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Additional info for Anatomy Vivas for the Intercollegiate MRCS,, 1st Edition
The interphalangeal joints of the fingers can still be extended due to the retained action of the intrinsic muscles of the hand. IX. Three muscles attach to the coracoid process. They are the: • biceps brachii, short head (musculocutaneous nerve); • coracobrachialis (musculocutaneous nerve); • pectoralis minor (medial and lateral pectoral nerves). X. The clavicle is the most commonly fractured bone in the body. The junction between middle and lateral thirds is most commonly fractured (~75% of all clavicular fractures) for two reasons: (a) the medial twothirds are circular in cross-section whilst the lateral third is flatter; the junction between the two regions is comparatively weak and also has no muscular attachments; (b) the powerful coracoclavicular and costoclavicular ligaments stabilise the lateral and medial third of the clavicle, respectively, and fractures therefore tend to occur between these points.
IX. The contents of the femoral triangle, from lateral to medial are the following: • The femoral nerve (outside the femoral sheath). • The femoral sheath, containing the femoral artery laterally, the femoral vein and, most medially, the femoral canal. The femoral canal contains lymphatics and fat and is the site of a femoral hernia. • For the purists, the femoral branch of the genitofemoral nerve is also a transient content of the femoral sheath. The great saphenous vein joins the femoral vein in the femoral triangle by piercing the cribriform fascia overlying the saphenofemoral junction (see Question 5, part IX for the surface marking of this junction).
The femoral nerve supplies the anterior compartment of the thigh, the muscles of which are principally knee extensors, but also flex, rotate and adduct the hip. The femoral nerve is the largest branch of the lumbosacral plexus and has a root value of L2–4. Its terminal branch is the saphenous nerve. VII. The femoral nerve lies lateral to the femoral artery in the femoral triangle. VIII. 9). 9 • medial border – the medial border of adductor longus • lateral border – the medial border of sartorius • floor – from lateral to medial: iliacus, psoas, pectineus and adductor longus muscles • roof – the fascia lata.