LOWER LIMBS ANT & MEDIAL THIGH AND MUSCLES Flashcards
Superficial fascia (subcutaneous tissue)
– Deep to skin
– LCT contains fat, cutaneous nerves, superficial veins , lymphatic vessels
& lymph nodes
– Continuous w/ inf. part of anterolateral abdominal wall & buttocks
– Knee region: sup. fascia blends w/ deep fascia maintaining fat presence
in subcutaneous tissue of leg.
Deep fascia
Strong investing CT (like an elastic stocking)
Deep fascia (FASCIA LATA)
- Superior: Inguinal ligament, pubic body, arch & tubercle
- Posterolaterally: Iliac crest
- Posterior: sacrum, coccyx, sacrotuberous lig. & ischial tuberosity
- Distally: Exposed parts of bones of knee & deep fascia of leg (Crural fascia)
FASCIA LATA
Thickest along the superolateral aspect of the thigh,
where it arises from the fascial condensations
of gluteus maximus and medius.
Thick around the knee where the fascia receives
reinforcing fibers from tendons of the quadriceps
muscles.
FASCIA LATA (THIN)
It covers the adductor muscles of the
medial thigh.
FASCIA LATA (DEEP)
Gives rise to three intermuscular septa that attach centrally to the femur.
Division of Intramuscular septa:
Divides the thigh musculature into three compartments: anterior, medial, and posterior.
Lateral intermuscular septum strongest reinforced
by iliotibial tract.
Saphenous opening (fascia lata)
present in the fascia lata just inferior to the inguinal ligament.
Saphenous opening (Fascia Lata ACTION)
Entry point for efferent lymphatic vessels and the great
saphenous vein, draining into superficial inguinal lymph nodes and the femoral vein respectively.
Iliotibial tract (ITT)
Longitudinal thickening of the fascia lata
• Strengthened superoposteriorly by fibres from
the gluteus maximus.
• Located laterally in the thigh, extending from the
iliac tubercle to the lateral tibial condyle.
Iliotibial tract (ITT) (Action)
Movement – acts as an extensor, abductor and
lateral rotator of the hip, with an additional role
in providing lateral stabilization to the knee
joint.
Compartmentalization – the deepest aspect of
ITT extends centrally to form the lateral
intermuscular septum of the thigh and attaches
to the femur.
• Muscular sheath – forms a sheath around
the tensor fascia lata muscle.
Crural Fascia
Deep fascia of the leg. Attaches to ant. & medial borders of tibia – Becomes continuous w/ periosteum • Thick prox. part of ant. aspect of leg – Forms prox. attachment for leg muscles • Thin distal part of leg – Thickens forming Extensor retinacula
Crural Fascia (Ant. & Post. intermuscular septa of leg)
– From crural fascia to corresponding margins
of fibula.
Ant. & Post. intermuscular septa of leg.
Along w/ the interosseous membrane divide
leg into 3 compartments:
- Anterior (Dorsiflexion)
- Lateral (Fibular)
- Posterior (Plantarflexor): Sup. & Deep
Muscles that Move the Hip Joint/Thigh
How are thigh muscles organized?
• They are bound by fascia lata & organized into compartments
Muscles that Move the Hip Joint/Thigh
COMPARTMENTS
• Anterior compartment muscles Extend the knee or flex the thigh Innervated by Femoral n. • Medial compartment muscles Adduct the thigh Innervated by Obturator n. • Lateral compartment muscle Abducts the thigh • Posterior compartment muscles Flex knee and extend the thigh Innervated by Tibial portion of Sciatic n.
Anterior Compartment of Thigh Muscles
ACTION OF Pectineus
Adduction of thigh Flexion of thigh Medial rotation of thigh Comment: May also receive innervation from obturator n.
Anterior Compartment of Thigh Muscles
ACTION OF Psoas major and iliacus (collectively, iliopsoas)
Flexion of thigh IT HAS DOUBLE ORIGIN Iliacus part: ilium (iliac fossa) Psoas part: body of T12 and all lumbar vertebrae (bodies, transverse processes, and associated intervertebral discs)
Anterior Compartment of Thigh Muscles
ACTION OF: Sartorius
Flexion of thigh
Lateral rotation of thigh
Abduction of thigh
Flexion of leg
ORIGN OF: Sartorius
lium (anterior superior iliac spine)
Comment:
Longest muscle in body
Important in assuming “scissor-legged” or “cross-legged” position
Anterior Compartment of Thigh Muscles
QUADRICEP FEMORIS
composite muscle with four heads
Anterior Compartment of Thigh Muscles
QUADRICEP FEMORIS Anterior Compartment of Thigh (ACTION)
• Consists of: vastus lateralis, vastus intermedius, vastus
medialis, rectus femoris
• Prime mover of knee extension
• Pulls on quadriceps tendon, which becomes patellar ligament
to tibia