Добавил:
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:

Учебники / Atlas_anatomii_cheloveka_Frenk_Netter_6-oe_izdanie_Chast3

.pdf
Скачиваний:
145
Добавлен:
19.01.2019
Размер:
65.1 Mб
Скачать

Muscles of Sole of Foot: Second Layer

See also Plate 528

Proper plantar digital branches of medial plantar nerve

Proper plantar digital branches of lateral plantar nerve

Flexor digiti minimi brevis muscle

Superficial branch and

Deep branch of lateral plantar nerve

Lateral plantar nerve and artery

Quadratus plantae muscle

Abductor digiti minimi muscle (cut)

Nerve to abductor digiti minimi muscle (from lateral plantar nerve)

Flexor digitorum brevis muscle and plantar aponeurosis (cut)

Lateral calcaneal nerve and artery (from sural nerve and fibular [peroneal] artery)

Second layer tendons and muscles in bold

Flexor digitorum longus tendons

Flexor digitorum brevis tendons

Fibrous sheaths (opened)

Sesamoid bones

Common plantar digital nerves and arteries

Lumbrical muscles

Lateral head and

Medial head of

Flexor hallucis brevis muscle

Flexor hallucis longus tendon

Abductor hallucis tendon and muscle (cut)

Flexor digitorum longus tendon

Superficial and deep branches of medial plantar artery

Medial plantar artery and nerve

Tibialis posterior tendon

Flexor hallucis longus tendon

Posterior tibial artery and tibial nerve (dividing)

Flexor retinaculum

Abductor hallucis muscle (cut)

Medial calcaneal artery and nerve

Tuberosity of calcaneus

Plate 521

Ankle and Foot

Muscles of Sole of Foot: Third Layer 7

Proper plantar digital branches of lateral plantar nerve

Flexor digitorum longus tendons (cut)

Flexor digitorum brevis tendons (cut)

Flexor digiti minimi brevis muscle

Plantar metatarsal arteries

Plantar interosseous muscles

Superficial branch of lateral plantar nerve

Deep plantar arterial arch and

deep branches of lateral plantar nerve

Tuberosity of 5th metatarsal bone

Fibularis (peroneus) brevis tendon

Fibularis (peroneus) longus tendon

and fibrous sheath

Quadratus plantae muscle (cut and slightly retracted)

Lateral plantar artery and nerve Abductor digiti minimi muscle (cut)

Lateral calcaneal artery and nerve

Tuberosity of calcaneus

Third layer muscles in bold

Proper plantar digital branches of medial plantar nerve

Plantar digital artery proper of superficial branch

of medial plantar artery

Anterior perforating arteries to dorsal metatarsal arteries

Tendons of lumbrical muscles (cut)

Sesamoid bones

Transverse head and

Oblique head of Adductor hallucis muscle

Medial head and

Lateral head of

Flexor hallucis brevis muscle

Superficial branches of medial plantar artery and nerve

Flexor hallucis longus tendon (cut)

Abductor hallucis muscle (cut)

Deep branches of medial plantar artery and nerve

Flexor digitorum longus tendon (cut)

Tibialis posterior tendon

Medial plantar artery and nerve

Flexor hallucis longus tendon

Flexor retinaculum

Abductor hallucis muscle (cut)

Flexor digitorum brevis muscle and plantar aponeurosis (cut)

Medial calcaneal artery and nerve

 

 

 

Ankle and Foot

Plate 522

Interosseous Muscles and Deep Arteries of Foot

See also Plates 508, 518

Dorsal view

Fibularis (peroneus) longus tendon (cut)

Fibularis (peroneus) brevis tendon (cut)

Cuboid bone

Lateral tarsal artery

Tuberosity of 5th metatarsal bone

Fibularis (peroneus) tertius tendon (cut)

Posterior perforating branches (from deep plantar arterial arch)

Dorsal metatarsal arteries

Extensor digitorum longus tendons (cut)

Extensor expansions

Anterior perforating branches (from plantar metatarsal arteries)

Dorsal digital arteries

Plantar view

Plantar digital arteries proper

Common plantar digital arteries

Lumbrical muscles (cut)

Deep transverse metatarsal ligament and plantar ligaments (plates)

Interossei muscles Plantar

Dorsal

Abductor digiti minimi muscles (cut) Plantar metatarsal arteries Flexor digiti minimi brevis muscle Deep plantar arch Lateral plantar artery (cut)

Tuberosity of 5th metatarsal bone Fibularis (peroneus) longus tendon Fibularis (peroneus) brevis tendon (cut) Tuberosity of cuboid bone Long plantar ligament

Calcaneocuboid (short plantar) ligament

Fourth layer muscles in bold

Navicular bone

Dorsalis pedis artery

Medial tarsal artery

Lateral

Intermediate Cuneiform bones Medial

Dorsal tarsometatarsal ligaments

Dorsal metatarsal ligaments

Arcuate artery

Deep plantar artery passes to contribute to deep plantar arch

Dorsal interossei muscles

Metatarsal bones

Extensor hallucis longus tendon (cut)

Extensor digitorum brevis and extensor hallucis brevis tendons (cut)

Flexor hallucis longus tendon (cut)

Anterior perforating branches (to dorsal metatarsal arteries)

Sesamoid bones

Insertion of adductor hallucis and lateral head of flexor hallucis brevis muscles (cut)

Insertion of abductor hallucis and medial head of flexor hallucis brevis muscles (cut)

Medial origin of flexor hallucis brevis muscle (cut)

Deep plantar artery (from dorsalis pedis artery)

Posterior perforating branches (to dorsal metatarsal arteries)

Plantar metatarsal ligaments (between bases of metatarsal bones)

Medial cuneiform bone

Tibialis anterior tendon (cut)

Lateral origin of flexor hallucis brevis tendon (cut)

Tuberosity of navicular bone

Tibialis posterior tendon (cut)

Plantar calcaneonavicular (spring) ligament

Plate 523

Ankle and Foot

Dorsal view

Distal phalanx of great toe

Proximal phalanx of great toe

1st metatarsal bone

Medial Cuneiform bones Intermediate Lateral

Navicular

Plantar view

Distal phalanx

Little

(5th) Middle phalanx toe

Proximal phalanx

Plantar interossei muscles

(unipennate)

5th metatarsal bone

Tuberosity of 5th metatarsal bone

Cuboid

Interosseous Muscles of Foot 7

See also Plate 452

Distal phalanx

Little

Middle phalanx (5th)

toe

Proximal phalanx

5th metatarsal bone

Dorsal interossei muscles

(bipennate)

Tuberosity of 5th metatarsal bone

Cuboid

Distal phalanx of great toe

Proximal phalanx of great toe

Sesamoid bones

1st metatarsal bone

Lateral

Intermediate Cuneiform bones

Medial

Navicular

 

 

 

Ankle and Foot

Plate 524

Femoral Nerve and Lateral Cutaneous Nerve of Thigh

See also Plates 262, 487, 488

Lateral femoral cutaneous nerve (L2, 3)

Femoral nerve (L2, 3, 4)

Obturator nerve

Iliacus muscle

Psoas major muscle (upper part)

Articular branch

Sartorius muscle (cut and reflected)

Pectineus muscle

 

 

Rectus femoris

 

 

muscle (cut

 

 

and reflected)

Quadriceps

Vastus

intermedius muscle

femoris

 

 

 

muscle

 

Vastus

 

 

 

 

medialis muscle

 

 

Vastus

 

 

lateralis muscle

 

Articularis genus muscle

Note: Only muscles innervated by femoral nerve shown

T12

L1

L2

Lumbar plexus

L3

L4

Lumbosacral trunk

Lateral femoral cutaneous nerve

Anterior cutaneous branches of femoral nerve

Sartorius muscle (cut and reflected)

Saphenous nerve

Infrapatellar branch of saphenous nerve

Medial crural cutaneous nerves (branches of saphenous nerve)

Cutaneous innervation

Plate 525

Neurovasculature

Iliohypogastric nerve

Ilio-inguinal nerve

Genitofemoral nerve

Lateral femoral cutaneous nerve

Femoral nerve

Obturator nerve (L2, 3, 4)

Posterior branch

Articular branch

Anterior branch

Posterior branch

Cutaneous branch

Articular branch to knee joint

Adductor hiatus

Obturator Nerve 7

See also Plate 488

L1

L2

Lumbar plexus

L3

L4

Lumbosacral trunk

Obturator externus muscle

Note: Only muscles innervated by obturator nerve shown

Adductor brevis muscle

Adductor longus muscle (cut)

Adductor magnus muscle (ischiocondylar, or “hamstrings,” part supplied by sciatic [tibial] nerve)

Gracilis muscle

Cutaneous innervation

 

 

 

Neurovasculature

Plate 526

Sciatic Nerve and Posterior Cutaneous Nerve of Thigh

See also Plate 489

Posterior femoral cutaneous nerve (S1, 2, 3)

Inferior clunial nerves

Perineal branches

Tibial division of sciatic nerve (L4, 5, S1, 2, 3)

Long head (cut) of biceps femoris muscle

Adductor magnus muscle (also partially supplied by obturator nerve)

Semitendinosus muscle

Semimembranosus muscle

Tibial nerve

Articular branch

Plantaris muscle

Medial sural cutaneous nerve

Gastrocnemius muscle

Sural nerve

Soleus muscle

Tibial nerve

Medial

calcaneal branches

Medial and lateral plantar nerves

Greater sciatic foramen

Sciatic nerve (L4, 5, S1, 2, 3)

Common fibular (peroneal) division of sciatic nerve (L4, 5, S1, 2)

Short head of

Cutaneous innervation

biceps femoris muscle

 

Long head (cut) of biceps femoris muscle

Common fibular (peroneal) nerve

Articular

branch Posterior femoral cutaneous nerve

Lateral sural cutaneous nerve

Sural

 

communicating

 

branch

Common fibular

 

 

(peroneal) nerve

 

via lateral sural

 

cutaneous nerve

 

Medial sural

 

cutaneous nerve

From sciatic

Superficial fibular

nerve

(peroneal) nerve

 

 

Sural nerve

Lateral calcaneal

Tibial nerve

branches

via medial

 

 

calcaneal

 

branches

Lateral dorsal

 

cutaneous nerve

 

Plate 527

Neurovasculature

Tibial nerve (L4, 5, S1, 2, 3)

Medial sural cutaneous nerve (cut)

Articular branches

Plantaris muscle

Gastrocnemius muscle (cut)

Nerve to popliteus muscle

Popliteus muscle

Interosseous nerve of leg

Soleus muscle (cut and partly retracted)

Flexor digitorum longus muscle

Tibialis posterior muscle

Flexor hallucis longus muscle

Sural nerve (cut)

Lateral calcaneal branch

Medial calcaneal branch

Flexor retinaculum (cut)

Lateral dorsal cutaneous nerve

Tibial Nerve 7

See also Plates 503, 520, 521

Common fibular (peroneal) nerve

Articular branch

Lateral sural cutaneous nerve (cut)

Sural nerve (S1, 2) via

lateral calcaneal and lateral dorsal cutaneous branches

Saphenous nerve (L3, 4)

Lateral

 

plantar nerve

 

(S1, 2)

 

Medial

From

plantar nerve

tibial nerve

(L4, 5)

 

Medial calcaneal

 

branches

 

(S1, 2)

 

Cutaneous innervation of sole

Common plantar digital nerves

Deep branch to Adductor hallucis muscle, 2nd, 3rd, and 4th

lumbrical muscles, and interossei muscles

Superficial branch to

Flexor digiti minimi brevis muscle

and

4th interosseous muscle

Abductor digiti minimi muscle

Quadratus plantae muscle and nerve

Nerve to abductor digiti minimi muscle

Lateral plantar nerve

Lateral calcaneal branch of sural nerve

Proper plantar digital nerves

Common plantar digital nerves

1st lumbrical muscle and nerve

Flexor hallucis brevis muscle and nerve

Abductor hallucis muscle and nerve

Flexor digitorum brevis muscle (cut) and nerve

Medial plantar nerve

Medial calcaneal branch

Tibial nerve

Flexor retinaculum (cut)

Note: Articular branches not shown

 

 

 

Neurovasculature

Plate 528

Common Fibular (Peroneal) Nerve

See also Plates 506, 508, 516

Common fibular (peroneal) nerve (phantom)

Biceps femoris tendon

Common fibular (peroneal) nerve (L4, 5, S1, 2)

Head of fibula

Fibularis (peroneus) longus muscle (cut)

Superficial fibular (peroneal) nerve

Branches of lateral sural cutaneous nerve

Fibularis (peroneus) longus muscle

Fibularis (peroneus) brevis muscle

Medial dorsal cutaneous nerve

Intermediate dorsal cutaneous nerve

Inferior extensor retinaculum (partially cut)

Lateral dorsal cutaneous nerve (branch of sural nerve)

Dorsal digital nerves

Lateral sural cutaneous nerve (phantom)

Articular branches

Recurrent articular nerve

Extensor digitorum longus muscle (cut)

Deep fibular (peroneal) nerve

Tibialis anterior muscle

Cutaneous innervation

Extensor digitorum longus muscle

Extensor hallucis longus muscle

Lateral sural cutaneous nerve

Superficial fibular (peroneal) nerve

Lateral branch of deep fibular (peroneal) nerve to

Extensor hallucis brevis

 

muscle

 

Extensor digitorum brevis

Deep

muscle

fibular

 

 

(peroneal)

Medial branch of

nerve

deep fibular

 

(peroneal) nerve

 

Sural nerve

 

via lateral dorsal cutaneous branch

Plate 529

Neurovasculature

Radiograph

Shenton’s line

Greater trochanter

Cortex

Medulla

Femoral artery Femoral vein

MRI

Hip radiograph, Arthrogram, and mri 7

See also Plates 330, 477, 491

Iliac crest

Sacro-iliac joint

Sacral foramina margins

Anterior superior iliac crest

Acetabular fossa

Ischial spine

Anterior acetabular rim

Posterior acetabular rim

Superior pubic ramus

Pubic symphysis (secondary cartilaginous joint)

Inferior pubic ramus

Ischial tuberosity

Lesser trochanter

Arthrogram of hip

Articular cartilage of femoral head

Superior acetabular labrum

Acetabular fossa

Fovea capitis

Femoral head

Contrast within joint capsule

Iliacus and

Greater trochanter

 

psoas major

 

 

muscles

 

 

 

Sartorius muscle

Zona orbicularis

 

Rectus femoris muscle

Transverse acetabular ligament

 

 

 

Tensor fasciae latae muscle

Ligamentum teres (with acetabular

 

arterial branch from obturator artery)

 

 

 

Gluteus medius muscle

 

 

Ligamentum teres

 

 

(ligament of head of femur)

 

 

Superior gemellus and

 

 

obturator internus tendon

 

Obturator internus muscle

Gluteus maximus muscle

 

 

 

regional Scans

Plate 530

Соседние файлы в папке Учебники