lower limb osteofascial compartments

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 tuberculumpubicum) and os ilium and ramus superior ossis pubis

a) Lacuna vasorum – A.iliaca externa – A. femoralisV.iliaca externa – V. femoralis

b) Lacuna musculorum M. iliopsoasN. femoralisN. cutaneus femoris lateralis

2. Canalis obturatorius Vasa obturatoria et N. obturatorius

3. Foramen suprapiriforme Vasa glutea sup., N. gluteussuperior

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 brevism. gracilis with separate compartment

1. compartment of extensor muscles: m.quadriceps femoris, m.sartorius withseparate compartment

3. compartment of flexor muscles: m.semimebranosus, m.semitendinosusm.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 andvv.perforantes

4. Canalis vastoadductorius: between fossa iliopectinea and fossa poplitea

Calf - osteofascial compartmentsCompartment 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 hallucislongus, 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 crurisSeptum intermusculare cruris anteriusSeptum intermusculare cruris posterius

Foot - osteofascial compartmentsCompartment 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 bloodvessels

Lower limb

Survey on nerves

Posterior root

anterior root

anterior branch

Spinal nerve

Motoric and sensory innervation of muscles

Plexus Plexus lumbalislumbalis (Th 12 (Th 12 –– L 4)L 4)

1. 1. N.iliohypogastricusN.iliohypogastricus2. 2. N.ilioinguinalisN.ilioinguinalis3. 3. N.genitofemoralisN.genitofemoralis4. 4. N.cutaneusN.cutaneus femorisfemoris lateralislateralis5. 5. N.femoralisN.femoralis6. 6. N.obturatoriusN.obturatorius

Plexus Plexus sacralissacralis (L 5, S 1(L 5, S 1-- S 5, Co)S 5, Co)

1. 1. N.gluteusN.gluteus superiorsuperior2. 2. N.gluteusN.gluteus inferiorinferior3. 3. N.cutaneusN.cutaneus femorisfemoris posteriorposterior4. 4. Rr.muscularesRr.musculares5. 5. N.pudendusN.pudendus6. 6. N.ischiadicusN.ischiadicus

Used textbooks:

Tillmann, B: Atlas der Anatomie, Springer 2004ISBN 3-540-66651-6

Benninghoff, Drenckhahn: Anatomie, Band 2, Elsevier 2004ISBN 3-437-42350-9