局解小腿Lowerlimb演示文稿.ppt

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优选局解小腿Lowerlimb
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Generalintroduction
Thelowerlimbisdividedintofourparts:
Glutealregion
Thigh
Leg
Foot
Function
Supportthebodyweight
Locomotion
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Glutealregion
Muscles
Superficialgroup
Gluteusmaximus
Gluteusmedius
Gluteusminimus
Tensorfasciaelatae
Deepgroup
Piriformis
Obturatorinternus
Gemellussuperiorandinferior
Quadratusfemoris
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Glutealregion(continue)
Nervesandvessels
Greatersciaticforamenabovepiriformis
Superiorglutealnerve,arteryandvein
Greatersciaticforamenbelowpiriformis
Sciaticnerve
Posteriorcutaneousnerveofthethigh
Inferiorglutealnerveandartery
Pudendalnerveandinternalpudendalartery
Passthroughthelessersciaticforamentoentertheperineum
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Thigh---anteriorandmedialregion(1)
Superficialfascia
Arteries:
Superficialepigastricartery
Superficialiliaccircumflexartery
Externalpudendalartery
Greatsaphenousvein
Superficialinguinallymphnodes
Cutaneousnerves
Ilioinguinalnerve
Femoralbranchofthegenitofemoralnerve
Lateralfemoralcutaneousnerve
Anteriorcutaneousbranchesofthefemoralnerve
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Thigh---anteriorandmedialregion(2)
Deepstructures
Fascialata:thickandstronglaterally
Muscles:
Anteriorgroup:quadricepsfemorisandthesartorius
Medialgroup:
Pectineus
Adductorlongus
Gracilis
Adductorbrevis
Adductormagnus
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Thigh---anteriorandmedialregion(2)
Deepstructures
Gapbetweentheinguinalligamentandthehipbone(dividedintotwopartsbyiliopectinealarch)
Lacunamusculorum:laterally
Iliopsoas,femoralnerve,lateralfemoralcutaneousnerve
Lacunavasorum:medially
Femoralartery,femoralvein,femoralcanal.
Femoraltriangle
Boundaries
Contents:femoralnerve,artery,vein,canal(fromlateraltomedial)
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Thigh---anteriorandmedialregion(2)
Deepstructures
Contentsofthefemoraltriangle
Femoralnerve:
Muscularbranch:anteriorgroupofthethigh
Cutaneousbranch:
Anteriorfemoralcutaneousnerve
Saphenousnerve(accompaniesthefemoralarteryatthigh,andaccompaniesthegreatsaphenousveinatleg)
Femoralartery:
Muscularbranches
Deepfemoralartery:
lateralandmedialfemoralcircumflexa.
Perforatingarteries:3or4arteries
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Thigh---anteriorandmedialregion(2)
Deepstructures
Contentsofthefemoraltriangle
Femoralsheathandfemoralcanal
Femoralcanalisthemedialcompartmentofthefemoralsheath,:
Laterally:femoralvein
Medially:lacunarligament
Anteriorly:inguinalligament
Posteriorly:pectinealligament(ofCooper)
Femoralhernia:contentsofabdomenprotrudethroughthefemoralringintothefemoralcanal
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