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Practical training № 5 Topic. Surgical anatomy of the knee. Popliteal fossa. Surgical anatomy of the popliteal joint. Surgical anatomy of the knee joint. Punction, arthrotomy and resection of the knee joint. Topographical anatomy of the shin, the region of the ankle and the foot. Relevance of the topic: anatomical and topographical features of the structure of the knee joint, existence of turns and synovial bags has important value in the formation of periarticular phlegmons. Features of the structure of the joint should be considered in the diagnosing and treatment of the traumatic injuries, inflammations, ankylosis and contractures of the knee joint. Detailed knowledge of the topographical anatomy of the shin and foot have important value in the diagnosing of the neurological diseases, in treatment of the inflammations and injuries. Purpose of the lesson: 1. 2. 3. 4. 5. 6. 7. 8. 9. Study surgical anatomy of the knee region and learn the topography of the synovial bags. Study surgical anatomy of the knee joint. Justify the ways of spreading of the periarticular phlegmons. Be able to perform the punction of the knee joint. Master the technique of the arthrotomy and resection of the knee joint. Study the topography of the anterior, posterior and lateral fibro-osseus beds of the shin. Study the fascial beds of the foot and their content. Study and justify the symptoms of the injury of the n. tibialis and n. fibularis communis. Give the topographical and anatomical justification of the ways of spreading of the inflammations in the phlegmons of the shin and foot and study cuts for their drainage. Control questions: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Topographical anatomy of the anterior and posterior popliteal fossa. Surgical anatomy of the popliteal fossa, its content and connections. Surgical anatomy of the knee joint. Ways of spreading of the periarticular phlegmons. Punction of the knee joint. Indications. Technique. Arthrotomy and resection of the knee joint. Indications. Technique. Instruments. Topographical anatomy of the anterior region of the shin. Structure of the anterior fibro-osseus bed, its content. Lateral fibro-osseus bed of the shin. Superior musulofibular canal and its content. Topographical anatomy of the posterior region of the shin. Superficial fibrous and deep (anterior) fibro-osseus beds of the shin. Cruropopliteal canal and its content. Topographical anatomy of the region of the ankle. Surgical anatomy of the ankle canal. Topographical anatomy of the plantar surface of the foot. Surgical anatomy of the medial, lateral and median fascial beds of the plantar surface of the foot. Plantar and heel canals and their content. Ways of spreading of the inflammations in phlegmons of the shin, foot and cuts for drainage. Practical skills: 1. 2. Show on the body: v. saphena magna n. saphenus Pirogov’s canal and its content fossa poplitea, its borders and content a. poplitea and its branches n. tibialis and its branches n. peroneus communis fossa Goberi and its borders articular surfaces of the knee joint medial and lateral meniscus turns of the knee joint ligaments of the knee joint v. saphena parva n. peroneus superficialis n. cutaneus surae medialis n. cutaneus surae lateralis n. suralis anterior, lateral and posterior fibro-osseus beds and their content Gruber’s canal, its borders, holes and content superior musculofibular canal and its content inferior musculofibular canal and its content ankle canal, its walls and content medial, lateral and median beds of the foot, their content heel canal, its walls and content plantar canal, its walls and content DeLorme lines Perform on the body: punction of the knee joint arthrotomy of the knee joint resection of the knee joint cuts for the disclosure of the phlegmons of the anterior, posterior and medial beds of the shin cuts for the disclosure of the subaponeurotic phlegmons of the foot Computer question for the practical training № 5 Surgical anatomy of the knee. Popliteal fossa. Surgical anatomy of the popliteal joint. Surgical anatomy of the knee joint. Punction, arthrotomy and resection of the knee joint. Topographical anatomy of the shin, the region of the ankle and the foot. 1. What is situated in subcutaneous tissue of front area of knee? 2. Which from the listed below arterias form rete patellae? 3. Name which from the listed below synovial burses do not relate to the front area of knee? 4. What is situated in subcutaneous tissue of the back area of knee? 5. What is fossa poplitea limited by from top and medially? 6. What is popliteal space limited by from the top and laterally? 7. What is popliteal space limited by from below and laterally? 8. What is popliteal space limited by from below and medially? 9. What is Jobert’s fossa limited by at the front? 10.What is Jobert’s fossa limited by at the back? 11.What is Jobert’s fossa limited by from below? 12.What is Jobert’s fossa limited by at the top? 13.Which approach is used to expose popliteal artery? 14.How are elements of nervovascular fascicle situated in popliteal space? 15.Which from the listed below vessels are not branches of popliteal artery? 16.Name the symptoms of damaging of common peroneal nerve? 17.Name the intraarticular ligament of knee joint 18.Name the extraarticular ligament of knee joint 19.Name the ligaments that strengthen knee joint from the front 20.Name the author of extraarticular sparing resection of knee joint 21.Which approach to joint isused for patients with tuberculous gonitis? 22.What divides sheath of knee joint into upper and lower levels? 23.What divides sheath of knee joint into front and back compartments? 24.What divides sheath of knee joint into external and internal halves? 25.By what incision arthrotomy of knee joint is done? 26.Which incision is used for big pyogenic lesion of knee joint 27.How to do arthrotomy of knee joint by Textor’s incision? 28.Name the bones that form articulatio genus 29.Name synovial burses that can unite with joint sheath of knee joint 30.How many synovial turns capsule of knee joint has? 31.Where can spread pus from deep tissue of popliteal space to? 32.What is situated in subcutaneous tissue of front area of crus? 33.Which from the listed below arterias form rete patellae? 34.What is lateral osseous- fibrous sheath of crus limited by? 35.What is situated in lateral osseous- fibrous sheath of crus? 36.What is canalis musculoperoneus superior formed by? 37.What is situated in front osseous- fibrous sheath of crus? 38.Between which muscles the front tibial nervovascular fascicle is situated in upper third of crus? 39.Between which muscles the front tibial nervovascular fascicle is situated in lower third of crus? 40.Name the projecting line of a. tibialis anterior? 41.What lies in subcutaneous tissue of back area of crus? 42.What is situated in the surface fascial sheath of back area of crus? 43.What is situated in the front deep osseous- fascial sheath of back area of crus? 44.What is cruropoplitea Gruber’s canal limited by from the front? 45.What is cruropoplitea canal limited by from the back? 46.What is cruropoplitea canal limited by laterally? 47.What is cruropoplitea canal limited by medially? 48.What is upper entrance foramen of Gruber’s limited by from the front? 49.What is upper entrance foramen of Gruber’s limited by from the back? 50.What enters Gruber’s canal? 51.What comes through the front foramen of Gruber’s canal? 52.What is lower foramen of Gruber’s limited by? 53.Name the projecting line of the back a. tibialis 54.What is observed after the damage of n. tibealis? 55.What is canalis musculoperoneus inferior limited by from the back? 56.What is canalis musculoperoneus inferior limited by from the front? 57.What is canalis musculoperoneus inferior limited by externally? 58.What is situated in canalis musculoperoneus inferior? 59.What is situated in subcutaneous tissue in the area of medial bone? 60.What is bone canal limited by? 61.What goes through bone canal from the front to the back? 62.What is situated at the medial fascial sheath of sole? 63.What is situated at the lateral fascial sheath of sole? 64.What is middle fascial sheath of sole limited by from the sides? 65.What is middle fascial sheath of sole limited by from the bottom? 66.What is middle fascial sheath of sole limited by from the top? 67.What is situated in the middle first layer of sole above aponeurosis? 68.What is situated at the middle sheath of sole in the second layer? 69.What is situated at the middle sheath of sole in the third layer? 70.What is subaponeurotic tissue space of sole limited by? 71.What is surface fascial tissue sheath of sole limited by? 72.What is heel canal limited by? 73.What goes through heel canal? 74.What is deep tissue space of sole limited by? 75.Where is deep tissue space of sole situated? 76.With the help of which lines projection of medial and lateral sole nervovascular fascicle is defined? 77.Name the content of sole canal? !What is situated in subcutaneous tissue of front area of knee? V.saphena magna, n.saphenus, r.r.cutanei anteriores, n.cutaneus femoris lateralis, r.anterior n.obturatorius, bursa subcutaneae prepatellaris, bursa infrapatellaris #V.saphena magna et v.saphena parva, n.saphenus, r.anterior n.obturatorius, n.n.cutanei surae medialis et n.n.cutanei surae lateralis, n.suralis, n.cutaneus femoris posterior N.cutaneus surae medialis, n.cutaneus surae lateralis, m.gastrocnemius, m.plantaris, m.soleus N.saphenus, r.anterior n.obturatorius, n.cutaneus femoris posterior, n.cutaneus femoris lateralis, n.cutaneus surae lateralis, bursa suprapatellaris !Which from the listed below arterias form rete patellae? R.descendens a.circumflexa femoris lateralis, a.a.genus superiores et inferiores medialis et lateralis, r.r.articulares a.genus descendens, a.recurrens tibialis anterior #A.circumflexa femoris medialis, a.circumflexa femoris lateralis, a.obturatoria A.genus superior medialis, a.genus superior lateralis, a.genus inferior medialis, a.genus inferior lateralis, a.genus media, a.recurens tibialis posterior A.a.pudendae externae, a.circumflexa ilium superficialis, a.epigastrica superficialis !Name which from the listed below synovial burses do not relate to the front area of knee? Bursa subtendinea m.gastrocnemii medialis, bursa m.semimembranosi #Bursa subcutanea prepatellaris, bursa infrapatellaris Bursa prepatellaris subfascialis, bursa prepatellaris subtendinea Bursa suprapatellaris, bursa infrapatellaris profunda !What is situated in subcutaneous tissue of the back area of knee? N.saphenus, r.anterior n.obturatorius, n.cutaneus femoris posterior, n.cutaneus femoris lateralis, n.cutaneus surae lateralis #R.descendens a.circumflexa femoris lateralis, a.a.genus superiores et inferiores medialis et lateralis, r.r.articulares a.genus descendens, a.recurrens tibialis anterior A.circumflexa femoris medialis, a.circumflexa femoris lateralis, a.obturatoria N.cutaneus surae medialis, v.saphena parva, v.saphena magna !What is fossa poplitea limited by from top and medially? M.semitendinosus, m.semimembranosus #M.biceps femoris By medial head of gastrocnemius muscle M.adductor magnus !What is popliteal space limited by from the top and laterally? M.biceps femoris #By lateral head of gastrocnemius muscle M.vastus lateralis M.flexor hallucis longus !What is popliteal space limited by from below and laterally? External head of gastrocnemius muscle, m.plantaris #M.biceps femoris M.vastus lateralis Internal head of gastrocnemius muscle !What is popliteal space limited by from below and medially? Internal head of gastrocnemius muscle #M.semitendinosus, m.semimembranosus Sinew of m.adductor magnus M.plantaris !What is Jobert’s fossa limited by at the front? Sinews of m.adductor magnus, m.vastus medialis # External head of gastrocnemius muscle, m.plantaris M.semitendinosus, m.semimembranosus, m. gracillis M.sartorius !What is Jobert’s fossa limited by at the back? M.semitendinosus, m.semimembranosus, m. gracillis # External head of gastrocnemius muscle, m.plantaris Sinews of m.adductor magnus, m.vastus medialis Medial epicondyle of femoris, medial head of gastrocnemius muscle !What is Jobert’s fossa limited by from below? Medial epicondyle of femoris, medial head of gastrocnemius muscle #M.semitendinosus, m.semimembranosus, gracillis M.sartorius External head of gastrocnemius muscle, m.plantaris !What is Jobert’s fossa limited by at the top? M.sartorius #M.vastus medialis M.adductor magnus M.semitendinosus, m.semimembranosus !Which approach is used to expose popliteal artery? Through Jobert’s fossal #Textor’s incision Kornev’s incision Payr’s approach !How are elements of nervovascular fascicle situated in popliteal space? Mostly on top (behind) n.tibialis and n. peroneus communis, at the front and medially v. poplitea, deeper a. poplitea #Mostly on top (behind) n. tibialis, ahead of it a. poplitea, ahead of it and deeper from the artery v. poplitea The most superficial a. poplitea, ahead of it v. poplitea, deeper, on the bottom of popliteal space n. tibialis The most superficial v. poplitea, deeper and ahead of it n. tibialis, deeper and medially a.poplitea !Which from the listed below vessels are not branches of popliteal artery? A.a.recurrens tibiales anterior et posterior #A.a.genus superior medialis et lateralis A.a.genus inferior medialis et lateralis A.genus media !Name the symptoms of damaging of common peroneal nerve? Impossible dorsal flexion and turn of foot outward, anesthesia of the external surface of crus, pes equinus is observed #Impossible plantar flexion and turn of foot, anesthesia of the anteromedial surface of crus, pes calcaneus is observed Comes to disorder: plantar flexion of foot, sensibility on the back surface of crus, sole and toes, pes calcaneus Impossible extension of crus, disorder of sensibility in the zone of innervations of n. saphenus !Name the intraarticular ligament of knee joint: Lig.cruciatum anterius et posterius, lig.transversum genus #Lig.popliteum arcuatum, lig.popliteum obliquum Lig.collaterale fibulare, lig.collaterale tibiale Lig.transversum acetabulae and lig.capitis femoris !Name the extraarticular ligament of knee joint: Lig.popliteum arcuatum, lig.popliteum obliquum, lig.collaterale fibulare, lig.collaterale tibiale #Lig.transversum genus, lig.cruciatum anterius, lig.cruciatum posterius Decussate ligaments, рlica synovialis infrapatellaris, lig.patellae, lig.transversum genus Meniscus !Name the ligaments that strengthen knee joint from the front: lig. patellae, retinaculum patellae mediale et laterale #lig. collaterale tibiale, lig. cruciatum anterius lig. meniscofemorale anterius, lig. collaterale fibulare lig.popliteum arcuatum !Name the author of extraarticular sparing resection of knee joint: Kornev #Textor Voyno-Yasenetsky Payr !Which approach to joint isused for patients with tuberculous gonitis? Textor’s #Kornev’s Payr’s Langenbeck’s !What divides sheath of knee joint into upper and lower levels? Meniscus #Decussate ligaments Plica synovialis infrapatellaris Lig.transversum genus !What divides sheath of knee joint into front and back compartments? Decussate ligaments #Meniscus Plica synovialis infrapatellaris Lig.transversum genus !What divides sheath of knee joint into external and internal halves? Plica synovialis infrapatellaris #Decussate ligaments Meniscus Lig.transversum genus !By what incision arthrotomy of knee joint is done? Payr’s #Textor’s Putti’s Langenbeck’s !Which incision is used for big pyogenic lesion of knee joint: Textor’s #Payr’s Putti’s Langenbeck’s !How to do arthrotomy of knee joint by Textor’s incision? The incision is done arcuetly from one epicondyle to another, with transaction of proper ligament of patella #The incision is started 5-6 cm above patella, pull back from patella 1-1.5 cm, with transaction of proper ligament of patella Incision paropatellaris is started 8-10 cm above the joint, patella is circumflexed from outside, the incision is finished 2 cm below tuberositas tibiae S-like incision is done on the back surface of knee area !Name the bones that form articulatio genus: Epiphysis distalis femoris, epiphysis proximalis tibiae, patella #Epiphysis proximalis tibiae, patella, caput fibulae Epiphysis distalis tibiae, epiphysis distalis fibulae, trochlea tali Epiphysis distalis femoris, epiphysis proximalis tibiae, caput fibulae !Name synovial burses that can unite with joint sheath of knee joint: B. suprapatellaris, b. m. poplitei, b. subtendinea m. gastrocnemii medialis, b. m. semimembranosi #Bursa subcutanea prepatellaris, bursa infrapatellaris subcutanea, b. prepatellaris subaponeurotica Bursa prepatellaris subfascialis, bursa prepatellaris subtendinea Bursa suprapatellaris, bursa infrapatellaris profunda !How many synovial turns capsule of knee joint has? 9 #13 12 4 !Where can spread pus from deep tissue of popliteal space to? Canalis adductorius, back muscle cavities of hip and crus #Canalis adductorius, front muscle cavities of crus Canalis obturatorius, front muscle cavities of hip and crus Canalis inguinalis, canalis musculoperonealis superior !What is situated in subcutaneous tissue of front area of crus? R.cutanei cruris medialis, r.cutanei (r.anterior n.obturatorius) , v.saphena magna, n.saphenus, n.peroneus superficialis, n.cutaneus surae lateralis #N.peroneus profundus, v.saphena parva, bursa subcutaneae prepatellaris, bursa infrapatellaris R.descendens a.circumflexa femoris lateralis, a.a.genus superiores et inferiores medialis et lateralis, r.r.articulares a.genus descendens, a.recurrens tibialis anterior V.saphena magna et v.saphena parva, n.saphenus, r.anterior n.obturatorius, n.n.cutanei surae medialis et n.n.cutanei surae lateralis, n.suralis, n.cutaneus femoris posterior !Which from the listed below arterias form rete patellae? R.descendens a.circumflexa femoris lateralis, a.a.genus superiores et inferiores medialis et lateralis, r.r.articulares a.genus descendens, a.recurrens tibialis anterior #A.circumflexa femoris medialis, a.circumflexa femoris lateralis, a.obturatoria A.genus superior medialis, a.genus superior lateralis, a.genus inferior medialis, a.genus inferior lateralis, a.genus media, a.recurens tibialis posterior A.a.pudendae externae, a.circumflexa ilium superficialis, a.epigastrica superficialis !What is lateral osseous- fibrous sheath of crus limited by? By front, back intermuscular septum, fibulae, fascia cruris #By medial, lateral intermuscular septum, tibiae, fascia cruris By front, medial intermuscular septum, talus, membrane interossea By lateral, back intermuscular septum, fibulae, fascia cruris !What is situated in lateral osseous- fibrous sheath of crus? M.peroneus longus, m.peroneus brevis, n.peroneus communis #M.tibialis anterior, m.extensor digitorum longus, m.extensor hallucis longus, a.et v.v.tibialis anterioris, n.peroneus profundus M.tibialis anterior, m. extensor digitorum longus, v.saphena magna Membrana interossea cruris, m.peroneus brevis, a.et v.v.tibialis anterior !What is canalis musculoperoneus superior formed by? Heads of m. peroneus longus, neck of fibulae #Heads of m. gastrocnemius, head of fibulae M.flexor hallucis longus, margo anterior tibiae M.tibialis posterior, m.tibialis anterior, m. plantaris !What is situated in front osseous- fibrous sheath of crus? M.tibialis anterior, m.extensor digitorum longus, m.extensor hallucis longus, a.et v.v. tibialis anterioris, n.peroneus profundus #M.peroneus longus, m.peroneus brevis, n.peroneus communis M. gastrocnemius, m. soleus, m. flexor digitorum longus, m. flexor hallucis longus, a.et v.v.tibialis posterioris, n. tibialis M.tibialis anterior, m.extensor digitorum longus, n.peroneus superficialis, canalis musculoperonaeus superior, v. poplitea !Between which muscles the front tibial nervovascular fascicle is situated in upper third of crus? Between m.tibialis anterior and m. extensor digitorum longus # Between m.tibialis anterior and m.extensor hallucis longus Between m.tibialis anterior and m.flexor hallucis longus Between m.tibialis anterior and m.flexor digitorum longus !Between which muscles the front tibial nervovascular fascicle is situated in lower third of crus? Between m.tibialis anterior and m.extensor hallucis longus # Between m.tibialis anterior and m.extensor digitorum longus Between m.tibialis anterior and m.flexor digitorum longus Between m.tibialis anterior and m.flexor hallucis longus !Name the projecting line of a. tibialis anterior? From the middle of distance between tuberositas tibiae and head of fibulae to the middle of interossea line #From 1 cm behind the medial margo of tibiae to the middle of distance between medial bone and heel tendon From the point situated at the middle of distance between tuberositas tibiae and head of fibulae till medial ankle From the medial epicondyle of tibia bone to the middle of interossea line !What lies in subcutaneous tissue of back area of crus? V.saphena magna et v.saphena parva, n.saphenus, r.anterior n.obturatorius, n.n.cutanei surae medialis et n.n.cutanei surae lateralis, n.suralis, n.cutaneus femoris posterior #R.cutanei cruris medialis, r.cutanei (r.anterior n.obturatorius), v.saphena magna, n.saphenus, n.peroneus superficialis, n.cutaneus surae lateralis R.descendens a.circumflexa femoris lateralis, a.a.genus superiores et inferiores medialis et lateralis, r.r.articulares a.genus descendens, a.recurrens tibialis anterior N.saphenus, r.anterior n.obturatorius, n.cutaneus femoris posterior, n.cutaneus femoris lateralis, n.cutaneus surae lateralis !What is situated in the surface fascial sheath of back area of crus? N.cutaneus surae medialis, n.cutaneus surae lateralis, m.gastrocnemius, m.plantaris, m.soleus #M.tibialis posterior, v.saphena parva, v.saphena magna M.tibialis posterior, m.flexor digitorum longus, m.flexor hallucis longus, a.tibialis posterior, v.v.tibialis posterior, n.tibialis M.tibialis anterior, m.extensor digitorum longus, m.extensor hallucis longus, a.et v.v. tibialis anterioris, n.peroneus profundus !What is situated in the front deep osseous- fascial sheath of back area of crus? M.tibialis posterior, m.flexor digitorum longus, m.flexor hallucis longus, a.tibialis posterior, v.v.tibialis posterior, n.tibialis #N.cutaneus surae medialis, n.cutaneus surae lateralis, m.gastrocnemius, m.plantaris, m.soleus, n.peroneus communis V.saphena magna et v.saphena parva, n.saphenus, r.anterior n.obturatorius, n.n.cutanei surae medialis et n.n.cutanei surae lateralis M.tibialis anterior, m.extensor digitorum longus, m.extensor hallucis longus, a.et v.v. tibialis anterioris, n.peroneus profundus !What is cruropoplitea Gruber’s canal limited by from the front? M.tibialis posterior #M.tibialis anterior By deep layer of crus fascia and m. soleus M.popliteus !What is cruropoplitea canal limited by from the back? By deep layer of crus fascia and m. soleus #M.flexor hallucis longus M. flexor digitorum longus M.plantaris !What is cruropoplitea canal limited by laterally? M.flexor hallucis longus #M.flexor digitorum longus M.peroneus longus M.peroneus brevis !What is cruropoplitea canal limited by medially? M.flexor digitorum longus #M.flexor hallucis longus Tibiae M.tibialis posterior !What is upper entrance foramen of Gruber’s limited by from the front? M.popliteus #Arcus tendineus m.solei M.tibialis posterior M.tibialis anterior !What is upper entrance foramen of Gruber’s limited by from the back? Arcus tendineus m.solei #M.flexor digitorum longus M.flexor hallucis longus M.popliteus !What enters Gruber’s canal? N.tibialis, а.poplitea #N.peroneus communis A.tibialis posterior, а.tibialis anterior N.peroneus profundus !What comes through the front foramen of Gruber’s canal? A. et v.v. tibialis anterior #N.peroneus profundus A. et v.v. tibialis posterior N.tibialis !What is lower foramen of Gruber’s limited by? M.tibialis posterior, heel tendon #M.flexor digitorum longus M.flexor hallucis longus M.soleus !Name the projecting line of the back a. tibialis: From 1 cm behind the medial margo of tibiae to the middle of distance between medial bone and heel tendon #From 1 cm behind the middle of fossa poplitea to the middle of interossea line From the middle of fossa poplitea to medial bone From the middle of distance between tuberositas tibiae and head of fibulae to the middle of interossea line !What is observed after the damage of n. tibealis? Comes to disorder: plantar flexion of foot, sensibility on the back surface of crus, sole and toes, pes calcaneus #Impossible dorsal flexion and turn of foot outward, anesthesia of the external surface of crus, pes equinus is observed Impossible plantar flexion and turn of foot, anesthesia of the anteromedial surface of crus, pes calcaneus is observed Impossible extension of crus, disorder of sensibility in the zone of innervations of n. saphenus !What is canalis musculoperoneus inferior limited by from the back? M.flexor hallucis longus #M.tibialis posterior M.flexor digitorum longus Fibulae !What is canalis musculoperoneus inferior limited by from the front? M.tibialis posterior #M.flexor hallucis longus M.flexor digitorum longus Fibulae !What is canalis musculoperoneus inferior limited by externally? Fibulae #M.peroneus longus M.peroneus brevis M.tibialis posterior !What is situated in canalis musculoperoneus inferior? A.peronea #A.genus descendens N.saphenus N.peroneus communis !What is situated in subcutaneous tissue in the area of medial bone? R.r.calcanei (a.tibialis posterior), .r.malleolares (a.tibialis posterior), v.saphena magna, n.saphenus, r.r.calcanei (n.tibialis) #N.suralis, n.peroneus superficialis, v.saphena parva V.saphena magna et v.saphena parva, n.saphenus, r.anterior n.obturatorius, n.n.cutanei surae medialis et n.n.cutanei surae lateralis, n.suralis, n.cutaneus femoris posterior N.cutaneus surae medialis, n.cutaneus surae lateralis, m.gastrocnemius, m.plantaris, m.soleus !What is bone canal limited by? Heel bone, medial ankle, retinaculum, m. m. flexorum #Tibial bone, heel tendon, m. abductor, hallucis Fibular bone, sinew of m. flexor hallucis longus, m. tibialis posterior Heel bone, sinew of m. tibialis posterior, m. flexor digitorum longus !What goes through bone canal from the front to the back? Sinews of m.tibialis posterior, m.flexor digitorum longus, vasa tibialis posterior, n.tibialis, sinew of m.flexor hallucis longus #Sinews of m.flexor digitorum longus, m.tibialis posterior, m.flexor hallucis longus and at the back at most a.et v.tibialis posterior and n.tibialis A.et v.tibialis posterior, behind them sinews of m.tibialis posterior, m.flexor digitorum longus i m.flexor hallucis longus Sinews of m.flexor hallucis longus, m.flexor digitorum longus, m.tibialis posterior and behind them a.et v.tibialis posterior and n.tibialis !What is situated at the medial fascial sheath of sole? M.abductor hallucis, m.flexor hallucis brevis #M.adductor hallucis, a.et v.plantaris medialis M.flexor digitorum brevis, n.peroneus profundus M.flexor digitorum longus, m.tibialis posterior !What is situated at the lateral fascial sheath of sole? M.abductor digiti minimi, m.flexor digiti minimi brevis #M.quadratus plantae, m.flexor digitorum brevis M.abductor hallucis, m.flexor hallucis brevis M.abductor digiti minimi, m.m.lumbricales !What is middle fascial sheath of sole limited by from the sides? By medial and lateral intermuscular septum By first and third instep bones M.quadratus plantae i m.m.lumbricales By upper and lower intermuscular septum !What is middle fascial sheath of sole limited by from the bottom? Middle part of aponeurosis #Sole interossea fascia Lig.plantare longum M.m.interossei plantaris !What is middle fascial sheath of sole limited by from the top? Sole interossea fascia #Middle part of aponeurosis M.quadratus plantae M.m.lumbricales !What is situated in the middle first layer of sole above aponeurosis? M.flexor digitorum brevis #M.flexor digitorum longus M.quadratus plantae M.adductor hallucis !What is situated at the middle sheath of sole in the second layer? Sinews of m.flexor digitorum longus, m.quadratus plantae, m.m.lumbricales #Sinews of m.adductor hallucis, m.abductor hallucis, m.m.interossei plantaris M.flexor digitorum brevis M.m.interossei plantares, m.adductor hallucis !What is situated at the middle sheath of sole in the third layer? M.m.interossei plantares, m.adductor hallucis #M.abductor hallucis Sinews of m.flexor digitorum longus, m.quadratus plantae, m.m.lumbricales M.flexor digitorum brevis !What is subaponeurotic tissue space of sole limited by? Sole aponeurosis , m.flexor digitorum brevis #Deep fascia of sole, m.quadratus plantae Sole interossea fascia, m.lumbricales M.flexor digitorum longus, m.adductor hallucis !What is surface fascial tissue sheath of sole limited by? M.flexor digitorum brevis, m.flexor digitorum longus, m.quadratus plantae #M.adductor hallucis, m.abductor hallucis Sole aponeurusis, m.flexor digitorum brevis Sinews of m.flexor digitorum longus, m.quadratus plantae, m.m.lumbricales !What is heel canal limited by? Heel bone, m.abductor hallucis # Medial ankle, m.adductor hallucis Retinaculum flexorum Sole aponeurosis, m.flexor digitorum brevis !What goes through heel canal? A.et v.plantaris medialis, a.et v.plantaris lateralis #A.dorsalis pedis, ramus plantaris profundus Arcus plantaris, a.et v.plantaris medialis M.flexor digitorum brevis, n.peroneus profundus !What is deep tissue space of sole limited by? Sole interossea fascia, deep fascia of sole, medial sheath, lateral sheath #Heel bone, m. abductor hallucis, medial ankle, m. adductor hallucis, retinaculum flexorum Sole aponeurosis, m.flexor digitorum brevis Sinews of m.flexor digitorum longus, m.quadratus plantae, m.m.lumbricales !Where is deep tissue space of sole situated? Sole canal #Bone canal Medial sheath Lateral sheath !With the help of which lines projection of medial and lateral sole nervovascular fascicle is defined? Delorm’s lines #Rozer-Nelaton’s lines Lesgaft’s lines Kueyn’s lines !Name the content of sole canal? Sinews of m.flexor digitorum longus, m.quadratus plantae, vasa plantaria lateralia, n.plantaris lateralis, vasa plantaria medialia, n.plantaris medialis #Sinews of m.adductor hallucis, m.abductor hallucis, m.m.interossei plantaris, m.flexor digitorum brevis, vasa tibialia posteriora, n.tibialis Sinews of m.flexor digitorum longus, m.quadratus plantae, m.m.lumbricales M.m.interossei plantares, m.adductor hallucis