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Учебники / Atlas_anatomii_cheloveka_Frenk_Netter_6-oe_izdanie_Chast3

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Tibia and Fibula (continued)

See also Plate 495

Anterior view with ligament attachments

Superior view

Iliotibial tract

Fibular collateral ligament

Biceps femoris tendon

Head of fibula

Anterior ligament of fibular head

Gerdy’s tubercle

Anterior border

Interosseous border

Lateral surface

Fibula

Posterior talofibular ligament

Lateral malleolus

Anterior talofibular ligament

Calcaneofibular ligament

Posterior

Cruciate

Posterior ligament

 

Posterior

Anterior

ligaments

of fibular head

 

 

intercondylar area

 

 

Apex

 

 

(origin of posterior

 

Tibial

 

 

cruciate ligament)

 

 

 

 

 

 

 

collateral

Head

 

 

Intercondylar

 

ligament

 

 

 

 

Posterior

 

 

Fibula

eminence

 

 

 

 

 

 

 

Anterior ligament

 

 

 

Tibia

 

 

 

 

 

 

of fibular head

 

 

 

 

 

 

 

 

 

 

Medial condyle

 

 

Lateral

 

 

 

 

Patellar

condyle

 

 

 

Superior

 

 

 

 

 

 

 

 

articular surface

ligament

Superior

 

 

 

 

 

 

(medial facet)

 

 

 

 

 

 

 

articular surface

 

 

 

 

 

 

 

 

 

 

 

(lateral facet)

 

 

Medial

Intercondylar

Tibial

 

Anterior

Anterior

Lateral

tubercles

tuberosity

 

 

intercondylar area

 

 

 

 

 

 

 

 

 

 

 

 

(origin of anterior

 

 

 

 

 

 

cruciate ligament)

 

 

Tibial tuberosity

Anterior

 

 

 

 

 

border

 

 

 

 

 

 

 

 

Cross section

 

Interosseous

Interosseous border

 

Lateral surface

 

border

 

 

 

 

 

 

 

Interosseous

Interosseous membrane

 

Anterior border

 

 

 

membrane

 

 

 

Medial surface

 

 

Interosseous border

 

 

 

 

 

 

 

 

 

 

 

 

 

Tibia

Lateral

Anterior border

 

 

Medial border

surface

 

 

 

 

 

Lateral surface

 

 

Posterior surface

 

 

 

 

 

Tibia

Fibula

 

 

Medial surface

 

 

 

 

 

 

 

 

Posterior border

 

Medial crest

 

 

 

 

 

 

 

 

 

 

Posterior surface

 

 

 

 

 

Inferior view

 

 

 

Anterior

 

 

 

 

Anterior

tibiofibular ligament

 

 

Articular

tibiofibular

 

 

 

 

 

 

Anterior

facet of

ligament

 

 

Articular facet

 

 

 

medial

 

 

 

 

 

 

 

of lateral malleolus

 

 

 

malleolus

Medial

Fibula

 

 

 

Medial

 

 

 

 

malleolus

 

 

 

 

malleolus

 

 

Malleolar

 

 

 

 

 

 

fossa of

 

 

 

Tibia

 

Medial

lateral malleolus

 

 

 

 

 

Posterior

 

 

 

 

 

 

(deltoid)

 

 

 

 

 

 

 

 

 

 

ligament

Posterior

 

 

Inferior articular

 

of ankle

tibiofibular ligament

 

surface of tibia

Plate 501

Leg

Anterior view

Iliotibial tract

Biceps femoris muscle

Fibularis (peroneus) longus muscle

Extensor digitorum longus muscle

Extensor hallucis longus muscle

Fibularis (peroneus) brevis muscle

Fibularis (peroneus) tertius muscle

Fibularis (peroneus) brevis muscle

Fibularis (peroneus) tertius muscle

Attachments of Muscles of Leg

7

 

See also Plates 505, 508

 

Posterior view

Gastrocnemius muscle (medial head)

Semimembranosus muscle

Sartorius muscle

 

Gracilis muscle

Pes anserinus

 

Semitendinosus

 

muscle

Popliteus

 

 

muscle

Quadriceps femoris

Soleus

muscle via

muscle

patellar ligament

 

Tibialis anterior muscle

Flexor digitorum longus muscle

Origins

Insertions

Note: Attachments of intrinsic muscles of foot not shown

Tibialis posterior muscle

Tibialis anterior muscle

Extensor digitorum longus muscle

Flexor hallucis Extensor longus muscle hallucis

longus muscle

Plantaris muscle

Gastrocnemius muscle (lateral head)

Popliteus muscle

Tibialis posterior muscle

Flexor hallucis longus muscle

Fibularis (peroneus) brevis muscle

Plantaris muscle

Soleus and gastrocnemius muscles via calcaneal (Achilles) tendon

Fibularis (peroneus) longus muscle

Flexor digitorum longus muscle

 

 

 

Leg

Plate 502

Muscles of Leg (Superficial Dissection): Posterior View

See also Plate 528

Right leg

Semitendinosus muscle

Semimembranosus muscle

Gracilis muscle

Popliteal artery (lies deep) and vein (superficial)

Sartorius muscle

Superior medial genicular artery

Gastrocnemius muscle (medial head)

Nerve to soleus muscle

Small saphenous vein

Gastrocnemius muscle (medial and lateral heads)

Soleus muscle

Plantaris tendon

Flexor digitorum longus tendon

Tibialis posterior tendon

Posterior tibial artery and vein

Tibial nerve

Medial malleolus

Flexor hallucis longus tendon

Flexor retinaculum

Calcaneal branch of posterior tibial artery

Iliotibial tract

Biceps femoris muscle

Tibial nerve

Common fibular (peroneal) nerve

Superior lateral genicular artery

Plantaris muscle

Gastrocnemius muscle (lateral head)

Lateral sural cutaneous nerve (cut)

Medial sural cutaneous nerve (cut)

Soleus muscle

Fibularis (peroneus) longus tendon

Fibularis (peroneus) brevis tendon

Calcaneal (Achilles) tendon

Lateral malleolus

Superior fibular (peroneal) retinaculum

Fibular (peroneal) artery

Calcaneal branches of fibular (peroneal) artery

Calcaneal tuberosity

Plate 503

Leg

Muscles of Leg (Intermediate Dissection): Posterior View 7

Right leg

Adductor magnus tendon

Popliteal artery (deeper) and vein (more superficial)

Superior medial genicular artery

Gastrocnemius muscle (medial head) (cut)

Tibial collateral ligament

Semimembranosus tendon (cut)

Inferior medial genicular artery Popliteus muscle

Tendinous arch of

Soleus muscle

Plantaris tendon

Gastrocnemius muscle (cut)

Soleus muscle inserting into calcaneal (Achilles) tendon

Flexor digitorum longus tendon

Tibialis posterior tendon

Posterior tibial artery and vein

Tibial nerve

Medial malleolus

Flexor hallucis longus tendon

Flexor retinaculum

Calcaneal (Achilles) tendon

Calcaneal branch of posterior tibial artery

See also Plate 528

Tibial nerve

Common fibular (peroneal) nerve (cut)

Superior lateral genicular artery

Lateral and medial sural cutaneous nerves (cut) Gastrocnemius muscle (lateral head) (cut)

Fibular collateral ligament

Biceps femoris tendon (cut)

Plantaris muscle

Inferior lateral genicular artery

Head of fibula

Common fibular (peroneal) nerve (cut)

Nerve to soleus muscle

Fibularis (peroneus) longus muscle

Soleus muscle

Fibularis (peroneus) longus tendon

Fibularis (peroneus) brevis tendon

Lateral malleolus

Superior fibular (peroneal) retinaculum

Fibular (peroneal) artery

Calcaneal branches

of fibular (peroneal) artery

Calcaneal tuberosity

 

 

 

Leg

Plate 504

Muscles of Leg (Deep Dissection): Posterior View

See also Plate 528

Right leg

Superior medial genicular artery Gastrocnemius muscle (medial head) (cut)

Sural (muscular) branches

Popliteal artery and tibial nerve

Tibial collateral ligament

Semimembranosus tendon (cut)

Inferior medial genicular artery

Popliteus muscle

Posterior tibial recurrent artery

Tendinous arch of soleus muscle

Posterior tibial artery

Flexor digitorum longus muscle

Tibial nerve

Tibialis posterior muscle

Calcaneal (Achilles) tendon (cut)

Flexor digitorum longus tendon

Tibialis posterior tendon

Medial malleolus and posterior medial malleolar branch of posterior tibial artery

Flexor retinaculum

Medial calcaneal branches of posterior tibial artery and tibial nerve

Tibialis posterior tendon

Medial plantar artery and nerve

Lateral plantar artery and nerve

Flexor hallucis longus tendon

1st metatarsal bone

Superior lateral genicular artery

Plantaris muscle (cut)

Gastrocnemius muscle (lateral head) (cut) Fibular collateral ligament

Biceps femoris tendon (cut)

Inferior lateral genicular artery

Head of fibula

Common fibular (peroneal) nerve

Soleus muscle (cut and reflected)

Anterior tibial artery

Fibular (peroneal) artery

Flexor hallucis longus muscle (retracted)

Fibular (peroneal) artery

 

Interosseous membrane

 

Perforating branch

of fibular

Communicating branch

(peroneal) artery

Fibularis (peroneus) longus tendon Fibularis (peroneus) brevis tendon

Lateral malleolus and posterior lateral malleolar branch of fibular (peroneal) artery

Superior fibular (peroneal) retinaculum

Lateral calcaneal branch of fibular (peroneal) artery

Lateral calcaneal branch of sural nerve Inferior fibular (peroneal) retinaculum Fibularis (peroneus) brevis tendon Fibularis (peroneus) longus tendon Flexor digitorum longus tendon

5th metatarsal bone

Plate 505

Leg

Biceps

Long head

 

femoris

Short head

muscle

Tendon

 

Fibular collateral ligament

Common fibular (peroneal) nerve

Inferior lateral genicular artery

Head of fibula

Gastrocnemius muscle (lateral head)

Soleus muscle

Fibularis (peroneus) longus muscle and tendon

Fibularis (peroneus) brevis muscle and tendon

Fibula

Lateral malleolus

Calcaneal (Achilles) tendon

(Subtendinous) bursa of tendocalcaneus

Superior fibular (peroneal) retinaculum

Inferior fibular (peroneal) retinaculum

Fibularis (peroneus) longus tendon passing to sole of foot

Muscles of Leg: Lateral View 7

See also Plates 516, 529

Vastus lateralis muscle

Iliotibial tract

Quadriceps femoris tendon

Superior lateral genicular artery

Patella

Lateral patellar retinaculum

Lateral condyle of tibia

Patellar ligament

Tibial tuberosity

Tibialis anterior muscle

Extensor digitorum longus muscle

Superficial fibular (peroneal) nerve (cut)

Extensor digitorum longus tendon

Extensor hallucis longus muscle and tendon

Superior extensor retinaculum

Inferior extensor retinaculum

Extensor digitorum brevis muscle

Extensor hallucis longus tendon

Extensor digitorum longus tendons

Fibularis (peroneus) brevis tendon

Fibularis (peroneus) tertius tendon

5th metatarsal bone

 

 

 

Leg

Plate 506

Muscles of Leg (Superficial Dissection): Anterior View

See also Plate 529

Vastus lateralis muscle

Rectus femoris tendon (becoming quadriceps femoris tendon)

Iliotibial tract Superior lateral genicular artery Lateral patellar retinaculum Biceps femoris tendon Inferior lateral genicular artery

Common fibular (peroneal) nerve Head of fibula

Fibularis (peroneus) longus muscle

Tibialis anterior muscle

Superficial fibular (peroneal) nerve (cut)

Fibularis (peroneus) brevis muscle

Extensor digitorum longus muscle

Fibula Superior extensor retinaculum

Lateral malleolus Inferior extensor retinaculum Extensor digitorum longus tendons Fibularis (peroneus) tertius tendon Extensor digitorum brevis tendons

Dorsal digital nerves

Vastus medialis muscle

Patella

Superior medial genicular artery

Tibial collateral ligament

Medial patellar retinaculum

Inferior medial genicular artery

Infrapatellar branch (cut) of

Saphenous nerve (cut)

Joint capsule

Patellar ligament

Insertion of sartorius muscle (part of pes anserinus)

Tibial tuberosity

Tibia

Gastrocnemius muscle (medial head)

Soleus muscle

Extensor hallucis longus muscle

Medial malleolus

Tibialis anterior tendon

Medial branch of deep fibular (peroneal) nerve

Extensor hallucis longus tendon

Extensor hallucis brevis tendon

Dorsal digital branches

of deep fibular (peroneal) nerve

Plate 507

Leg

Muscles of Leg (Deep Dissection): Anterior View 7

See also Plates 499, 523, 529

Superior lateral genicular artery

Fibular collateral ligament

Lateral patellar retinaculum

Iliotibial tract (cut)

Biceps femoris tendon (cut)

Inferior lateral genicular artery

Common fibular (peroneal) nerve

Head of fibula

Fibularis (peroneus) longus muscle (cut)

Anterior tibial artery

Extensor digitorum longus muscle (cut)

Superficial fibular (peroneal) nerve

Deep fibular (peroneal) nerve

Fibularis (peroneus) longus muscle

Extensor digitorum longus muscle

Fibularis (peroneus) brevis muscle and tendon

Fibularis (peroneus) longus tendon

Perforating branch of fibular (peroneal) artery

Anterior lateral malleolar artery

Lateral malleolus and arterial network

Lateral tarsal artery and lateral

branch of deep fibular (peroneal) nerve

Extensor digitorum brevis and extensor hallucis brevis muscles (cut)

Fibularis (peroneus) brevis tendon

Posterior perforating branches from deep plantar arch

Extensor digitorum longus tendons (cut)

Extensor digitorum brevis tendons (cut)

Dorsal digital arteries

Branches of proper plantar digital arteries and nerves

Superior medial genicular artery

Quadriceps femoris tendon

Tibial collateral ligament

Medial patellar retinaculum

Infrapatellar branch of saphenous nerve (cut) Inferior medial genicular artery

Saphenous nerve (cut)

Patellar ligament

Insertion of sartorius tendon

Anterior tibial recurrent artery and

recurrent branch of deep fibular (peroneal) nerve Interosseous membrane

Tibialis anterior muscle (cut)

Gastrocnemius muscle

Soleus muscle

Tibia

Superficial fibular (peroneal) nerve (cut) Extensor hallucis longus muscle and tendon (cut) Interosseous membrane

Anterior medial malleolar artery

Medial malleolus and arterial network

Anterior tibial artery

Tibialis anterior tendon

Medial tarsal artery

Dorsalis pedis artery

Medial branch of deep fibular (peroneal) nerve Arcuate artery

Deep plantar artery

Dorsal metatarsal arteries

Extensor hallucis longus tendon (cut)

Extensor hallucis brevis tendon (cut)

Dorsal digital branches of deep fibular (peroneal) nerve

 

 

 

Leg

Plate 508

Arteries of Knee, Leg, and Foot

See also Plate 531

Femoral artery passing through adductor hiatus within adductor magnus muscle

Superior lateral genicular artery

Patellar anastomosis

Inferior lateral genicular artery (partially in phantom)

Posterior tibial recurrent artery (phantom)

Circumflex fibular branch

Anterior tibial artery

Interosseous membrane

Fibular artery (phantom)

Perforating branch

Anterior lateral malleolar artery

Lateral tarsal branch

Posterior perforating branch

Deep plantar arch (phantom)

Dorsal metatarsal arteries

Femoral artery

Descending genicular artery

Articular branch

Saphenous branch

Superior medial genicular artery

Popliteal artery (phantom)

Middle genicular artery (phantom)

Inferior medial genicular artery (partially in phantom)

Anterior tibial recurrent artery

Posterior tibial artery (phantom)

Fibular (peroneal) artery (phantom)

Anterior tibial artery

Anterior medial malleolar artery

Dorsal pedis artery

Medial tarsal branch

Arcuate artery

Deep plantar artery

Dorsal digital arteries

Plate 509

Leg

Leg: Cross Sections and Fascial Compartments 7

Deep fascia of leg

Interosseous membrane

(crural fascia)

 

Anterior compartment

Extensor muscles

Tibialis anterior

Extensor digitorum longus

Extensor hallucis longus

Fibularis (peroneus) tertius

Anterior tibial artery and veins

Deep fibular (peroneal) nerve

Anterior intermuscular septum

Lateral compartment

Fibularis (peroneus) longus muscle

Fibularis (peroneus) brevis muscle

Superficial fibular (peroneal) nerve

Posterior intermuscular septum

Fibula

Deep fascia of leg (crural fascia)

Cross section just above middle of leg

Tibia

Deep posterior compartment

Deep flexor muscles Flexor digitorum longus Tibialis posterior Flexor hallucis longus Popliteus

Posterior tibial artery and veins Tibial nerve

Fibular (peroneal) artery and veins

Transverse intermuscular septum

Superficial posterior compartment

Superficial flexor muscles Soleus

Gastrocnemius Plantaris (tendon)

Tibialis anterior muscle

Extensor hallucis longus muscle

Extensor digitorum longus muscle

Superficial fibular (peroneal) nerve

Anterior intermuscular septum

Deep fascia of leg (crural fascia)

Fibularis (peroneus) longus muscle

Fibularis (peroneus) brevis muscle

Posterior intermuscular septum

Fibula

Lateral sural cutaneous nerve

Transverse intermuscular septum

Soleus muscle

Gastrocnemius muscle (lateral head)

Sural communicating branch of lateral sural cutaneous nerve

Anterior tibial artery and veins and deep fibular (peroneal) nerve

Tibia

Interosseous membrane

Great saphenous vein and saphenous nerve

Tibialis posterior muscle

Flexor digitorum longus muscle

Fibular (peroneal) artery and veins

Posterior tibial artery and veins and tibial nerve

Flexor hallucis longus muscle

Deep fascia of leg (crural fascia)

Plantaris tendon

Gastrocnemius muscle (medial head)

Medial sural cutaneous nerve

Small saphenous vein

 

 

 

Leg

Plate 510

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