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Questions and Answers
Which muscle is retracted caudally during the surgical procedure to expose the body of the femur?
Which muscle is retracted caudally during the surgical procedure to expose the body of the femur?
- Biceps Femoris (correct)
- Rectus Femoris
- Vastus Lateralis
- Tensor Fascia Lata
What structures are separated to expose the corpus femur during the surgery?
What structures are separated to expose the corpus femur during the surgery?
- Vastus Lateralis and Sartorius
- Vastus Lateralis and Vastus Intermedius (correct)
- Rectus Femoris and Vastus Intermedius
- Biceps Femoris and Tensor Fascia Lata
Why is the incision made on the cranio-lateral side of the femur?
Why is the incision made on the cranio-lateral side of the femur?
- To gain access to the muscle fibers of the sartorius
- To improve visibility of the tibia
- To avoid major blood vessels and nerves (correct)
- To access the quadriceps femoris group
Which muscle is NOT part of the quadriceps femoris group mentioned during the procedure?
Which muscle is NOT part of the quadriceps femoris group mentioned during the procedure?
What is the role of fascia during the surgical procedure?
What is the role of fascia during the surgical procedure?
What is the main artery supplying the region surrounding the femur noted in the content?
What is the main artery supplying the region surrounding the femur noted in the content?
Which anatomical feature is highlighted as not being dangerous for the incision location?
Which anatomical feature is highlighted as not being dangerous for the incision location?
What muscle is wrapped in fascia during the surgical exposure of the femur?
What muscle is wrapped in fascia during the surgical exposure of the femur?
What is the primary shape of the diaphysis of the os femur?
What is the primary shape of the diaphysis of the os femur?
Which muscle originates from the facies cranio-proximal in the subtrochanteric region?
Which muscle originates from the facies cranio-proximal in the subtrochanteric region?
What is the correct orientation for a surgical procedure involving the os femur?
What is the correct orientation for a surgical procedure involving the os femur?
During surgery, where is the incision made on the femoral diaphysis?
During surgery, where is the incision made on the femoral diaphysis?
Which of the following muscles is associated with the insertion on the caudal side of the femur's diaphysis?
Which of the following muscles is associated with the insertion on the caudal side of the femur's diaphysis?
What is the significance of the 1/3 distal on the caudo-medial side of the femur?
What is the significance of the 1/3 distal on the caudo-medial side of the femur?
What complication may arise if the surgical incision is not performed accurately on the lateral side?
What complication may arise if the surgical incision is not performed accurately on the lateral side?
What procedure is performed first in the surgical management of a femur fracture?
What procedure is performed first in the surgical management of a femur fracture?
What is the origin of the N.SAPHENOUS?
What is the origin of the N.SAPHENOUS?
Which two nerves branch from the N.ISCHIADICUS at approximately 1/3 of the proximal thigh?
Which two nerves branch from the N.ISCHIADICUS at approximately 1/3 of the proximal thigh?
What is the approximate length and shape of the LN.POPLITEAL?
What is the approximate length and shape of the LN.POPLITEAL?
Which structure does the thoracic duct commonly empty into?
Which structure does the thoracic duct commonly empty into?
Where is the N.SAPHENOUS located in relation to the M.QUADRICEPS FEMORIS?
Where is the N.SAPHENOUS located in relation to the M.QUADRICEPS FEMORIS?
Which structures are found anterior to the N.ISCHIADICUS after it exits the foramen ischiadica major?
Which structures are found anterior to the N.ISCHIADICUS after it exits the foramen ischiadica major?
What is the location of the lymphatic afferent vessels in relation to the LN.POPLITEAL?
What is the location of the lymphatic afferent vessels in relation to the LN.POPLITEAL?
The thoracic duct starts at which thoracic vertebrae in horses?
The thoracic duct starts at which thoracic vertebrae in horses?
Flashcards
Craniolateral side of femur
Craniolateral side of femur
The top and outer (lateral) part of the femur bone
Surgical incision on Craniolateral side reasons
Surgical incision on Craniolateral side reasons
To avoid major blood vessels and nerves while exposing the femur bone
M.Quadriceps Femoris
M.Quadriceps Femoris
Group of four muscles (Vastus Lateralis, Vastus Medialis, Vastus Intermedius, Rectus Femoris) on the front of the thigh
Fascia of Vastus Lateralis
Fascia of Vastus Lateralis
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Vascularization of the region
Vascularization of the region
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M. Tensor Fascia Lata
M. Tensor Fascia Lata
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M.Biceps Femoris
M.Biceps Femoris
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Muscles attached to Os Femur Diaphysis
Muscles attached to Os Femur Diaphysis
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Diaphysis of Os Femur
Diaphysis of Os Femur
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Surgical procedure on Reg. Os Femur
Surgical procedure on Reg. Os Femur
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Femur Diaphysis Fracture
Femur Diaphysis Fracture
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Clinical Signs of Possible Fracture
Clinical Signs of Possible Fracture
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Surgical Positioning for Femur Fracture Repair
Surgical Positioning for Femur Fracture Repair
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Surgical Incision for Fracture Repair
Surgical Incision for Fracture Repair
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Greater Trochanter
Greater Trochanter
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X-ray for Diagnosis
X-ray for Diagnosis
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Iliopsoas nerve branches
Iliopsoas nerve branches
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Ischiadicus nerve pathway
Ischiadicus nerve pathway
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Popliteal lymph node location
Popliteal lymph node location
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Popliteal lymph node drainage
Popliteal lymph node drainage
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Thoracic duct (horse)
Thoracic duct (horse)
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Saphenous nerve location
Saphenous nerve location
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Fibularis and tibial nerves
Fibularis and tibial nerves
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Nerve Plexus (lumbosacral)
Nerve Plexus (lumbosacral)
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Study Notes
Anatomy and Physiology of Os Femur Diaphysis Fracture in Dogs
- Patient: A 2-year-old male golden retriever mix
- Presenting Complaint: Paralysis of right hind leg following a car accident
- Clinical Examination:
- Painful right hind leg upon palpation
- Difficulty defecating and urinating
- Apparent double femur bone
- Heart rate: 100 beats/min
- Pulse rate: 68 beats/min
- Respiratory rate: 24 breaths/min
- Normal oral mucosa, conjunctiva, cardiovascular, and respiratory systems
X-Ray Findings
- Fracture of the diaphysis of the os femurs
Surgical Procedure
- Position: Lateral recumbency
- Proximal to trochanter major
- Distal to os patella
- Incisions:
- First, incision on the lateral side along the craniolateral margin of the femoral diaphysis
- Second incision on the distal part of the greater trochanter of the femur to the patella
- Muscle retraction:
- M. Biceps femoris is retracted caudally to expose the femur
- M. Vastus lateralis is retracted cranially
- Exposure of the corpus femoris by separating the fasciae of the vastus lateralis and vastus intermedius
- Additional surgical procedure details:
- Detailed descriptions of incisions, muscle retraction and exposure of the femur
Target Organs
- The femur, in this context, is the target organ.
Muscles Attached to the Diaphysis
- Cranial Muscles: Vastus lateralis, Intermedius, Medialis, and Adductor Longus
- Caudal Muscles: Adductor magnus et brevis, Pectineus, Semimembranosus,
- Note the different muscles and their locations/functions.
Vascularization
- The A. Femuralis is a continuation of the external iliac artery
- Located between the quadriceps and adductor muscle
- It continues as the popliteal artery distally
- The A. Femuralis is a major vessel for blood supply, and its branches provide blood to the area.
Branches of the Femoral Artery
- Superficial, medial and caudal branches of the femoral artery and its connections with other arteries.
Innervation
- Superficial branches of the N. Femoralis: Located in the area of the iliopsoas, and the tensor fascia lata
- Muscular branch extend toward the cranial and caudal sides of the M. Sartorius.
- Cutaneous branch extends cranially along the medial surface of the quadriceps femoris.
- Saphenous nerve is located at the plantar joint of the knee.
Lymphatic System
- Lymph nodes and ducts in relation to the affected leg.
- Popliteal lymph node: Oval shape, approximately 20 mm long
- The efferent vessels route to the iliac medial lymph node. The thoracic duct in horses ends at the left jugular or cranial vena cava.
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Description
This quiz covers the anatomy and physiology related to femur diaphysis fractures in dogs, specifically focusing on a case study involving a 2-year-old male golden retriever mix. It examines the clinical presentation, diagnostic imaging findings, and surgical procedures associated with femoral fractures. Test your knowledge on the surgical techniques and anatomical considerations important for veterinary practice.