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Anterior Thigh-PT620
Notes, facts, questions from outline- Summer 2009
| Question | Answer |
|---|---|
| Name the veins in the superficial fascia of the anterior thigh. | Greater Saphenous Vein. Lesser Saphenous Vein. |
| What vein is used for coronary bypass surgery? | Greater Saphenous vein |
| What vein originates in med. border of dorsum of foot, runs ant. to the med. malleolus, runs post. to med. border of patella? | Greater Saphenous vein |
| Where does the Greater Saphenous vein empty? | into femoral vein in groin through defect in deep fascia called the saphenous hiatus. |
| The Greater Saphenous vein empites into femoral vein in groin through a defect in deep fascia called the _________________. | saphenous hiatus |
| What vein runs from the lateral side of the dorsum of the foot and runs behind lateral malleolus? | Lesser Saphenous vein. |
| Where does the lesser saphenous vein empty? | into the popliteal vein. |
| Approximately how many superficial inguinal nodes (lymph nodes) are there? | approximately 12 |
| There are 2 groups of superf. inguinal nodes. One parallels the ________________ and the other parallels the _____________________. | inguinal ligament, greater saphenous vein. |
| The superficial nodes drain the entire __(1)____________ and the _____(2)_________ from the __(3)_ down. Including __(4)__, _(5)___, and _____(6)______. | 1-lower extremity. 2-lower abdominal wall. 3-umbilicus. 4-buttocks. 5-perineum. 6-lower anal canal. |
| What does NOT drain into the superficial inguinal nodes? (Instead-drains directly into abdomen) | testes (because they descended from the abdomen) |
| There are some deep lymph nodes along blood vessels in this region. They are called? | popliteal nodes |
| Deep fascia in the thigh is called? | fascia lata |
| the deep fascia in the thigh is continuous sheath with the fascia of the _______. | leg |
| Deep fascia of the thigh attaches where? | iliac crest, inguinal ligament, ischiopubic ramus, sacrum, coccyx, and sacrotuberous ligament. |
| the fascia lata (deep fascia of the thigh) splits to enclose what muscle? | tensor fascia lata m. |
| a strong lat. band called the ____(1)____, receives tendinous insertion of _____(2)______ and ____(3)_______ muscles, and attaches to the __(4)___ part of ___(5)(___ _______ ________ on ______(6)____ tubercle. | 1.iliotibial tract. 2.tensor fascia lata. 3.gluteus maximus. 4.anterior. 5.lateral tibial condyle. 6.Gurdy's. |
| What is the name of the defect in the deep fascia of the thigh anteromedially below inguinal ligament? | saphenous hiatus. |
| What empties at the saphenous hiatus? into what? | greater saphenous vein, femoral vein. |
| T/F The fascia lata attaches to all bony prominences around the knee and is not continuous with deep fascia from the leg. | False. It does attach to all bony prominences of the knee. However it IS continuous with deep fascia from the leg. |
| Fascia lat sends medial and lateral __________ _________ to _________ _______________ alond distal __/__ of femur. | intermuscular septa, linea aspera, 2/3 |
| What gives us compartments in the thigh? | the fascia lata sends medial and lateral intermuscular septa to linea aspera along distal 2/3 of femur. |
| Name the superior border of the femoral triangle. | inguinal ligament |
| name the lateral border of the femoral triangle. | medial border or sartorius. |
| Name the medial border of the femoral triangle. | medial border of adductor longus. |
| Name the "roof" of the femoral triangle. | fascia lata, cribiform fascia over saphenous hiatus. |
| Name the "floor" of the femoral triangle. | iliopsoas, pectineus, and adductor longus. |
| Name the contents of the femoral triangle. (lateral to medial!) | femoral nerve, femoral artery, femoral vein, femoral canal (empty space and lymph) |
| What does LYMPH help you remember? | The contents of the femoral triangle. femoral Nerve, femoral Artery, femoral Vein, Empty space, Lymph. |
| Does the femoral sheath enclose femoral vessels and nerves? | NO! just vessels. Not nerves. |
| What shape is the femoral sheath? | funnel shaped (downward prolongation of transversalis fascia and iliac fascia.) |
| the Femoral Sheath fuses with CT of vessels _____ cm below _____ ligament. | 3-4, inguinal |
| The femoral sheath is pierced by what? | greater saphenous vein. |
| Name the 3 compartments of the femoral sheath. | Lateral, Middle, Medial |
| What is contained in the lateral compartment of the femoral sheath? What is contained in the middle compartment of the femoral sheath? | lateral-femoral artery: middle-femoral vein |
| What is contained in the medial compartment of the femoral sheath? | CT, lymph vessels, and nodes. (transmits efferent channels to external and internal iliac nodes) |
| What is the uppermost part of the medial compartment of the femoral sheath called? | femoral ring (opens into CT of abdomen) |
| Which compartment of the femoral sheath is called the femoral canal? | medial |
| Which compartment of the femoral sheath is the smallest? | medial |
| Can you name the two major arteries in the anterior thigh? (before more major branching) | OBTURATOR ARTERY (a branch of internal iliac) and FEMORAL ARTERY. |
| The obturator artery is a branch from what artery? | internal iliac a. |
| What is supplied by obturator artery? | area of obturator foramen, acetabulum, and head of femur. |
| Where is the obturator canal? | opening at top of obturator foramen. |
| Of the obturator artery and femoral artery, which is large and which is small? | obturator artery is small. Femoral artery is large. |
| Femoral artery is a continuation of the __(1)____ _____ under ___(2)____ ligament. | 1.external iliac. 2.inguinal |
| Name the branches of the femoral artery. | 1.superficial iliac circumflex a. 2.superficial epigastric a. 3.external pudendal a. 4.profunda femoris a. 5.descending genicular a. 6.popliteal a. |
| Which three branches of the femoral artery arise together and are around 1cm below the inguinal ligament? | 1.superficial iliac circumflex a. 2.superficial epigastric a. 3.external pudendal a. |
| Which branch of the femoral artery provides blood to deep thigh? | profunda femoris a. |
| the Profunda Femoris a. is a large branch of the femoral artery. It gives rise to what smaller arteries? | 1.medial femoral circumflex a. 2.lateral femoral circumflex a. 3.four perforating branches. |
| Which two branches of the profunda femoris a. supply the head of the femur? | 1.medial femoral circumflex a. 2.lateral femoral circumflex a. |
| Which branches of the profunda femoris a. supply the posterior thigh? What m. do they perforate? where? | the 4 perforating branches...They perforate adductor magnus close to its insertion on the linea aspera..... to supply post. thigh |
| Which branch of the femoral artery comes off just before the femoral a. passes through adductor hiatus? | descending genicular. |
| Femoral artery changes name to ____(1)____ artery at ___(2)_____ hiatus of ___(3)___ magnus. Also known as the ____(4)____ hiatus. | 1.popliteal. 2.tendinous. 3.adductor. 4.adductor. |
| At the base of the femoral triangle, the femoral artery is _______ to the femoral vein. | lateral |
| At the apex of femoral triangle, the femoral artery is ______ to the vein. | anterior |
| The femoral artery remains anterior to vein until bifucation in _______ ________. | popliteal fossa |
| the Adductor Canal is also known as.... | Hunter's Canal |
| What is the adductor canal? Where does it begin and end? | a narrow fascial tunnel that begins at the apex of the femoral triangle and ends at the adductor hiatus. |
| What does the adductor canal contain? | femoral vessels on their way to the popliteal fossa. |
| The adductor canal lies deep to the ___(1)___, anterior to the __(2)__ ______, and medial to ___(3)___ _______. | 1.sartorius. 2.adductor longus. 3.vastus medialis. |
| Three functional groups of muscles are ____, ____, and ______. | quads, adductors, and hamstrings |
| What is the origin and nerve innervation for the Iliacus? | O-iliac fossa. N-femoral n. |
| What is the origin and nerve innervation for the Psoas m.? | O-bodies, intervertebral discs, and transverse processes of ALL lumbar vertebrae. N-ventral rami. |
| What is the insertion for the iliacus and psoas? What is their action? | I-together on lesser trochanter. A-hip flexor. |
| Hip flextion is what myotome? | L1,2 |
| What nerve innervates all of the ant. thigh? | femoral n. |
| What are the actions of sartorius m? (Remember to sit with one leg crossed on top of the other) | flexes hip, rotates thigh laterally, flexes knee. |
| All of the parts of the Quadriceps Femoris m. converge down low on what? | quadriceps tendon. |
| Name the four parts of the Quadriceps Femoris m. | 1.Rectus Femoris. 2.Vasti (3 parts) |
| What are the three Vasti mm? | 1.vastus lateralis. 2.vastus medialis. 3.vastus intermedius. |
| Which vastus muscle is completly covered by rectus femoris and other vasti? | vastus intermedius |
| Which vastus muscle originates at the lateral lip of linea aspera and lateral intermuscular septum? | vastus lateralis |
| Which vastus muscle originates at the lower anterior part of intertrochanteric line and medial lip of linea aspera? | vastus medialis |
| Which vastus muscle originates on the anterior and lateral surface of the body of femur? | vastus intermedius. |
| All of the vasti mm. do what action? | extend leg (and rectus femoris also flexes thigh) |
| Articularis Genu is deep to what muscle? | vastus intermedius |
| What muscle pulls the joint capsule upward during knee extension? | Articularis Genu. |
| I have strong gascial expansions from quadriceps and fascia lata. I help form capsule of knee joint. I attach patella and patellar ligament to femoral and tibial condyles. What am I? | Patellar Retinaculum. |
| what is the name of the subcutaneous bursa over the patella? | prepatellar bursa. |
| What is the name of the bursa that is anterior to lower patellar ligament? | Infrapatellar bursa. |
| What muscle is innervated by both the femoral nerve, and the obturator nerve? | Pectineus m. |
| Each mm in the adductor group is innervated by what nerve? | obturator n. |
| Which of the mm. in the adductor group is most anterior? | Adductor Longus |
| The obturator nerve has anterior branch in front of ________ and posterior branch behind _______. | Adductor brevis, adductor brevis |
| The first perforating branch of ____________ ___________ artery usually pierces brevis. | profunda femoris artery |
| Which of the muscles in the adductor group does external rotation of the thigh? | Obturator Externus |
| I'm a skinny muscle that runs very straight down and crosses the knee. Who am I? | Gracilis m. |
| The only adductor to cross the knee is? | Gracilis m. |
| the Adductor Magnus is dualy innervated by what two nerves? | obturator n. and tibial portion of sciatic n. |
| The part of the adductor magnus m. arising from ischiopubic ramus is innervated by what nerve? | the obturator n. |
| The part of the adductor magnus m. arising from the ischial tuberosity is innervated by what nerve? | the tibial portion of sciatic nerve. (considered part of hamstrings) |
| the femoral artery and vein run through the ______ _________ and then change names. (to popliteal) | adductor hiatus. |
Created by:
christajtodd
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