Lecture 01. Introduction, Anatomical Position, Superficial Lower Limb, and Saphenous Opening.

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Learning Objectives

1. Anatomical planes.
2. Anatomical position.
3. Cutaneous nerve distribution to the lower limb.
4. Venous drainage of the lower limb.
5. Key anatomical landmarks for the cutaneous nerve distributions and venous drainages of the lower limb.
6. Fascial layers from superficial to deep beginning at the skin.
7. Fascial layers with regard to superficial abrasions and penetrating wounds.
8. Saphenous hiatus and arteriovenous catheterization.
9. Femoral vein tributaries draining the abdominal wall and their contribution to the symptoms of portal hypertension.

True/False Questions

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Essay Questions

1. Essay Question #1: A 55-year-old male has complaints of numbness, burning, and tingling of the superolateral thigh. The history and physical examination reports that the patient gained 40 pounds during the past year. A pendulous abdomen is observed. Meralgia paresthetica is diagnosed. Discuss the anatomy of the lateral femoral cutaneous nerve. Explain the difference between peripheral nerve entrapment and spinal nerve entrapment with regard to sensory deficits. How might the patient’s recent weight gain contribute to his condition?

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Laboratory Identifications and Relationships (Non-exhaustive)

1. Place laboratory identification and relationship here.
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4. Great saphenous vein at medial aspect of dorsum of foot.
5. Great saphenous vein passing anterior to medial malleolus.
6. Great saphenous vein passing posterior to transverse axis of knee joint at medial margin of knee.
7. Great saphenous vein passing anterior to inferior cornu of saphenous hiatus (clinical significance).
8. Lesser saphenous vein at lateral aspect of dorsum of foot.
9. Lesser saphenous vein passing posterior to lateral malleolus.
10. Common sheath for lesser saphenous vein and sural nerve (clinical significance).
11. and so on.