Podcast
Questions and Answers
Damage to the obturator nerve would most significantly impair which of the following actions?
Damage to the obturator nerve would most significantly impair which of the following actions?
- Flexion of the thigh at the hip joint.
- Adduction of the thigh at the hip joint. (correct)
- Extension of the leg at the knee joint.
- Lateral rotation of the thigh at the hip joint.
A patient presents with an inability to extend their leg at the knee. Which nerve is most likely affected?
A patient presents with an inability to extend their leg at the knee. Which nerve is most likely affected?
- Obturator nerve.
- Tibial nerve.
- Femoral nerve. (correct)
- Sciatic nerve.
The profunda femoris artery is a major blood supply to which thigh compartment?
The profunda femoris artery is a major blood supply to which thigh compartment?
- Anterior compartment.
- Lateral compartment.
- Medial compartment. (correct)
- Posterior compartment.
Which muscle is innervated by both the femoral and sciatic nerves?
Which muscle is innervated by both the femoral and sciatic nerves?
The adductor hiatus serves as a passageway for the femoral artery and vein to transition into which vessels?
The adductor hiatus serves as a passageway for the femoral artery and vein to transition into which vessels?
Which of the following muscles contributes to both flexion and lateral rotation of the thigh at the hip joint?
Which of the following muscles contributes to both flexion and lateral rotation of the thigh at the hip joint?
Which muscle is NOT located in the medial compartment of the thigh?
Which muscle is NOT located in the medial compartment of the thigh?
Which of the muscle does NOT adduct the thight?
Which of the muscle does NOT adduct the thight?
A patient has difficulty raising their trunk from a supine position. Which muscle is mostly likely affected?
A patient has difficulty raising their trunk from a supine position. Which muscle is mostly likely affected?
Which action is primarily associated with the muscles of the anterior compartment thigh?
Which action is primarily associated with the muscles of the anterior compartment thigh?
During thigh extension, the iliofemoral, ischiofemoral, and pubofemoral ligaments experience a change. What is the primary mechanical effect of this change on the hip joint?
During thigh extension, the iliofemoral, ischiofemoral, and pubofemoral ligaments experience a change. What is the primary mechanical effect of this change on the hip joint?
A patient presents with a fracture of the femoral neck. Which of the following structures is MOST at risk of being compromised, potentially leading to avascular necrosis of the femoral head?
A patient presents with a fracture of the femoral neck. Which of the following structures is MOST at risk of being compromised, potentially leading to avascular necrosis of the femoral head?
Following a deep laceration to the anterior thigh, a patient exhibits significant weakness in hip flexion and knee extension. Which of the following muscles is MOST likely affected, given its dual role at both joints?
Following a deep laceration to the anterior thigh, a patient exhibits significant weakness in hip flexion and knee extension. Which of the following muscles is MOST likely affected, given its dual role at both joints?
A surgeon is planning to perform a hip replacement. During the procedure, they need to carefully dissect the ligaments surrounding the hip joint. Damage to which ligament would MOST significantly compromise the hip's resistance to hyperextension?
A surgeon is planning to perform a hip replacement. During the procedure, they need to carefully dissect the ligaments surrounding the hip joint. Damage to which ligament would MOST significantly compromise the hip's resistance to hyperextension?
A patient is diagnosed with compartment syndrome in the thigh, specifically affecting the anterior compartment. Which vascular structure is MOST likely to be compressed, potentially exacerbating the condition?
A patient is diagnosed with compartment syndrome in the thigh, specifically affecting the anterior compartment. Which vascular structure is MOST likely to be compressed, potentially exacerbating the condition?
A 60-year-old male presents with pain in his groin and thigh. Imaging reveals avascular necrosis of the femoral head. Occlusion of which artery would MOST DIRECTLY lead to this condition?
A 60-year-old male presents with pain in his groin and thigh. Imaging reveals avascular necrosis of the femoral head. Occlusion of which artery would MOST DIRECTLY lead to this condition?
A patient reports experiencing numbness and tingling in the anterior thigh. Compression of which structure as it passes under the inguinal ligament would MOST likely cause these symptoms?
A patient reports experiencing numbness and tingling in the anterior thigh. Compression of which structure as it passes under the inguinal ligament would MOST likely cause these symptoms?
During a surgical procedure involving the posterior thigh, a surgeon must carefully consider the path of the sciatic nerve. Which anatomical landmark can BEST guide the surgeon in locating and protecting the sciatic nerve during the approach?
During a surgical procedure involving the posterior thigh, a surgeon must carefully consider the path of the sciatic nerve. Which anatomical landmark can BEST guide the surgeon in locating and protecting the sciatic nerve during the approach?
A patient presents with a chronic groin pain that is exacerbated by hip flexion. Which of the following structures is MOST likely the source of the patient's pain?
A patient presents with a chronic groin pain that is exacerbated by hip flexion. Which of the following structures is MOST likely the source of the patient's pain?
A patient is involved in a motor vehicle accident, resulting in a pelvic fracture that disrupts blood flow through the external iliac artery. What is the MOST likely immediate consequence regarding blood supply to the lower limb?
A patient is involved in a motor vehicle accident, resulting in a pelvic fracture that disrupts blood flow through the external iliac artery. What is the MOST likely immediate consequence regarding blood supply to the lower limb?
If a patient experiences damage to the ascending branch of the lateral circumflex femoral artery, which of the following complications is MOST likely to arise due to impaired blood supply?
If a patient experiences damage to the ascending branch of the lateral circumflex femoral artery, which of the following complications is MOST likely to arise due to impaired blood supply?
A surgeon performing a hip arthroplasty needs to carefully dissect around the obturator artery to avoid complications. If the obturator artery is inadvertently damaged, what is the MOST significant risk to the patient?
A surgeon performing a hip arthroplasty needs to carefully dissect around the obturator artery to avoid complications. If the obturator artery is inadvertently damaged, what is the MOST significant risk to the patient?
A patient presents with a deep laceration on the medial aspect of their thigh, just superior to the knee. After initial assessment, active hemorrhage from the great saphenous vein is noted. Which of the following describes the MOST appropriate next step in managing this patient's venous bleeding?
A patient presents with a deep laceration on the medial aspect of their thigh, just superior to the knee. After initial assessment, active hemorrhage from the great saphenous vein is noted. Which of the following describes the MOST appropriate next step in managing this patient's venous bleeding?
A patient reports numbness in the anterior thigh after a recent surgery involving the inguinal region. Given the anatomical relationships within the femoral triangle, which nerve is the MOST likely to have been iatrogenically injured?
A patient reports numbness in the anterior thigh after a recent surgery involving the inguinal region. Given the anatomical relationships within the femoral triangle, which nerve is the MOST likely to have been iatrogenically injured?
During a surgical procedure to repair a femoral hernia, a surgeon inadvertently damages the medial border of the femoral triangle. Which structure is MOST at risk for injury?
During a surgical procedure to repair a femoral hernia, a surgeon inadvertently damages the medial border of the femoral triangle. Which structure is MOST at risk for injury?
A patient is diagnosed with lymphedema in the lower limb due to lymphatic vessel compression. Considering the anatomical location of the femoral canal, which of the following structures is MOST likely responsible for this compression?
A patient is diagnosed with lymphedema in the lower limb due to lymphatic vessel compression. Considering the anatomical location of the femoral canal, which of the following structures is MOST likely responsible for this compression?
A patient presents with weakness in hip abduction and foot eversion following an injury. Based on the nerve supply of the lower limb, damage to which nervous plexus is MOST likely?
A patient presents with weakness in hip abduction and foot eversion following an injury. Based on the nerve supply of the lower limb, damage to which nervous plexus is MOST likely?
Damage to the superior gluteal nerve results in a characteristic gait abnormality. Which of the following compensatory mechanisms is MOST likely observed in a patient with this nerve injury?
Damage to the superior gluteal nerve results in a characteristic gait abnormality. Which of the following compensatory mechanisms is MOST likely observed in a patient with this nerve injury?
A patient has a lesion in the anterior compartment of the thigh. Which of the following clinical presentations would be MOST consistent with this condition?
A patient has a lesion in the anterior compartment of the thigh. Which of the following clinical presentations would be MOST consistent with this condition?
A patient is unable to extend their knee against resistance but hip flexion is normal. Which specific muscle is MOST likely affected?
A patient is unable to extend their knee against resistance but hip flexion is normal. Which specific muscle is MOST likely affected?
Which combination of actions is uniquely performed by the semitendinosus and semimembranosus muscles?
Which combination of actions is uniquely performed by the semitendinosus and semimembranosus muscles?
If the superior gluteal nerve were severed, which specific actions would be most significantly compromised?
If the superior gluteal nerve were severed, which specific actions would be most significantly compromised?
A patient presents with an inability to extend their thigh at the hip. Damage to which nerve and corresponding arterial supply is most likely responsible?
A patient presents with an inability to extend their thigh at the hip. Damage to which nerve and corresponding arterial supply is most likely responsible?
Which statement accurately contrasts the vascular supply to the posterior thigh compartment and the gluteal region?
Which statement accurately contrasts the vascular supply to the posterior thigh compartment and the gluteal region?
What is the functional consequence of selectively weakening the gluteus medius muscle?
What is the functional consequence of selectively weakening the gluteus medius muscle?
How does the innervation of the biceps femoris muscle differ from that of the semitendinosus and semimembranosus muscles, and what functional implication does this have?
How does the innervation of the biceps femoris muscle differ from that of the semitendinosus and semimembranosus muscles, and what functional implication does this have?
Damage specifically to the medial circumflex femoral artery would most significantly affect the blood supply to which group of muscles and what would be the primary functional deficit?
Damage specifically to the medial circumflex femoral artery would most significantly affect the blood supply to which group of muscles and what would be the primary functional deficit?
A patient is diagnosed with piriformis syndrome, resulting in compression of the sciatic nerve. Which of the following symptoms would you expect, and how do they relate to the anatomy of the region?
A patient is diagnosed with piriformis syndrome, resulting in compression of the sciatic nerve. Which of the following symptoms would you expect, and how do they relate to the anatomy of the region?
How do the actions of the gluteus medius and minimus muscles relate to the function of the tensor fascia lata (TFL), and how does this synergy contribute to lower limb stability?
How do the actions of the gluteus medius and minimus muscles relate to the function of the tensor fascia lata (TFL), and how does this synergy contribute to lower limb stability?
A surgeon needs to perform a procedure involving the obturator internus muscle. What other muscles must the surgeon be mindful of due to their close anatomical relationship, and what common action do these muscles share?
A surgeon needs to perform a procedure involving the obturator internus muscle. What other muscles must the surgeon be mindful of due to their close anatomical relationship, and what common action do these muscles share?
Flashcards
Lateral Circumflex Femoral Artery
Lateral Circumflex Femoral Artery
Branch of the deep femoral artery that circles the femur laterally, it has ascending and descending branches.
Artery of Ligamentum Teres Femoris
Artery of Ligamentum Teres Femoris
Provides blood flow to the femoral head. Branches from the obturator artery via the internal iliac artery.
Great Saphenous Vein
Great Saphenous Vein
A superficial vein that runs along the medial side of the leg and thigh, draining into the femoral vein.
Femoral Triangle Borders
Femoral Triangle Borders
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Fascia Lata
Fascia Lata
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Femoral Sheath
Femoral Sheath
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Femoral Canal
Femoral Canal
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Lumbosacral Plexus
Lumbosacral Plexus
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Thigh Muscle Compartments
Thigh Muscle Compartments
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Anterior Compartment Thigh Muscles
Anterior Compartment Thigh Muscles
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Lower Limb Regions
Lower Limb Regions
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Lower Limb Bones
Lower Limb Bones
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Femur Key Features
Femur Key Features
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Femur: Additional Features
Femur: Additional Features
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Hip Joint Ligaments
Hip Joint Ligaments
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Ligament Action During Thigh Extension
Ligament Action During Thigh Extension
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Hip Joint Details
Hip Joint Details
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Outline: Lower Limb Blood Flow
Outline: Lower Limb Blood Flow
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Blood Flow into Thigh
Blood Flow into Thigh
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Thigh Arterial Blood Flow
Thigh Arterial Blood Flow
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Quadriceps Femoris Tendon
Quadriceps Femoris Tendon
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Femoral Artery (Thigh)
Femoral Artery (Thigh)
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Femoral Nerve (Thigh)
Femoral Nerve (Thigh)
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Quadriceps Femoris Action
Quadriceps Femoris Action
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Sartorius Action
Sartorius Action
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Iliopsoas Muscle Actions
Iliopsoas Muscle Actions
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Adductor Canal
Adductor Canal
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Profunda Femoris & Obturator Arteries
Profunda Femoris & Obturator Arteries
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Obturator Nerve (Thigh)
Obturator Nerve (Thigh)
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Adductor Muscles Action
Adductor Muscles Action
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Hamstring muscles action
Hamstring muscles action
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Gluteus Maximus action
Gluteus Maximus action
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Gluteus Medius & Minimus actions
Gluteus Medius & Minimus actions
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Deep gluteal rotator muscles action
Deep gluteal rotator muscles action
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Muscles of the posterior compartment of the thigh
Muscles of the posterior compartment of the thigh
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Function of the Gluteus Maximus
Function of the Gluteus Maximus
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Function of the Gluteus Medius and Minimus
Function of the Gluteus Medius and Minimus
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Blood supply to the gluteal region
Blood supply to the gluteal region
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Action of Piriformis and Obturator Internus
Action of Piriformis and Obturator Internus
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Innervation of gluteal muscles
Innervation of gluteal muscles
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Study Notes
- Human Anatomy - ANTH/EEB/NURS 250 - Lecture 4.2
Lower Limb Regions
- Regions include the hip, femoral (thigh), knee (patellar/popliteal), crural (leg), ankle and foot
Lower Limb Bones
- Bones include the os coxa (pelvis), femur, patella, tibia and fibula
- The foot bones include 7 tarsals, 5 metatarsals and 14 phalanges
Thigh: Femur
- The femur is divided into the head, neck, shaft (diaphysis), condyles, greater and lesser trochanter, gluteal tuberosity, linea aspera, epicondyles and patellar surface
Thigh: Hip Joint
- Ligaments of the hip include the iliofemoral, pubofemoral and ischiofemoral ligaments that TWIST when the thigh is EXTENDED
- The hip joint also includes the lunate surface (within acetabulum) and ligamentum teres (ligament of the femoral head)
Lower Limb: Blood flow overview
- Lower limb blood flow is supplied via the external iliac artery and the external iliac vein
Thigh: Blood flow into the thigh
- Thigh blood flow enters via the inguinal ligament and superficial inguinal ring, then into the external iliac artery and vein
Thigh: Arterial Blood Flow
- Arterial blood flow progresses from the external iliac artery to the femoral artery
- From there, blood reaches the adductor hiatus (in the adductor magnus muscle) then the popliteal artery
- Blood flow continues into the profunda femoris artery (deep artery of the thigh), medial circumflex femoral artery, and lateral circumflex femoral artery
- The lateral circumflex femoral artery is divded into an ascending and a descending branch
Hip: Blood flow to the femoral head
- Blood reaches the femoral head via the artery of the ligamentum teres femoris and the obturator artery (branch of the internal iliac artery)
Thigh: Great Saphenous Vein & Femoral Triangle
- The femoral triangle constists of the femoral nerve, femoral artery and femoral vein
- The great saphenous vein is on the medial side of the dorsal venous arch and connects to the femoral vein
- The femoral triangle is bordered by the sartorius muscle, adductor longus muscle and inguinal ligament
Thigh: Femoral Triangle and Superficial Tissues
- Tissues include the fascia lata (deep fascia enclosing the thigh muscles), femoral sheath (funnel-shaped fascial sleeve enclosing the femoral artery and vein), and femoral canal (medial compartment of the femoral sheath containing lymphatic vessels and nodes)
Lower Limb: Nerves Overview
- Nerves include the lumbar nerves (lumbar plexus), sacral nerves (sacral plexus) and lumbosacral nervous plexus
- Specific nerves include the lateral femoral cutaneous n., femoral n., obturator n., superior gluteal n., inferior gluteal n. and sciatic n
Thigh: Muscle Compartments
- Anterior compartment
- Medial compartment
- Posterior compartment
Thigh: Anterior Compartment
- Muscles include the sartorius, rectus femoris, vastus lateralis, vastus medialis, vastus intermedius and quadriceps femoris tendon
- Blood reaches this compartement via the femoral artery, femoral vein and lateral circumflex femoral artery
- The femoral nerve innervates this compartment
- The quadriceps femoris extends the leg at the knee joint
- The sartorius flexes, abducts and laterally rotates the thigh at the hip joint
- The rectus femoris flexes the thigh at the hip joint
Hip: Iliopsoas muscle
- Contains the psoas major and iliacus muscles which are innervated by the femoral nerve
- These muscles flex the thigh at the hip joint and raise the trunk when lying supine
- The psoas is also a postural muscle
Thigh: Medial Compartment
- Muscles include the pectineus, adductor brevis, adductor longus, gracilis, obturator externus and adductor magnus
- Blood reaches this compartment via the profunda femoris artery, obturator atery, profunda femoris vein and obturator vein
- Nerves that innervate this compartment include the obturator nerve, femoral nerve for only the pectineus muscle and sciatic nerve for the hamstring portion of the adductor magnus muscle
- In terms of actions, muscles named “adductor” and gracilis ADDUCT the thigh at the hip joint
- The pectineus and adductor longus WEAKLY FLEX the thigh at the hip joint
- The adductor magnus EXTENDS the thigh (hamstring part) at the hip
- Additionally, the obturator externus LATERALLY ROTATES the thigh at the hip joint
Thigh: Adductor Canal & Hiatus
- This facilitates the passage for neurovascular structure from the femoral triangle to the popliteal fossa
- The vastus medialis, adductor longus/magnus, and sartorius all influence this
Thigh: Posterior Compartment
- The posterior compartment is also known as the hamstrings
- Muscles incude the semitendinosis, biceps femoris (long head), biceps femoris (short head) and semimembranosus muscles
- Blood reaches this compartment via the perforating branches of the profunda femoris artery, popliteal artery (distal portions only), perforating branches of the profunda femoris vein and popliteal vein (distal portions only)
- The sciatic nerve innervates this compartment
- In terms of actions, the semitendinosus, semimembranosus and biceps femoris all EXTEND the thigh at the hip and FLEX the leg at the knee
- The semitendinosus and semimembranosus ALSO EXTEND the trunk at the hip WHEN the thigh and leg are flexed
Thigh: Gluteal Region
- Includes the gluteal aponuerosis (over the gluteus medius), gluteus maximus, gluteus medius, tensor fasica lata and iliotibial tract
- Blood reaches this region via the superior gluteal artery and vein, inferior gluteal artery and vein and medial circumflex femoral artery and vein
- Nerves that innervate this region include the superior gluteal nerve (gluteus medius, gluteus minimus and tensor fascia lata) and inferior gluteal nerve (gluteus maximus)
- Also includes the gluteus minimius, piriformis, superior gemellus, obturator internus, inferior gemellus and quadratus femoris muscles
Thigh: Piriformis and Obturator Muscles
- Includes the piriformis m., pudendal n., obturator internus m., and obturator externus m. with relevant sacral spinal nerve levels
Thigh: Gluteal Region - Actions
- Actions of the gluteal region include:
- Gluteus maximus - EXTEND thigh at hip
- Gluteus medius & minimus- ABDUCT and MEDIALLY ROTATE thigh at the hip
- All other muscles - LATERALLY ROTATE thigh at hip and STEADY femoral head in the hip joint
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