3. The Boundaries
It is bounded by:
1. Superiorly by
inguinal ligament
2. Medially by medial
border of the
adductor longus
muscle.
3. Laterally by medial
border of the
sartorius muscle.
4. The Boundaries
The floor of the femoral
triangle is not flat but
gutter – shaped
Its formed from medial
to lateral:
1. Adductor longus
2. Pectineus
3. Iliopsoas
Its roof is formed by
the fascia lata (deep
fascia).
5. Contents :
the femoral nerve
(not contained
within the femoral
sheath)
the femoral artery
the femoral vein
and great
saphenous vein
Inguinal lymph
nodes (deep group)
and associated
lymphatic vessels
6.
7. Clinical Relevance if
Femoral Triangle
Femoral Pulse
Just inferior to where the femoral artery crosses the
inguinal ligament, it can be palpated to measure the
femoral pulse.
The femoral artery crosses exactly midway between
the pubis symphysis and anterior superior iliac spine.
The presence of a femoral pulse means that blood is
reaching the lower extremity
8. The femoral pulse can
easily be palpated in the
femoral triangle, 2 to 3 cm
inferior to the midpoint of
the inguinal ligament.
The head of the femur lies
posterior to the femoral
artery at this site, making
compression of the vessel
easy.
9.
10. Access to the Femoral Artery
The femoral artery is located superficially within the
femoral triangle, and is thus easy to access. This makes it
suitable for a range of clinical procedures.
One such procedure is coronary angiography. Here, the
femoral artery is catheterised with a long, thin tube.
This tube is navigated up the external iliac artery,
common iliac artery, aorta, and into the coronary vessels.
A radio-opaque dye is then injected into the coronary
vessels, and any wall thickening or blockages can be
visualised via x-ray.
Clinical Relevance if
Femoral Triangle
11. Clinical significance
Heavy bleeding in the leg can be stopped
by applying pressure to points in the
femoral triangle
Allows for femoral venipuncture.
15. Fascial Compartment
of the Thigh
Thigh muscles basically enclosed by dense of fibrous tissue known as
a deep fascia (fascia lata)
Thigh region consist of three muscles compartment divide by
intermuscular septa (extension of fascia lata):
i. Anterior compartment
ii. Medial compartment
iii.Posterior compartment
Each compartment have the similarities of:
i. Nerve supply
ii. Blood supply
iii.Actions
16.
17. Muscles that Move the Hip Joint
Hip Extensor
1. Gluteus maximus
2. Hamstring
1. Biceps femoris
2. Semitendinosus
3. semimembranosus
Hip Flexor
1. Psoas major
2. Iliacus
3. Pectineus
4. Rectus femoris
5. Sartorius
18. Muscles that Move the Hip Joint
Hip Abductor
Gluteus maximus
Gluteus minimus
Gluteus medius
Tensor fascia latae
Hip Adductor
Adductor longus
Adductor magnus
Adductor brevis
Gracilis
pectineus
19. Muscles that Move the Hip Joint
Hip Medial Rotator
Gluteus medius
Gluteus minimus
Tensor fascia latae
Psoas major
Iliacus
Hip Lateral Rotator
Gluteus maximus
Piriformis
Obturator internus
Obturator externus
Superior gamellus
Inferior gamellus
quadratus