Sunday, 2 March 2014

Question of the Day... Femoral Triangle

This question was taken from the Singapore August 2012 Exam.

Question:
Identify the femoral triangle, femoral vein, and the surrounding structures.

Answer:
Boundaries of the femoral triangle:

  • Superior - inguinal ligament
  • Medial - medial border of the Adductor Longus
  • Lateral - medial border of Sartorius
  • Floor (medial to lateral) - Pectineus, Adductor Longus, Iliopsoas
  • Roof - Fascia Lata

  Contents (Lateral to medial)

Nerve - Femoral nerve
Artery - Femoral artery
Vein - Femoral Vein
Empty space - allows expansion of Femoral vein during periods where there is expanded intravascular volume
Lymph nodes - Femoral canal - Deep inguinal lymph nodes (node of Cloquet) and associated Lymph nodes


Just a note on the difference between the mid inguinal point and the mid point of the inguinal ligament.

Mid inguinal point = mid point of line drawn from ASIS to pubic symphysis
  • This is the landmark for the femoral artery

Midpoint of inguinal ligament = mid point of line drawn from ASIS to pubic tubercle
  • This is the landmark for the deep inguinal ring

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