Учебники / Atlas_anatomii_cheloveka_Frenk_Netter_6-oe_izdanie_Chast3

Superficial Nerves and Veins of Lower Limb: Posterior View

See also Plates 527, 528

Medial clunial nerves (from dorsal rami of S1, 2, 3)

Perforating cutaneous nerve (from dorsal rami of S1, 2, 3)

Branches of posterior femoral cutaneous nerve

Accessory saphenous vein

Cutaneous branches of obturator nerve

Great saphenous vein

Small saphenous vein

Branches of saphenous nerve

Medial calcaneal branches of tibial nerve

Plantar cutaneous branches of medial plantar nerve

Lateral cutaneous branch of iliohypogastric nerve

Iliac crest

Superior clunial nerves (from dorsal rami of L1, 2, 3)

Inferior clunial nerves (from posterior femoral cutaneous nerve)

Branches of lateral femoral cutaneous nerve

Terminal branches of posterior femoral cutaneous nerve

Lateral sural cutaneous nerve (from common fibular [peroneal] nerve)

Sural communicating nerve

Medial sural cutaneous nerve (from tibial nerve)

Sural nerve

Lateral calcaneal branches of sural nerve

Lateral dorsal cutaneous nerve (continuation of sural nerve)

Plantar cutaneous branches of lateral plantar nerve

Plate 471

Cutaneous Anatomy

Cribriform fascia within saphenous opening

Fascia lata

Deep fascia of leg (crural fascia)

Great saphenous vein

Lymph Vessels and Nodes of Lower Limb 7

See also Plates 385, 386

Popliteal vein

Popliteal lymph nodes

Horizontal group: Superolateral

nodes Superficial Superomedial inguinal nodes nodes

Vertical group: Inferior nodes

Great

saphenous vein Small saphenous vein

Superficial lymph vessels

External iliac
lymph nodes
Lateral femoral
cutaneous nerve
Femoral nerve	Femoral ring
Inguinal ligament	Lacunar
(Poupart’s)	ligament
	(Gimbernat’s)
Ductus (vas) deferens
Femoral sheath
Femoral canal
(opened)
Femoral artery
and vein
Great saphenous vein	Deep inguinal
	lymph nodes

Cutaneous Anatomy	Plate 472

Hip (Coxal) Bone

See also Plates 243, 333, 334

	Lateral view		Intermediate zone
			Tuberculum	Iliac crest
Gluteal	Posterior		Outer lip
	Anterior
lines
			Wing (ala) of ilium
	Inferior
			(gluteal surface)
Posterior			Anterior superior iliac spine
superior
iliac spine			Anterior inferior iliac spine
Posterior
inferior
iliac spine			Acetabulum
			Lunate surface
			Margin (limbus) of acetabulum
Greater sciatic notch			Acetabular notch
	Body of ilium		Superior pubic ramus
	Ischial spine		Pubic tubercle
Lesser sciatic notch
Body of ischium		Obturator	Obturator crest
		foramen	Inferior pubic ramus		Intermediate zone	Iliac
Ischial tuberosity
					Inner lip	crest

Ilium

Ischium

Pubis

Ramus of ischium

Anterior superior iliac spine

Wing (ala) of ilium (iliac fossa)

Anterior inferior iliac spine

Arcuate line

Iliopubic eminence

Superior pubic ramus

Pecten pubis (pectineal line)

Pubic tubercle

Symphyseal surface

Obturator groove

Inferior pubic ramus

	Iliac tuberosity
	Posterior
	superior
	iliac spine
	Auricular
	surface
	(for sacrum)
	Posterior
	inferior
	iliac spine
	Greater sciatic notch
	Ischial spine
	Body of ilium
Obturator	Lesser sciatic notch
foramen
	Body of ischium
	Ischial tuberosity
Medial view	Ramus of ischium

Plate 473

Hip and Thigh

Anterior superior iliac spine

Anterior inferior iliac spine

Greater trochanter

Intertrochanteric line

Joint opened: lateral view

Lunate (articular) surface of acetabulum

Articular cartilage

Greater trochanter

Head of femur

Neck of femur

Intertrochanteric line

Ligament of

head of femur (cut)

Hip Joint 7

See also Plates 330, 334

Anterior view

Iliofemoral ligament (Y ligament of Bigelow)

Iliopectineal bursa (over gap in ligaments)

Pubofemoral ligament

Superior pubic ramus

Inferior pubic ramus

Posterior view

Iliofemoral liagment

Ischiofemoral ligament

Zona orbicularis

Greater trochanter

Lesser trochanter	Ischial
	spine
	Ischial
	tuberosity

Protrusion of synovial membrane

Intertrochanteric crest

Lesser trochanter

Anterior superior iliac spine

Anterior inferior iliac spine

Iliopubic eminence

Acetabular labrum (fibrocartilaginous)

Fat in acetabular fossa (covered by synovial membrane)

Obturator artery

Anterior branch

Posterior branch

Acetabular branch

Obturator membrane

Transverse acetabular ligament

Ischial tuberosity

Lesser trochanter

Hip and Thigh	Plate 474

Hip Joint: Anteroposterior Radiograph

See also Plates 331, 474, 478

Ilium

Acetabulum (margin)

Head of femur

Pubis (superior ramus)

Greater trochanter

Neck

Ischial tuberosity

Intertrochanteric crest

Obturator foramen

Ischium (inferior ramus)

Lesser trochanter

Femur (cortex and medulla)

Plate 475

Hip and Thigh

				Femur	7
				See also Plate 491
	Anterior view		Posterior view
	Neck	Head	Trochanteric fossa	Greater
Greater
				trochanter
trochanter
			Head
		Fovea for
		ligament of	Fovea for
		head
			ligament of
			head
		Retinacular foramina	Neck
			Intertrochanteric crest
		Lesser trochanter	Calcar
			Lesser trochanter	Quadrate

Intertrochanteric line		tubercle
		Pectineal line
	Gluteal tuberosity
	Linea aspera	Medial lip
		Lateral lip
		Nutrient
		foramen

Shaft (body)

Lateral epicondyle

Lateral condyle

Shaft (body)

Line of attachment of border of synovial membrane

Line of reflection of synovial membrane

Line of attachment of fibrous capsule
Line of reflection of fibrous
capsule (unattached)
	Popliteal surface
Medial supracondylar line
	Lateral
Adductor tubercle	supracondylar
	line
Medial epicondyle	Lateral epicondyle

Lateral condyle

	Medial condyle
Patellar surface	Intercondylar fossa

Hip and Thigh	Plate 476

Bony Attachments of Muscles of Hip and Thigh: Anterior View

See also Plate 530

Iliacus muscle

Sartorius muscle

Rectus femoris muscle

Obturator internus

and superior and inferior gemellus muscles

Piriformis muscle

Gluteus minimus muscle

Vastus lateralis muscle

Iliopsoas muscle

(iliacus and psoas major)

Vastus medialis muscle

Vastus intermedius muscle

Articularis genus muscle

Iliotibial tract

Biceps femoris muscle

Quadriceps femoris muscle (rectus femoris,

vastus lateralis, vastus intermedius, and vastus medialis via patellar ligament)

Piriformis muscle

Pectineus muscle

Adductor longus muscle

Adductor brevis muscle

Gracilis muscle

Obturator externus muscle

Adductor magnus muscle

Quadratus femoris muscle

Origins

Insertions

Adductor magnus muscle

Sartorius muscle

Gracilis muscle

Pes anserinus

Semitendinosus muscle

Plate 477

Hip and Thigh

Bony Attachments of Muscles of Hip and Thigh: Posterior View 7

See also Plate 475

Gluteus maximus muscle

Superior gemellus muscle

Inferior gemellus muscle

Quadratus femoris muscle

Obturator internus muscle

Adductor magnus muscle

		Biceps femoris (long head)
		and semitendinosus muscles
		Semimembranosus muscle
		Pectineus muscle
	Origins	Vastus medialis muscle
	Insertions	Adductor longus muscle

Adductor magnus muscle

Gastrocnemius muscle (medial head)

Semimembranosus muscle

Popliteus muscle

Note: Width of zone of attachments to posterior aspect of femur (linea aspera) is greatly exaggerated.

Gluteus medius muscle

Gluteus minimus muscle

Tensor fasciae latae muscle

Sartorius muscle

Rectus femoris muscle

Obturator externus muscle

Gluteus medius muscle

Quadratus femoris muscle

Iliopsoas muscle

Gluteus maximus muscle

Vastus lateralis muscle

Adductor magnus muscle

Adductor brevis muscle

Vastus intermedius muscle

Biceps femoris muscle (short head) Adductor magnus muscle

Vastus lateralis muscle

Plantaris muscle

Gastrocnemius muscle (lateral head)

Popliteus muscle

Hip and Thigh	Plate 478

Muscles of Thigh: Anterior Views

See also Plate 258

Anterior superior iliac spine

Iliacus muscle

Psoas major muscle

Gluteus medius muscle

Inguinal ligament (Poupart’s)

Pubic tubercle

Tensor fasciae latae muscle

Pectineus muscle

Tensor fasciae latae muscle (origin)

Rectus femoris muscle (origin)

Greater trochanter

Iliopsoas muscle (cut)

Adductor longus muscle

Gracilis muscle

Sartorius muscle

Rectus femoris muscle*

Vastus lateralis muscle*

Vastus intermedius muscle*

Vastus medialis muscle*
Iliotibial tract
Rectus femoris tendon (becoming part of
quadriceps femoris tendon)
Lateral patellar retinaculum
Patella	Anteromedial
Medial patellar retinaculum	intermuscular
	septum
Patellar ligament
Sartorius muscle/tendon
Gracilis tendon	Pes anserinus
Semitendinosus tendon	Iliotibial tract (cut)

Tibial tuberosity

Rectus femoris tendon (cut)

Quadriceps femoris tendon

Patella

Lateral patellar retinaculum

Medial patellar retinaculum

Head of fibula

Patellar ligament

Tibial tuberosity

*Muscles of quadriceps femoris

Anterior superior iliac spine

Sartorius muscle (origin)

Anterior inferior iliac spine

Ligaments of hip joint

Pectineus muscle

Sartorius tendon

Plate 479

Hip and Thigh

Muscles of Thigh: Anterior Views (continued) 7

Deep dissection

Anterior superior iliac spine

Anterior inferior iliac spine

Ligaments of hip joint

Greater trochanter of femur

Iliopsoas muscle (cut)

Pectineus muscle (cut and reflected)

Adductor brevis muscle (cut and reflected)

Vastus intermedius muscle

Adductor longus muscle (cut and reflected)

Femoral artery and vein passing through hiatus

of adductor magnus muscle

Vastus medialis muscle (cut)

Rectus femoris tendon (cut as it becomes part of quadriceps tendon)

Vastus lateralis muscle (cut)

Lateral epicondyle of femur

Patella

Lateral patellar retinaculum

Fibular collateral ligament

Head of fibula

Patellar ligament

Tibial tuberosity

Pectineus muscle (cut and reflected)

Superior ramus of pubis

Adductor longus muscle (cut and reflected)

Adductor brevis muscle (cut)

Pubic tubercle

Gracilis muscle (cut)

Obturator externus muscle

Quadratus femoris muscle

Adductor minimus part of

Adductor magnus muscle

Openings for perforating branches of profunda femoris (deep femoral) artery

Tendon of adductor magnus muscle inserting on adductor tubercle

on medial epicondyle of femur

Gracilis muscle (cut)

Tibial collateral ligament (superficial fibers)

Medial patellar retinaculum

Sartorius tendon (cut)

Gracilis tendon

Pes anserinus

Semitendinosus tendon

Hip and Thigh	Plate 480