Thigh, Femoral Triangle, Adductor Canal

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THIGH , FEMORAL TRIANGLE , ADDUCTOR CANAL

FEMUR UPPER END 


SHAFT: MID aspect of FEMUR

POST BORDER  MED/LATRL lips-Linea Aspera cont spiral line


Downward MED epicondyle
Upward G.tuberosity
Downward Lat SUPRA epic
ANT,POST
MED,LATERAL
POPLITEAL

LOWER ENDS- LATERAL CONDYLE


MEDIAL CONDYLE
They are separated POST TO FORM- Intercondylar notch

ID SIDE - Intercondylar notch- Post


Head-Upwards//medial
BLOOD SUPPLY FEMUR

FOR Anterior part, LATERAL circumflex femoral artery


FOR Posterior part,MEDIAL circumflex femoral artery

FRACTURE OF FEMORAL NECK

PATHOPHYSIO: TRAUMA/OSTEOPOROSIS /- AFFECT femoral neck- torn- MEDIAL


CIRCUMFLEX FEMORAL ARTERY Involve -- NECROSIS as BONE loss / does not receive
BLOOD.-- (ASEPTIC NECROSIS)

INTRACAPSULAR FEMORAL NECK FRACTURE

PATHOPHYSIO: TORN on BRANCHES TRANVERSE Medial Circumflex Femoral Artery--


OSTEONECROSIS OF femoral head Artery ROUND LIGAMENT insignificant.

CUTANEOUS INNERVATION
MUSCLES OF ANT COMPARTMENT

MUSCLES SARTORIUS PECTINUS PSOAS MAJOR BISCUS QUADRICEPS


MUSCLE FEMORIS

Arises from ANT Pectinal surface Tranverse prcss Upper 2/3 Rectus femoris
ORIGIN SUP ILLIAC SPINE PELVIS LUMBAR illiac -- 2 heads
(ASIS) lower pt vertebrae fossa
Reflected head
ANT - groove
Sides bodies lateral above
INTERVETEBRA mass of ACETABULU
L DISC fromT12- SACRU M
L5 M
Straight head
Tendinous ARCH Upper 1/2 ANT
over LUMBAR INF iliac spine
arteries.
Vastus
LATERALIS:
Upper pt of
intertrochanteric
line, spiral line,
LINEA
aspera,lateral
intermuscular
septum

Vastus
Medialis
lower PT of
intertrochanteric
line, spiral line,
medial LINEA
aspera

Vastus
intermedius

ANT / LAT
surfaces of
upper ¾ Shaft
of femur
INSERTIO Upper pt of med UPPER PT of LESSER LESSER Into the base/
N TIBIA line extend Trochanter Femur Trochante sides patella
between LOWER r Femur which
IN FRONT TROCHANTER Together with ligamentum
Gracilis/Semitendinou ILLIACUS BURSA patellae attach
s SGS. Linea Aspera separates
TENDON Lig patellae
Hip joint.

NERVE Ant Division Femoral Femoral nerve Ventral Rami Femoral POST
nerve nerve DIVISON L4
L1,L2,L3 - Femoral
L1,L2,L3,L44 nerve

ACTION TAILOR’S Adduction/Flexio Flexion of KNEE jnt


POSITION n thigh HIP Extension of leg
joint
Of HIP joint.
HIP;; Flexion, lateral
rotation, Abduction
Flexion of thigh HIP joint
KNEE;;Flexion,
medial rotation Lateral Flexion of trunk

Flexion of trunk if THIGH


FIX

Femoral
border-lat
border
FEMORAL
TRIANGLE

Roof
Adductor
Canal
*Sartorius pierced by INTERMEDIATE
Cutaneous nerve thigh/ infrapatellar branch of Saphenous nerve
Upper/medial border P.fossa
MEDIAL COMPARTMENT THIGH

Muscles Adductor Longus Adductor Brevis Adductor Magnus Gracilis


Origin In Front Pubis- Pubic bone Arises by 2 Head Pubic arch
Angle between
PUBIC CREST/ Medial Region
PUBIC (PUBIC PART)
SYMPHYSIS

Insertion Middle 1/3 Linea Upper pt of


Aspera femur/thigh bone
Nerve Obturatur nerve Obturator nerve Adductor
headObturator
nerve

Hamstring Head-
Sciatic nerve
Action Adduction thigh Adduction STRONGEST Flexion knee
Flexion knee Flexion adduction Adduction thigh
Lateral rotation
WHAT IS FEMORAL

TRIANGULAR depression on UPPER 1/3 THIGH Immediately


BELOW inguinal ligament.(ANT ASPECT OF THIGH )

FLOOR --Ippa
Boundaries
Lat - form by medial bord SARTORIUS
Medform by medial bord Adductor LONGUS
BASE INGUINAL ligament on upper
Apex- downward intersection mid/lat to Adductor Canal.

ROOF OF FEMORAL TRIANGLE - covered by deep fascia


CONTENTS OF FEMORAL TRIANGLE: -
LATMED
FEMRAL CANAL FEMORAL NERVE FEMORAL ARTERY FEMORAL VEIN

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