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Topographical anatomy of limbs Topographical anatomy of upper limb Axillary fossa Pectoralis major Latissiumus dorsi Axillary cavity Axillary cavity Axillary cavity`s walls Anterior wall Pectoralis major Pectoralis minor Posterior wall Latissimus dorsi Subscapularis Teres major Axillary cavity`s walls Medial wall Serratus anterior Posterior wall Biceps brachii Coracobrachialis Axillary cavity`s content Axillary artery Axillary vein Branches of brachial plexus Fat Lymph nodes Triangular and quadrangular foramina Quadrangular foramen (foramen quadrilaterum) Lateral border surgical neck of humerus Medial border long head of triceps brachii Superior border subscapularis (anteriorly), teres minor (posteriorly); Inferior border teres major Triangular foramen (foramen trilaterum) Lateral border long head of triceps brachii; Superior border subscapularis (anteriorly), teres minor (posteriorly); Inferior border teres major Content of triangular and quadrangular foramina Circumflex scapular artery and vein Axillary nerve; posterior circumflex humeral artery and vein Topography of upper arm Lateral bicipital sulcus Medial bicipital sulcus Lateral biciptal sulcus Cephalic vein Medial biciptal sulcus Basilic vein Medial biciptal sulcus •Brachial artery •Brachial veins •Median Nerve •Ulnar nerve •Medial cutaneous nerve •of arm •Medial cutaneous nerve •of forearm Cubital fossa Brachialis Pronator teres Brachioradialis Cubital fossa Biceps brachii Pronator teres Brachioradialis Cubital fossa Brachial artery and veins Ulnar nerve Median nerve Topography of forearm Radial sulcus Median sulcus Ulnar sulcus Topography of forearm Radial sulcus: radial artery, veins and deep branch of radial nerve Median sulcus: median nerve Ulnar sulcus:ulnar artery, veins and nerve Topography of forearm and hand Parona`s space Flexor retinaculum Carpal tunnel Topography of forearm and hand Parona`s space is bounded: Posteriorly: by pronator quadratus and interosseous membrane; Anteriorly: flexor pollicis longus and flexor digitorum profundus Carpal tunnel is bounded: Posteriorly: by carpal bones; Anteriorly: flexor retinaculum Carpal tunnel Contains: - Ulnar vessels and nerve; - Median nerve; - Tendons of flexor pollicis longus; flexores digitorum superficialis and profundus; flexor carpi radialis Carpal tunnel Synovial flexor sheaths in the palm Flexor carpi radialis Flexor pollicis longus Flexor digitorum superficialis and profundus Palmar aponeurosis Anatomical snuff box Synovial extensor sheaths of the hand Extensor retinaculum 1. Abductor pollicis longus and extensor pollicis brevis 2. Extensor carpi radialis longus and brevis 3. Extensor pollicis longus Synovial extensor sheaths of the hand Extensor retinaculum 4. Extensor digitorum and extensor indicis 5. Extensor digiti minimi 6. Extensor carpi ulnaris Topographical anatomy of lower limb Openings in the pelvis Greater sciatic foramen Lesser sciatic foramen Obturator canal Piriformis muscle Foramen suprapiriforme Foramen infrapiriforme Foramen suprapiriforme Superior gluteal artery Superior gluteal vein Superior gluteal nerve Foramen infrapiriforme Inferior gluteal artery Inferior gluteal vein Inferior gluteal nerve Pudendal nerve Internal pudendal artery Internal pudendal vein Posterior cutaneous nerve of thigh Sciatic nerve Obturator canal Obturator artery Obturator vein Obturator nerve Cribriform fascia Fascia lata Saphenous hiatus Femoral vein Great saphenous vein Lacuna musculorum (muscular space) Lacuna vasorum (vascular space) Lacuna musculorum (muscular space) Lacuna vasorum (vascular space) 1. Iliopsoas 1. Femoral artery 2. Femoral nerve 2. Femoral vein 3. Lateral cutaneous nerve of thigh 3. Femoral branch of genitofemoral nerve Femoral ring Femoral ring Femoral hernia Femoral ring Anterosuperiorly – inguinal ligament Medially – lacunar ligament Posteroinferiorly – pectineal ligament Laterally – femoral vein Femoral canal and its walls 1. Anterior wall: inguinal ligament 2. Posterior wall: deep layer of fascia lata 3. Lateral wall: femoral vein Iliopsoas N A V Pectineus Femoral nerve Femoral artery Femoral vein Adductor (Hunter`s) canal Adductor (Hunter`s) canal Adductor magnus Vastus medialis Lamina vastoadductoria Adductor (Hunter`s) canal Femoral artery Femoral vein Saphenous nerve Popliteal fossa Popliteal fossa Semimembranosus Medial head of gastrocnemius Biceps femoris Lateral head of gastrocnemius Popliteal fossa Popliteal artery A Popliteal vein Sciatic nerve and its branches V N Cruropopliteal canal Posteriorly: soleus Anteriolry: tibialis posterior and flexor hallucis longus Cruropopliteal canal Contains: -tibial nerve; -posterior tibial artery - posterior tibial artery veins Superior musculoperoneal canal is bounded Medially: upper third of fibula Laterally: peroneus longus Superior musculoperoneal canal Contains: Common peroneal nerve Inferior musculoperoneal canal is bounded Anteriorly: lower third of fibula Posteriorly: flexor hallucis longus and tibialis posterior Inferior musculoperoneal canal Contains: Peroneal artery and veins Medial plantar groove Lateral plantar groove Abductor digiti minimi Abductor hallucis Flexor digitorum brevis Superior extensor retinaculum Inferior extensor retinaculum Synovial extensor sheaths of foot 1. Tibialis anterior 2. Extensor hallucis longus 3. Extensor digitorum longus Synovial sheaths in the lateral side of foot Superior and inferior retinacula of peroneal muscles Peroneus longus and brevis Flexor retinaculum Synovial flexor sheaths of foot 1. Tibialis posterior 2. Flexor digitorum longus 3. Flexor hallucis longus Synovial sheaths in the sole Flexor digitorum longus Flexor hallucis longus Peroneus longus