KnotesFree Orthopaedic & FRCS notes, viva stations and higher order SBAs

Thigh anatomy

High YieldHipthinKbox SBA

Compartments

The thigh is divided by intermuscular septa into anterior, medial and posterior compartments.

Cross-section of the thigh

Anterior compartment

Main function: knee extension, with contribution to hip flexion.

Quadriceps femoris

  • Rectus femoris: AIIS and supra-acetabular region to quadriceps tendon
  • Vastus lateralis: greater trochanter and lateral linea aspera
  • Vastus medialis: intertrochanteric line and medial linea aspera
  • Vastus intermedius: anterior and lateral femoral shaft

All insert through the quadriceps tendon and patella into the tibial tubercle through the patellar tendon.

Nerve: femoral nerve.

Sartorius

  • Origin: ASIS
  • Insertion: pes anserinus on proximal medial tibia
  • Nerve: femoral nerve

Medial compartment

Main function: hip adduction.

  • Adductor longus: pubis to middle third of linea aspera
  • Adductor brevis: pubis to proximal linea aspera
  • Adductor magnus: pubic/ischial origin to linea aspera and adductor tubercle
  • Gracilis: pubis to pes anserinus
  • Obturator externus: obturator membrane to trochanteric fossa

Nerve: predominantly obturator nerve. The hamstring part of adductor magnus is supplied by the tibial division of the sciatic nerve.

Posterior compartment

Main functions: hip extension and knee flexion.

  • Semitendinosus: ischial tuberosity to pes anserinus
  • Semimembranosus: ischial tuberosity to posteromedial tibia
  • Biceps femoris long head: ischial tuberosity to fibular head
  • Biceps femoris short head: linea aspera to fibular head

Nerve: tibial division of sciatic nerve, except short head of biceps femoris, supplied by the common fibular division.

Femoral triangle

Boundaries:

  • Superior: inguinal ligament
  • Lateral: sartorius
  • Medial: adductor longus

Contents from lateral to medial are femoral nerve, artery, vein and lymphatics.

Adductor canal

Contains the femoral artery and vein and the saphenous nerve. It runs from the apex of the femoral triangle to the adductor hiatus.

References

  1. Orthobullets. Thigh Anatomy.

Written/reviewed by Kishore Puthezhath

Professor of Orthopaedics and Consultant Paediatric Orthopaedic Surgeon

FRCS (Tr & Orth) revision resource

Reviewed: September 2026