Lower limb Osteofascial compartments Zdenek Halata, Department of Anatomy, First Faculty of Medicine, Charles University, Prague Pelvis – osteofascial compartments: 1. Lacuna vasorum et Lacuna musculorum: between lig. inguinale (spina iliaca ant. sup. and tuberculum pubicum) and os ilium and ramus superior ossis pubis a) Lacuna vasorum – A.iliaca externa – A. femoralis V.iliaca externa – V. femoralis b) Lacuna musculorum M. iliopsoas N. femoralis N. cutaneus femoris lateralis 2. Canalis obturatorius Vasa obturatoria et N. obturatorius 3. Foramen suprapiriforme Vasa glutea sup., N. gluteus superior 4. Foramen infrapiriforme Vasa glutea inf., N.gluteus inf., N.cutaneus femoris post., N. ischiadicus Thigh – osteofascial compartments: 1. compartment of adductor muscles: m. adductor magnus, longus and brevis m. gracilis with separate compartment 1. compartment of extensor muscles: m.quadriceps femoris, m.sartorius with separate compartment 3. compartment of flexor muscles: m.semimebranosus, m.semitendinosus m.biceps femoris Septum intermusculare femoris laterale Septum intermusculare femoris mediale: with a. and v. femoralis and N. saphenus Septum intermusculare femoris posterius: with n.ischiadicus, aa.perforantes and vv.perforantes 4. Canalis vastoadductorius: between fossa iliopectinea and fossa poplitea Calf - osteofascial compartments Compartment of extensor muscles: m.tibialis anterior, m.extensor hallucis longus, m.extensor digitorum longus Compartment of superficial flexor muscles: m.soleus, m.gastrocnemius Compartment of deep flexor muscles: m.tibialis posterior, m.flexor hallucis longus, m.flexor digitorum longus Compartment of peroneus muscles: m.peroneus longus, m.peroneus brevis Fascia cruris with superficial and deep layer (lamina superficialis and profunda) Membrana interossea cruris Septum intermusculare cruris anterius Septum intermusculare cruris posterius Foot - osteofascial compartments Compartment with extensor tendons in synovial sheaths Compartment with flexors for the 5. digit Medial compartment with flexors for digit 2.-4. Compartment for flexors of digit 1. (hallux) Septum plantare mediale Septum plantare laterale Fascial compartments of the right foot Lower limb Survey on blood vessels Lower limb Survey on nerves Spinal nerve Posterior root anterior branch anterior root Motoric and sensory innervation of muscles PlexusPlexus lumbalislumbalis (Th(Th 1212 –– LL 4)4) 1.1. N.iliohypogastricusN.iliohypogastricus 2.2. N.ilioinguinalisN.ilioinguinalis 3.3. N.genitofemoralisN.genitofemoralis 4.4. N.cutaneusN.cutaneus femorisfemoris lateralislateralis 5.5. N.femoralisN.femoralis 6.6. N.obturatoriusN.obturatorius PlexusPlexus sacralissacralis (L(L 5,5, SS 11-- SS 5,5, Co)Co) 1.1. N.gluteusN.gluteus superiorsuperior 2.2. N.gluteusN.gluteus inferiorinferior 3.3. N.cutaneusN.cutaneus femorisfemoris posteriorposterior 4.4. Rr.muscularesRr.musculares 5.5. N.pudendusN.pudendus 6.6. N.ischiadicusN.ischiadicus Used textbooks: Tillmann, B: Atlas der Anatomie, Springer 2004 ISBN 3-540-66651-6 Benninghoff, Drenckhahn: Anatomie, Band 2, Elsevier 2004 ISBN 3-437-42350-9.