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Topographical anatomy of limbs
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Topographical anatomy of upper limb
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Axillary fossa Pectoralis major Latissiumus dorsi
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Axillary cavity
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Axillary cavity
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Axillary cavity`s walls
Anterior wall Pectoralis major Pectoralis minor Posterior wall Latissimus dorsi Subscapularis Teres major
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Axillary cavity`s walls
Medial wall Serratus anterior Posterior wall Biceps brachii Coracobrachialis
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Axillary cavity`s content
Axillary artery Axillary vein Branches of brachial plexus Fat Lymph nodes
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Triangular and quadrangular foramina
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Quadrangular foramen (foramen quadrilaterum)
Lateral border surgical neck of humerus Medial border long head of triceps brachii Superior border subscapularis (anteriorly), teres minor (posteriorly); Inferior border teres major
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Triangular foramen (foramen trilaterum)
Lateral border long head of triceps brachii; Superior border subscapularis (anteriorly), teres minor (posteriorly); Inferior border teres major
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Content of triangular and quadrangular foramina
Axillary nerve; posterior circumflex humeral artery and vein Circumflex scapular artery and vein
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Topography of upper arm
Lateral bicipital sulcus Medial bicipital sulcus
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Lateral biciptal sulcus
Cephalic vein
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Medial biciptal sulcus
Basilic vein
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Medial biciptal sulcus
Brachial artery Brachial veins Median Nerve Ulnar nerve Medial cutaneous nerve of arm of forearm
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Cubital fossa Brachialis Pronator teres Brachioradialis
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Cubital fossa Biceps brachii Pronator teres Brachioradialis
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Cubital fossa Brachial artery and veins Median nerve Ulnar nerve
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Topography of forearm Radial sulcus Median sulcus Ulnar sulcus
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Topography of forearm Radial sulcus: radial artery, veins and deep branch of radial nerve Median sulcus: median nerve Ulnar sulcus:ulnar artery, veins and nerve
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Topography of forearm and hand
Parona`s space Flexor retinaculum Carpal tunnel
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Topography of forearm and hand
Parona`s space is bounded: Posteriorly: by pronator quadratus and interosseous membrane; Anteriorly: flexor pollicis longus and flexor digitorum profundus
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Carpal tunnel is bounded: Posteriorly: by carpal bones; Anteriorly:
flexor retinaculum
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Carpal tunnel Contains: - Ulnar vessels and nerve; - Median nerve;
- Tendons of flexor pollicis longus; flexores digitorum superficialis and profundus; flexor carpi radialis
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Carpal tunnel
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Synovial flexor sheaths in the palm
digitorum superficialis and profundus Flexor carpi radialis Flexor pollicis longus
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Palmar aponeurosis
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Anatomical snuff box
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Synovial extensor sheaths of the hand
Extensor retinaculum 1. Abductor pollicis longus and extensor pollicis brevis 2. Extensor carpi radialis longus and brevis 3. Extensor pollicis longus
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Synovial extensor sheaths of the hand
Extensor retinaculum 4. Extensor digitorum and extensor indicis 5. Extensor digiti minimi 6. Extensor carpi ulnaris
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Topographical anatomy of lower limb
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Openings in the pelvis Greater sciatic foramen Lesser sciatic foramen
Obturator canal
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Piriformis muscle
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Foramen suprapiriforme
Foramen infrapiriforme
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Foramen suprapiriforme
Superior gluteal artery Superior gluteal vein Superior gluteal nerve
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Foramen infrapiriforme
Inferior gluteal artery Inferior gluteal vein Inferior gluteal nerve Pudendal nerve Internal pudendal artery Internal pudendal vein Posterior cutaneous nerve of thigh Sciatic nerve
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Obturator canal Obturator artery Obturator vein Obturator nerve
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Cribriform fascia Fascia lata
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Saphenous hiatus Femoral vein Great saphenous vein
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Lacuna vasorum (vascular space)
Lacuna musculorum (muscular space)
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Iliopsoas Femoral artery 2. Femoral nerve 2. Femoral vein
Lacuna musculorum (muscular space) Lacuna vasorum (vascular space) Iliopsoas 2. Femoral nerve 3. Lateral cutaneous nerve of thigh Femoral artery 2. Femoral vein 3. Femoral branch of genitofemoral nerve
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Femoral ring
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Femoral ring Femoral hernia
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Femoral ring Anterosuperiorly – inguinal ligament
Medially – lacunar ligament Posteroinferiorly – pectineal ligament Laterally – femoral vein
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Femoral canal and its walls
Anterior wall: inguinal ligament Posterior wall: deep layer of fascia lata Lateral wall: femoral vein
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A Iliopsoas N V Pectineus Femoral nerve Femoral artery Femoral vein
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Adductor (Hunter`s) canal
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Adductor (Hunter`s) canal
Adductor magnus Vastus medialis Lamina vastoadductoria
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Adductor (Hunter`s) canal
Femoral artery Femoral vein Saphenous nerve
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Popliteal fossa
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Popliteal fossa Semimembranosus Biceps femoris Medial head
of gastrocnemius Lateral head of gastrocnemius
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V N A Popliteal fossa Popliteal artery Popliteal vein
Sciatic nerve and its branches N A
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Cruropopliteal canal Posteriorly: soleus Anteriolry:
tibialis posterior and flexor hallucis longus
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Cruropopliteal canal Contains: tibial nerve; -posterior tibial artery
- posterior tibial artery veins
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Superior musculoperoneal canal
is bounded Medially: upper third of fibula Laterally: peroneus longus
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Superior musculoperoneal canal
Contains: Common peroneal nerve
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Inferior musculoperoneal canal
is bounded Anteriorly: lower third of fibula Posteriorly: flexor hallucis longus and tibialis posterior
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Inferior musculoperoneal canal
Contains: Peroneal artery and veins
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Lateral plantar groove Medial plantar groove
Abductor digiti minimi Abductor hallucis Flexor digitorum brevis
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Superior extensor retinaculum
Inferior extensor retinaculum
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Synovial extensor sheaths of foot
1. Tibialis anterior 2. Extensor hallucis longus 3. Extensor digitorum longus
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Synovial sheaths in the lateral side of foot
Superior and inferior retinacula of peroneal muscles Peroneus longus and brevis
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Flexor retinaculum
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Synovial flexor sheaths of foot
1. Tibialis posterior 2. Flexor digitorum longus 3. Flexor hallucis longus
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Synovial sheaths in the sole
Flexor digitorum longus Flexor hallucis longus Peroneus longus
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