Femoral triangle, ADductor canal, vessels and nerves of anterior and medial thigh Flashcards

1
Q

Boundaries of femoral triangle

A

superior: inguinal lig
medial: lateral border of ADductor longs
lateral: medial border of sartorius
roof: fascia kata
floor: pectineus, iliopsoas

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2
Q

general contents lateral to medial

A

femoral nerve
femoral artery
femoral vein
lymphatics

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3
Q

what is not included in the femoral sheath

A

the nerve

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4
Q

where is a femoral hernia

A

protruding abdomen through femoral ring

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5
Q

where does the femoral nerve course

A

in the groove formed where iliacs and psoas major mm join

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6
Q

what does the adductor canal connect

A

compartment of femoral triangle with the popliteal fossa

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7
Q

boundaries of adductor canal

A

anteromedially: sartorius and vastoadductor membrane
anterolaterally: vastus medialis
posteriorly: adductor longus superiorly, adductor magnus inferiorly

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8
Q

contents of adductor canal

A

femoral artery, femoral vein, motor nerve to vastus medialis, saphenous nerve

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9
Q

what structure in the adductor canal does not exit adductor hiatus

A

the femoral nerve

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10
Q

where does the saphenous n pierce

A

medial wall of adductor canal to become cutaneous

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11
Q

where does the descending genicular a originate

A

branches from femoral a while in the canal and accompanies the saphenous n

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12
Q

what does the femoral a become distally

A

popliteal artery when exits adductor hiatus

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13
Q

why does the femoral a move more anteriorly as it reaches the popliteal fossa

A

more protected in this position

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14
Q

what are the bracnhes of the femoral a

A
superficial circumflex iliac a
superficial epigastric a
superficial external pudendal a
deep external pudendal a
deep profunda femurs a
descending genicular a
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15
Q

what are the branches of profunda femoral

A

lateral femoral circumflex a, medial femoral circumflex a, perforating aa

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16
Q

what are the branches of lateral femoral circumflex a and what do they supply

A

ascending- tensor fascia lata
transverse- anastomose with medial circumflex branches
descending- genicular anastomosis

17
Q

what does the medial femoral circumflex a supply

A

ADductor mm medially and gives a branch to acetabelum
posteriorly supplies deep lateral rotators
ends in cruciate anastomosis

18
Q

what do the perforating branches of femoral a supply

A

vastus lateralis, posterior femoral compartment

19
Q

what are the branches of descending genicular a

A

articular branch and saphenous branch

20
Q

what does the articular branch of genicular a supply

A

vastus medialis and forms genicular anastomose

21
Q

what does the saphenous branch of genicular a supply

A

subcutaneous areas of upper medial portion of leg

22
Q

what is the femoral v a continuation of

A

popliteal v

23
Q

where does the obturator a branch from

A

internal iliac a

24
Q

what m is the obturator a deep to

A

obturator externus

25
Q

What are the branches of obturator a and what do they supply

A

anterior and posterior encircle the obturator foramen deep and anastomose
the acetabelar branch supplies acetabelum and an a to the head of femur via ligamentum trees femoris

26
Q

what is the obturator v a tributary to

A

internal iliac v

27
Q

while in the femoral triangle what does the femoral n provide

A

intermediate and medial femoral cutaneous branches and motor branches to pectineus and sartorial, rectus femoris, vastus muscles and articularis genu

28
Q

what branches of femoral nerve enter adductor canal

A

motor branch to vastus medial is m and the saphenous n (L4)

29
Q

what does the saphenous n supply cutaneously

A

medial portion of leg and foot and posterior portion of dorsum of foot

30
Q

What ventral rami are included in obturator n

A

L2 L3 L4

31
Q

What are the two branches of obturator n

A

anterior and posterior

32
Q

what does the anterior division of obturator n inn

A

adductor longus and brevis, gracilis and sometimes pectinous also cutaneous to medial surface of thigh

33
Q

what does the posterior division of obturator n inn

A

obturator externus, portion of adductor magnus and sends articular branch to knee