Podcast
Questions and Answers
What is the primary function of the posterior thigh muscles?
What is the primary function of the posterior thigh muscles?
Which of the following muscles is innervated by the tibial nerve?
Which of the following muscles is innervated by the tibial nerve?
What is the distal attachment point for the semitendinosus muscle?
What is the distal attachment point for the semitendinosus muscle?
Which action is performed by the semimembranosus muscle?
Which action is performed by the semimembranosus muscle?
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Which muscle shares the same proximal attachment as the semimembranosus?
Which muscle shares the same proximal attachment as the semimembranosus?
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What is the main action of both the semitendinosus and semimembranosus muscles when the knee is flexed?
What is the main action of both the semitendinosus and semimembranosus muscles when the knee is flexed?
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The proximal attachment for the semimembranosus is located at which anatomical landmark?
The proximal attachment for the semimembranosus is located at which anatomical landmark?
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Which of the following describes the innervation pattern of muscles in the posterior thigh?
Which of the following describes the innervation pattern of muscles in the posterior thigh?
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What wraps around the femur and anastomoses at the knee?
What wraps around the femur and anastomoses at the knee?
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Which artery branches off the femoral artery in the femoral triangle?
Which artery branches off the femoral artery in the femoral triangle?
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The Saphenous nerve is a motor branch of the femoral nerve.
The Saphenous nerve is a motor branch of the femoral nerve.
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Which muscles insert at the superior medial tibia to form the Pes Anserinus?
Which muscles insert at the superior medial tibia to form the Pes Anserinus?
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The _____ Nerve descends through the pelvis, pierces the obturator membrane, and divides into anterior and posterior branches.
The _____ Nerve descends through the pelvis, pierces the obturator membrane, and divides into anterior and posterior branches.
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What provides sensory innervation to the medial leg?
What provides sensory innervation to the medial leg?
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What does the term 'pes anserinus' refer to?
What does the term 'pes anserinus' refer to?
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Match the following bony landmarks of the thigh with their descriptions:
Match the following bony landmarks of the thigh with their descriptions:
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What are the three compartments of the thigh?
What are the three compartments of the thigh?
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What is the primary function of the muscles in the anterior compartment of the thigh?
What is the primary function of the muscles in the anterior compartment of the thigh?
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The iliotibial tract is a separate structure from the fascia lata.
The iliotibial tract is a separate structure from the fascia lata.
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What nerve innervates the majority of the anterior thigh muscles?
What nerve innervates the majority of the anterior thigh muscles?
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The femoral canal contains loose connective tissue and transmits ______.
The femoral canal contains loose connective tissue and transmits ______.
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Which of the following muscles is the longest muscle in the body?
Which of the following muscles is the longest muscle in the body?
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What artery serves the anterior compartment of the thigh?
What artery serves the anterior compartment of the thigh?
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Which nerve primarily innervates the muscles of the medial thigh?
Which nerve primarily innervates the muscles of the medial thigh?
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What clinical significance does the gracilis muscle have?
What clinical significance does the gracilis muscle have?
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Study Notes
Posterior Thigh
- Primary function: knee flexion, hip extension
- All muscles of the posterior thigh are innervated by the tibial nerve, except the short head of the biceps femoris, which is innervated by the common fibular nerve.
- The Semitendinosus, Semimembranosus, and Biceps femoris are the three muscles of the posterior thigh
- The Semitendinosus and Semimembranosus muscles extend the thigh, flex the leg, and rotate it medially when the knee is flexed.
- When the thigh and leg are flexed, these muscles can extend the trunk.
- The Semitendinosus muscle originates on the ischial tuberosity, and inserts on the medial surface of the superior part of the tibia.
- The Semimembranosus originates on the ischial tuberosity and inserts on the posterior part of the medial condyle of the tibia, and its reflected attachment forms the oblique popliteal ligament.
Thigh Anatomy
- The thigh is divided into three compartments: anterior, medial, and posterior.
- Each compartment has specific innervation and blood supply.
- The deep fascia of the thigh is called the fascia lata.
- The fascia lata thickens along the lateral thigh to form the iliotibial tract (IT tract).
- The gluteus maximus and tensor fascia lata insert into the IT tract, providing lateral stability to the pelvis.
- The fascia lata blends with the crural fascia of the leg inferiorly.
Anterior Thigh
- The muscles of the anterior compartment are primarily extensors of the knee and flexors of the hip.
- All muscles of the anterior thigh are innervated by branches of the femoral nerve.
- The blood supply is from the femoral artery.
Anterior Thigh Muscles
- The iliopsoas arises from two muscles: iliacus and psoas major.
- The iliacus is innervated by the femoral nerve, and the psoas is innervated by the ventral rami of L1-L3.
- The psoas minor does not cross the hip joint.
- The psoas major is the primary hip flexor past 90° of flexion.
- The tensor fascia lata is functionally grouped with the gluteal muscles.
- The sartorius is the longest muscle in the body.
- The sartorius tendon inserts at the pes anserinus with the semitendinosus and gracilis.
Quadriceps Muscles
- The quadriceps insert via a common tendon that splits to insert into the superior aspect of the patella, then rejoins to insert into the tibial tuberosity.
- The patella helps align the forces of the four muscles and improves the lever arm.
- The articularis genu arises from the inferior fibers of the vastus intermedius muscle and inserts into the superior part of the suprapatellar bursa.
- The articularis genu raises the bursa superiorly during knee extension, preventing the synovium from getting caught.
Femoral Triangle
- The femoral triangle is a space in the anterior thigh bounded laterally by the medial edge of sartorius, medially by the lateral edge of adductor longus, and superiorly by the inguinal ligament.
- The apex of the triangle is formed where sartorius crosses adductor longus.
- The floor of the femoral triangle is formed by the iliopsoas and pectineus.
- The roof of the femoral triangle is made up of fascia lata perforated by vessels and nerves, called the cribriform fascia.
Femoral Triangle Contents
- The femoral nerve and its branches are located within the femoral triangle.
- The femoral sheath encases the femoral artery and its branches, the femoral vein and its tributaries, and the femoral canal.
- The femoral canal contains loose connective tissue and transmits lymphatics from the lower extremity to the trunk.
Femoral Hernia
- A femoral hernia occurs when abdominal contents herniate through the femoral ring, the superior opening of the femoral canal at the inguinal ligament.
Adductor Canal
- The adductor canal is a tunnel formed by adductor longus/magnus (medially), vastus medialis (laterally), and sartorius (anteriorly).
- The adductor canal contains the femoral artery and vein, and terminal portions of the femoral nerve (nerve to vastus medialis and saphenous nerve).
Medial Thigh
- Most medial thigh muscles are innervated by the obturator nerve (except for part of adductor magnus and pectineus).
- Most medial thigh muscles originate on the pubic body or rami and insert on the posterior femur.
Medial Thigh Muscles
- The gracilis is the thinnest and weakest of the adductor muscles, and the only one to cross the knee.
- The gracilis works with the other "pes anserinus" muscles to provide medial stability to the extended knee.
Blood Supply of Anterior and Medial Thigh
- The femoral artery is the continuation of the external iliac artery as it passes under the inguinal ligament.
- The femoral artery serves the anterior compartment and travels in the adductor/subsartorial canal.
- The femoral artery becomes the popliteal artery after passing through the adductor hiatus.
- The medial and lateral femoral circumflex arteries branch off the profunda femoris in the femoral triangle.
- The profunda femoris artery branches off the femoral artery in the femoral triangle and supplies the adductors.
Innervation of Anterior and Medial Thigh
- The femoral nerve emerges from the lumbar plexus.
- The obturator nerve emerges from the lumbar plexus and descends through the pelvis.
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Description
Test your knowledge on the anatomy and functions of the posterior thigh muscles, including the Semitendinosus, Semimembranosus, and Biceps femoris. This quiz covers their innervation, origins, insertions, and actions in knee flexion and hip extension. Perfect for students of anatomy or physiology!