Femur Medial intramuscular septum Posterior intramuscular septum Lateral intramuscular septum...
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LEARNING OBJECTIVES Thigh and Leg 1. Identify the bonesofthe thigh and leg and the m ajoranatom icalfeaturesofeach. 2. D efine the boundariesand the contentsofthe fem oraltriangle. 3. Explain the anatom y ofa fem oralhernia and distinguish itfrom the inguinal hernias. 4. D em onstrate the course and the prim ary branching pattern form ajorvesselsand nervesofthe thigh and leg. 5. Identify arteriesofthe low erlim b from w hich a pulse m ay be palpated. 6. D escribe the course ofthe m ajorsuperficialveinsofthe low erlim b. 7. Listthe contentsofthe subsartorialcanal. 8. D em onstrate the m usclesfound in each anatom ical“com partm ent” ofthe thigh and leg. 9. D escribe the nerve and blood supply form uscle groupsofthe thigh and leg. 10. D efine active and passive insufficiency asitrelatesto m uscles. 11. D efine them ajoractionsofm usclesacting on the hip, knee,and ankle joints. 12. D efine the boundariesofthe poplitealfossa and describe itscontents. 13. D escribe the relationship ofm uscles, vesselsand nervesasthey crossthe ankle to enterthe foot. 14. D escribe the vesselsinvolved in collateralcirculation forthe hip and knee joints.
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Transcript of Femur Medial intramuscular septum Posterior intramuscular septum Lateral intramuscular septum...
LEARNING OBJECTIVES
Thigh and Leg 1. Identify the bones of the thigh and leg and the major anatomical features of each. 2. Define the boundaries and the contents of the femoral triangle. 3. Explain the anatomy of a femoral hernia and distinguish it from the inguinal
hernias. 4. Demonstrate the course and the primary branching pattern for major vessels and
nerves of the thigh and leg.
5. Identify arteries of the lower limb from which a pulse may be palpated. 6. Describe the course of the major superficial veins of the lower limb. 7. List the contents of the subsartorial canal. 8. Demonstrate the muscles found in each anatomical “compartment” of the thigh
and leg. 9. Describe the nerve and blood supply for muscle groups of the thigh and leg. 10. Define active and passive insufficiency as it relates to muscles. 11. Define the major actions of muscles acting on the hip, knee, and ankle joints. 12. Define the boundaries of the popliteal fossa and describe its contents. 13. Describe the relationship of muscles, vessels and nerves as they cross the ankle to
enter the foot. 14. Describe the vessels involved in collateral circulation for the hip and knee joints.
Femur
Medial intramuscularseptum
Posterior intramuscularseptum
Lateralintramuscularseptum
Iliotibialtract
Sciatic n.
Plate 493
Femur
Lateralintramuscularseptum
Sciatic nerve
Fascia lataPosteriorintramuscular septum
Greatsaphenous vein
Femoralartery
Medialintramuscular septum
Plate 470
L1
L3
L4
L5
S1
Plate 471
Femoral v.
Great saphenous v.
Great saphenous v.
Saphenous n.Superficial fibular n.
Lateral cutaneous n.of thigh
Saphenous opening
Plate 473
Great saphenous v.
Inguinal ligament
Femoral n.
Sartorius m.
Femoral a.
Great saphenous v.
Pectineus m.
Adductor longus m.
Plate 473
Plate 480
Vastus medialis m.
Sartorius m.
Gracilis m.
Adductor longus m.
Pectineus m.Iliopsoas m.
Tensor fascia lata m.
Rectus femoris m.
Vastus lateralis m.
Plate 480
Iliopsoas m. (cut)
Vastus intermedius m.
Vastus lateralis m. Vastusmedialis m.
Gracilis m.
Adductorlongus m.
Pectineus m.
Plate 480
Vastus medialis m.
Sartorius m.
Gracilis m.
Adductor longus m.
Pectineus m.Iliopsoas m.
Tensor fascia lata m.
Rectus femoris m.
Vastus lateralis m.
Plate 484
Iliacus m.
Psoasmajor m.
Iliopsoas m.
Plate 480
Iliopsoas m. (cut)
Vastus intermedius m.
Vastus lateralis m. Vastusmedialis m.
Gracilis m.
Adductorlongus m.
Pectineus m.
Plate 527
Obturator n.
Obturatorexternus m.
Adductormagnus m.
Adductorbrevis m.
Adductor longusm. (cut)
Adductor magnus m.
Plate 481
Adductormagnus m.
Obturatorexternus m.
Adductorlongus m. (cut)
Adductorbrevis m. (cut)
Pectineus m.(cut)
Plate 488
Lasteral cutaneousn. of thigh
Iliopsoas m.
Sartorius m.Adductorlongus m.
Femoral v.
Femoral a.
Femoral n.
Plate 488
Saphenous n.
Femoral v.
Femoral a.
Deep a. ofthigh
Vastus medialis m.
Rectusfemoris m.
Femoral n.
Sartorius m.(cut)
Plate 255
Great saphenous v.
Fascia lata(reflected)
Plate 255
External iliaca. and v.
Fascia lata(reflected)
Femoralsheath
Pectineus m.
Adductor longus m.
Sartorius m.
Lat. cut. N. of thigh
Plate 489
Obturator n.
Gracilis m.
Deep a. of thigh
Femoral a. and v.
Adductor brevis m.
Adductor longus m.(cut)
Perforating aa.
Femoral a. (cut)
Plate 490Small saphenous v.
Popliteal v.
Popliteal a.
Tibial n.
Semimembranosus m.
Semitendinosus m.
Common fibular n.
Biceps femoris m.(short head)
Biceps femoris m.(long head)
Perforating aa.
Plate 492
Pectineus m.
Medial femoralcircumflex a.
Femoral a. (cut)
Iliopsoas m.
Lateral femoralcircumflex a.
Deep a. of thigh
Plate 500
Perforating aa. Deep a. of thigh
Femoral a.
Popliteal a.
Plate 526
Pectineus m.
Saphenous n.
Plate 527
Adductor hiatus
Obturator externus m.
Adductor brevis m.
Plate 495
Crest of iliumGluteus medius m.(covered bygluteal fascia)
Tensor fascia lata m.
Gluteus maximus m.
Biceps femoris m.(long head)
Semitendinosus m.
Semimembranosus m.
Biceps femoris m.(short head)
Gastrocnemius m.(lateral head)
Common fibular n.
Plate 483
Popliteal a.
Semimembranosus m.
Semiitendinosus m.
Post. cutaneous n. of thigh
Pudendal n.
Inferior gluteal n.
Superior gluteal a.
Gluteus maximus m.
Gluteus medius m.
Gluteus minimus m.
Piriformis m.
Sciatic n.
Biceps femoris m.(long head)
Plate 490
Plate 501
Lateral malleolus
Medial malleolus
Anterior border (shin)
Tuberosity of tibia
Intercondylar eminence
Head of fibula
Plate 501
Soleal line
Medial malleolusLateral malleolus
Head of fibula
Plate 502
Interosseous membrane
Plate 510
Crural fascia
Posterior intermuscular septum
Anteriorintermuscularseptum
Interosseous membrane
Transverse intermuscularseptum
Tibia
Fibula
Posterior compartment
Plate 522
Anterior compartmentTibia
Superficial posterior compartment
Deep posteriorcompartment
Lateralcompartment
Fibula
Plate 504
Gastrocnemiusm. (lateral head)
Common fibular n.
Calcaneal tendon
Gastrocnemius m.(medial head)
Small saphenous v.
Plate 505
Gastrocnemius m. (cut)
Soleus m.
Plantaris m.
Tendon of plantaris m.
Plate 506
Tibial n.
Posterior tibial a.
Flexor hallucislongus m.
Tibialis posterior m.Flexor digitorumlongus m.
Popliteus m.
Popliteal a.
Popliteal a.
Posterior tibial a.
Fibular a.
Anterior tibial a.
Plate 507
Tibia
Extensor hallucis longus m.
Extensor digitorus longus m.
Tibialis anterior m.
Extensor retinaculum
Plate 508
Tibialis anterior m.
Anterior tibial a.Superficial fibular n.
Deep fibular n.
Plate 509
Fibularis brevis m.
Extensor retinaculum
Fibularis tertius m.
Fibular retinaculum
Soleus m.
Gastrocnemius m.
Fibularis longus m.
Common fibular n.
Continuation of superficial fibular nerve (it’s the cutaneus branch)
Plate 530
Superficial fibular n.
Deep fibular n.Common fibular n.
