Dr. NDAYISABA CORNEILLE CEO of CHG MBChB,DCM,BCSIT,CCNA BY Supported BY DR NDAYISABA CORNEILLE ANATOMY OF THE THIGH
An a t o m y The t h igh is the a r ea b e t w een the pel v is and the knee. o f t he thigh • • The s i ngle bone in the th i gh ( f emu r ). DR NDAYISABA CORNEILLE
Sur f ace an a t o m y Sur f a c e f e a tu r es of the T h igh of the thigh • – – Sa r t orius muscle Qu a dri c e p s f e m oris muscle Adduc t or lo n gus muscle H a m s tring muscl e s F e m o r al tria n g e – – – DR NDAYISABA CORNEILLE
An a t o m y Thigh i s d i v i ded t o 3 g r ou p s of musc l es c al l ed c ompartme n ts. o f t he thigh • • • A n t er i or c ompartme n t P o s t er i or c ompartme n t Me d ial c ompa r tme n t These t h r ee c ompa r tme n ts a r e sepa r a t ed b y f as c ia. DR NDAYISABA CORNEILLE
Co m partments of the Th i gh Fas ci a l s epta d i v i de l i m b in t o comp ar t a ments anterior c o mp a r t m ent m edial c o mp a r t m e n t p oste r ior c o mpar t m ent Ante r ior comp a r t m ent Med ia l ( a d d uc t o r ) com p a rt ment P os t er i or comp ar t m ent DR NDAYISABA CORNEILLE
An a t o m y o f t he thigh The a n t erior c ompart m e n t musc l es of the th i gh f l e x t h e f em u r a t the hip and e x t end t h e leg a t the knee. The po s t erior c ompart m e n t musc l es of t he th i gh e x t end the thigh and f l e x t h e l eg. The m edial c ompart m e n t mu s cles all adduct the th i gh. • • • DR NDAYISABA CORNEILLE
An a t o m y o f t he thigh The a n t erior c ompart m e n t of the t h igh is homo l o g ous t o the po s t erior c ompa r t m e n t of the arm. The po s t erior c ompart m e n t of the thigh is homo l o g ous t o the a n t erior c ompa r t m e n t of the arm. • • DR NDAYISABA CORNEILLE
Copyrigh t O The M cGraw - Hill Companies, Inc . Perm i ssion r eq u i red f or r eproduct i on o r display . compartment o f leg Posttf1or com pa rtment ot leg . An l tf1or Med ia l com pa rtment ot th i gll DR NDAYISABA CORNEILLE
An a t o m y Thigh inne r v a ti o ns: A n t erior c ompa r t m e n t L2,3, 4 . o f t he thigh f r om f emo r al n e r v e Med i al c ompart m e n t f r om o b tu r a t or ne r v e L2, 3 , 4 . P o st erior c ompart m e n t f r om s c i a tic ne r v e L4,5,S 1 ,2,3 (sac r al pl e x us). DR NDAYISABA CORNEILLE
Thigh inne r v a tions A n t er i or c omp a r t ment- Ex t e n so r s of the kn e e F emo r al Ne r v e f em u r me d i al l a t e r al Medial c omp a r t ment- Ad d uc t o r s of the kn e e O b tu r a t or Ne r v e P o s t er i or c omp a r t men t - Fl e x o r s of the knee Sc ia t i c N er v e DR NDAYISABA CORNEILLE
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A n t erior F emo r al T riang l e: Bo r de r s: sur f ace o f thigh Su p erior: In g uinal Li g ame n t Me d i a ll y : Adduc t or Longus Muscle L a t eral l y: Sar t orius Muscle DR NDAYISABA CORNEILLE
A n t erior F emo r al T rian g le: sur f ace o f thigh • Flo o r : Ilio p s o as muscle. P ec t ineus muscle. Addu c t o r longus muscle. • R oo f : F a s cia L a t a DR NDAYISABA CORNEILLE
A n t erior sur f ace F emo r al T riangle: o f thigh Co n t e n ts (l a t e r al t o medial): F emo r al F emo r al F emo r al Ne r v e Ar t ery V ein L y m ph a tics DR NDAYISABA CORNEILLE
A n t erior Add u c t or Can a l: Borders: L a t eral: V a s tus me d i al i s mu s cl e. sur f ace o f thigh P o s t e r ior: Ad d uc t or l on g us and ma g nu s . A nt e r om e dial: Sar t or i us mu s cl e. DR NDAYISABA CORNEILLE
A n t erior sur f ace Adduc t or Canal: Co n t e n ts: o f thigh • Saph e nous ne r v e: T er m in a tion of f e m o r al ne r v e. • • • • Ne r v e t o T erminal ne r v e. v a s tus medi a li s . part of o b tu r a t or T er m inal parts of f e m o r al ar t e r y and v ein. De e p lym p h v essels. DR NDAYISABA CORNEILLE
A n t erior Compartme n t Mu s cl e s: • • • Il i o p soa s . Sar t oriu s . Quadrice p s: R ectus f emor i s. V a s tus V a s tus V a s tus l at e r al i s. i n t erme d i u s . med i al i s DR NDAYISABA CORNEILLE
A n t erior Compartme n t Bl o od Supp l y: F em o ral Ar t e r y: S uperficial ci r cu m f l e x i l iac. S uperficial epi g a s tric. S uperficial e x t ern a l pudenda l . Deep e x t ernal pudendal. D e sce n ding g e nicu l a r . Deep f emo r al (p r of u n d a f emori s ) L at e r al f emo r al ci r c u m fl e x. Medial f emo r al ci r c u m fl e x . DR NDAYISABA CORNEILLE
A n t erior Compartme n t In n e r v a ti o n : F emo r al Ne r v e: Ac t ion: Hip fl e xion. K nee e x t ension. • • DR NDAYISABA CORNEILLE
A n t erior Compartme n t Iliopsoas • – Orig i n - Il i a, sacrum, l u mbar v er t eb r ae Inserti o n – le s ser t r ocha n t er Action – fl e x or of thigh Inne r v a tion – f emo r al ne r v e – – – DR NDAYISABA CORNEILLE
A n t erior S a r t or i us Compartme n t • Origi n : A n t e r ior supe r ior i l iac sp i ne Inser t i o n : Med i al side of su p e r ior tib i a,v i a p e s anse r i n us Acti o n: f l e x thigh a t h i p & f l e x leg a t knee Inne r v a ti o n : F emo r al n e r v e • • • DR NDAYISABA CORNEILLE
A n t erior Compartme n t Qu a dric e p s f emoris muscle: R ectus F emoris • Origi n : A n t e r ior i n f e r ior ili a c spine Insertio n : Tibial tube r osity via p at el l ar li g ame n t, part of quadric e p s f emo r is Actio n : F l e x thigh a t hip & e x t end leg a t k nee Inne r v a tio n : F emo r al ne r v e • • • DR NDAYISABA CORNEILLE
A n t erior Compartme n t Qu a dric e p s f emoris muscle: V a s tus Me d ialis • Origi n : I n t e r t r ocha n t e r ic line Insertio n : Tibial tube r osity via p at el l ar li g ame n t, part of quadric e p s f emo r is Act i o n : E x t end leg a t knee Inne r v a tio n : F emo r al ne r v e • • • DR NDAYISABA CORNEILLE
A n t erior Compartme n t Qua d rice p s f em o ris mus c le: V a s t u s L a t e r al i s • Orig i n : G r e a t er t r ocha n t er Insert i on : Tibial tube r osity via p a t ellar li g am e n t, part of quadri c e p s f em o ris A c t i on : E x t end leg a t knee In n e r v a t i o n : F em o r al ne r v e • • • DR NDAYISABA CORNEILLE
A n t erior Compartme n t Qu a dric e p s f emoris muscle: V a s tus I n t erm e dius • Ori g i n : A n t e r ol a t e r al sur f ace of f emur Insertio n : Tibial tube r osity via p at el l ar li g ame n t, part of qua d ric e p s f emor i s Actio n : E x t end leg a t k nee Inne r v a tio n : F emo r al ne r v e • • • DR NDAYISABA CORNEILLE
A n t erior Compartme n t DR NDAYISABA CORNEILLE
Ante r ior (ext e n s or) c o mpart m e n t o f the thigh I n nervat i o n : Fe m or a l Ner v e a n te r io r a n te r io r DR NDAYISABA CORNEILLE
Medial Compartme n t Muscles: G r acil i s . • Add u c t or Add u c t or Ad d uc t or P ectine u s lo n gus. b r e v i s. magn u s. DR NDAYISABA CORNEILLE
Medial Compartme n t Bl o od Su p pl y : O b tu r a t or ar t e r y : B r anch of i n t ernal i l iac ar t er y . DR NDAYISABA CORNEILLE
Medial Inne r v a tion: O b tura t or ne r ve. Tibial n e r ve: Compartme n t T o ham s tring portion adduc t or magnus. of Action: Add u ction DR NDAYISABA CORNEILLE
Medial Compartme n t Add u c t or longus – Or i gin – Medial p o rtion of superior pubic r amus I n se r tion - linea aspe r a of f e m ur Action – ad d ucts and medial r o t a t es I n ne r v a tion – O b tu r a t or ne r v e – – – DR NDAYISABA CORNEILLE
Medial Add u c t or b r e vis Compartme n t – Orig i n – I n f er i or pu b ic r amus Inserti o n - l i nea aspe r a of f emur Action – add u cts med i al r o t a t es Inne r v a tion – O b tu r a t or ne r v e – – and – DR NDAYISABA CORNEILLE
Medial Add u c t or magnus Compartme n t – Or i gin – I s chiopu b ic r amus and ischial tube r os i ty I n se r tion - linea aspe r a of f e m ur Act i on – ad d uc t s and medi a l r o t a t es I n ne r v a tion – O b tu r a t or ne r v e – – – DR NDAYISABA CORNEILLE
Medial Compartme n t G r ac i lis – Orig i n - P u b i c s y m p h y sis and i n f er i or pu b ic r amus Inserti o n – med i al t i b i a Action – adducts th i gh, fl e x, med i al, r o t a t es leg Inne r v a tion – O b tu r a t or ne r v e – – – DR NDAYISABA CORNEILLE
Medial Compartme n t P e c tineus – – Origin - pu b is Inser t i o n – l e sser t r ocha n t er Acti o n – a d duct s , me d ial r o t a t es Inne r v a ti o n – f emo r al n e r v e – – DR NDAYISABA CORNEILLE
Medial Compartme n t DR NDAYISABA CORNEILLE
Medial Compartme n t DR NDAYISABA CORNEILLE
Medial (adductor) I n nervat i o n : compartment of the t high obtu r ator nerve* me d i al * Adduc t or M a gnus innerva t ed by bo t h ob t u r a t o r n a nd tibi a l di v isi o n o f s cia t ic n me d ia l DR NDAYISABA CORNEILLE
P o s t erior Mus c les: Compartme n t • Ham s trin g s: Bi c e p s F emor i s : Long h ead. Short head. Se m i m embrano s u s . Se m i t endinos us . • Ad d uc t or H i a tus DR NDAYISABA CORNEILLE
P o s t erior Compartme n t V as c ul a r Su p ply: P er f orating ar t er i es (f r om p r ofun d a f emor i s) DR NDAYISABA CORNEILLE
P o s t erior Compartme n t Inne r v a tion: • C o m m on P e r on e al Ne r ve: T o bi c e p s Tibial n e r ve: f emoris b r e vi s . • Action: H i p Ex t ension. K nee Fl e xion. DR NDAYISABA CORNEILLE
P o s t erior Compartme n t Bi c e p s F emoris (2 H ea d s) – Ori g in – Ischial t u be r o s ity( l ong h ead ) , linea a s pe r a (sho r t head). Inser t ion - L a t e r al tib i a, head fibula A c ti o n - Thigh e x t ensi o n, kn e e fl e xion, l a t e r al r o t a tion Inne r va ti o n - ( short he a d) – – – C o mmon Fibular Ne r v e b r anch o f Sci a tic Ne r v e. ( l ong h ead) Tib i al N e r v e b r anch o f S c i a tic Ne r v e. DR NDAYISABA CORNEILLE
P o s t erior Compartme n t Semi t en d inosus Se m imem b r anosus • • – Origin - ischi a l tube r osity Insert i on - medial Action - thigh e x t en s ion, knee fl e xion, medial r o t a tion – – tibia – In n e r v a t i on - Tibial ne r v e b r anch of sci a tic ne r v e. DR NDAYISABA CORNEILLE
P o s t erior Compartme n t DR NDAYISABA CORNEILLE
sus is , - Li ne a aspera Semimembranosus Biceps f emoris , -- i f shor t head P o s t erior Compartme n t Semitendino B iceps femor long head DR NDAYISABA CORNEILLE
P osterior compartm e nt of the thigh Hamst r i n g m m : A ri s e from isc h ial t u berosi t y & i n n e rva te d by tibial division o f sci a tic n. Innervation: • T ibial division o f sci a tic n e rve Except short h e ad o f bic e ps fem o ri s : co m m o n fibular divi s ion n e rve o f sci a tic p o s t er ior DR NDAYISABA CORNEILLE
DR NDAYISABA CORNEILLE
END. Presented by DR NDAYISABA CORNEILLE CEO of AMHS For more visit: advancedmentalhealthsupport.org/ Contact us: [email protected] whatsapps :+256772497591