Lower Limb Regions and Thigh Compartments

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Questions and Answers

Which artery connects directly to branches of the popliteal artery?

  • Lateral circumflex femoral artery
  • Femoral artery
  • Medial circumflex femoral artery
  • Deep artery of thigh (correct)

Which muscle is NOT part of the medial compartment of the thigh?

  • Vastus lateralis (correct)
  • Adductor longus
  • Pectineus
  • Gracilis

What major vein becomes the external iliac vein after passing under the inguinal ligament?

  • Great saphenous vein
  • Femoral vein (correct)
  • Lateral circumflex vein
  • Popliteal vein

Which branch of the deep artery of thigh has ascending, transverse, and descending components?

<p>Lateral circumflex femoral artery (B)</p> Signup and view all the answers

From where does the great saphenous vein originate?

<p>Dorsal aspect of the foot (A)</p> Signup and view all the answers

What is the primary action of the rectus femoris muscle?

<p>Knee extension and hip flexion (B)</p> Signup and view all the answers

Which nerve supplies the muscles in the anterior compartment of the thigh?

<p>Femoral nerve (A)</p> Signup and view all the answers

Which of the following muscles is NOT part of the quadriceps femoris group?

<p>Sartorius (D)</p> Signup and view all the answers

What is the primary action of the iliacus muscle?

<p>Hip flexion (D)</p> Signup and view all the answers

Which compartment of the thigh is primarily responsible for adduction?

<p>Medial compartment (B)</p> Signup and view all the answers

Which muscle assists in lateral rotation of the thigh?

<p>Sartorius (C)</p> Signup and view all the answers

What is the nerve supply for the Psoas major muscle?

<p>L1-L3 nerves (A)</p> Signup and view all the answers

Which of the following muscles flexes the hip and also assists with thigh lateral rotation?

<p>Psoas major (A)</p> Signup and view all the answers

Where does the great saphenous vein primarily run in relation to the femoral vessels?

<p>Medially (B)</p> Signup and view all the answers

What is the primary action of the vastus intermedius muscle?

<p>Knee extension (D)</p> Signup and view all the answers

Which of the following is NOT a boundary of the anterior femoral triangle?

<p>Gluteus maximus muscle (A)</p> Signup and view all the answers

Which nerve supplies sensation to the medial side of the foot?

<p>Saphenous nerve (B)</p> Signup and view all the answers

What is the main content found in the adductor (subsartorial) canal?

<p>Saphenous nerve and femoral artery (C)</p> Signup and view all the answers

Which artery is a continuation of the external iliac artery as it passes deep to the inguinal ligament?

<p>Femoral artery (A)</p> Signup and view all the answers

Which statement correctly describes the profunda femoris artery?

<p>It is the largest branch of the femoral artery. (A)</p> Signup and view all the answers

Which of the following correctly describes the relationship between the femoral nerve and the femoral sheath?

<p>The femoral nerve is lateral to the femoral sheath. (C)</p> Signup and view all the answers

Which of the following branches of the femoral artery is NOT one of its terminal branches?

<p>Popliteal artery (A)</p> Signup and view all the answers

What is the primary action of the Adductor Longus muscle?

<p>Adducts and medially rotates the thigh at the hip joint (D)</p> Signup and view all the answers

Which muscle has its origin on the external surface of the body of the pubis?

<p>Adductor Longus (D)</p> Signup and view all the answers

Which nerve supplies the Adductor Brevis?

<p>Obturator nerve (D)</p> Signup and view all the answers

Which of the following muscles is responsible for flexing the leg at the knee joint?

<p>Gracilis (C)</p> Signup and view all the answers

What is the insertion point of the Pectineus muscle?

<p>Proximal shaft of the femur (D)</p> Signup and view all the answers

Which artery primarily supplies the adductor muscles of the thigh?

<p>Deep artery of the thigh (A)</p> Signup and view all the answers

Which action is NOT performed by the Adductor Magnus?

<p>Flexion of the knee joint (D)</p> Signup and view all the answers

Which muscle is innervated by both the Obturator nerve and the Sciatic nerve?

<p>Adductor Magnus (C)</p> Signup and view all the answers

What is the main action of the Obturator externus muscle?

<p>Laterally rotates the thigh at the hip joint (C)</p> Signup and view all the answers

Which of the following muscles originates from the posterior surface of the femur?

<p>Adductor Magnus (B)</p> Signup and view all the answers

Flashcards

Gluteal region

The region of the lower limb encompassing the buttock.

Femoral region

The region of the lower limb containing the thigh muscles.

Anterior compartment of thigh

The anterior compartment of the thigh houses muscles responsible for extending the knee and flexing the hip.

Quadriceps femoris

The largest muscle group in the anterior compartment of the thigh, responsible for knee extension and hip flexion (in the case of rectus femoris).

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Sartorius

The longest muscle in the human body, spanning from the hip to the knee, responsible for knee flexion, hip flexion, thigh abduction, and lateral rotation.

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Psoas major

A major hip flexor, lying deep in the abdomen.

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Iliacus

A strong hip flexor located in the pelvis.

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Femoral triangle

A triangular area in the femoral region, containing blood vessels and nerves.

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Femoral sheath

A fibrous sheath surrounding the femoral artery, vein, and nerve within the femoral triangle.

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Adductor canal

A long passage in the thigh that continues the femoral triangle, containing blood vessels and the saphenous nerve.

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Anterior Femoral Triangle

A triangular area situated in the upper medial thigh, just below the inguinal ligament.

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Inguinal Ligament

The superior boundary of the Anterior Femoral Triangle, it is a strong ligament that spans the pelvis.

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Adductor (Subsartorial) Canal

A long, narrow channel in the middle third of the thigh, extending from the apex of the femoral triangle to the adductor hiatus.

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Femoral Nerve

The largest branch of the lumbar plexus, it originates from spinal nerve roots L2-L4.

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Femoral Artery

The continuation of the external iliac artery, after passing deep to the inguinal ligament. It runs through the femoral triangle and descends vertically in the thigh.

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Deep Artery of Thigh (Profunda Femoris Artery)

The largest branch of the femoral artery. It supplies the deep muscles of the thigh.

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Iliacus Muscle

A muscle that flexes the hip joint. It originates from the iliac fossa and inserts into the lesser trochanter of the femur.

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Psoas Major Muscle

A muscle that flexes the hip joint. It originates from the iliac fossa and inserts into the lesser trochanter of the femur.

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Branches of the Deep Artery of Thigh

Lateral and Medial Circumflex Femoral Arteries, Four Perforating Arteries supplying the posterior compartment of the thigh.

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Great Saphenous Vein

The largest vein in the leg, starting from the foot and ascending up towards the thigh, connecting with the femoral vein near the inguinal ligament.

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Adductor Longus

A large muscle in the medial compartment of the thigh, responsible for adducting and rotating the thigh at the hip joint.

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Adductor Brevis

A smaller muscle located in the medial compartment of the thigh, acting as an adductor for the thigh at the hip joint.

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Adductor Magnus

A large and powerful muscle spanning the medial compartment of the thigh. It adducts and medially rotates the thigh at the hip joint.

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Gracilis

A long, thin muscle running along the medial side of the thigh, responsible for adducting and flexing the thigh at the hip joint and flexing the leg at the knee.

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Pectineus

A small but strong muscle located anterior to the hip joint, responsible for adducting and flexing the thigh at the hip joint.

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Obturator Externus

A small muscle located deep in the pelvic region, responsible for laterally rotating the thigh at the hip joint.

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Obturator Artery

A major artery in the pelvic cavity that supplies blood to the medial compartment of the thigh.

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Obturator Nerve

A nerve that provides innervation to the muscles of the medial compartment of the thigh.

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Adductor Group

A group of muscles located on the medial side of the thigh, responsible for adduction and medial rotation of the thigh at the hip joint.

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Study Notes

Lower Limb Regions

  • The lower limb consists of six regions or parts: Gluteal region, Femoral region (Thigh), Knee joint, Leg region, Ankle joint, and Foot.

Thigh Compartments

  • The thigh is divided into three compartments by intermuscular septa:
    • Anterior compartment (extensor)
    • Posterior compartment (flexor)
    • Medial compartment (adductor)

Anterior Thigh Compartment Muscles

  • Hip flexors: Quadriceps femoris, Sartorius, Psoas major, and Iliacus
  • Blood vessels: Femoral vessels and Great saphenous vein
  • Nerves: Femoral nerve

Anterior Thigh Compartment Structures

  • Femoral Triangle
  • Femoral Sheath
  • Adductor Canal

Quadriceps femoris

  • Consist of four muscles:
    • Rectus femoris
    • Vastus medialis
    • Vastus intermedius
    • Vastus lateralis
  • Nerve supply: Femoral nerve
  • Action: Knee extension and hip flexion (rectus femoris)

Sartorius Muscle

  • Oblique muscle
  • Nerve supply: Femoral nerve
  • Action: Knee flexion, hip flexion, thigh abduction, and lateral rotation

Psoas Major

  • Nerve supply: L1-L3 nerves
  • Action: Hip flexion, thigh lateral rotation

Iliacus

  • Nerve supply: Femoral nerve
  • Action: Hip flexion, thigh lateral rotation

Medial Compartment of the Thigh

  • Muscles: Adductor longus, brevis, Magnus, Gracilis, Pectineus, and Obturator externus
  • Blood supply: Deep artery of the thigh and Obturator artery
  • Nerve supply: Obturator nerve

Obturator Artery

  • A branch of the internal iliac artery
  • It enters the medial compartment of the thigh through the obturator canal
  • It bifurcates into anterior and posterior branches forming a channel around the obturator membrane.

Obturator Nerve

  • Arises from the lumbar plexus
  • Enters the thigh through the obturator foramen and divides into anterior and posterior divisions.

Femoral Artery

  • Continuation of the external iliac artery.
  • It descends vertically through the femoral triangle before passing through the adductor canal, and exiting as the popliteal artery
  • Branches: superficial epigastric artery, superficial circumflex iliac artery, superficial external pudendal artery, deep external pudendal artery, and profunda femoris artery.

Deep Artery of Thigh(Profunda femoris artery)

  • Largest branch of the femoral artery.
  • Supplies the thigh
  • Passes between the pectineus and adductor longus, between adductor longus and brevis muscles
  • Penetrates the adductor magnus to connect with branches of the popliteal artery behind the knee.
  • Branches: Lateral circumflex femoral A, Medial circumflex femoral A, Four Perforating arteries

Femoral Vein

  • Major deep vein draining the limb
  • Becomes external iliac vein when passing under inguinal ligament and entering abdomen

Great Saphenous Vein

  • Originates from dorsal aspect of foot.
  • Ascends medial side of the leg, knee, and thigh
  • Connects with the femoral vein via the saphenous ring in deep fascia inferior to the inguinal ligament.

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