9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
Organization of the ll, front and medial sides of thigh
1. Objectives
Organization of the lower limb
Bony features
Front of the thigh
Medial side of the thigh
Femoral triangle
Adductor canal
Dr. Dalia Saleh (Anatomy Dept)
3. Organization of the Lower Limb
It is connected to the axial skeleton
by a sacroiliac joint and its ligaments.
ligaments.
It is divided into:
The gluteal region
The thigh
The leg
The foot
Dr. Dalia Saleh (Anatomy Dept)
4. Organization of the Lower Limb
Important landmarks in the lower limb:
The femoral triangle
The popliteal fossa
The posteromedial aspect of the ankle
joint
Dr. Dalia Saleh (Anatomy Dept)
5. Function
Support body weight:
The center of gravity is:
Anterior to the edge of the S2
S2
vertebra in the pelvis
Slightly posterior to the hip joints
Anterior to the knee joint
Anterior to the ankle joint
The ligaments are tight and joints
are well supported
Dr. Dalia Saleh (Anatomy Dept)
6. Function
Locomotion:
Flexion and extension at hip joint
Abduction and adduction at hip joint
Internal and external rotation of the hip joint
Flexion and extension at the knee joint
Plantar flexion and dorsiflexion at the ankle joint
Inversion and eversion at the subtalar joint
Dr. Dalia Saleh (Anatomy Dept)
8. Compartments of the Thigh
Femur
Skin, superficial fascia and
deep fascia
Medial intermuscular septum
Lateral intermuscular septum
Posterior intermuscular
septum
Anterior compartment
Medial compartment
Posterior compartment
Dr. Dalia Saleh (Anatomy Dept)
10. Hip Bone
Acetabulum
Anterior superior iliac spine
Anterior inferior iliac spine
Obturator foramen
Body of pubic bone
Pubic crest
Pubic tubercle
Superior pubic ramus
(pectineal surface)
Inferior pubic ramus
Dr. Dalia Saleh (Anatomy Dept)
11. Femure
Intertrochanteric line
Anterior surface of body of
femure
Greater trochanter
Lesser trochanter
Intertrochanteric crest
Pectineal line
Linea aspera
Medial surachondylar line
Adductor tubercle
Dr. Dalia Saleh (Anatomy Dept)
12. Tibia
Tibial tuberosity
Anterior border (shin of tibia)
Medial surface of tibia
Dr. Dalia Saleh (Anatomy Dept)
15. Sartorius
Strap like muscle.
Divides front of thigh into upper
medial and lower lateral parts
Origin:
ASIS.
Insertion:
Upper part of medial surface of tibia.
Nerve supply:
Femoral nerve.
Action:
Flexes both hip and knee joints.
Dr. Dalia Saleh (Anatomy Dept)
16. Iliopsoas
Origin:
Iliacus iliac fossa of hip bone
Psoas major Transverse processes,
bodies, and intervertebral discs (T12 –
(T12
L5)
Insertion:
Into lesser trochanter of femur.
Nerve supply:
Femoral nerve.
Action:
Flexes thigh on trunk.
Flexes trunk on thigh (sitting, leaning).
Dr. Dalia Saleh (Anatomy Dept)
17. Pectineus
Origin:
Superior ramus of pubis
Insertion:
Upper end of linea aspera of shaft of
femur
Nerve supply:
Femoral nerve.
Action:
Flexes and adducts thigh at hip joint
Dr. Dalia Saleh (Anatomy Dept)
18. Quadriceps – Rectus Femoris
Origin:
Straight head AIIS
Reflected head ilium just superior to the
acetabulum
Insertion:
Quadriceps femoris tendon patella
ligamentum patellae tibial tuberosity
Nerve supply:
Femoral nerve
Action:
Flexes the thigh at the hip joint
Extends the leg at the knee joint
Dr. Dalia Saleh (Anatomy Dept)
19. Quadriceps – Vasti
Origin:
Vastus medialis Upper end and shaft of femur
medialis
Vastus lateralis Upper end and shaft of
femur
Vastus intermedius anterior and lateral
surfaces of femur
Insertion:
Quadriceps femoris tendon patella
ligamentum patellae tibial tuberosity
Nerve supply:
Femoral nerve
Action:
Extends the leg at the knee joint
Dr. Dalia Saleh (Anatomy Dept)
21. Medial Compartment
Muscles:
Pectineus
Adductor longus
Gracilis
Adductor brevis
Adductor magnus
Obturator externus
Region:
Adductor canal
Contents:
Femoral artery and vein
Saphenous nerve
Nerve to vastus medialis
Dr. Dalia Saleh (Anatomy Dept)
22. Gracilis
Origin:
Inferior ramus of pubis, ramus of ischium
Insertion:
Upper part of medial surface of shaft of tibia
Nerve supply:
Obturator nerve
Action:
Adducts thigh at hip joint
Flexes leg at knee joint
Dr. Dalia Saleh (Anatomy Dept)
23. Adductor Longus
Origin:
Body of pubis, medial to pubic tubercle
Insertion:
Posterior surface of shaft of femur
Nerve supply:
Obturator nerve
Action:
Adducts thigh at hip joint
Lateral rotation of the thigh
Dr. Dalia Saleh (Anatomy Dept)
24. Adductor Brevis
Origin:
Inferior ramus of pubis
Insertion:
Posterior surface of shaft of femur
Nerve supply:
Obturator nerve
Action:
Adducts thigh at hip joint
Lateral rotation of the thigh
Dr. Dalia Saleh (Anatomy Dept)
25. Adductor Magnus
Origin:
Inferior ramus of pubis, ramus of ischium, ischial
ischium,
tuberosity
Insertion:
Pubic part Posterior surface of shaft of femur
Ischial part Adductor tubercle of the femur
Nerve supply:
Pubic part Obturator nerve
Ischial part Sciatic nerve
Action:
Pubic part Adducts and laterally rotate thigh
Ischial part Extends hip and flexes knee
Dr. Dalia Saleh (Anatomy Dept)
26. Obturator Externus
Origin:
Outer surface of obturator membrane
and pubic and ischial rami
Insertion:
Medial surface of greater trochanter
Nerve supply:
Obturator nerve
Action:
Laterally rotates thigh
Dr. Dalia Saleh (Anatomy Dept)
28. Femoral Triangle
Site:
Triangular depressed area
At the upper part of the medial
aspect of the thigh
Boundaries:
Superiorly: The inguinal ligament
Laterally: The sartorius muscle
Medially: The adductor longus muscle
Floor:
Iliopsoas
Pectineus
Adductor longus
Dr. Dalia Saleh (Anatomy Dept)
29. Femoral Triangle
Contents:
Femoral nerve and its branches
Femoral sheath containing:
Femoral artery and its
branches
Femoral vein and its
tributaries
Femoral canal
Femoral LN
Dr. Dalia Saleh (Anatomy Dept)
30. Adductor Canal
Site:
Lies on the medial aspect of the middle
third of the thigh beneath the
sartorius muscle
Boundaries:
Superiorly: the apex of the femoral
triangle
Inferiorly: the opening in the adductor
magnus
Posteriorly:
Posteriorly: The adductor longus and
adductor magnus
Laterally: Vastus medialis
Roof: Fascia and sartorius
Dr. Dalia Saleh (Anatomy Dept)
31. Adductor Canal
Contents:
The terminal part of the femoral artery
The terminal part of the femoral vein
The deep lymph vessels
The saphenous nerve
The nerve to the vastus medialis
The terminal part of the obturator nerve
Dr. Dalia Saleh (Anatomy Dept)
32. For more details please go back to any text book
Dr Dalia Saleh
Dr. Dalia Saleh (Anatomy Dept)