Transcript kumc 45 thigh and femoral triangle student

THIGH and
FEMORAL TRIANGLE
Femoral Triangle

Borders:
Medial border of sartorius muscle.
Medial border of adductor longus muscle.
Inguinal ligament:
From ASIS to pubic tubercle.
Femoral Triangle

Contents (lateral to medial):
Femoral Nerve (not in femoral sheath)
Femoral Artery (in femoral sheath)
Femoral Vein (in femoral sheath)
Lymphatics (in femoral sheath)
Femoral Triangle

Floor:
Iliopsoas muscle.
Pectineus muscle.
Adductor longus muscle.
Femoral Triangle

Femoral Sheath:
Contents:
Femoral artery and vein
Lymphatics:
In Femoral Canal
Anterior Compartment of Thigh

Cutaneous Innervation:
Femoral cutaneous nerves:
Lateral
Intermediate
Medial
Posterior
Anterior Compartment of Thigh

Cribriform fascia and fossa ovalis:
Opening for great saphenous vein:
Empties into femoral vein.
Drains medial side of dorsal venous arch.
May be duplicated distal to the knee.
Has 10 to 20 valves.
Anterior Compartment of Thigh

Adductor Canal:
Borders:
Lateral:
Vastus medialis muscle.
Posterior:
Adductor longus and magnus.
Anteromedial:
Sartorius muscle.
Anterior Compartment of Thigh

Adductor Canal:
Contents:
Saphenous nerve:
Termination of femoral nerve.
Nerve to vastus medialis.
Terminal part of obturator nerve.
Terminal parts of femoral artery and vein.
Deep lymph vessels.
Anterior Compartment of Thigh

Muscles:
Iliopsoas.
Sartorius.
Pectineus.
Quadriceps:
Rectus femoris.
Vastus lateralis.
Vastus intermedius.
Vastus medialis.
Anterior Compartment of Thigh

Blood Supply:
Femoral Artery:
Superficial circumflex iliac.
Superficial epigastric.
Superficial external pudendal.
Deep external pudendal.
Descending genicular.
Anterior Compartment of Thigh
Blood Supply:
Femoral Artery:
Deep femoral (profunda femoris)
Lateral femoral circumflex.
Medial femoral circumflex.
Perforating arteries:
Three plus termination of deep
femoral.
Anterior Compartment of Thigh

Innervation:
Femoral Nerve:

Action:
Hip flexion.
Rectus femoris.
Sartorius.
Knee extension.
Medial Compartment of Thigh

Muscles:
Gracilis.
Adductor longus.
Adductor brevis.
Adductor magnus.
Obturator externus.
Medial Compartment of Thigh

Blood Supply:
Obturator artery:
Branch of internal iliac artery.

Innervation:
Obturator nerve.
Tibial nerve:
To hamstring portion of adductor magnus.

Action:
Adduction
Posterior Compartment of Thigh

Muscles:
Hamstrings:
Biceps femoris:
Long head.
Short head.
Semimembranosus.
Semitendinosus.

Adductor Hiatus
Posterior Compartment of Thigh

Innervation:
Common peroneal nerve:
To biceps femoris brevis.
Tibial nerve:

Vascular Supply:
Perforating arteries (from profunda femoris)

Action:
Hip extension.
Knee flexion.