Anterior & Medial Compartments of the Thigh | B2, WK5 Flashcards

1
Q

What separates the lower limb into compartments?

A

Deep fascia

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2
Q

What comprises the fascia lata?

A
  1. iliotibial tract
  2. saphenous opening
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3
Q

What is the purpose of crural fascia?

A

Preventing tendons from boflexing

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4
Q

What are the superficial veins of the lower limb?

A
  1. Great Saphenous vein
  2. Small saphenous vein
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5
Q

What causes varicose veins?

A

Incompetent valves in superficial veins – this allows blood to accumulate yielding enlarged veins

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6
Q

What is a saphenous varix?

A

Dilation of great saphenous vein at the saphenous opening. This causes swelling in the femoral triangle.

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7
Q

What vein arises from the medial side of the dorsal venous arch?

A

Great Saphenous vein

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8
Q

What are the tributaries near the termination of the great saphenous vein?

A
  1. superficial epigastric v
  2. superficial circumflex iliac v
  3. external pudendal v.
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9
Q

What vein arises from the lateral side of the dorsal venous arch?

A

Small saphenous vein

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10
Q

What lymphatic structures are within the femoral triangle (medial to femoral v., in the femoral canal)

A

Deep inguinal nodes

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11
Q

T/F: Deep lymph drainage of the lower limb follows tributaries of the small and great saphenous veins

A

F: Not deep. It is the superficial lymph drainage.

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12
Q

Describe the deep gluteal region lymphatics

A

Lymph from the deep gluteal region will follow the gluteal veins into the pelvis. This then drains into the internal iliac lymph nodes.

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13
Q

Describe the dermatomes of the lower limb. Why does it work like that?

A

Spiral from lateral to medial across the lower limb (b/c the lower limb rotates medially during development)

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14
Q

What are the 3 compartments of the thigh?

A
  1. anterior thigh
  2. medial thigh
  3. Posterior thigh
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15
Q

What is the function of the anterior thigh compartment?

A

Flexion of hip
Extension of knee

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16
Q

What is the function of the medial thigh compartment?

A

Adduction of hip

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17
Q

What is the function of the posterior thigh compartment?

A

Extension of hip
Flexion of knee

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18
Q

What is the innervation of the anerior thigh?

A

Femoral nerve (mostly, 1-2 exceptions)

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19
Q

What is the innervation of the medial thigh?

A

Obturator nerve

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20
Q

What is the innervation of the posterior thigh?

A

Tibial division of sciatic N. [mostly]

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21
Q

What muscles make up the anterior compartment of the thigh?

A
  1. Iliopsoas
  2. Sartorius
  3. Pectineus
  4. Quadriceps femoris
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22
Q

What two muscles make the iliopsoas?

A

Iliacus + psoas major

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23
Q

What ligament does the iliopsoas pass under to enter the thigh?

A

Inguinal ligament

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24
Q

Where does the iliopsoas insert?

A

lesser trochanter

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25
Q

What is the action of the iliopsoas?

A

Primary flexor of hip (thigh)

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26
Q

What is the innervation of the iliopsoas?

A

Anterior rami of L1-3 (psoas major)
Femoral N. (illiacus)

27
Q

Where does the sartorius originate?

A

ASIS

28
Q

Where does the sartorius insert?

A

Medial tibia

29
Q

What is the action of the sartorius?

A

Flexes, abducts, and laterally rotates thigh [NOT PRIMARY FUNCTION]
Flexes leg

30
Q

Where does the pectineus originate?

A

Superior pubic ramus

31
Q

Where does the pectineus insert?

A

Pectineal line of femur

32
Q

What is the action of the pectineus?

A

Adducts & flexes thigh, assist in medial rotation

33
Q

What is the innervation of the pectineus?

A

-Femoral N
-Obturator N
[dual innervation]

34
Q

What are the 4 heads of the quadriceps femoris?

A
  1. Rectus femoris
  2. Vastus lateralis
  3. Vastus medialis
  4. Vastus intermedius
35
Q

Where does the quadriceps tendon insert?

A

Base of patella

36
Q

Where does the patellar ligament insert?

A

tibial tuberosity

37
Q

What muscles make up the medial compartment of the thigh?

A
  1. adductor longus
  2. adductor brevis
  3. adductor mangus
  4. gracilis
  5. Obturator externus
38
Q

Where does the adductor longus originate? insert?

A

O: body of pubis
I: Linea aspera of femur (middle 1/3)

39
Q

Where does the adductor brevis originate? insert?

A

O: body & inferior ramus of pubis
I: pectinal line and linea aspera of femur

40
Q

What are the three parts of the adductor magnus?

A
  1. adductor part
  2. hamstring part
  3. adductor hiatus
41
Q

O & I for adductor part of adductor magnus

A

O: Ischiopubic ramus
I: Gluteal tuberosity, linea aspera, & medial supracondylar line

42
Q

Innervation of adductor part of adductor magnus?

A

Obturator N

43
Q

O & I for hamstring part of adductor magnus

A

O: Ischial tubersoity
I: Adductor tubercle of femur

44
Q

Innervation of hamstring part of adductor magnus?

A

Tibial division of sciatic N.

45
Q

What is the function of the adductor hiatus?

A

Transmits femoral A & V from adductor canal into popliteal fossa

46
Q

Gracilis O, I, & Action

A

O: Body of pubis
I: Meidal tibia
A: Adduct thigh, flex leg (rotate medially)

47
Q

Obturator Externus O, I, & Action

A

O: arises from margins of obturator foramen and obturator membrane
I: Trochanteric fossa
Action: laterally rotates thigh, stabilize hip joint

48
Q

What are the boundaries of the femoral triangle?

A
  1. Inguinal Ligament
  2. Sartorius
  3. Adductor Longus
49
Q

What is found in the femoral triangle?

A
  1. femoral n & branches
  2. femoral a & branches
  3. Femoral v & tributaries
  4. Lymphatics

NAVL

50
Q

What is the retro-inguinal space?

A

Passageway between the abdomen and lower limb
-divided into two compartments (muscular and vascular compartments)

51
Q

The _____________ _____________ (2 words) is an extension of the transversalis fascia

A

Femoral Sheath

52
Q

What are the 3 compartments of the femoral sheath? What is found in each compartment?

A
  1. lateral - femoral a
  2. intermediate - femoral v
  3. medial (femoral canal) - lymphatics
53
Q

What is the term for the superior opening of the femoral canal

A

Femoral ring

54
Q

Describe a femoral hernia

A

Herniation of abdominal viscera through femoral ring

55
Q

T/F A femoral hernia occurs above the inguinal ligament

A

F - this would be a inguinal hernia

56
Q

What does the adductor canal contain?

A
  1. Femoral A
  2. Femoral V
  3. N. to vastus medialis
  4. Saphenous N
57
Q

When the femoral a. passes through the popliteal fossa, what happens?

A

Name change (femoral a. –> popliteal a.)

58
Q

What are the branches of the deep artery of the thigh?

A
  1. Medial circumflex femoral a
  2. Lateral circumflex femoral a
  3. Perforating branches (4)
59
Q

What artery supplies proximal muscles in the medial compartment?

A

Obturator a

60
Q

Femoral a./v. catheterization can provide access to what?

A

Aorta/IVC/Heart

61
Q

Describe the femoral nerve

A

L2, 3, 4
-innervates anterior thigh muscles

62
Q

What is the exception to innervation of teh femoral nerve

A

psoas major and part of pectineus

63
Q

Describe the obturator nerve

A

L2, 3, 4
Divides into ant/post divisions
Innervates medial thigh muscles (NOT hamstring part of adductor magnus)