L2 Thigh

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Questions and Answers

What are the boundaries of the femoral triangle?

  • Sartorius, Iliotibial Tract, Rectus Femoris
  • Vastus Medialis, Vastus Lateralis, Vastus Intermedius
  • Inguinal ligament, Sartorius, Adductor longus (correct)
  • Gracilis, Semitendinosus, Semimembranosus

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

  • Rectus Femoris
  • Vastus Intermedius
  • Sartorius (correct)
  • Vastus Lateralis

What is the name of the large vein that travels along the medial side of the leg?

Great saphenous vein

The femoral nerve is located in the posterior compartment of the thigh.

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

What is the name of the structure where the femoral artery, vein, and nerve pass through as they travel deep to the inguinal ligament?

<p>Femoral Canal</p> Signup and view all the answers

The vastus lateralis muscle is located in the medial compartment of the thigh.

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

What is the primary function of the hamstrings?

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

What is the name of the small, sesamoid bone located within the tendon of the quadriceps femoris?

<p>Patella</p> Signup and view all the answers

Which muscle is primarily responsible for flexing the hip joint?

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

What is the primary action of the pectineus muscle?

<p>Flexion and adduction of the thigh (B)</p> Signup and view all the answers

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

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

Which of the following muscles is NOT included in the quadriceps femoris group?

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

Where does the iliopsoas muscle insert on the femur?

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

What is the primary action of the adductor longus muscle?

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

Which nerve innervates the adductor part of the adductor magnus muscle?

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

The insertion point of the adductor brevis is located on which structure?

<p>Linea aspera on femur (D)</p> Signup and view all the answers

What is the action associated with the hamstring part of the adductor magnus muscle?

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

What is the origin of the adductor brevis muscle?

<p>Body of pubis (D)</p> Signup and view all the answers

Which muscle does NOT primarily adduct the thigh?

<p>Biceps femoris (A)</p> Signup and view all the answers

Which of the following muscles has its origin at the ischiopubic ramus?

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

Which muscle's action includes flexing the tibia at the knee joint?

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

What is the origin of the sartorius muscle?

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

What muscle inserts at the pes anserinus?

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

Which of the following actions is NOT performed by the sartorius muscle?

<p>Extension of the leg (A)</p> Signup and view all the answers

What is the common function of the vastus medialis, vastus lateralis, and vastus intermedius muscles?

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

Where does the quadriceps tendon attach?

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

Which structure primarily comprises all four quadriceps muscles?

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

What is the action of the rectus femoris?

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

Which of the following muscles has its origin at the linea aspera on the femur?

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

Which nerves supply the anterior thigh?

<p>Femoral Nerve L2,3,4 (D)</p> Signup and view all the answers

What structure does the saphenous nerve innervate?

<p>Anterior knee and medial side of leg (B)</p> Signup and view all the answers

Which of the following accurately describes the path of the femoral nerve?

<p>Travels between iliacus and psoas major muscles (D)</p> Signup and view all the answers

What function do the muscular branches of the femoral nerve primarily serve?

<p>Motor function to the anterior compartment muscles (D)</p> Signup and view all the answers

What is the role of the obturator nerve?

<p>It supplies the medial thigh muscles. (A)</p> Signup and view all the answers

Which of the following correctly describes the obturator nerve's passage?

<p>Passes through the obturator canal (C)</p> Signup and view all the answers

The femoral nerve does NOT provide which of the following types of innervation?

<p>Motor innervation to the knee flexors (D)</p> Signup and view all the answers

Which of the following muscles is NOT innervated by the femoral nerve?

<p>Adductor longus (A)</p> Signup and view all the answers

What is the primary function of the obturator artery?

<p>Supplies blood to the origins of muscles attaching to the pubis and ischium (B)</p> Signup and view all the answers

Which artery is also known as the deep artery of the thigh?

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

What does the deep femoral artery primarily supply?

<p>Muscles of the thigh (C)</p> Signup and view all the answers

Which branch of the deep femoral artery supplies the hamstring muscles?

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

Where do the circumflex femoral arteries arise from?

<p>Above the bifurcation of the femoral artery (A)</p> Signup and view all the answers

Which artery supplies the skin of the anterior thigh?

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

Which muscle's origin is located at the ischial tuberosity?

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

What role does the artery of the ligament of the head of the femur serve?

<p>Supplies blood to the head of the femur (B)</p> Signup and view all the answers

What is the primary characteristic of the perforating branches from the profunda femoris artery?

<p>They pierce the adductor magnus muscle (B)</p> Signup and view all the answers

What is the insertion point of the Semimembranosus muscle?

<p>Posterior medial condyle of the tibia (B)</p> Signup and view all the answers

What is the action of the hamstrings when the knee is flexed to 90 degrees?

<p>Both medially and laterally rotate the leg (C)</p> Signup and view all the answers

Which structures enter the anterior thigh deep to the inguinal ligament?

<p>Iliopsoas muscle and femoral nerve (D)</p> Signup and view all the answers

Which of the following is NOT a content of the Femoral Triangle?

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

Which muscle is primarily responsible for extending the thigh at the hip?

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

What is the proper order of structures in the femoral sheath from lateral to medial?

<p>Femoral artery, femoral vein, femoral canal (A)</p> Signup and view all the answers

What is the lateral border of the femoral triangle?

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

Flashcards

What are the boundaries of the femoral triangle?

The femoral triangle is a region in the anterior thigh defined by the inguinal ligament, the lateral border of the adductor longus muscle, and the medial border of the sartorius muscle.

What are the contents of the femoral triangle?

The contents of the femoral triangle include the femoral nerve, femoral artery, femoral vein, and lymph nodes.

What is the origin, innervation and function of the femoral nerve?

The femoral nerve originates from the lumbar plexus (L2-L4) and is responsible for innervating the anterior thigh muscles and providing sensory innervation to the skin of the anterior thigh, knee, and medial leg.

What muscles does the obturator nerve innervate?

The obturator nerve originates from the lumbar plexus (L2-L4) and innervates the adductor muscles of the medial compartment of the thigh, with the exception of the tendinous portion of the adductor magnus muscle.

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What are the branches of the sciatic nerve in the thigh?

The sciatic nerve is the largest nerve in the body and splits into the tibial and common fibular nerves in the thigh. It innervates the hamstrings and the muscles of the posterior compartment of the thigh.

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What is the main artery supplying the thigh?

The femoral artery is the main artery supplying the thigh and its branches. It gives rise to the deep femoral artery (profunda femoris artery), which provides the main blood supply to the thigh muscles.

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What is the main branch of the femoral artery that supplies the thigh muscles?

The deep femoral artery, also known as the profunda femoris artery, provides the main blood supply to the thigh muscles. It gives rise to the medial and lateral circumflex arteries.

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What structures are contained within the adductor canal?

The adductor canal (sub-sartorial canal) is a tunnel in the thigh that contains the femoral artery, femoral vein, and saphenous nerve. It is formed by the sartorius, vastus medialis, and adductor longus muscles.

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What is the opening in the adductor magnus muscle?

The adductor hiatus is an opening in the adductor magnus muscle that allows the femoral artery and vein to pass from the adductor canal into the popliteal fossa.

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What is the largest muscle group in the body and what is its function?

The quadriceps femoris muscle is the largest muscle group in the body, composed of the rectus femoris, vastus medialis, vastus lateralis, and vastus intermedius muscles. It is responsible for knee extension.

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What is the longest muscle in the body and what is its function?

The sartorius muscle is the longest muscle in the body, and is responsible for flexing, abducting, and laterally rotating the thigh at the hip joint, as well as flexing the leg at the knee joint.

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What muscle is a major hip flexor?

The iliopsoas muscle is a major hip flexor, composed of the iliacus and the psoas major muscles.

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What muscle flexes and adducts the thigh?

The pectineus muscle is a small, flat muscle located in the anterior thigh. It is responsible for flexing and adducting the thigh at the hip joint.

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What are the muscles of the posterior compartment of the thigh?

The hamstrings are a group of three muscles located on the posterior aspect of the thigh: the semitendinosus, semimembranosus, and biceps femoris. These muscles are responsible for extending the thigh at the hip joint and flexing the leg at the knee joint.

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Which quadriceps muscles extend the leg at the knee joint?

The vastus lateralis, vastus medialis, and vastus intermedius muscles are part of the quadriceps femoris muscle group. They are responsible for extending the leg at the knee joint.

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Which quadriceps muscle crosses both the hip and knee joints?

The rectus femoris muscle is the only quadriceps muscle that crosses both the hip and knee joints. It is responsible for flexing the thigh at the hip joint and extending the leg at the knee joint.

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What muscle is located on the medial side of the thigh and is responsible for adduction?

The gracilis muscle is a long, thin muscle located on the medial side of the thigh. It is responsible for adducting the thigh at the hip joint and flexing the leg at the knee joint.

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What are the main muscles responsible for adducting the thigh?

The adductor longus, adductor brevis, and adductor magnus muscles are the main adductors of the thigh. They are located in the medial compartment of the thigh and are responsible for pulling the leg towards the midline of the body.

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What is the common insertion point for the sartorius, gracilis, and semitendinosus muscles?

The pes anserinus is a common insertion point for three muscles on the medial aspect of the tibia: the sartorius, gracilis, and semitendinosus muscles.

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What is the sesamoid bone within the quadriceps tendon?

The patella is a sesamoid bone located within the tendon of the quadriceps femoris muscle. It functions to improve the leverage of the quadriceps muscle and protect the knee joint during extension.

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What is the thick band of fascia that runs along the lateral aspect of the thigh?

The iliotibial band is a thick band of fascia that runs along the lateral aspect of the thigh, from the iliac crest to the lateral tibial condyle. It functions to stabilize the knee joint and assist with hip and knee movement.

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What is the potential space within the femoral sheath that can be the site for a femoral hernia?

The femoral canal is a potential space within the femoral sheath, located medial to the femoral vein. This space is important because it is a possible site for a femoral hernia.

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What is a femoral hernia?

A femoral hernia occurs when a portion of the intestine or other abdominal contents protrude through a weak area in the abdominal wall near the femoral canal.

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What is the longest vein in the body and where does it drain?

The saphenous vein is the longest vein in the body and runs along the medial side of the leg and thigh. It drains into the femoral vein in the femoral triangle.

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What is the largest superficial vein in the body?

The great saphenous vein is the largest superficial vein in the body and ascends across the medial thigh before draining into the femoral vein in the femoral triangle.

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Where are lymph nodes located in the thigh?

The lymph nodes in the femoral triangle are responsible for filtering lymph from the lower limbs and genitalia. They are located in close proximity to the femoral vessels.

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What is the quadriceps femoris?

A large muscle group in the anterior thigh, responsible for extending the leg at the knee joint. It includes the rectus femoris, vastus medialis, vastus lateralis, and vastus intermedius muscles.

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Where is the sartorius muscle located?

The longest muscle in the body, situated in the anterior thigh. It helps flex, abduct, and laterally rotate the thigh at the hip, and also flexes the leg at the knee.

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What does the pectineus muscle do?

Located in the anterior thigh, this muscle is responsible for flexing and adducting the thigh at the hip joint.

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What are the hamstrings?

The main muscle group of the posterior thigh, responsible for extending the thigh at the hip and flexing the leg at the knee.

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What is the biceps femoris muscle's action?

This large muscle located in the posterior thigh extends the thigh at the hip, and it flexes and rotates the leg at the knee.

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Semitendinosus Origin & Insertion

The semitendinosus muscle originates from the ischial tuberosity and inserts at the pes anserinus on the tibia.

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Semimembranosus Origin & Insertion

The semimembranosus muscle also originates from the ischial tuberosity but inserts on the posterior medial condyle of the tibia.

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Biceps Femoris (Short Head) Origin & Insertion

The short head of the biceps femoris originates from the linea aspera on the posterior femur. Both heads insert into the head of the fibula.

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What are the hamstring muscles?

The hamstrings are a group of three muscles located on the posterior aspect of the thigh: semitendinosus, semimembranosus, and biceps femoris.

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What is the iliotibial tract?

The iliotibial tract is a thick band of fascia that runs along the lateral aspect of the thigh, from the iliac crest to the lateral tibial tubercle.

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What is the retro-inguinal space?

The retro-inguinal space is a region deep to the inguinal ligament where vital structures pass into the anterior thigh.

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What defines the femoral triangle?

The femoral triangle is a triangular region in the anterior thigh defined by the inguinal ligament, the adductor longus muscle, and the sartorius muscle.

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Femoral nerve: Origin, course, and innervation

The femoral nerve originates in the lumbar plexus (L2-L4), runs through the iliacus and psoas major muscles, passes under the inguinal ligament into the femoral triangle, giving rise to the saphenous nerve, and innervates the anterior compartment of the thigh.

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Obturator nerve: Origin, course, and innervation

The obturator nerve arises from the lumbar plexus (L2-L3-L4) and travels through the obturator canal in the pelvis, splitting into anterior and posterior branches to innervate the adductor muscles of the medial thigh.

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Sciatic nerve: Origin, course, and innervation in the thigh

The sciatic nerve, the largest nerve in the body, descends through the thigh, splitting into the tibial and common fibular nerves. In the thigh, it innervates the hamstrings and the muscles of the posterior compartment.

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Femoral triangle: Boundaries and contents

The femoral triangle is an anatomical region in the anterior thigh formed by the inguinal ligament, the adductor longus muscle, and the sartorius muscle. Its contents include the femoral nerve, artery, vein, and lymph nodes.

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Adductor canal: Location and contents

The adductor canal, also known as the subsartorial canal, is a tunnel located in the thigh. It encloses the femoral artery, femoral vein, and saphenous nerve, and originates from the femoral triangle.

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Femoral sheath and canal

The femoral sheath is a fascial sheath that encloses the femoral artery, femoral vein, and femoral canal. The femoral canal is the potential space within the sheath where a femoral hernia can occur.

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Femoral hernia

A femoral hernia happens when a portion of the intestine or other abdominal contents protrude through a weak area in the abdominal wall, specifically near the femoral canal.

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Adductor hiatus

The adductor hiatus, located in the adductor magnus muscle, is the opening where the femoral artery and vein pass from the adductor canal into the popliteal fossa.

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What is the sartorius muscle?

The sartorius muscle is the longest muscle in the body and it helps with flexing, abducting (moving away from the body), and rotating the thigh at the hip joint, and also helps to bend the leg at the knee joint.

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What is the rectus femoris muscle?

The rectus femoris muscle is a large muscle in the front of the thigh. It helps with flexing the thigh at the hip joint and extending the leg at the knee joint.

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What is the obturator artery?

The obturator artery is a small artery located in the thigh. It supplies blood to muscles that attach to the pubis and ischium bones, and also supplies the head of the femur.

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What is the femoral artery?

The femoral artery is a major artery in the thigh. It supplies blood to the skin of the anterior abdomen, the inguinal region, and the external genitalia.

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What is the pes anserinus?

The pes anserinus is the common insertion point for three muscles (sartorius, gracilis, and semitendinosus) on the medial (inside) aspect of the tibia.

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What is the quadriceps tendon?

The quadriceps tendon is a strong tendon that connects all four quadriceps muscles to the patella (knee cap). It is the common tendon used for knee extension (straightening).

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What is the deep femoral artery?

The deep femoral artery, also called the profunda femoris artery, is a branch of the femoral artery. It provides the major blood supply to the thigh muscles.

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What are the three muscles of the quadriceps that extend the leg?

The vastus lateralis, vastus medialis, and vastus intermedius are three muscles that are part of the large quadriceps muscle group. They all help with extending the leg at the knee joint.

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What are the branches of the deep femoral artery?

The deep femoral artery gives off three circumflex arteries: lateral, medial and transverse, as well as perforating branches. These branches further supply muscles of the thigh.

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What do the perforating branches of the deep femoral artery supply?

The perforating branches of the deep femoral artery supply blood to the hamstring muscles and the skin of the posterior thigh.

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What is the patella?

The patella is a small, flat bone located in the tendon of the quadriceps muscle. It helps the quadriceps muscle and acts as a shield for the knee joint.

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What is the vastus medialis muscle?

The vastus medialis is a large muscle group located in the medial (inside) part of the thigh. It helps with extending the leg at the knee joint.

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What is the adductor hiatus?

The adductor hiatus is an opening in the adductor magnus muscle. It allows the femoral artery and vein to pass from the adductor canal into the popliteal fossa.

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What is the vastus lateralis muscle?

The vastus lateralis is a large muscle located on the lateral (outside) part of the thigh. It helps with extending the leg at the knee joint.

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What is the quadriceps femoris muscle group?

The quadriceps femoris muscle group is the largest muscle group in the body. It provides extension of the leg at the knee joint.

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What are the primary adductors of the thigh?

The adductor longus, adductor brevis, and adductor magnus muscles are the primary muscles responsible for pulling the leg towards the midline (adduction) at the hip joint.

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How are the adductor muscles of the thigh innervated?

The adductor longus, adductor brevis, and a portion of the adductor magnus are innervated by the obturator nerve. The hamstring portion of the adductor magnus is innervated by the sciatic nerve.

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Describe the origin, insertion, and action of the adductor longus.

The adductor longus originates from the body of the pubis, inserts on the linea aspera of the femur, and its action is to adduct the thigh at the hip joint.

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Describe the origin, insertion, and action of the adductor brevis.

The adductor brevis originates from the body of the pubis, inserts on the linea aspera of the femur, and its action is to adduct the thigh at the hip joint.

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Describe the origin, insertion, and action of the adductor magnus.

The adductor magnus originates from the ischiopubic ramus (adductor part) and the ischial tuberosity (hamstring part). Its adductor part inserts on the linea aspera of the femur, and its hamstring part inserts on the adductor tubercle.

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How is the adductor magnus innervated?

The adductor magnus has two parts: the adductor part, innervated by the obturator nerve, and the hamstring part, innervated by the sciatic nerve.

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What are the muscles of the hamstring group and their origin?

The semitendinosus, semimembranosus, and biceps femoris (long head) are part of the hamstring muscle group, which originates from the ischial tuberosity.

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How are the muscles of the hamstring group innervated?

The semitendinosus, semimembranosus, and biceps femoris (long head) are innervated by the tibial nerve, while the short head of the biceps femoris is innervated by the common fibular nerve.

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Study Notes

Thigh Anatomy

  • Learning Objectives: Students will be able to identify and describe superficial nerves and veins of the thigh region; name the boundaries of the femoral triangle, its contents, and relationships; name and describe attachments, nerve supply, and actions of thigh muscles; and identify, describe, and name the course and relationships of nerves and blood vessels in the thigh.
  • Thigh Structures: The superficial structures of the thigh include the inguinal ligament, epigastric vein, femoral artery and vein, ilioinguinal nerve, lateral femoral cutaneous nerve, femoral nerve, superficial and anterior femoral cutaneous branches, accessory saphenous vein, great saphenous vein, and obturator nerve, and saphenous nerve.
  • Distal Femur: The distal femur features medial and lateral condyles, medial and lateral epicondyles, and an intercondylar notch. The adductor tubercle is a notable feature.
  • Proximal Tibia and Fibula: Key structures include the intercondylar tubercles, medial and lateral condyles, anterior intercondylar area, tibial tuberosity, medial and lateral tibial plateaus, and the intercondylar region.
  • Knee Joints: The tibiofemoral and superior tibiofibular joints are key structures of the knee.
  • Great Saphenous Vein: This vein's pathway is significant, starting from the medial foot and ascending through the leg.
  • Saphenous Hiatus: An opening in the fascia lata, where the greater saphenous vein passes through to the femoral vein.
  • Inguinal Lymph Nodes: These nodes are strategically placed for receiving lymph drainage from the upper leg and groin area.
  • Superficial Lymphatic Drainage: Lymph drains from the superficial lymphatic nodes in the popliteal fossa and the superficial inguinal nodes in the femoral triangle to the deep inguinal nodes, which in turn drain into the external iliac nodes.
  • Cutaneous Nerves of Thigh: The lateral femoral cutaneous nerve, anterior cutaneous branches of the femoral nerve, and the saphenous nerve (branch from femoral nerve) innervate the thigh's skin.
  • Thigh Compartments: The thigh's muscles are organized into compartments defined by intermuscular septa. These compartments include anterior, medial, and posterior categories.
  • Anterior Compartment: Key muscles include iliopsoas, sartorius, rectus femoris, vastus lateralis, vastus intermedius, and vastus medialis, and these muscles are innervated by the femoral nerve (L2, L3, L4).
  • Medial Compartment: Key muscles include gracilis, adductor longus, adductor brevis, adductor magnus. The obturator nerve innervates this compartment.
  • Posterior Compartment: Key muscles are semitendinosus, semimembranosus, biceps femoris (long and short heads), and these are innervated by the common fibular (peroneal) and tibial nerves.
  • Femoral Triangle: Critical boundaries include the inguinal ligament, the medial border of the sartorius muscle, and the lateral border of the adductor longus muscle. The floor comprises the iliopsoas and pectineus muscles. The fascia lata forms the roof. Contents include the femoral nerve, femoral artery, and vein, and lymph nodes.
  • Femoral Canal: Part of the femoral triangle, encompassing the femoral artery and vein located medially to the femoral vein.
  • Femoral Hernia: Small intestine herniation through the femoral ring into the femoral canal.
  • Nerve Supply (Anterior Thigh): The femoral nerve supplies the anterior muscles.
  • Nerve Supply (Medial Thigh): The obturator nerve supplies the medial muscles.
  • Nerve Supply (Posterior Thigh): The common fibular (peroneal) and tibial nerves innervate the posterior muscles. The sciatic nerve is a primary nerve branch within the posterior compartment.
  • Obturator Nerve: Innervates the medial compartment muscles, arising from the L2, L3, and L4 lumbar spinal nerve roots. The obturator nerve travels through the obturator canal to supply the adductor muscles.
  • Sciatic Nerve: A larger nerve that branches into tibial and common fibular (peroneal) nerves. Its posterior compartment function is to innervate hamstring muscles, adductor magnus, and the short head of biceps femoris.
  • Vascular Supply (Thigh): The femoral artery and its branches (deep femoral, medial and lateral circumflex femoral arteries) provide blood supply.
  • Deep Femoral Artery: The main artery that extends into the adductor canal, supplying the muscles of the anterior and medial compartments.
  • Perforating Branches: Deep femoral (profunda femoris) artery branches through the adductor magnus muscle to supply the posterior thigh muscles.

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