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    Front of Thigh

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    anikasinghah

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    © All Rights Reserved
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    Front of Thigh

    Uploaded by

    anikasinghah
    6 views36 pages

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    6 views36 pages

    Front of Thigh

    Uploaded by

    anikasinghah

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 36

    FRONT OF THIGH

    Dr Meetu Agarwal
    Associate Professor
    Amrita School of Medicine
    Faridabad
    Surface Landmarks
    Superficial Fascia
    Superficial fascia has 2 layers:

    SUPERFICIAL FATTY:
    continuous with CAMPER’S fascia of
    anterior abdominal wall.

    DEEP MEMBRANOUS:
    continuous with SCARPA’S fascia of
    anterior abdominal wall.

    HOLDEN’S LINE:
    Line of firm attachment of deep
    membranous layer and deep fascia.
    Commences a little lateral to Pubic
    tubercle. Extends laterally for about 8 cm.

    Note:
    If urethra is injured in the perineal region,
    urine will extravasate deep to the
    membranous layer passing up into the
    abdominal wall and upper part of thigh
    but the Holden’s line prevents urine from
    descending into the thigh.
    Deep Fascia
    Also k/a “FASCIA LATA”.
    The deep fascia of the thigh is very strong and envelops the thigh like a sleeve. It is
    called Fascia Lata because it encloses a wide area of the thigh.
    ATTACHMENT:
    ABOVE: Anterior-inguinal ligament, laterally-iliac crest, medially-pubis, pubic
    arch, ischial tuberosity.
    BELOW: Bony prominences and capsule of knee joint.
    POSTERIORLY: Sacrum, coccyx, sacrotuberous ligament.

    MODIFICATIONS:
    1. Iliotibial Tract.
    2. Saphenous Opening.
    gluteus
    maximus
    Tensor
    fasciae
    latae
    Iliotibial
    tract

    ACTION: Stabilizes knee during walking.


    gluteus
    maximus

    Iliotibial
    tract
    SAPHENOUS OPENING
    Oval gap 4 cm. below and lateral to
    pubic tubercle. Superf.layer
    Deep layer
    Inferolaterally - sharp crescentic
    falciform margin (superficial stratum of
    the fascia lata)
    Medial margin - ill-defined (deep
    stratum which lies at a deeper level and
    becomes continuous pectineal fascia.
    SAPHENOUS OPENING
    STRUCTURES PASSING THROUGH IT:
    1. Great saphenous vein
    2. Superficial epigastric and
    external pudendal arteries
    3. Branches of medial femaral
    cutaneous nerve
    4. Lymph vessels connecting supr.
    And deep lymph nodes.
    SAPHENOUS OPENING

    Femoral vein
    Femoral canal
    Floor

    Falciform
    margin Cribriform
    fascia
    1. Superficial epigastric
    artery
    2. Superficial external
    pudendal artery
    3. Great saphenous
    vien
    Muscles of the Iliacus
    front of thigh

    Psoas major
    Sartorius

    Quadriceps
    muscle
    SARTORIUS
    Sartorius
    Upper part of
    medial
    surface of the
    tibia

    Anterior superior
    iliac spine below
    the inguinal lig.
    Semitendinosus

    S
    Gracilis
    G
    Sartorius S

    The tendinous
    expansions of the
    sartorius on upper part of
    the medial side of tibia
    resemble goose's foot

    Pes anserinus
    •It draws the lower
    limb into the sitting
    position of a tailor.
    (Palthi posture)

    •Abductor and Lateral


    rotator of thigh.

    •Flexor of leg at knee


    joint.
    Three muscles form an
    inverted “tripod” with its
    base separated at the
    mobile hip bone and
    three legs converted to an
    apex on upper part of the S
    medial side of tibia
    Helping to stabilize the G
    bony pelvis during
    standing. S
    Iliacus

    Psoas major
    Inguinal ligament

    Pectineus

    Adductor
    longus
    Quadriceps
    muscle

    Rectus
    3 vasti femoris
    Rectus femoris

    Vastus
    intermedius
    Vastus
    lateralis

    Vastus
    medialis
    Rectus femoris Vastus
    intermedius
    Vastus
    Vastus
    medialis
    lateralis
    Medial
    intermuscular
    septum

    lateral
    intermuscular
    septum
    rectusfemoris001

    Reflected head of
    Rectus femoris

    Acetabulum

    Rectus Straight head of Rectus


    femoris from the
    femoris upper part of AIIS
    3 vasti
    Origin of the
    three vasti

    Vastus
    medialis

    Vastus lateralis

    Vastus
    intermedius
    Quadriceps
    tendon

    Patella
    Patellar
    retinacula

    Ligamentum
    patellea

    Tibial tuberosity
    Principal
    extensor of
    knee joint
    Great propulsive mass in walking,
    running and jumping

    Raising the body from sitting


    to standing position
    Tensor
    fascia lata
    Sartorius
    Ilio-tibial
    tract
    Rectus femoris

    Vastus Vastus
    lateralis medialis
    Quadriceps tendon
    Patella Ligamentum patellea
    Factors control stability of patella
    • 3 factors:
    - Muscular factor: medial
    pull of the lowest fibers
    of vastus medialis when
    the quadriceps
    contracts
    - Ligamentous factor: the
    tension of medial
    patellar retinaculum.
    - Bony factor: forward
    prominence of lateral
    femoral condyle.
    Articularis
    genu
    Articularis genu

    Suprapatellar
    bursa
    Articularis genu
    Femur
    Quadriceps
    tendon
    Suprapatellar
    Patella bursa

    Ligamentum Synovial
    patellea membrane

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