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== '''Fascia, muscle and compartments''' == * Thigh ** Fascia lata - deep fascia *** Thickest laterally, where it forms the iliotibial tract ** Encloses soft tissue into three compartments, usually with separate innervation and lymphatic drainage: *** Adductor (pretty much all supplied by obturator nerve) **** Gracilis ***** Most superficial ***** Arises from lower part of pubic body/ramus and inserts into upper tibia ***** Hip flexor/adductor **** Pectineus ***** Flat, quadrangular muscle ***** Arises from pecten pubis and inserts into femur between lesser trochanter and linea aspera ***** Supplied by femoral nerve ***** Adductor of the thigh **** Adductor longus ***** Most anterior of the adductors ***** Fans out to insert to linea aspera ***** Floor of the adductor canal **** Adductor brevis **** Adductor magnus ***** Largest adductor *** Sartorius **** Arises ASIS, inserts upper medial tibia **** Medial blood supply with multiple small arteries entering along medial side from SFA **** Flexes hip and knee, externally rotates femur **** Medial edge is aligned with a straight line from ASIS to medial femoral condyle **** Supplied by anterior division of femoral nerve * Quadriceps ** Rectus femoris *** Two tendons - one from AIIS and the other above acetabulum *** Inserts via patellar tendon ** Vastus lateralis *** Largest of the vasti ** Vastus medialis ** Vastus intermedius ** Patellar tendon inserts into the tibial tuberosity * Posterior femoral/hamstrings ** Biceps femoris *** Long head from ischial tuberosity; short head from linea aspera *** Attaches to head of fibula ** Semitendinosus *** Arises from ischial tuberosity and inserts to medial tibia ** Semimembranosus *** Arises from ischial tuberosity and mostly inserts to medial tibial condyle * Leg ** Superficial fascia encircles the leg and is continuous with fascia lata of the thigh. This is adherent to underlying structures around knee joint and ankle joint. Thickened bands condense into retinacula at the ankle: restraining extensor, flexor and evertor tendons. ** Strong septa join the crural fascia to the fibula, and also partition the leg into anterior, posterior and lateral compartments. ** Tough interosseous membrane divides the anterior from posterior spaces. There is also a secondary interosseous septum arching posteriorly, dividing the posterior spaces into superficial and deep compartments. ** Only two of the compartments contain '''arteries''': *** ATA in anterior compartment *** PTA and peroneal arteries in the deep posterior compartment, sending branches to superficial posterior and lateral compartments. ** Each major compartment contains a '''nerve''': *** Deep posterior compartment - tibial nerve *** Anterior - deep peroneal nerve *** Lateral - superficial peroneal nerve ** * * * *
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