The Thigh Flashcards

1
Q

4 protuberances of femur

A

greater trochanter
lesser trochanter
medial condyle
lateral condyle

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2
Q

What is the rough line on the femur’s posterior surface?

A

linea aspera

insertion point for gluteal and thigh muscles

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3
Q

Muscles of the Anterior thigh compartment

A

Iliopsoas
Sartorius
Quadriceps femoris (rectus femoris, vastus medialis, vastas lateralis, vastas intermedis)
Pectineus (also medial)

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4
Q

Which muscles act on hip and knee?

A

Sartorius and Rectus femoris

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5
Q

Which muscles make up the Pes Anserinus? What do they do?

A

Sartorius
Gracilis
Semitendonous
insert on antero-medial aspect of tibia, flex knee and medial rotation of tibia on femur

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6
Q

Iliopsoas

  • action
  • innervation
  • insertion
A

made from iliacus and psoas major

  • hip flexor (initiation and completion)
  • L1-L2 ventral rami
  • inserts on lesser trochanter
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7
Q

Sartorius

  • action
  • innervation
  • insertion
A
  • flex hip, flex knee, abduction, lateral rotation
  • ?
  • antero-medial aspect of the knee
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8
Q

Quadriceps Femoris

  • insertion
  • heads of origin
A
  • Quadriceps Femoris tendon

- Rectus Femoris, Vastus Lateralis, Vastus Medialis, Vastus Intermedius

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9
Q

Rectus Femoris

-attachments

A

anterior inferior iliac spine (AIIS)

Part of Quadriceps Femoris

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10
Q

Vastus Lateralis

-attachments

A

lateral and posterior aspect of the femoral shaft

Part of Quadriceps Femoris

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11
Q

Vastus Medialis

  • attachments
  • purpose
A

medial and posterior aspect of femoral shaft
prevents lateral dislocation of the patella
(Part of Quadriceps Femoris)

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12
Q

Vastus Intermedius

-attachments

A

anterior surface of femoral shaft

Part of Quadriceps Femoris

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13
Q

Quadriceps Femoris Tendon

A
  • common tendon insertion for RF, VM, VI, and VL

- attaches to base of patella

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14
Q

Patella

A

sesamoid, within quadriceps Femoris tendon

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15
Q

Patella tendon (patella ligament)

A

attaches to apex of patella and tibial tuberosity

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16
Q

Pectineus

  • action
  • innervation
  • insertion
A
  • starts hip flexion, hip adduction, and medial rotation of thigh
  • femoral and sometimes obturator
  • superior pubic ramus–>posterior aspect of femur
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17
Q

Femoral nerve

A
  • L2-4
  • motor to anterior compartment of the thigh
  • sensory for anterior and medial portion of thigh and medial leg
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18
Q

lateral femoral cutaneous

A
  • L2-3

- skin of lateral thigh

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19
Q

nerves for anterior thigh

A

lateral femoral cutaneous

femoral nerve

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20
Q

blood supply for anterior thigh

A

femoral artery (and branch: deep femoral artery)

21
Q

what do branches from the deep femoral artery anastomose with?

A

internal iliac branches

22
Q

Medial thigh compartment muscles

  • called?
  • origin/insertion
  • function
A

-adductor muscles
-pubic bone–>postero-medial aspect of femoral shaft
-adduct hip joint (and flex when extended)
pectineus
adductor longus
adductor brevis
adductor magnus
gracilis

23
Q

Pectineus

  • action
  • insertion/origin
A

flexor or adductor

pubic ramus–>linea aspera

24
Q

adductor longus

  • action
  • insertion
A
  • adductor

- pubic bone–>linea aspera

25
Q

adductor brevis

  • action
  • insertion
A
  • adductor

- body/ramus of pubic bone–>linea aspera

26
Q

adductor magnus

  • action
  • insertion
  • separate parts
A
  • adductor or extensor
  • adducor portion:ischiopubic ramus–>linea aspera
    innerve: obturator (L2-4)
  • hamstring portion: ischial tuberosity–>medial epicondyle
    innerve: sciatic
27
Q

gracilis

  • action
  • insertion
A
  • part of pes anserine
  • flexes and adducts hip, flexes knee
  • pubic ramus–>antero-medial aspect of tibia
28
Q

Nerve supply to medial thigh

A

obturator (L2-4)

motor to medial thigh

29
Q

Blood Supply to medial thigh

A

-obturator artery

30
Q

In kids what supplies blood to the head of the femur?

A

obturator artery

31
Q

In adults what supples blood to head of femur?

A

medial and lateral circumflex branches of deep femoral artery

32
Q

Posterior Thigh Compartment

  • aka
  • attached to
  • innervated by
  • type of muscle
  • purpose
  • muscles
A
  • hamstrings
  • ischial tuberosity
  • sciatic nerve
  • 2 joint muscles
  • flex knee, extend hip, stabilize hip (prevent excessive flexion)
  • biceps femoris, semimembranosus, semitendonosus
33
Q

Biceps femoris

  • compartment
  • heads of origin
  • insertion
A
  • posterior thigh compartment
  • 2 heads of origin: short (linea aspera) and long (ischial tuberosity)
  • common tendon inserts to head of fibula
34
Q

Semitendinous

  • compartment
  • insertion
A
  • posterior thigh
  • medial aspect of tibia
  • part of Pes Anserinus
35
Q

Semimembranosus

-insertion

A

-posterior aspect of tibial condyle

36
Q

Innervation of posterior compartment

A

Sciatic nerve (L2-4)
-fibular part innerves short head of biceps femoris
-tibial part innerves hamstrings
Posterior femoral (S1)
-sensory to skin on posterior surface of thigh

37
Q

Blood Supply to posterior compartment

A

perforating branches of deep femoral artery

38
Q

Midshaft femoral fracture

  • aka
  • common?
  • causes
A
  • spiral fracture
  • less common than head fracture
  • car accident or low impact fall in elderly
39
Q

what makes up the femoral triangle?

A

inguinal ligament
adductor longus
sartorius

40
Q

Lateral femoral cutaneous nerve

  • branch of
  • under what lig/bone
  • sensory from
A
  • lumbar plexus (L2-3)
  • inguinal/ASIS
  • lateral portion of thigh
41
Q

femoral nerve

  • branch of
  • sensory from
  • motor to
A

-lumbar plexus (L2-4)
-anterior and medial thigh, medial leg
(medial cutaneous, intermediate cutaneous, saphenous)
-anterior compartment of thigh

42
Q

Obturator Nerve

  • branch of
  • motor to
  • sensory from
A
  • lumbar plexus
  • medial compartment of thigh
  • medial thigh
43
Q

Lesion to which nerve may cause waddling gait?

A

Obturator

44
Q

Posterior Femoral Cutaneous Nerve

  • branch of
  • sensory from
A
  • sacral plexus (S1-3)

- posterior thigh

45
Q

Sciatic Nerve

  • formed from
  • motor to
  • sensory from
  • terminal branches
A
  • ventral rami (L4-S3)
  • hamstrings, ALL leg/foot muscles
  • postero-lateral region of leg (Sural nerve)
  • tibial and fibular
46
Q

all leg/foot muscles are supplied motor by which nerve?

A

sciatic

47
Q

Femoral Triangle

  • Boundaries
  • Contents
  • Site of what?
  • palpate what?
A
  • inguinal ligament, adductor longus, sartorius
  • femoral nerve, femoral sheath (fem artery, fem vein, fem canal with lymph nodes)
  • femoral hernias
  • palpate lymph nodes and pulse of fem artery
48
Q

Popliteal Fossa

  • location
  • Contents
  • Boundaries
A

transition zone b/w leg and thigh

  • behind the knee
  • popliteal artery, popliteal lymph nodes, division of sciatic nerve, small saphenous vein
  • biceps femoris, semimembranous, semitendinous, gastrocnemius, popliteus