1. THIGH MUSCULATURE WRAP-UP Session 14

2. OBJECTIVES  Describe the attachments, innervations, and actions of the posterior thigh musculature  Describe the functions and course of neurovasculature  Discuss the overall significance of the structure of the thigh (as a whole) and how it relates to function Practice quiz to test clickers before midterm exam!

3. SOFT SPOTS  Femoral Triangle  Borders:  Problems?  Adductor Canal  Borders:  Popliteal Fossa  Borders:  Problems?

4. FUNCTIONS

5. ANTERIOR VS POSTERIOR  Quads vs Hamstrings  2 joint muscles – difference?  What about adductors?

6. COMMON INJURIES  Hamstrings  Running, kicking, high acceleration sports (soccer, baseball)  Tear is typically at proximal attachment on ischial tuberosity  Adductors  Groin injuries – typically in high acceleration sports or extreme stretching sports (gymnastics, dance)  Strain or stretch at proximal attachment to pubis  2 joint hip flexors  Sartorius & rectus femoris  Contusions – sometimes capillaries are torn and blood seeps into muscles, or proximal attachment can tear away a piece of iliac crest

7. NERVES & VASCULATURE  Femoral nerve  Obturator nerve  Sciatic nerve  Femoral artery

8. COMMON INJURIES  Femoral hernia  Femoral nerve damage  Serious gait instability  Sciatica  Pain, weakness, numbness  From piriformis OR discs

9. TRENDELENBURG TEST  For Gluteus muscles

10. TRENDELENBURG TEST WOULD MOSTLY TEST FOR WHAT NERVE? A. Inferior gluteal nerve B. Superior gluteal nerve C. Sciatic nerve

11. ESSAYS: A. Reduce to 2 total please! B. Allow 1 replacement essay! C. Keep 4 total please! D. The dates for UE essay is the best E. The dates for LE is the best