Учебники / Atlas_anatomii_cheloveka_Frenk_Netter_6-oe_izdanie_Chast3
.pdfMuscles of Hip and Thigh: Lateral View
See also Plate 468
Iliac crest
Gluteal aponeurosis
over gluteus medius muscle
Gluteus maximus muscle
Vastus lateralis muscle
Iliotibial tract
Long head
Biceps femoris muscle
Short head
Semimembranosus muscle
Fibular collateral ligament
Plantaris muscle
Gastrocnemius muscle (lateral head)
Head of fibula
Fibularis (peroneus) longus muscle
External oblique muscle
Anterior superior iliac spine
Sartorius muscle
Tensor fasciae latae muscle
Rectus femoris muscle
Lateral condyle of tibia and Gerdy’s tubercle
Lateral patellar retinaculum
Patella
Extensor digitorum longus muscle
Patellar ligament
Tibialis anterior muscle
Plate 481 |
Hip and Thigh |
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Muscles of Hip and Thigh: Posterior Views |
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See also Plates 338, 339, 488 |
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Superficial dissection |
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Deeper dissection |
Iliac crest
Gluteal aponeurosis over
Gluteus medius muscle
Gluteus minimus muscle
Gluteus maximus muscle
Piriformis muscle
Sciatic nerve
Sacrospinous ligament
Superior gemellus muscle
Obturator internus muscle
Inferior gemellus muscle
Sacrotuberous ligament
Quadratus femoris muscle
Ischial tuberosity
Semitendinosus muscle
Greater trochanter
Biceps femoris muscle (long head)
Adductor minimus part of
Adductor magnus muscle
Semimembranosus muscle
Iliotibial tract
Gracilis muscle
Biceps femoris muscle
Short head
Long head
Semimembranosus muscle
Semitendinosus muscle
Popliteal vessels and tibial nerve
Common fibular (peroneal) nerve
Plantaris muscle
Gastrocnemius muscle
Medial head
Lateral head
Sartorius muscle
Popliteus muscle
Arch of
Soleus muscle
Plantaris tendon (cut)
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Hip and Thigh |
Plate 482 |
Psoas and Iliacus Muscles
See also Plates 253, 258, 262
Subcostal nerve
12th rib
Quadratus lumborum muscle
Transversus abdominis muscle (cut)
Iliohypogastric nerve
Ilio-inguinal nerve
Psoas minor muscle
Psoas major muscle
Genitofemoral nerve
Lateral femoral cutaneous nerve
Iliacus muscle
Femoral nerve
Obturator nerve
Superior and inferior pubic rami
Greater trochanter of femur
Iliacus and psoas muscles pass backward to insert on lesser
trochanter (iliopsoas)
Abductors (gluteus medius and
minimus muscles)
T12
L1
L2
L3
L4
L5
Origin of psoas major muscle from vertebral bodies, transverse processes, and intervertebral discs (T12–L4) and origin of psoas minor muscle from vertebral bodies (T12, L1)
Lumbar plexus (L1–4)
Lumbosacral trunk (L4, 5)
Iliac crest
Anterior superior iliac spine
Iliopectineal bursa
Iliofemoral ligament of hip joint (Y ligament of Bigelow)
Note: Arrows indicate direction of action of muscles (iliacus/psoas superiorly, iliopsoas inferiorly).
Adductors
Plate 483 |
Hip and Thigh |
Intercostal nerve (T11)
Subcostal nerve (T12)
Iliohypogastric nerve (T12, L1)
Ilio-inguinal nerve (L1)
To psoas major and psoas minor muscles
Genitofemoral nerve (L1, 2)
Lateral femoral cutaneous nerve (L2, 3)
Genital branch (L1) and Femoral branch (L2)
of genitofemoral nerve
To psoas major and iliacus muscles
Anterior branches and
Lateral branches of subcostal and
iliohypogastric nerves
Lumbosacral trunk
Nerve to quadratus femoris (and inferior gemellus) (L4, 5, S1)
Nerve to obturator internus (and superior gemellus) (L5, S1, 2)
Superior gluteal nerve (L4, 5, S1)
Nerve to piriformis (S1, 2)
Obturator nerve (L2, 3, 4)
Accessory obturator nerve (L3, 4) (inconstant)
Inferior gluteal nerve (L5, S1, 2)
Femoral nerve (L2, 3, 4)
Sciatic nerve
Posterior femoral cutaneous nerve (S1, 2, 3)
Pudendal nerve (S2, 3, 4)
Common fibular
(peroneal) nerve Sciatic (L4, 5, S1, 2) nerve
Tibial nerve (L4, 5, S1, 2, 3)
Lumbosacral and Coccygeal Plexuses |
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See also Plate 262 |
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Anterior division |
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T12 |
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Posterior division |
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Sympathetic trunk
Rami |
L1 |
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communicantes |
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L2 |
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Lumbar plexus |
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L3 |
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L4 |
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L5 |
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S1 |
Sacral plexus |
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S2 |
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S3 |
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S4
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S5 |
Coccygeal plexus |
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Co |
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Pelvic splanchnic |
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nerves (parasympathetics) |
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Perforating cutaneous |
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nerve (S2, 3) |
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Nerve to levator ani |
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and coccygeus (S3, 4) |
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Perineal branch of |
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4th sacral nerve |
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Anococcygeal nerves |
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Obturator nerve |
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Inferior anal |
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(rectal) nerve |
Posterior femoral |
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Dorsal nerve of penis/clitoris |
cutaneous nerve |
Perineal nerve and Posterior scrotal/labial branches |
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Hip and Thigh |
Plate 484 |
Lumbar Plexus
See also Plate 262
Schema |
Subcostal nerve (T12) |
White and gray rami communicantes
Iliohypogastric nerve
Ilio-inguinal nerve
Genitofemoral nerve
Lateral femoral cutaneous nerve
Gray rami communicantes
Muscular branches
to psoas and iliacus muscles
Femoral nerve
Accessory obturator nerve (often absent)
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Obturator nerve |
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Lumbosacral trunk |
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Diaphragm (cut) |
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Subcostal nerve (T12) |
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Sympathetic trunk |
L1 |
L1 |
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Iliohypogastric nerve |
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L2 |
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L2 |
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Ilio-inguinal nerve |
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L3 |
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L3 |
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Genitofemoral nerve (cut) |
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L4 |
L4 |
Lateral femoral
cutaneous nerve
L5
Femoral nerve
Obturator nerve
Psoas major muscle (cut)
Lumbosacral trunks
Inguinal ligament (Poupart’s)
T12
L1
L2
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Ventral rami of |
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lumbar plexus |
L3 |
spinal nerves |
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L4
L5
Anterior division
Posterior division
White and gray
rami communicantes
Subcostal nerve (T12)
Iliohypogastric nerve (T12, L1)
Ilio-inguinal nerve (L1)
Transversus abdominis muscle
Quadratus lumborum muscle
Psoas major muscle
Gray rami communicantes
Genitofemoral nerve (L1, 2)
Iliacus muscle
Lateral femoral cutaneous nerve (L2, 3)
Femoral nerve (L2–4)
Genital branch (L1) and
Femoral branch (L2) of genitofemoral nerve
Obturator nerve (L2–4)
Plate 485 |
Hip and Thigh |
Schema
Anterior division
Posterior division
Superior gluteal nerve
Inferior gluteal nerve
Nerve to piriformis
Common fibular (peroneal) nerve (L4, 5, S1, 2)
Sciatic nerve
Tibial nerve (L4, 5, S1, 2, 3)
Nerve to quadratus femoris (and inferior gemellus)
Nerve to obturator internus (and superior gemellus)
Lumbosacral trunk
Psoas major muscle
Superior gluteal artery and nerve
Obturator nerve
Iliacus muscle
Inferior gluteal artery
Nerve to quadratus femoris
Internal pudendal artery
Nerve to obturator internus
Pudendal nerve
Obturator internus muscle
Superior pubic ramus
Piriformis muscle
Coccygeus (ischiococcygeus) muscle
Nerve to levator ani muscle
Levator ani muscle
Topography: medial and slightly anterior view of hemisected pelvis
Sacral and Coccygeal Plexuses |
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See also Plate 262 |
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L4 |
Lumbosacral trunk |
L5
Gray rami communicantes
S1
Pelvic splanchnic nerves S2 (parasympathetic to
inferior hypogastric [pelvic] plexus [S2, 3, 4])
S3
S4
S5
Coccygeal nerve
Anococcygeal nerve
Perineal branch of 4th sacral nerve
Nerve to levator ani and
coccygeus (ischiococcygeus) muscles
Pudendal nerve
Perforating cutaneous nerve
Posterior femoral cutaneous nerve
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Sympathetic trunk |
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Gray rami communicantes |
L5 |
Pelvic splanchnic |
L4 |
nerves (cut) |
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(parasympathetic |
S1 |
to inferior |
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hypogastric |
S2 |
[pelvic] plexus) |
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S3 |
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S4 |
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S5 |
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Co |
Sacral
splanchnic nerves (cut)
(sympathetic to inferior hypogastric [pelvic] plexus)
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Hip and Thigh |
Plate 486 |
Arteries and Nerves of Thigh: Anterior Views
See also Plate 525
Anterior superior iliac spine |
Superficial dissections |
Lateral femoral cutaneous nerve |
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Inguinal ligament |
Tensor fasciae latae |
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Iliopsoas muscle |
muscle (retracted) |
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Superficial circumflex |
Gluteus |
iliac vessels |
minimus |
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and medius |
Superficial |
muscles |
epigastric vessels |
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Superficial and Deep external pudendal vessels
Lateral circumflex femoral artery
Rectus femoris muscle
Vastus lateralis muscle
Vastus medialis muscle
Femoral sheath (cut)
Femoral nerve, artery, and vein
Pectineus muscle
Profunda femoris (deep femoral) artery
Gracilis muscle
Adductor longus muscle
Sartorius muscle
Vastus medialis muscle
Fascia lata (cut)
Rectus femoris muscle
Vastus lateralis muscle
Tensor fasciae latae muscle
Saphenous nerve and saphenous branch of descending genicular artery
Articular branch of descending genicular artery (emerges from vastus medialis muscle)
Patellar anastomosis
Infrapatellar branch of Saphenous nerve
Lateral femoral cutaneous nerve (cut)
Sartorius muscle (cut)
Iliopsoas muscle
Femoral nerve, artery, and vein
Pectineus muscle
Profunda femoris (deep femoral) artery
Adductor longus muscle
Adductor canal (opened by removal of sartorius muscle)
Saphenous nerve
Nerve to vastus medialis muscle
Adductor magnus muscle
Anteromedial intermuscular septum covers entrance of femoral vessels
to popliteal fossa (adductor hiatus)
Sartorius muscle (cut)
Superior medial genicular artery (from popliteal artery)
Inferior medial genicular artery (from popliteal artery)
Plate 487 |
Hip and Thigh |
Arteries and Nerves of Thigh: Anterior Views (continued) 7
See also Plates 525, 526
Deep dissection
Deep circumflex iliac artery
Lateral femoral cutaneous nerve
Sartorius muscle (cut)
Iliopsoas muscle
Tensor fasciae latae muscle (retracted)
Gluteus medius and minimus muscles
Femoral nerve
Rectus femoris muscle (cut)
Ascending, transverse, and descending branches of
Lateral circumflex femoral artery
Medial circumflex femoral artery
Pectineus muscle (cut)
Profunda femoris (deep femoral) artery
Perforating branches
Adductor longus muscle (cut)
Vastus lateralis muscle
Vastus intermedius tendon
Rectus femoris muscle (cut)
Saphenous nerve
Anteromedial intermuscular septum (opened)
Vastus medialis muscle
Quadriceps femoris tendon
Patella and patellar anastomosis
Medial patellar retinaculum
Patellar ligament
External iliac artery and vein
Inguinal ligament (Poupart’s)
Femoral artery and vein (cut)
Pectineus muscle (cut)
Obturator canal
Obturator externus muscle
Adductor longus muscle (cut)
Anterior branch and Posterior branch of obturator nerve
Quadratus femoris muscle
Adductor brevis muscle
Branches of posterior branch of obturator nerve
Adductor magnus muscle
Gracilis muscle
Cutaneous branch of obturator nerve
Femoral artery and vein (cut)
Descending genicular artery
Articular branch
Saphenous branch
Adductor hiatus
Sartorius muscle (cut)
Adductor magnus tendon
Adductor tubercle on medial epicondyle of femur
Superior medial genicular artery (from popliteal artery)
Infrapatellar branch of
Saphenous nerve
Inferior medial genicular artery (from popliteal artery)
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Hip and Thigh |
Plate 488 |
Arteries and Nerves of Thigh: Posterior View
See also Plate 527
Deep dissection
Superior clunial nerves (L1, 2, 3)
Gluteus maximus muscle (cut)
Medial clunial nerves (S1, 2, 3)
Inferior gluteal artery and nerve
Pudendal nerve
Nerve to obturator internus (and superior gemellus)
Posterior femoral cutaneous nerve
Sacrotuberous ligament
Ischial tuberosity
Inferior clunial nerves (S2, 3) (cut)
Adductor magnus muscle
Gracilis muscle
Sciatic nerve Muscular branches of sciatic nerve Semitendinosus muscle (retracted)
Semimembranosus muscle
Sciatic nerve
Articular branch
Adductor hiatus
Popliteal vein and artery
Superior medial genicular artery
Medial epicondyle of femur
Tibial nerve
Gastrocnemius muscle (medial head)
Medial sural cutaneous nerve
Small saphenous vein
Iliac crest
Gluteal aponeurosis and gluteus medius muscle (cut)
Superior gluteal artery and nerve
Gluteus minimus muscle
Tensor fasciae latae muscle
Piriformis muscle
Gluteus medius muscle (cut)
Superior gemellus muscle
Greater trochanter of femur
Obturator internus muscle
Inferior gemellus muscle
Gluteus maximus muscle (cut)
Quadratus femoris muscle
Medial circumflex femoral artery
Vastus lateralis muscle deep to iliotibial tract
Adductor minimus part of adductor magnus muscle
1st perforating artery (from profunda femoris artery)
Adductor magnus muscle
2nd and 3rd perforating arteries (from profunda femoris artery)
4th perforating artery (from profunda femoris artery)
Long head (retracted) |
Biceps femoris |
Short head |
muscle |
Superior lateral genicular artery
Common fibular (peroneal) nerve
Plantaris muscle
Gastrocnemius muscle (lateral head)
Lateral sural cutaneous nerve
Plate 489 |
Hip and Thigh |
Gluteus maximus muscle (cut)
Superior gluteal nerve
Sciatic nerve (cut)
Inferior gluteal nerve
Posterior femoral cutaneous nerve (cut)
Nerve to obturator internus (and superior gemellus)
Pudendal nerve
Ischial spine
Sacrospinous ligament
Perforating cutaneous nerve
Sacrotuberous ligament
Inferior anal (rectal) nerve
Dorsal nerve of penis
Perineal nerve
Posterior scrotal nerve
Perineal branches of posterior femoral cutaneous nerve
Ischial tuberosity
Semitendinosus muscle
Biceps femoris muscle (long head) (covers semimembranosus muscle)
Nerves of Hip and Buttock 7
See also Plate 333
Iliac crest
Gluteus medius muscle (cut)
Gluteus minimus muscle
Piriformis muscle
Superior gemellus muscle
Tensor fasciae latae muscle
Gluteus medius muscle (cut)
Obturator internus muscle
Nerve to quadratus femoris (and inferior
gemellus) supplying articular branch to hip joint
Greater trochanter of femur
Intertrochanteric crest
Inferior gemellus muscle
Quadratus femoris muscle
Gluteus maximus muscle (cut)
Sciatic nerve (cut)
Posterior femoral cutaneous nerve (cut)
Inferior clunial nerves
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Hip and Thigh |
Plate 490 |