass from the adductor canal into the popliteal surface
72
Adductor canal
73
Content of Adductor canal
Femoral artery(right) and femoral vein(left) Pass through the adductor hiatus from anterior to posterior aspect of the thigh.
74
Names of femoral artery and femoral vein when they exit adductor hiatus
Popliteal artery and vein
75
Fossa behind knee joint
Popliteal fossa
76
Gracilis Muscle
77
Gracilis Muscle origin
Inferior ramus of the pubis, ramus of the ischium
78
Gracilis Muscle insertion
Upper medial aspect of tibia
79
Gracilis Muscle function
Adducts the thigh at the hip joint and flexes the leg at the knee joint
80
Gracilis Muscle nerve
Obturator nerve
81
Pectineus Muscle
82
Pectineus Muscle origin
Superior ramus of the pubis,
83
Pectineus Muscle insertion
Pectineal line
84
Pectineus Muscle function
Flexes, Adducts and laterally rotates the thigh at the hip joint
85
Pectineus Muscle nerve
Femoral nerve, sometimes Obturator nerve
86
87
Femoral triangle
88
Femoral triangle base
Inguinal ligament
89
Femoral triangle lateral boundary
Sartorius muscle
90
Femoral triangle medial boundary
Adductor longus
91
Femoral triangle floor
Iliopsoas, pectineus and adductor longus muscle
92
Femoral triangle roof
Skin, fascia
93
Name of external iliac vein and artery when they pass the inguinal ligament
Femoral artery and vein
94
Femoral triangle
95
Content of the femoral triangle Medial →Lateral
1. Femoral canal 2. Femoral Vein 3. Femoral Artery 4. Femoral Nerve
96
What is the femoral sheath
Downwards protrusion of the fascia covering the anterior abdominal wall.
97
What does the femoral sheath enclose
1. Femoral canal 2. Femoral Vein 3. Femoral Artery Femoral nerve is lateral to the femoral sheath
98
Adductor Canal (Subsartorial canal)
99
Adductor canal location
Deep to the sartorius muscle Medial third of the thigh
100
Adductor canal beginning
Extens from the apex of the femoral triangle to the adductor hiatus
101
Content of the Adductor canal and where they exit
Femoral Vein Femoral Artery (exit through the adductor hiatus as popliteal artery and vein) Nerve to the vastus medialis (terminates at the muscle) Sphanous nerve (pierces roof of adductor canal becomes cutaneous and takes sensation of medial aspect of leg)
102
What type of nerve is the femoral nerve
Mixed nerve (sensory and motor fibers)
103
What type of nerve is the obturator nerve
Mixed nerve (sensory and motor fibers)
104
Saphenous nerve sensation
105
Blue: Femoral nerve sensory fibers Red: Femoral nerve motor fibers
106
Obturator nerve sensation
107
Femoral artery
Superficial circumflex iliac artery Superficial epigastric artery Superficial external pudental artery Deep external pudental artery Profunda femoris (most imp) -Medial circumflex artery -lateral circumflex artery both surround and supply head of femur Descending genicular artery
108
Femoral artery
Superficial circumflex iliac artery Superficial epigastric artery Superficial external pudental artery Deep external pudental artery Profunda femoris (most imp) -Medial circumflex artery -lateral circumflex artery both surround and supply head of femur Descending genicular artery
109
Superficial inguinal lymph nodes
110
Superficial inguinal lymph nodes Horizontal group
Anterior abdominal wall below the umblicus Perineum Urethra External genital organs Lower half of anal canal Gluteal region
111
Superficial inguinal lymph nodes Vertical group
Lower limb
112
Knee joint ( tibiofemoral joint)
113
Type of knee joint
synovial hinge joint type
114
What bones is the knee joint between?
the femur, tibia, and patella.
115
Knee joint
convex condyles of the femur concave condyles of the tibia The patella lies in front of the femur