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Topographical anatomy of limbs

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Presentation on theme: "Topographical anatomy of limbs"— Presentation transcript:

1 Topographical anatomy of limbs

2 Topographical anatomy of upper limb

3 Axillary fossa Pectoralis major Latissiumus dorsi

4 Axillary cavity

5 Axillary cavity

6 Axillary cavity`s walls
Anterior wall Pectoralis major Pectoralis minor Posterior wall Latissimus dorsi Subscapularis Teres major

7 Axillary cavity`s walls
Medial wall Serratus anterior Posterior wall Biceps brachii Coracobrachialis

8 Axillary cavity`s content
Axillary artery Axillary vein Branches of brachial plexus Fat Lymph nodes

9 Triangular and quadrangular foramina

10 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

11 Triangular foramen (foramen trilaterum)
Lateral border long head of triceps brachii; Superior border subscapularis (anteriorly), teres minor (posteriorly); Inferior border teres major

12 Content of triangular and quadrangular foramina
Axillary nerve; posterior circumflex humeral artery and vein Circumflex scapular artery and vein

13 Topography of upper arm
Lateral bicipital sulcus Medial bicipital sulcus

14 Lateral biciptal sulcus
Cephalic vein

15 Medial biciptal sulcus
Basilic vein

16 Medial biciptal sulcus
Brachial artery Brachial veins Median Nerve Ulnar nerve Medial cutaneous nerve of arm of forearm

17 Cubital fossa Brachialis Pronator teres Brachioradialis

18 Cubital fossa Biceps brachii Pronator teres Brachioradialis

19 Cubital fossa Brachial artery and veins Median nerve Ulnar nerve

20 Topography of forearm Radial sulcus Median sulcus Ulnar sulcus

21 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

22 Topography of forearm and hand
Parona`s space Flexor retinaculum Carpal tunnel

23 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

24 Carpal tunnel is bounded: Posteriorly: by carpal bones; Anteriorly:
flexor retinaculum

25 Carpal tunnel Contains: - Ulnar vessels and nerve; - Median nerve;
- Tendons of flexor pollicis longus; flexores digitorum superficialis and profundus; flexor carpi radialis

26 Carpal tunnel

27 Synovial flexor sheaths in the palm
digitorum superficialis and profundus Flexor carpi radialis Flexor pollicis longus

28 Palmar aponeurosis

29 Anatomical snuff box

30 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

31 Synovial extensor sheaths of the hand
Extensor retinaculum 4. Extensor digitorum and extensor indicis 5. Extensor digiti minimi 6. Extensor carpi ulnaris

32 Topographical anatomy of lower limb

33 Openings in the pelvis Greater sciatic foramen Lesser sciatic foramen
Obturator canal

34 Piriformis muscle

35 Foramen suprapiriforme
Foramen infrapiriforme

36 Foramen suprapiriforme
Superior gluteal artery Superior gluteal vein Superior gluteal nerve

37 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

38 Obturator canal Obturator artery Obturator vein Obturator nerve

39 Cribriform fascia Fascia lata

40 Saphenous hiatus Femoral vein Great saphenous vein

41 Lacuna vasorum (vascular space)
Lacuna musculorum (muscular space)

42 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

43 Femoral ring

44 Femoral ring Femoral hernia

45 Femoral ring Anterosuperiorly – inguinal ligament
Medially – lacunar ligament Posteroinferiorly – pectineal ligament Laterally – femoral vein

46 Femoral canal and its walls
Anterior wall: inguinal ligament Posterior wall: deep layer of fascia lata Lateral wall: femoral vein

47

48 A Iliopsoas N V Pectineus Femoral nerve Femoral artery Femoral vein

49 Adductor (Hunter`s) canal

50 Adductor (Hunter`s) canal
Adductor magnus Vastus medialis Lamina vastoadductoria

51 Adductor (Hunter`s) canal
Femoral artery Femoral vein Saphenous nerve

52 Popliteal fossa

53 Popliteal fossa Semimembranosus Biceps femoris Medial head
of gastrocnemius Lateral head of gastrocnemius

54 V N A Popliteal fossa Popliteal artery Popliteal vein
Sciatic nerve and its branches N A

55 Cruropopliteal canal Posteriorly: soleus Anteriolry:
tibialis posterior and flexor hallucis longus

56 Cruropopliteal canal Contains: tibial nerve; -posterior tibial artery
- posterior tibial artery veins

57 Superior musculoperoneal canal
is bounded Medially: upper third of fibula Laterally: peroneus longus

58 Superior musculoperoneal canal
Contains: Common peroneal nerve

59 Inferior musculoperoneal canal
is bounded Anteriorly: lower third of fibula Posteriorly: flexor hallucis longus and tibialis posterior

60 Inferior musculoperoneal canal
Contains: Peroneal artery and veins

61 Lateral plantar groove Medial plantar groove
Abductor digiti minimi Abductor hallucis Flexor digitorum brevis

62 Superior extensor retinaculum
Inferior extensor retinaculum

63 Synovial extensor sheaths of foot
1. Tibialis anterior 2. Extensor hallucis longus 3. Extensor digitorum longus

64 Synovial sheaths in the lateral side of foot
Superior and inferior retinacula of peroneal muscles Peroneus longus and brevis

65 Flexor retinaculum

66 Synovial flexor sheaths of foot
1. Tibialis posterior 2. Flexor digitorum longus 3. Flexor hallucis longus

67 Synovial sheaths in the sole
Flexor digitorum longus Flexor hallucis longus Peroneus longus


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