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8 L A B O R A T O R Y Thigh MEDIAL THIGH Identify the muscles associated with the medial compartment of the thigh. Identify the attachment points of the medial thigh muscles. Identify the actions of these muscles. Identify the primary innervation source for the anterior compartment muscles. Identify the primary vascularization source for the anterior compartment muscles. Identify the great saphenous vein as the superficial venous drainage for the lower extremity. Medial Thigh Muscle Adductor Longus Origin Body of Pubis Insertion Innervation Blood Supply Action Mid-linea aspera Obturator N of Femur (L2-L4) Obturator A Adduct thigh at Femoral A hip Deep A of Thigh Adductor Brevis Body, Inferior ramus of Pubis Pectineal line, Linea aspera of Femur Obturator N (L2-L4) Obturator A Adduct, flex Femoral A thigh at hip Deep A of Thigh Adductor Magnus Adduct: Pubic ramus, Ischial ramus H-string: Ischial tuberosity Adduct: gluteal tuberosity, linea aspera of Femur H-string: adductor tubercle of Femur Adduct: Obturator N (L2-L4) H-String: Sciatic N Tibial div. (L4) Obturator A Femoral A Deep A of Thigh (profunda femoris) Adduct thigh at hip Adduct: flex thigh H-string: extend thigh Gracilis Body, Inferior ramus of Pubis Superomedial Tibia Obturator N (L2-L3) Obturator A Circumflex Femoral A Adduct thigh Flex, M-rotate thigh Obturator Externus Pubic Obturator Trochanteric membrane fossa of Femur (outside) Obturator N (L3-L4) Obturator A Circumflex Femoral A Steady head of Femur & L-rotate thigh 54 Laboratory 8 • Thigh POSTERIOR THIGH Identify the previously discussed bony landmarks of the femur. Identify the muscles associated with the posterior compartment of the thigh. Identify the attachment points and actions of the posterior thigh muscles. Identify the primary source of innervation of the posterior compartment muscles of the thigh. Identify the primary arterial blood supply to the posterior compartment. Posterior Thigh Muscle Origin Insertion Innervation Blood Supply Action Semitendinosis Ischial tuberosity Superomedial Tibia Sciatic N Tibial Div (L5-S2) Deep A of Thigh Extend thigh, (profunda Flex leg, femoris) M-rotate thigh Semimembranosis Ischial tuberosity Superomedial Tibia Sciatic N Tibial Div (L5-S2) Deep A of Thigh Extend thigh, (profunda Flex leg, femoris) M-rotate thigh Biceps Femoris Long: Ischial tuberosity Short: Linea Aspera Lateral supracondylar line of Femur Lateral Fibular head Long: Sciatic N Tibial Div (L5-S2) Short: Sciatic N Comm Fibular Div. (L5-S2) Deep A of Thigh (profunda femoris) Flex leg, L-rotate thigh, extend thigh ANTERIOR THIGH Identify the muscles associated with the anterior compartment of the thigh. Identify the attachment points of the anterior thigh muscles. Identify the actions of these muscles. Identify the primary innervation source for the anterior compartment muscles. Identify the primary vascularization source for the anterior compartment muscles. Describe the boundaries and contents of the femoral triangle. Describe the contents of the femoral sheath. 55 Laboratory 8 • Thigh Anterior Thigh Muscle Origin Insertion Innervation Blood Supply Action Iliopsoas Psoas Major T12-L5 bodies, transverse processes Lesser trochanter Ventral rami of Femur L2-L4 Lumbar A External Iliac A Flex thigh & Stabilize hip Iliacus Iliac crest/fossa, Sacrum, Sacroiliac Ligament Lesser trochanter Femoral N of Femur (L2-L3) Lumbar A External Iliac A Flex thigh & Stabilize hip Psoas Minor T12-L1 bodies Intervertebral disc Body of Pubis Ventral rami L2-L4 Lumbar A Anterior flex Abdomen Pectineus Superior ramus of Pubis Pectineal line of Femur Femoral N (L2-L3) Obturator A Circumflex A Flex & Adduct thigh Sartorius* Anterior Superior Iliac spine Superomedial Tibia Femoral N (L2-L3) Femoral A Flex, abduct, and L-rotate thigh at hip; Flex leg at knee Rectus Femoris Ant Inf Iliac spine Ilium - superior to acetabulum Base of Patella Femoral N Tibial tuberosity (L2-L4) Femoral A Deep A of Thigh (profunda femoris) Extend leg at knee, Flex thigh, Steady hip Vastus Lateralis Greater trochanter & Lateral linea aspera of Femur Intertrochanteric line & medial linea aspera of Femur Base of Patella Femoral N Tibial tuberosity (L2-L4) Femoral A Deep A of Thigh (profunda femoris) Femoral A Deep A of Thigh (profunda femoris) Extend leg at knee Anterolateral Femur Base of Patella Femoral N Tibial tuberosity (L2-L4) Quadriceps Femoris Vastus Medialis Vastus Intermedius** Base of Patella Femoral N Tibial tuberosity (L2-L4) Extend leg at knee Femoral A Extend leg at Deep A of Thigh knee (profunda femoris) * Sartorius – named after tailors – sitting crossed-legged or “Indian-style.” ** Articularis genu is part of vastus intermedius and moves the patellar bursa. 56 Page Intentionally Left Blank Laboratory 8 • Thigh Laboratory 8 • Thigh Page Intentionally Left Blank 57 58 Page Intentionally Left Blank Laboratory 8 • Thigh