Neurovasculature of the hip and thigh
Learning objectives
After completing this study unit you will be able to:
- Identify the main arteries of the hip and thigh region and their supply areas.
- List major veins of this region and their drainage areas.
- Name the nerves of the hip and thigh and become familiar with their origin.
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The blood supply for the hip and thigh mainly arises from the internal iliac and femoral arteries. The internal iliac artery gives rise to the superior gluteal, inferior gluteal and obturator arteries. They mainly supply the gluteal region, but some of their branches also supply the thigh area. The femoral artery is a continuation of the external iliac artery after it enters the femoral triangle and is the main supplier of the structures of the thigh. The region is drained mainly by the femoral vein with its two main tributaries: the deep femoral and great saphenous veins. Both muscular and cutaneous innervation of the hip and thigh comes from the nerves of the lumbar (L1-L4) and sacral (L4-S4) plexuses.
Take a look at the video below and dig into the arteries, veins and nerves of the hip and thigh.
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Summary
Arteries of the hip and thigh |
External iliac artery: Deep circumflex iliac artery, femoral artery, superficial epigastric artery, superficial circumflex iliac artery, deep femoral artery, medial circumflex femoral artery, lateral circumflex femoral artery, descending genicular artery Internal iliac artery: Obturator artery, superior gluteal artery, inferior gluteal artery |
Veins of the hip and thigh (tributaries) |
Superficial: Great saphenous vein, accessory saphenous vein Deep: Femoral vein, deep femoral vein, medial circumflex femoral vein, lateral circumflex femoral vein |
Nerves of the hip and thigh |
Lumbar plexus: Lateral femoral cutaneous nerve, accessory obturator nerve, obturator nerve, femoral nerve (saphenous nerve), superior cluneal nerves Sacral plexus: Superior gluteal nerve, inferior gluteal nerve, posterior femoral cutaneous nerve (inferior cluneal nerves), sciatic nerve (tibial nerve, common fibular nerve), medial cluneal nerves |
Muscular innervation |
Femoral nerve: Quadriceps femoris, pectineus, sartorius Sciatic nerve: Biceps femoris, semimembranosus, semitendinosus, and the ischial portion of the adductor magnus Obturator nerve: Adductor brevis, adductor longus, gracilis, obturator externus, adductor magnus Superior gluteal nerve: Tensor fasciae latae, gluteus minimus, gluteus medius, piriformis Inferior gluteal nerve: Gluteus maximus |
Cutaneous innervation |
Femoral nerve: Anterior and medial thigh (anterior cutaneous branches) Saphenous nerve: Area over course of saphenous vein; articular branches to hip and knee joints Lateral femoral cutaneous nerve: Lateral thigh Posterior femoral cutaneous nerve: Lower border of gluteus maximus, back and medial thigh Sciatic nerve: Posterior thigh Obturator nerve: Medial thigh Superior cluneal nerves: Superior buttocks Medial cluneal nerves: Medial buttocks Inferior cluneal nerves: Inferior buttocks |
Well done!
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