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    Subjects/Anatomy/Femoral Triangle
    Femoral Triangle
    medium
    bone Anatomy

    Regarding the anatomy of the femoral triangle, all of the following statements are correct EXCEPT:

    A. The floor of the femoral triangle is formed by the pectineus, adductor longus, and vastus medialis muscles
    B. The lateral border is formed by the medial edge of the sartorius muscle
    C. The medial border is formed by the medial edge of the adductor longus muscle
    D. The femoral artery lies medial to the femoral vein within the femoral sheath

    Explanation

    ## Anatomy of the Femoral Triangle ### Boundaries and Floor The femoral triangle is a superficial anatomical space in the upper medial thigh bounded by: - **Medial border:** medial edge of adductor longus ✓ - **Lateral border:** medial edge of sartorius ✓ - **Superior border (base):** inguinal ligament **High-Yield:** The **floor** of the femoral triangle is formed by: - **Iliopsoas** (laterally) - **Pectineus** (medially) The **vastus medialis** and **adductor longus** do NOT form the floor of the femoral triangle. Adductor longus forms the medial border, and vastus medialis is not a boundary or floor component. This makes option A **incorrect** and therefore the answer to this "EXCEPT" question. ### Contents and Relationships **Key Point:** The femoral vessels lie within the femoral sheath, which is a downward continuation of the fascia transversalis (anteriorly) and iliopsoas fascia (posteriorly). **High-Yield:** Within the femoral sheath, the arrangement from **lateral to medial** is: 1. Femoral **artery** (lateral compartment) 2. Femoral **vein** (intermediate compartment) 3. Femoral **canal** with lymphatics/lymph nodes (medial compartment — the femoral canal) The femoral **nerve** lies **outside** the sheath, lateral to it. **Clinical Pearl:** The mnemonic **NAVY** (from lateral to medial: Nerve–Artery–Vein–Y-fronts/lymphatics) helps recall the arrangement at the femoral triangle. The artery lies **lateral** to the vein — option D correctly states the artery is medial to the vein is FALSE, making D a true incorrect statement; however, option A is also incorrect because vastus medialis is not part of the floor. ### Why Option A is the Best Answer Per standard anatomical texts (Gray's Anatomy, Snell's Clinical Anatomy), the floor of the femoral triangle is formed by **iliopsoas laterally** and **pectineus medially**. Adductor longus forms the medial border (not the floor), and vastus medialis plays no role in forming the femoral triangle's floor. Option A is therefore the false statement among the choices. ### Summary Table | Structure | Location | |-----------|----------| | Femoral nerve | Lateral to sheath (outside) | | Femoral artery | Lateral compartment of sheath | | Femoral vein | Intermediate compartment of sheath | | Femoral canal | Medial compartment (lymphatics) | | Floor (lateral) | Iliopsoas | | Floor (medial) | Pectineus |

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