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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

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6 Axillary fossa Pectoralis major Latissiumus dorsi

7 Axillary cavity

8 Axillary cavity

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

10 Axillary cavity`s walls
Medial wall Serratus anterior Lateral wall Biceps brachii Coracobrachialis Surgical neck of humerus

11 Axillary cavity`s content
Axillary artery and its branches Axillary vein and its tributaries Branches of brachial plexus Fat Lymph nodes

12 Triangular and quadrangular foramina

13 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

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

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

16 Canalis humeromuscularis
Groove for the radial nerve on the humerus Triceps brachii

17 Content of canalis humeromuscularis
Deep brachial artery and veins Radial nerve

18 Topography of upper arm
Lateral bicipital sulcus Medial bicipital sulcus

19 Lateral biciptal sulcus
Cephalic vein

20 Medial biciptal sulcus
Basilic vein

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

22 Cubital fossa Brachialis Pronator teres Brachioradialis

23 Cubital fossa Biceps brachii Pronator teres Brachioradialis

24 Cubital fossa Ulnar nerve Brachial artery and veins Median nerve
Radial nerve

25 Topography of forearm Radial sulcus Median sulcus Ulnar sulcus

26 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

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

28 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

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

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

31 Carpal tunnel

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

33 Palmar aponeurosis is formed by fusion of superficial fascia of hand
and superficial layer of proper fascia of hand

34 Anatomical snuff box

35 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

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

37 Topographical anatomy of lower limb

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

39 Piriformis muscle

40 Foramen suprapiriforme
Foramen infrapiriforme

41 Foramen suprapiriforme
Superior gluteal artery Superior gluteal vein Superior gluteal nerve

42 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

43 Obturator canal Obturator artery Obturator vein Obturator nerve

44 Cribriform fascia Fascia lata

45 Saphenous hiatus Femoral vein Great saphenous vein

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

47 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

48 Femoral ring

49 Femoral ring

50 Femoral ring Femoral hernia

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

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

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

55 Adductor (Hunter`s) canal

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

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

58 Popliteal fossa

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

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

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

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

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

64 Superior musculoperoneal canal
Contains: Common peroneal nerve

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

66 Inferior musculoperoneal canal
Contains: Peroneal artery and veins

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

68 Superior extensor retinaculum
Inferior extensor retinaculum

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

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

71 Flexor retinaculum

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

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


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