(Return to Courseware Index) Lower Limb; Anterior Thigh LAB MANUAL |Topic and Text Reference | Learning Objectives | Special Instructions | Clinical Exercises | Key Structures TOPIC AND TEXT REFERENCE: SUPERFICIAL LOWER LIMB AND ANTERIOR THIGH PP. 122-130 LEARNING OBJECTIVES: Identify the saphenous opening and the structures that pass beneath it. Identify the main superficial veins of the lower limb. Learn the bony landmarks of the lower limb. Trace the branches of the femoral artery. Observe and understand the cutaneous innervation of the thigh. Learn the muscles that occupy the anterior compartment of the thigh, their innervation, blood supply and function. Learn the dermatome pattern for the lower limb. Trace the femoral artery and vein as they pass through the adductor hiatus. Clean and distinguish the muscles of the anterior and medial muscle groups. What muscles are collectively known as the quadriceps? Learn the borders of the femoral triangle. Note the relationships between the femoral vessels as they pass beneath the inguinal ligament into the anterior thigh. (mnemonic: NAVL) Learn the muscles of the medial compartment of the thigh including neurovascular supply and function. Trace the path of the obturator nerve and understand its area of supply. Understand the significance of the adductor hiatus. SPECIAL INSTRUCTIONS FOR LAB TODAY: Pg. 122: The lower limb is already partially skinned. Continue skinning as indicated in the dissector. Pg. 128: Do not cut any of the muscles as yet. CLINICAL EXERCISES: 1. What is the cruciate anastomosis of the hip? 2. What is a femoral hernia and why is it more common in women? 3. What can the great saphenous vein be used for? 4. Why are catheters placed into the femoral artery and vein? 5. Which part of the thigh would be affected if the deep femoral artery were blocked? 6. If the obturator nerve were compressed within the obturator canal, what symptoms would you expect? KEY STRUCTURES: You should be able to identify in a cadaver all the structures listed under key words unless they have an asterisk. structure Netter's Gold Standard structure Netter's Gold Standard Arteries     Nerves     Deep femoral N1   Anterior cutaneous N1   Femoral N1   Cutaneous branches of obturator N1   Lateral circumflex femoral N1   Dorsal digital N1   Medial circumflex femoral N1   Lateral femoral cutaneous N1   Popliteal N1   Nerve to vastus medialis N1   Superficial circumflex iliac N1   Posterior cutaneous nerve of the thigh N1   Superficial epigastric N1   Saphenous nerve N1   Bones and Bony Structures     Superficial fibular N1   Anterior inferior iliac spine N1   Veins     Anterior superior iliac spine N1   Femoral N1   Femur - Adductor tubercle N1, N2   Great saphenous N1   Femur - Greater trochanter N1   Perforating N1   Femur - Lateral condyle N1   Small saphenous N1   Femur - Lateral Epicondyle N1   Superficial circumflex iliac N1   Femur - Lesser trochanter N1   Superficial epigastric N1   Femur - Linea aspera N1   Miscellaneous     Femur - Lateral Epicondyle N1   Lateral intermuscular septum N1   Femur - Medial Epicondyle N1   Adductor canal N1   Femur - Pectineal line N1   Apex of femoral triangle N1   Iliac crest N1   Adductor hiatus N1   Inguinal Ligament N1   Femoral triangle N1   Lateral malleolus N1   Muscles     Medial malleolus N1   Iliopsoas N1, N2   Patella Anterior surface N1   Pectineus N1   Patella Articular surface N1   Quadriceps femoris N1   Pubic tubercle N1   Rectus femoris N1   Tibial tuberosity N1   Sartorius N1         Vastus Intermedius N1         Vastus Lateralis N1         Adductor brevis N1         Vastus Medialis N1                                           |Topic and Text Reference | Learning Objectives | Special Instructions | Clinical Exercises | Key Structures

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