Thigh Flashcards
(47 cards)
L1 sensory innervation of anterior thigh
Ilio hypogastric - lower anterior abdominal wall
Femoral branch of Genito femoral - upper 1/3 of anterior thigh below lingual ligament
Ilio lingual - upper 1/3 medial thigh and external genitalia
L2 & L3 sensory intervation of anterior thigh
Lateral femoral cutaneous - L2 &L3 to lateral aspect of thigh
Anterior branch of obturator - L3 to middle 1/3 of medial thigh
Ant. And medial femoral cutaneous - L2&L3 to distal 2/3 of anterior thigh and distal 1/3 of medial thigh
Posterior sensory innervation of thigh
Ilio hypogastric - L1 upper lateral gluteal
Dorsal rami L1-L3 - medial gluteal region
Dorsal rami s1-S3 - posterior sacrum
Lateral femoral cutaneous - L2&L3 distal 2/3 of lateral thigh
Ant branch of obturator - L3 to medial aspect of middle 1/3 of post thigh
Post femoral cutaneous- S1-S3 to middle of posterior thigh from gluteal fold and below
Medial femoral cutaneous- L3 to distal 1/3 of medial thigh
Pathway of greater saphenous vein
1 inch medial from medial malleolus, 4 inch posterior of medial patella , drains into saphenous vein at saphenous hiatus (2 inch away and 1 inch below public tubercle)
Lesser saphenous vein pathway
1 Inch behind lateral malleolus, posterior leg, through adductor hiatus, turns into popliteal vein, through adductor canal and turns into femoral vein
Sartorius
Origin: ASIS
I: medial aspect of medial tibial condyle
Innervation: femoral nerve
F: hip flexion and lateral rotation, knee flexion and medial rotation when knee flexed
Vastus lateralis
O: shaft of femur
I: QF tendon
I: femoral nerve
F: prime mover for extension of knee and some hip flexion
Rectus femoris
O: straight head - AIIS
Reflected head - shallow groove on acetabulum
I: QF tendon
I: femoral nerve
F: extension of knee and some hip flexion
Vastus medialis
O: shaft of femur
I: QF tendon
I: femoral nerve
F: extension of knee and some hip flexion
VMO
O: lowest VM fibers
I: medial patella
I: femoral nerve
F: prevent lateral dislocation of patella at end range of knee extension
Vastus intermedius
O: shaft of femur
I: QF tendon
I: femoral nerve
F: extension of knee and some hip flexion
Pectineus
O: pecten of pubis
I: pectineal line
I: anterior division of obturator nerve
F: adduction and flexion of hip
Adductor brevis
O: body of pubis
I: posterior proximal femur and upper 1/3 linea aspera
I: anterior division of obturator nerve
F: adduction of hip
Adductor longus
O: body of pubis
I: middle 1/ 3?linea aspera
I: anterior division of obturator nerve
F: adduction of hip
Gracilis
O: body of pubis
I: medial condole of tibia
I: anterior division of obturator nerve
F: adduct hip and medial knee rotation in knee flexion
Adductor magnus
ischiofemoral
O: ischiofemoral - ischiopubic ramus
I: linea aspera
I: post branch obturator nerve
F: prime hip adductor
Adductor magnus
Ischiocondylar
O: ischial tuberosity
I: adductor tubercle
I: tibial division sciatic nerve
F: extend hip
Obturator externus
O: obturator membrane and boney region of obturator foremen margin
I: med. greater trochanter
I: post obturator
F: lateral hip rotation
Femoral triangle border
Superior: Inguinal ligament
Medial: adductor longus
Lateral: sartorius
Femoral triangle content medial to lateral
Femoral vein (intermediate compartment of sheath), femoral artery (lateral compartment of shear), femoral nerve
Femoral artery pathway
Passes inguinal ligament where it turns from external iliac to femoral artery
Passes through triangle and through adductor canal
Through hiatus and then changes to popliteal artery
Deep femoral artery branches
- Lateral and medial circumflex arteries circles around proximal end of femur
- 4 perforating arteries that pass through adductor magnus insertion
Saphenus nerve
Splits from femoral nerve near femoral triangle and travels medially. Crosses knee joint and enters leg on medial side
Obturator nerve
Mixed nerve from L2,3,4
Anterior branch (anterior to adductor brevis)
- sensory: middle 1/3 of medial thigh
- motor: adductor muscles aside from Magnus and obturator externus
Posterior branch: posterior to brevis
- motor: adductor Magnus and obturator externus