LEA I Midterm Exam 2 Review: Thigh and Leg Anatomy

Which nerve innervates the medial thigh?

Which nerve is responsible for motor innervation of the posterior thigh and leg, as well as the plantar foot?

Which nerve supplies the perineum and travels with the internal pudendal artery?

Which sacral plexus nerve provides sensory innervation to the posterior thigh?

Which nerve is responsible for motor innervation of the anterior and lateral leg, as well as the dorsal foot?

Which division of the lumbar plexus innervates the anterior thigh?

According to Hilton's Law, which of the following is true?

Which of the following nerves is responsible for the sensory innervation of the hip joint capsule?

Which of the following structures is NOT part of the anterior compartment of the thigh?

Which of the following is the correct sequence of appearance of the secondary ossification centers in the femur?

Which of the following structures is NOT a bony prominence on the proximal end of the femur?

Which artery supplies the medial thigh region and passes through the obturator canal?

What is the name of the cartilaginous growing area of a long bone located in the metaphysis?

Which of the following statements about the linea aspera of the femur is INCORRECT?

Which of the following statements about the ossification of long bones is CORRECT?

What is the innervation of the adductor magnus hamstring portion?

Which nerve supplies the gluteus maximus muscle?

What is the action of the gracilis muscle?

Which nerve innervates the obturator externus and superior gemellus muscles?

What is the blood supply to the posterior thigh muscles primarily derived from?

Which of the following muscles originates from the superolateral quadrant of the ischial tuberosity?

Which of the following structures is located in the inferomedial quadrant of the ischial tuberosity?

Which of the following statements about the ischial tuberosity is INCORRECT?

Which of the following is the correct order of the hamstring muscles from lateral to medial?

Which of the following structures is NOT located near the ischial tuberosity?

What is the function of the fibro-adipose pad located in the inferomedial quadrant of the ischial tuberosity?

Match each blood supply to its description

Match each hip arterial anastomosis to its branches

Match each nerve to its innervation span

Match each nerve to its plexus

Match each nerve to its innervation site

Match each sacral plexus nerve to its division.

Match each intermuscular septum to the compartments it separates

The attachments of the intermuscular septa include the linea aspera and the superficial surface of the fascia latae.

The origins of the medial compartment of the thigh are the pubis (adductor magnus: ischial tuberosity). The insertions of the medial compartment of the thigh are the linea aspera (Adductor magnus: adductor tubercle, pectineal line)

What are the actions of the medial compartment muscles?

What separates the anterior and posterior divisions of the obturator nerve (L2-L4)

What are the actions of the posterior thigh muscles?

Match each muscle of the posterior compartment of the thigh to its origin

Match each hamstring muscle to its insertion

Match each border of the popliteal fossa with its description

List the contents of the popliteal fossa from superficial to deep

What is an example of the deep vein (Venae Commitantes)?

What is the lesser saphenous vein a tributary of?

List the actions of perforating veins

List all of the popliteal fossa branches of the femoral artery

What is not a branch that is formed due to the trifurcation of the femoral artery?

B.L., a 65-year-old woman, submitted to cardiac catheterization (thin, flexible tube (catheter) is guided through a blood vessel to the heart) in order to measure the pressures in the chambers of her heart. A catheter was inserted in her right femoral vein in the femoral triangle and floated through the iliac veins and the inferior vena cava to the right heart, where diagnostic procedures were performed without incident. Four hours after completion of the procedure, however, B.L. began to complain of a painful throbbing in her right groin. Over the course of the next hour, the pain worsened and she began to experience numbness and tingling in her right anteromedial thigh and leg. On examination, her right leg felt cool and a mass was observed in the right groin. No distal pulses could be felt in the leg. B.L. was immediately taken up to surgery for exploration of the groin region.

Given what you know about the anatomy of the inguinal region and the anteromedial thigh, what structure would NOT be at risk as it pertains to catheterization in the groin region?

Refer back to the case study from question #48 for the following question:

What do you think caused the mass in the groin?

Refer back to the case study from question #48 for the following question:

How would you explain the numbness and absence of distal pulses?

A marathon runner, while training for an upcoming race began showing a series of symptoms: • A deep, tight ache in the lower part of their right buttock and proximal posterior thigh • Pain is worse in the morning and slightly better by the later afternoon. • Sitting on firm surfaces is uncomfortable • Jogging or trying to run hurts immediately as soon as they push off into a stride (extend thigh and bending knee). They can run through it, but it remains painful and gets sorer if they continue.

What is the diagnosis?

19-year-old presented to a hospital with bilateral pain and swelling in their thighs.

1. 3 nights prior had attended a 45-minute spinning class for the first time.
2. After class, they noted pain and swelling in thighs, but did not seek medical attention until 3 days later – noted dark urine
3. Initial findings: • tight, painful thigh compartments with extreme tenderness on passive motion • tingling and numbness in right leg • High anterior compartment pressures of the right thigh were measured

What is the treatment for compartment syndrome?

In which demographic is avulsion fracture of the ischial tuberosity most commonly seen?

“A 24-year-old female patient visited a pain clinic with the chief complaint of right popliteal fossa area pain and intermittent swelling for 2 years. There was no history of trauma or any other known medico-surgical history. Although she had visited many local clinics for 2 years, she could not be diagnosed properly. In addition, the medications and physical therapy from different local clinics did not help to improve her symptoms. The pain became worse when she changed her position from sitting to standing, with characteristics like sharp pricking, pulling and picking. The severe pain was rated 6 to 8 on the visual analogue scale (VAS). Sometimes, soft tissue swelling was accompanied with pain in affected area.”

What is the diagnosis?

A possible cause of popliteal fossa pain is venous malformation. This most commonly occurs with the veins.

Match each medial thigh muscle to its origin.

Match each medial thigh muscle to its insertion

Match each portion of adductor magnus to its orgin/insertion

Match each posterior compartment muscle with its action.