Anterior Fascial Compartment of the Thigh Medial Fascial Compartment
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Arthroscopic and Open Anatomy of the Hip 11
CHAPTER Arthroscopic and o'pen Anatomy of the Hip Michael B. Gerhardt, Kartik Logishetty, Morteza lV1eftah, and Anil S. Ranawat INTRODUCTION movements that they induce at the joint: 1) flexors; 2) extensors; 3) abductors; 4) adductors; 5) external rotators; and 6) interI12 I The hip joint is defined by the articulation between the head rotators. Although some muscles have dual roles, their primary of the femur and the aeetahulum of the pelvis. It is covered by functions define their group placem(:)nt, and they all have ullique :l large soft-tissue envelope and a complex array of neurovascu- neurovascular supplies (TIt ble 2-1). lar and musculotendinous structures. The joint's morphology The vascular supply of tbe hip stems from the external and anu orientation are complex, and there are wide anatomi c varia- internal iLiac ancries. An understanding of the course of these tions seen among individuals. The joint's deep location makes vessels is critical fo r ,lVo iding catasu"ophic vascular injury. fn both arthroscopic and open access challenging. To avoid iatro- addition, the blood supply to the fel11()ra l head is vulnerahle to genic injury while establishing functional and efficient access, both traumatic and iatrogenic injury; the disruption of this sup- the hip surgeon should possess a sound ana tomic knowledge of ply can result in avascular necrosis (Figure 2-2). the hip. T he human "hip" can be subdivided into three categories: I) the superficial surface anatomy; 2) the deep femoroacetabu- la r Joint and capsule; and 3) the associated structures, including the muscles, nerves, and vasculature, all of which directly affeet HIP MUSCULATURE its function. -
General Introduction of Anatomy
ﺍﳌﻌﻬﺪ ﺍﻟﻄﺒﻲ ﺍﻟﺘﻘﻨﻲ / ﺑﻐﺪﺍﺩ ﻗﺴﻢ ﺍﻟﺘﺄﻫﻴﻞ ﺍﻟﻄﺒﻲ ﻭﺍﻟﻌﻼﺝ ﺍﻟﻄﺒﻴﻌﻲ ﻓﺮﻉ ﺻﻨﺎﻋﺔ ﺍﻻﻃﺮﺍﻑ ﻭﺍﳌﺴﺎﻧﺪ General introduction of Anatomy 2013 – 2014 Dr. ASHRAF Ali AL-ZUBAIDI Dr. ASHRAF Ali AL-ZUBAIDI 2013-2014 1 GENERAL INTRODUCTION Anatomy: is the science of body structures and the relationships among Structures. At first the anatomy was studied by dissection, the carful cutting apart of body structures to study their relationships, Nowadays, many imaging of anatomical (ﺗﻘﺪم) to the advancement (ﺗﺴﺎھﻢ) techniques also contribute knowledge. The Anatomy is including many of fields, which is: It is the study of different : (اﻟﻔﺤﺺ اﻟﻌﯿﻨﻲ ) Macroscopic examination 1- structures , which make up the human body . It is the study of : (اﻟﻔﺤﺺ اﻟﻤﺠﮭﺮي ) Microscopic examination 2- seen (اﻟﻜﺎﺋﻦ اﻟﺤﻲ ) microscopic different structures of an organism only by use of a microscope . It is the study of different structures as : (اﻻﺟﮭﺰة اﻟﺠﺴﻤﯿﺔ) Systemic 3- : It comprises of the followings . (ﻛﻜﯿﺎﻧﺎت ﻓﺮدﯾﺔ) individual entities .The bony system \ ( ﻋﻠﻢ اﻟﻌﻈﺎم ) Osteology • . The articular system or joint \(ﻋﻠﻢ اﻟﻤﻔﺎﺻﻞ ) Syndesmology • . The muscular system \ (ﻋﻠﻢ الﻋﻀﻼت )Myology • , Comprising the heart , blood vessels \ (ﻋﻠﻢ اﻻوﻋﯿﺔ ) Angiology • ( اﻟﻌﻘﺪ اﻟﻠﻤﻔﺎوﯾﺔ)lymph nodes & (اﻻوﻋﯿﺔ اﻟﻠﻤﻔﺎوﯾﺔ) lymph vessels .The nervous system \(ﻋﻠﻢ اﻟﺠﮭﺎز اﻟﻌﺼﺒﻲ) Neurology • , ( اﻟﻨﻈﺎم اﻟﺤﺸﻮي ) The visceral system \ (ﻋﻠﻢ اﻻﺣﺸﺎء) Splanchnology • , (ﻧﻈﺎم اﻧﺒﻮﺑﻲ – ھﻀﻤﻲ ) comprising two tubular system – digestive . (اﻟﺠﮭﺎز اﻟﺘﻨﺎﺳﻠﻲ) and genital (اﻟﺠﮭﺎز اﻟﺒﻮﻟﻲ) urinary tract The study of form and marking of those :(اﻟﺘﺸﺮﯾﺢ اﻟﺴﻄﺤﻲ) Surface 4- structures by examination through skin. .It is the study of development before birth :(ﻋﻠﻢ اﻻﺟﻨﺔ) Embryology 5- GLOSSARY OF ANATOMIC TERMINOLOGY description of location (ﯾﺴﻤﺢ) Reference position of body permitting and movements: 1- Term of Anatomical position: • Head ………. -
Posterior Compartment Of
POSTERIOR COMPARTMENT OF LEG Cross Section of Leg Cutaneous Innervation Superficial vessels of leg Deep Fascia of Posterior Compartment Boundaries and Sub-divisions Flexor Retinaculum Muscles of Posterior Compartment I. Superficial Muscles a) Gastrocnemius b) Soleus c) Plantaris a) Gastrocnemius Origin:- by 2 heads i. Lateral head- lateral aspect of lateral condyle of femur ii. Medial head- popliteal surface of femur above medial condyle Insertion:- Posterior surface of calcaneum as Tendo-calcaneus b) Soleus Origin:- i. Inverted ‘V’ shaped from soleal line on tibia ii. Upper 1/4th of upper surface of shaft of fibula iii. Fibrous arch between these 2 bones Insertion:- Posterior surface of calcaneum as Tendo-calcaneus c) Plantaris- fusiform belly Origin:- Lateral supracondylar ridge of femur Insertion:- Posterior surface of calcaneum medial to Tendo- calcaneus Superficial Strata Deep Strata I. Deep Muscles a) Popliteus b) Flexor Digitorum Longus c) Flexor Hallucis Longus d) Tibialis Posterior a) Popliteus Origin:- Groove on lateral surface of lat. femoral condyle Insertion:- Triangular area on posterior surface of tibia b) Flexor Digitorum Longus Origin:- i. Upper 2/3rds of medial part of post. surface of tibia ii. Fascia covering tibialis posterior Insertion:- Plantar surface of base of distal phalanx of lateral 4 toes a) Flexor Hallucis Longus Origin:- i. Lower 3/4th of post. surface of fibula ii. Interosseous membrane Insertion:- Plantar surface of base of distal phalanx of great toe a) Tibialis Posterior Origin:- i. Upper 2/3rds of lat. Part of posterior surface of tibia ii. Post. Surface of fibula and interosseous membrane Insertion:- Tuberosity of navicular bone Posterior Tibial Artery • Larger terminal branch of Popliteal artery • Branches:- a. -
Compiled for Lower Limb
Updated: December, 9th, 2020 MSI ANATOMY LAB: STRUCTURE LIST Lower Extremity Lower Extremity Osteology Hip bone Tibia • Greater sciatic notch • Medial condyle • Lesser sciatic notch • Lateral condyle • Obturator foramen • Tibial plateau • Acetabulum o Medial tibial plateau o Lunate surface o Lateral tibial plateau o Acetabular notch o Intercondylar eminence • Ischiopubic ramus o Anterior intercondylar area o Posterior intercondylar area Pubic bone (pubis) • Pectineal line • Tibial tuberosity • Pubic tubercle • Medial malleolus • Body • Superior pubic ramus Patella • Inferior pubic ramus Fibula Ischium • Head • Body • Neck • Ramus • Lateral malleolus • Ischial tuberosity • Ischial spine Foot • Calcaneus Ilium o Calcaneal tuberosity • Iliac fossa o Sustentaculum tali (talar shelf) • Anterior superior iliac spine • Anterior inferior iliac spine • Talus o Head • Posterior superior iliac spine o Neck • Posterior inferior iliac spine • Arcuate line • Navicular • Iliac crest • Cuboid • Body • Cuneiforms: medial, intermediate, and lateral Femur • Metatarsals 1-5 • Greater trochanter • Phalanges 1-5 • Lesser trochanter o Proximal • Head o Middle • Neck o Distal • Linea aspera • L • Lateral condyle • L • Intercondylar fossa (notch) • L • Medial condyle • L • Lateral epicondyle • L • Medial epicondyle • L • Adductor tubercle • L • L • L • L • 1 Updated: December, 9th, 2020 Lab 3: Anterior and Medial Thigh Anterior Thigh Medial thigh General Structures Muscles • Fascia lata • Adductor longus m. • Anterior compartment • Adductor brevis m. • Medial compartment • Adductor magnus m. • Great saphenous vein o Adductor hiatus • Femoral sheath o Compartments and contents • Pectineus m. o Femoral canal and ring • Gracilis m. Muscles & Associated Tendons Nerves • Tensor fasciae lata • Obturator nerve • Iliotibial tract (band) • Femoral triangle: Boundaries Vessels o Inguinal ligament • Obturator artery o Sartorius m. • Femoral artery o Adductor longus m. -
Back of Leg I
Back of Leg I Dr. Garima Sehgal Associate Professor “Only those who risk going too far, can possibly find King George’s Medical University out how far one can go.” UP, Lucknow — T.S. Elliot DISCLAIMER Presentation has been made only for educational purpose Images and data used in the presentation have been taken from various textbooks and other online resources Author of the presentation claims no ownership for this material Learning Objectives By the end of this teaching session on Back of leg – I all the MBBS 1st year students must be able to: • Enumerate the contents of superficial fascia of back of leg • Write a short note on small saphenous vein • Describe cutaneous innervation in the back of leg • Write a short note on sural nerve • Enumerate the boundaries of posterior compartment of leg • Enumerate the fascial compartments in back of leg & their contents • Write a short note on flexor retinaculum of leg- its attachments & structures passing underneath • Describe the origin, insertion nerve supply and actions of superficial muscles of the posterior compartment of leg Introduction- Back of Leg / Calf • Powerful superficial antigravity muscles • (gastrocnemius, soleus) • Muscles are large in size • Inserted into the heel • Raise the heel during walking Superficial fascia of Back of leg • Contains superficial veins- • small saphenous vein with its tributaries • part of course of great saphenous vein • Cutaneous nerves in the back of leg- 1. Saphenous nerve 2. Posterior division of medial cutaneous nerve of thigh 3. Posterior cutaneous -
Bones of the Skeletal System
BIOLOGY 211: HUMAN ANATOMY & PHYSIOLOGY ********************************************************************************************************* BONES OF THE SKELETAL SYSTEM ********************************************************************************************************** Reference: Saladin, KS: Anatomy & Physiology, The Unity of Form and Function, 6th ed. (2012) or 7th ed. (2015) Please review Chapters 7 & 8 before beginning this lab. INTRODUCTION The skeletal system has a number of important functions in the human body. It is the framework around which the body is organized, it provides levers for muscles to pull against, and it surrounds and protects many soft organs. Equally important, bones serve as a "buffer" in which calcium and other ions can be deposited and withdrawn according to the changing needs of the body, and they are the site of almost all blood cell production. Contrary to our popular conceptions, bones are not rigid, inflexible structures: they are constantly changing, and can have a remarkable degree of flexibility before they break. The organs of the skeletal system are the bones and joints, and like all organs are composed of different types of tissue. Although we tend to classify them into "types" such as "long bones", "flat bones", etc., each is in fact unique and ideally suited to its particular location and function. We classify bones as belonging to either: a) the axial skeleton (head and trunk) b) the appendicular skeleton (arms and legs), However, you should always bear in mind that the entire skeletal system functions as a unit. If you look at any bone, you will see that it is rarely flat or smooth. Bones have a variety of bumps, grooves, holes, etc. which allow them to serve their specific functions. -
Anatomy, Bony Pelvis and Lower Limb, Leg Bones
NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2018 Jan-. Anatomy, Bony Pelvis and Lower Limb, Leg Bones Authors Austin J. Cantrell1; Matthew Varacallo2. Affiliations 1 University of Oklahoma College of Med. 2 Department of Orthopaedic Surgery, University of Kentucky School of Medicine Last Update: January 17, 2019. Introduction The leg is the region of the lower limb between the knee and the foot. It comprises two bones: the tibia and the fibula. The role of these two bones is to provide stability and support to the rest of the body, and through articulations with the femur and foot/ankle and the muscles attached to these bones, provide mobility and the ability to ambulate in an upright position. The tibia articulates with the femur at the knee joint. The knee joint consists of three compartments [1][2] medial tibiofemoral compartment lateral tibiofemoral compartment patellofemoral compartment At the ankle, the tibia and fibula create the articular surface for the talus. The ankle mortise is a specialized articulation providing support and optimizing motion and function through the ankle joint. A normal ankle joint ultimately optimizes and allows for physiologic mobility of the foot and its associated joints and articulations. The bones and fascia also divide the lower leg into four compartments [3][4] anterior compartment lateral compartment posterior compartment, superficial posterior compartment, deep Structure and Function The tibia is the second largest bone in the body and provides support for a significant portion of the weight-bearing forces transmitted from the rest of the body. -
Anatomy of the Knee Bony Structures Quad Muscles
Anatomy of the Knee Bony Structures Quad muscles - Tibia: proximal end forms tibial plateaus, tibial plateaus, articulates with Tendon femoral condyles. o Knee hinge joint flexion/extension Patellar tendon o Tibial plateaus separated by intercodylar tubercles . Medial and lateral tubercle Tibial tuberosity Lateral tibial plateau is smaller compare to medial . Tibial plateaus slope posteriorly o Cruciate ligaments and meniscus attach anterior and posterior to tubercles Fibular head o Distal to plateaus is tibial tuberosity . Common insertion for patellar tendon Lateral condyle o Distal and anterior to plateaus are lateral and medial condyles . Lateral condyle has facet that articulates with head of fibula IT Band Facet = extremely smooth surface of bone o Medial to lateral condyle is Gerdys tubercle o GERDYS tubercle – point of muscular attachment - Femur: medial/lateral condyle o Medial condyle is longer than lateral and slightly more distal o Slight external rotation at terminal (full) extension o Femoral condyles project more posterior than they do anterior o Groove between condyles, anteriorly is trochlear or patello- femoral groove o Posteriorly the condyles are separated by intercodylar notch (fossa) . Notch more narrow in women o Linea aspera: longitudinal ridge on posterior surface of femur (rough line) o Medial and lateral super condylar lines: lines running from each femoral condyle posteriorly to the linea aspera o Femur is longest and strongest bone o Directly superior to condyle is epicondyle (epi – above) o On medial side of medial epicondyle is adductor tubercle . Serves as point of attachment for adductor magnus muscle o Small groove present within medial and lateral condyle to accommodate the medial and lateral meniscus (very shallow) - Patella o Largest Sesamoid bone in body o Rounded, triangular bond and has only one articulation with femur o Can only dislocated laterally o Posterior surface has 3 facets . -
Tibia Length in South Indian Population
Summer & Autumn 2018, Volume 15, Number 2 Research Paper: Anthropometric Measurement of Maximum Tibia Length in South Indian Population Prasanna Veera Kumar Attada1* , Gandrakota Ravindranadh2, Kolla Deena Usha Kumari1 1. Department of Anatomy, NRI Institute of Medical Sciences, Visakhapatanam, India. 2. Department of Anatomy, Perdana University - Royal College Surgeons in Ireland, Selangor, Malaysia. Citation: Attada PVK, Ravindranadh G, Kumari KDU. Anthropometric Measurement of Maximum Tibia Length in South Indian Population. Anatomical Sciences. 2018; 15(2):47-54. Dr. Prasanna Veera Kumar Attada did his MBBS at Osmania University. Then, He continued his education at the Dr NTR University if Health Sciences and received his Masters degree in Anatomy. He is currently an associate professor in the Department of Anatomy at NRI Institute of Medical Sciences, Visakhapatnam, India. Funding: See Page 52 Copyright: The Author(s) A B S T R A C T Introduction: The human stature forms part of his or her biological profile. It becomes more important during personal identification in case of mass disasters and in search of missing Article info: persons. We measured various parameters of the dried tibia, then by applying linear regression Received: 25 Dec 2017 we formulated maximum tibia length which can be conveniently used for arriving at human Accepted: 18 May 2018 stature. Available Online: 01 Jul 2018 Methods: The obtained data were analyzed by descriptive statistics methods and expressed as mean (SD). The Pearson correlation coefficient (r) was used to express the relationship between the Maximum Tibia Length (MTL) and other parameters of tibia. The linear regression analysis was performed and the regression equation was arrived for the prediction of MTL. -
The Muscles That Act on the Lower Limb Fall Into Three Groups: Those That Move the Thigh, Those That Move the Lower Leg, and Those That Move the Ankle, Foot, and Toes
MUSCLES OF THE APPENDICULAR SKELETON LOWER LIMB The muscles that act on the lower limb fall into three groups: those that move the thigh, those that move the lower leg, and those that move the ankle, foot, and toes. Muscles Moving the Thigh (Marieb / Hoehn – Chapter 10; Pgs. 363 – 369; Figures 1 & 2) MUSCLE: ORIGIN: INSERTION: INNERVATION: ACTION: ANTERIOR: Iliacus* iliac fossa / crest lesser trochanter femoral nerve flexes thigh (part of Iliopsoas) of os coxa; ala of sacrum of femur Psoas major* lesser trochanter --------------- T – L vertebrae flexes thigh (part of Iliopsoas) 12 5 of femur (spinal nerves) iliac crest / anterior iliotibial tract Tensor fasciae latae* superior iliac spine gluteal nerves flexes / abducts thigh (connective tissue) of ox coxa anterior superior iliac spine medial surface flexes / adducts / Sartorius* femoral nerve of ox coxa of proximal tibia laterally rotates thigh lesser trochanter adducts / flexes / medially Pectineus* pubis obturator nerve of femur rotates thigh Adductor brevis* linea aspera adducts / flexes / medially pubis obturator nerve (part of Adductors) of femur rotates thigh Adductor longus* linea aspera adducts / flexes / medially pubis obturator nerve (part of Adductors) of femur rotates thigh MUSCLE: ORIGIN: INSERTION: INNERVATION: ACTION: linea aspera obturator nerve / adducts / flexes / medially Adductor magnus* pubis / ischium (part of Adductors) of femur sciatic nerve rotates thigh medial surface adducts / flexes / medially Gracilis* pubis / ischium obturator nerve of proximal tibia rotates -
1 Anatomy – Lower Limb – Bones
Anatomy – Lower limb – Bones Hip (innominate) bone Acetabulum lat, pubic symph ant Ilium, pubis and ischium which fuse in Y-shaped epiphysis involving acetabulum Acetabulum - Articulates with head femur Ilium Iliac crest from ASIS to PSIS Gluteal surface - Three gluteal lines Glut max above superior Glut med between superior-middle Glut min between middle-inferior Pubis Obturator groove lodges obturator nerve/vessels Ischium L-shaped Ischial spine projects medially, divide greater/lesser sciatic notch Lesser sciatic notch forms lesser sciatic foramen due to bridging of sacrotuberous ligament Medial surface Pectineal line, arcuate line Lesser Sciatic Foramen Between lesser sciatic notch ilium and sacrotuberbous/sacrospinous ligaments Contents Tendon obturator internus, Int pudendal artery/vein, pudendal nerve Greater Sciatic Foramen Between greater sciatic notch ilium and sacrotuberbous/sacrospinous ligaments Contents Above Piriformis: sup gluteal vessels/nerve Below Piriformis: inf gluteal/int pudendal vessels; inf gluteal, pudendal, sciatic, post fem cutaneous nerves Femur Linea aspera and intercondylar fossa post Head hyaline cartilage Neck Upwards and medially G trochanter - Glut min ant, med post, Piri sup Obturator externus/internus in troch fossa Quadratus femoris L trochanter - Psoas major/iliacus Shaft Linea aspera middle 1/3 shaft posteriorly Vastus med/lat/int, Add magnus/longus/brevis, Quadratus femoris, Short head biceps, Pectineus Medial and lateral condyles Intercondylar fossa between, Patella surf ant Medial epicondyle - TCL, medial head gastroc Lateral epicondyle - FCL, plantaris, popliteus Articulations: talus, fibula, femur at patellofemoral joint Tibia Med mall lat, sharp ant border 1 Articulations - Femoral condyles, Talus, Fibula – prox/distal Tibial plateau Tubercles of intercondylar eminence Many ant horn med meniscus Amorous ant cruciate Ladies ant horn lat meniscus Like post horn lat meniscus My post horn med meniscus P…. -
Developing Learning Models to Teach Equine Anatomy and Biomechanics
The University of Maine DigitalCommons@UMaine Honors College Spring 5-2017 Developing Learning Models to Teach Equine Anatomy and Biomechanics Zandalee E. Toothaker University of Maine Follow this and additional works at: https://digitalcommons.library.umaine.edu/honors Part of the Animal Sciences Commons, and the Veterinary Anatomy Commons Recommended Citation Toothaker, Zandalee E., "Developing Learning Models to Teach Equine Anatomy and Biomechanics" (2017). Honors College. 453. https://digitalcommons.library.umaine.edu/honors/453 This Honors Thesis is brought to you for free and open access by DigitalCommons@UMaine. It has been accepted for inclusion in Honors College by an authorized administrator of DigitalCommons@UMaine. For more information, please contact [email protected]. DEVELOPING LEARNING MODELS TO TEACH EQUINE ANATOMY AND BIOMECHANICS By Zandalee E. Toothaker A Thesis Submitted in Partial Fulfillment of the Requirements for a Degree with Honors (Animal and Veterinary Science) The Honors College University of Maine May 2017 Advisory Committee: Dr. Robert C. Causey, Associate Professor of Animal and Veterinary Sciences, Advisor Dr. David Gross, Adjunct Associate Professor in Honors (English) Dr. Sarah Harlan-Haughey, Assistant Professor of English and Honors Dr. Rita L. Seger, Researcher of Animal and Veterinary Sciences Dr. James Weber, Associate Professor and Animal and Veterinary Sciences © 2017 Zandalee Toothaker All Rights Reserved ABSTRACT Animal owners and professionals benefit from an understanding of an animal’s anatomy and biomechanics. This is especially true of the horse. A better understanding of the horse’s anatomy and weight bearing capabilities will allow people to treat and prevent injuries in equine athletes and work horses.