Fundamental Philosophy Surgery Series | Lower Limb

Fundamental Philosophy Surgery Series

Lower Limb


Topographic Anatomy | Lower Limb

Anterior view

Iliac crest

Anterior superior iliac spine

Tensor fasciae latae muscle

Inguinal ligament

Sartorius muscle

Vastus lateralis muscle

Rectus femoris muscle

Great saphenous vein

Vastus medialis muscle

Iliotibial tract

Rectus femoris tendon (becoming part of quadriceps femoris tendon)

Patella

Patellar ligament

Fibularis (peroneus) longus muscle

Tibial tuberosity

Great saphenous vein

Tibialis anterior muscle

Anterior border of tibia

Medial malleolus

Lateral malleolus

Extensor digitorum longus tendons

Extensor hallucis longus tendon

Posterior view

Iliac crest

Gluteus medius muscle

Gluteus maximus muscle

Greater trochanter of femur

Gluteal fold

Iliotibial tract

Semitendinosus muscle

Adductor magnus muscle

Biceps femoris muscle

Long head of Biceps femoris muscle

Short head of Biceps femoris muscle

Gracilis tendon

Great saphenous vein

Popliteal fossa

Gastrocnemius muscle

Medial head of Gastrocnemius muscle

Lateral head of Gastrocnemius muscle

Small saphenous vein

Fibularis (peroneus) longus tendon

Fibularis (peroneus) brevis tendon

Calcaneal (Achilles) tendon

Fibularis (peroneus) longus tendon

Fibularis (peroneus) brevis tendon

Medial malleolus

Lateral malleolus

Calcaneal tuberosity

Plantar surface of foot


Hip and Thigh | Hip (Coxal) Bone


Lateral view

Gluteal lines

Anterior of Gluteal lines

Inferior of Gluteal lines

Posterior of Gluteal lines

Posterior superior iliac spine

Posterior Inferior iliac spine

Greater sciatic notch

Body of ilium

Ischial spine

Lesser sciatic notch

Body of ischium

Ischial tuberosity

Ramus of ischium

Iliac crest

Intermediate zone of Iliac crest

Tuberculum of Iliac crest

Outer lip of Iliac crest

Wing (ala) of ilium (gluteal surface)

Anterior superior iliac spine

Anterior inferior iliac spine

Acetabulum

Lunate surface

Margin (limbus) of acetabulum

Acetabular notch

Superior pubic ramus

Pubic tubercle

Obturator crest

Inferior pubic ramus

Obturator foramen

Medial view

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 crest

Intermediate zone of iliac crest

Inner lip of iliac crest

Iliac tuberosity

Posterior superior iliac spine

Auricular surface (for sacrum)

Posterior inferior iliac spine

Greater sciatic notch

Ischial spine

Body of ilium

Lesser sciatic notch

Body of ischium

Ischial tuberosity

Ramus of ischium

Obturator foramen

Hip and Thigh | Hip Joint


Anterior view

Anterior superior iliac spine

Anterior inferior iliac spine

Greater trochanter

Intertrochanteric line

Lesser trochanter

Iliofemoral ligament (Y ligament of Bigelow)

Iliopectineal bursa (over gap in ligaments)

Pubofemoral ligament

Obturator crest

Superior pubic ramus

Posterior view

Iliofemoral ligament

Ischiofemoral ligament

Zona orbicularis

Greater trochanter

Intertrochanteric crest

Lesser trochanter

Protrusion of synovial membrane

Ischial tuberosity

Ischial spine

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)

Lesser trochanter

Ischial tuberosity

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


Hip and Thigh | Hip Joint: Anteroposterior Radiograph


Acetabulum

Femur

Greater trochanter

Head of femur

Ischium

Intertrochanteric crest

Ilium

Ischial tuberosity

Lesser trochanter

Neck

Obturator foramen

Pubis (superior ramus)


Hip and Thigh | Femur


Anterior view

Greater trochanter

Head

Fovea for ligament of head

Neck

Lesser trochanter

Intertrochanteric line

Shaft (body)

Lateral epicondyle

Lateral condyle

Adductor tubercle

Medial epicondyle

Medial condyle

Patellar surface

Posterior view

Greater trochanter

Trochanteric fossa

Head

Fovea for ligament of head

Neck

Intertrochanteric crest

Calcar

Lesser trochanter

Pectineal line

Gluteal tuberosity

Medial lip of Linea aspera

Lateral lip of Linea aspera

Nutrient foramen

Shaft (body)

Popliteal surface

Lateral epicondyle

Lateral condyle

Intercondylar fossa

Medial condyle

Medial epicondyle

Adductor tubercle


Hip and Thigh | Bony Attachments of Muscles of Hip and Thigh: Anterior View


Origin of psoas major muscle from sides of vertebral bodies, intervertebral discs, and transverse processes (T12-L4)

Piriformis muscle

Pectineus muscle

Adductor longus muscle

Adductor brevis muscle

Gracilis muscle

Obturator externus muscle

Adductor magnus muscle

Quadratus femoris muscle

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

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)

Sartorius muscle of Pes anserinus

Gracilis muscle of Pes anserinus

Semitendinous muscle of Pes anserinus


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


Gluteus medius muscle

Gluteus minimus muscle

Tensor fasciae latae muscle

Sartorius muscle

Rectus femoris muscle

Obturator externus muscle

Gluteus medius muscle

Quadratus externus 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

Popliteus muscle

Semimembranous muscle

Gastrocnemius muscle (medial head)

Adductor magnus muscle

Adductor longus muscle

Vastus medialis muscle

Pectineus muscle

Semimembranous muscle

Biceps femoris (long head)

Semitendinous muscles

Adductor magnus muscle

Obturator internus muscle

Quadratus femoris muscle

Inferior gemellus muscle

Superior gemellus muscle

Gluteus maximus muscle


Hip and Thigh | Muscles of Thigh: Anterior Views


Anterior superior iliac spine

Iliacus muscle

Psoas major muscle

Gluteus medius muscle

Inguinal ligament

Pubic tubercle

Iliopsoas muscle

Tensor fasciae latae muscle

Pectineus muscle

Adductor longus muscle

Gracilis muscle

Sartorius muscle

Rectus femoris

Vastus lateralis muscle

Vastus medialis muscle

Iliotibial tract

Rectus femoris tendon (becoming part of quadriceps femoris tendon)

Lateral patellar retinaculum

Patella

Medial patellar retinaculum

Patellar ligament

Sartorius tendon of Pes anserinus

Gracilis tendon of Pes anserinus

Semitendinous tendon of Pes anserinus

Tibial tuberosity

Pectineus muscle

Ligaments of hip joint

Anterior inferior iliac spine

Sartorius muscle (origin)

Anterior superior iliac spine

Tensor fasciae latae muscle (origin)

Rectus femoris muscle (origin)

Greater trochanter

Iliopsoas muscle (cut)

Adductor longus muscle

Gracilis muscle

Vastus lateralis muscle

Vastus intermedius muscle

Vastus medialis muscle

Anteromedial intermuscular septum

Iliotibial tract (cut)

Rectus femoris tendon (cut)

Quadriceps femoris tendon

Patella

Lateral patellar retinaculum

Medial patellar retinaculum

Head of fibula

Patellar ligament

Tibial tuberosity

Sartorius tendon


Hip and Thigh | Muscles of Thigh: Anterior Views (continued)


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)

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 interesting on adductor tubercle on medial epicondyle of femur

Gracilis muscle (cut)

Tibial collateral ligament

Medial patellar retinaculum

Sartorius tendon (cut) of Pes anserinus

Gracilis tendon of Pes anserinus

Semitendinous tendon of Pes anserinus


Hip and Thigh | Muscles of Hip and Thigh: Lateral View


Iliac crest

Gluteal aponeurosis over gluteus medius muscle

Gluteus maximus muscle

Vastus lateralis muscle

Iliotibial tract

Long head of Biceps femoris muscle

Short head of Biceps femoris muscle

Semimembranous muscle

Fibular collateral ligament

Plantaris muscle

Gastrocnemius muscle (lateral head)

Head of fibula

Fibularis (peroneus) longus muscle

External oblique muscle

Anterior superior iliac spine

Sartorius muscle

Tensor fasciae latae muscle

Rectus femoris muscle

Lateral condyle of tibia and Gerdy’s tubercle

Lateral patellar retinaculum

Patella

Extensor digitorum longus muscle

Patella ligament

Tibialis anterior muscle


Hip and Thigh | Muscles of Hip and Thigh: Posterior Views


Superficial dissection

Iliac crest

Gluteal aponeurosis muscle

Gluteus maximus muscle

Semitendinous muscle

Biceps femoris muscle (long head)

Adductor magnus muscle

Semimembranous muscle

Iliotibial tract

Gracilis muscle

Short head of Biceps femoris muscle

Long head of Biceps femoris muscle

Semimembranous muscle

Semitendinous muscle

Popliteal vessels and tibial nerve

Common fibular (peroneal) nerve

Plantaris muscle

Medial head of Gastrocnemius muscle

Lateral head of Gastrocnemius muscle

Sartorius muscle

Tendinous arch of Soleus muscle

Deeper dissection

Gluteus medius muscle

Gluteus minimus muscle

Gluteus maximus muscle

Piriformis muscle

Sciatic nerve

Sacrospinous ligament

Superior gemellus muscle

Obturator internus muscle

Inferior gemellus muscle

Sacrotuberous ligament

Quadratus femoris muscle

Ischial tuberosity

Semitendinous muscle

Greater trochanter

Biceps femoris muscle (long head)

Adductor minimus part of adductor magnus muscle

Semimembranous muscle

Iliotibial tract

Gracilis muscle

Short head of Biceps femoris muscle

Long head of Biceps femoris muscle

Semimembranous muscle

Semitendinous muscle

Plantaris muscle

Medial head of Gastrocnemius muscle

Lateral head of Gastrocnemius muscle

Sartorius muscle

Popliteus muscle

Tendinous arch of Soleus muscle

Plantaris tendon (cut)


Hip and Thigh | Psoas and Iliacus Muscles


12th rib

Quadratus lumborum muscle

Transversus abdominis muscle (cut)

Iliohypogastric nerve

Ilioinguinal nerve

Psoas minor muscle

Psoas major muscle

Genitofemoral nerve

Lateral femoral cutaneous nerve

Iliacus muscle

Femoral nerve

Superior pubic ramus

Greater trochanter of femur

Iliopsoas muscle passes backward to insertion on lesser trochanter

Shaft (body) of femur

Origin of psoas major muscle from vertebral bodies, transverse processes, and intervertebral discs (T12 - L4) and origin of psoas minor muscle from vertebral bodies (T12, L1)

Lumbar plexus

Lumbosacral trunk

Iliac crest

Anterior superior iliac spine

Iliopectineal bursa

Iliofemoral ligament of hip joint (Y ligament of Bigelow)

Abductors (gluteus medius and minimus muscle) Adductors

Note: Arrows indicate direction of action of iliopsoas muscle


Hip and Thigh | Lumosacral and Coccygeal Plexuses


Sympathetic trunk

Lumbar plexus

Sacral plexus

Coccygeal plexus

Rami communicantes

Intercostal nerve (T11)

Subcostal nerve (T12)

Iliohypogastric nerve (T12, L1)

Ilioinguinal nerve (L1)

To psoas major and psoas minor muscles

Genitofemoral nerve (L1, L2)

Lateral femoral cutaneous nerve (L2, L3)

Genital branch of genitofemoral nerve

Femoral branch of genitofemoral nerve

To psoas major and iliacus muscles

Anterior branches of subcostal iliohypogastric nerves

Lateral branches of subcostal iliohypogastric nerves

Lumbosacral trunk

Nerve to quadratus femoris (and inferior gemellus) (L4, L5, S1)

Nerve to obturator internus (and superior gemellus) (L5, S1, S2)

Superior gluteal nerve (L4, L5, S1)

Nerve to piriformis (S1, S2)

Obturator nerve (L2, L3, L4)

Accessory obturator nerve (L3, L4) (inconstant)

Inferior gluteal nerve (L5, S1, S2)

Femoral nerve (L2, L3, L4)

Sciatic nerve

Posterior femoral cutaneous nerve (S1, S2, S3)

Pudendal nerve (S2, S3, S4)

Common fibular (peroneal) nerve (L4, L5, S1, S2) of Sciatic nerve

Tibial nerve (L4, L5, S1, S2, S3) of Sciatic nerve

T12

L1

L2

L3

L4

L5

S1

S2

S3

S4

S5

Co Coccygeal plexus

Pelvic splanchnic nerves

Perforating cutaneous nerve (S2, S3)

Nerve to levator ani and coccygeus (S3, S4)

Perineal branch of 4th sacral nerve

Anococcygeal nerves

Obturator nerve

Inferior anal (rectal) nerve

Dorsal nerve of penis/clitoris

Perineal nerve and Posterior scrotal/labial branches

Posterior femoral cutaneous nerve


Hip and Thigh | Lumbar Plexus


Schema

T12

L1

L2

L3

L4

L5

Subcostal nerve (T12)

White and gray rami communicantes

Iliohypogastric nerve

Ilioinguinal nerve

Genitofemoral nerve

Lateral femoral cutaneous nerve

Gray rami communicantes

Muscular branches to psoas and iliacus muscles

Femoral nerve

Accessory obturator nerve (often absent)

Obturator nerve

Lumbosacral trunk

Diaphragm (cut)

Subcostal nerve (T12)

Sympathetic trunk

Iliohypogastric nerve

Ilioinguinal nerve

Genitofemoral nerve (cut)

Lateral femoral cutaneous nerve

Femoral nerve

Obturator nerve

Psoas major muscle (cut)

Lumbosacral trunks

Inguinal ligament (Poupart’s)

White and gray rami communicantes

Subcostal nerve (T12)

Iliohypogastric nerve

Ilioinguinal nerve

Transversus abdominis muscle

Quadratus lumborum muscle

Psoas major muscle

Gray rami communicantes

Genitofemoral nerve

Iliacus muscle

Lateral femoral cutaneous nerve

Femoral nerve

Genital branch of genitofemoral nerve

Femoral branch of genitofemoral nerve

Obturator nerve


Hip and Thigh | Sacral and Coccygeal Plexuses


Schema

Lumbosacral trunk

Gray rami communicantes

Pelvic splanchnic nerves (parasympathetic to inferior hypogastric [pelvic] plexus)

Coccygeal nerve

Anococcygeal nerve

Perineal branch of 4th sacral nerve

Nerve to levator ani and coccygeus (ischiococcygeus) muscles

Pudendal nerve

Perforating cutaneous nerve

Posterior femoral cutaneous nerve

Superior gluteal nerve

Inferior gluteal nerve

Nerve to piriformis

Tibial nerve to Sciatic nerve

Common fibular (peroneal) nerve of Sciatic nerve

Topography: medial and slightly anterior view of hemisected pelvis

Sympathetic

Gray rami communicantes

Pelvic splanchnic nerves (cut)

(parasympathetic to inferior hypogastric [pelvic] plexus)

Sacral splanchnic nerves (cut) (sympathetic to inferior hypogastric [pelvic] plexus)

Lumbosacral trunk

Psoas major muscle

Superior gluteal artery and nerve

Obturator nerve

Iliacus muscle

Inferior gluteal artery

Nerve to quadratus femoris

Pudendal nerve

Obturator internus muscle

Superior pubic ramus

Piriformis muscle

Coccygeus (ischiococcygeus) muscle

Nerve to levator ani muscle

Levator ani muscle


Hip and Thigh | Arteries and Nerves of Thigh: Anterior Views


Superficial dissections

Anterior superior iliac spine

Lateral femoral cutaneous nerve

Inguinal ligament

Iliopsoas muscle

Superficial circumflex iliac vessels

Superficial epigastric vessels

Superficial pudendal vessels

Deep external pudendal vessels

Tensor fasciae latae muscle

Vastus lateralis muscle

Rectus femoris muscle

Fascia lata (cut)

Vastus medialis muscle

Sartorius muscle

Adductor longus muscle

Gracilis muscle

Profunda femoris (deep femoral) artery

Femoral nerve, artery, and vein

Femoral sheath

Tensor fasciae latae muscle (retracted)

Gluteus minimus and medius muscles

Lateral circumflex femoral artery

Rectus femoris muscle

Vastus lateralis muscle

Vastus medialis muscle

Saphenous nerve and saphenous branch of descending genicular artery

Articular branch of descending genicular artery (emerges from vastus medialis muscle)

Patellar anastomosis

Infrapatellar branch of Saphenous nerve

Lateral femoral cutaneous nerve (cut)

Sartorius muscle (cut)

Iliopsoas muscle

Femoral nerve

Femoral artery

Femoral vein

Pectineus muscle

Profunda femoris (deep femoral) artery

Adductor longus muscle

Adductor canal (opened by removal of sartorius muscle)

Saphenous nerve

Nerve to vastus medialis muscle

Adductor magnus muscle

Anteromedial intermuscular septum covers entrance of femoral vessels to popliteal fossa (adductor hiatus)

Sartorius muscle (cut)

Superior medial genicular artery (from popliteal artery)

Inferior medial genicular artery (from popliteal artery)


Hip and Thigh | Arteries and Nerves of Thigh: Anterior Viess (continued)


Deep dissection

Deep circumflex iliac artery

Lateral femoral cutaneous nerve

Sartorius muscle (cut)

Iliopsoas muscle

Tensor fasciae latae muscle (retracted)

Gluteus medius and minimus muscles

Femoral nerve

Rectus femoris muscle (cut)

Ascending, transverse and descending branches of Lateral circumflex femoral artery

Medial circumflex femoral artery

Pectineus muscle (cut)

Profunda femoris (deep femoral) artery

Perforating branches

Adductor longus muscle (cut)

Vastus lateralis muscle

Vastus intermedius muscle

Rectus femoris muscle (cut)

Saphenous nerve

Anteromedial intermuscular septum (opened)

Vastus medialis muscle

Quadriceps femoris tendon

Patella and patellar anastomosis

Medial patellar retinaculum

Patellar ligament

External iliac artery and vein

Inguinal ligament (Poupart’s)

Femoral artery and vein (cut)

Pectineus muscle (cut)

Obturator canal

Obturator externus muscle

Adductor longus muscle (cut)

Anterior branch of obturator nerve

Posterior branch of obturator nerve

Quadratus femoris muscle

Adductor brevis muscle

Branches of posterior branch of obturator nerve

Adductor magnus muscle

Gracilis muscle

Cutaneous branch of obturator nerve

Femoral artery and vein (cut)

Descending genicular artery

Articular branch of Descending genicular artery

Saphenous branch of Descending genicular artery

Adductor hiatus

Sartorius muscle (cut)

Adductor magnus tendon

Adductor tubercle on medial epicondyle of femur

Superior medial genicular artery (from popliteal artery)

Infrapatellar branch of Saphenous nerve

Inferior medial genicular artery (from popliteal artery)


Hip and Thigh | Arteries and Nerves of Thigh: Posterior View


Deep dissection

Superior clunial nerves

Gluteus maximus muscle (cut)

Medial clunial nerves

Inferior gluteal artery and nerve

Pudendal nerve

Nerve to obturator internus (and superior gemellus)

Posterior femoral cutaneous nerve

Sacrotuberous ligament

Ischial tuberosity

Inferior clunial nerves (cut)

Adductor magnus muscle

Gracilis muscle

Sciatic nerve

Muscular branches of sciatic nerve

Semitendinous muscle (retracted)

Semimembranous muscle

Sciatic nerve

Articular branch

Adductor branch

Adductor hiatus

Popliteal vein and artery

Superior medial genicular artery

Medial epicondyle of femur

Tibial nerve

Gastrocnemius muscle (medial head)

Medial sural cutaneous nerve

Small saphenous vein

Iliac crest

Gluteal aponeurosis and gluteus medius muscle (cut)

Superior gluteal artery and nerve

Gluteal minimus muscle

Superior gluteal artery and nerve

Gluteus minimus muscle

Tensor fasciae latae muscle

Piriformis muscle

Gluteus medius muscle (cut)

Superior gemellus muscle

Greater trochanter of femur

Obturator internus muscle

Inferior gemellus muscle

Gluteus maximus muscle (cut)

Quadratus femoris muscle

Medial circumflex femoral artery

Vastus lateralis muscle and iliotibial tract

Adductor minimus part of adductor magnus muscle

1st perforating artery (from profunda femoris artery)

Adductor magnus muscle

2nd and 3rd perforating arteries (from profunda femoris artery)

Long head (retracted) of Biceps femoris muscle

Short head of Biceps femoris muscle

Superior lateral genicular artery

Common fibular (peroneal) nerve

Plantaris muscle

Gastrocnemius muscle (lateral head)

Lateral sural cutaneous nerve


Hip and Thigh | Nerves of Hip and Buttock


Iliac crest

Gluteus medius muscle (cut)

Gluteus minimus muscle

Piriformis muscle

Superior gemellus muscle

Tensor fasciae latae muscle

Gluteus medius muscle (cut)

Obturator internus muscle

Nerve to quadratus femoris (and inferior gemellus) supplying articular branch to hip joint

Greater trochanter of femur

Intertrochanteric crest

Inferior gemellus muscle

Quadratus femoris muscle

Gluteus maximus muscle (cut)

Sciatic nerve

Posterior femoral cutaneous nerve

Inferior clunial nerves

Biceps femoris muscle (long head) (covers semimembranous muscle)

Semitendinous muscle

Ischial tuberosity

Perineal branches of posterior femoral cutaneous nerve

Posterior scrotal nerve

Perineal nerve

Dorsal nerve of penis

Inferior anal (rectal) nerve

Sacrotuberous ligament

Perforating cutaneous nerve

Sacrospinous ligament

Ischial spine

Pudendal nerve

Nerve to obturator internus (and superior gemellus)

Posterior femoral cutaneous nerve

Inferior gluteal nerve

Sciatic nerve

Superior gluteal nerve

Gluteal maximus muscle (cut)


Hip and Thigh | Arteries of Femoral Head and Neck


Anterior view

Superior Retinacular arteries (subsynovial)

Anterior Retinacular arteries (subsynovial)

Inferior Retinacular arteries (subsynovial)

Anastomosis between medial and lateral circumflex femoral arteries

Iliofemoral (Y) ligament and joint capsule

Ascending branches of Lateral circumflex femoral artery

Transverse branches of Lateral circumflex femoral artery

Descending branches of Lateral circumflex femoral artery

Acetabular branch of obturator artery

Iliopsoas tendon

Medial circumflex femoral artery

Profunda femoris (deep femoral) artery

Nutrient artery of femur

Posterior view

Acetabular branch of obturator artery

Superior Retinacular arteries (subsynovial)

Posterior Retinacular arteries (subsynovial

Inferior Retinacular arteries (subsynovial)

Anastomosis

Ischiofemoral ligament and joint capsule

Medial circumflex femoral artery

Lateral circumflex femoral artery

Coronal section

Acetabular labrum

Ligaments and joint capsule

Synovial membrane

Retinacular arteries

Medial circumflex femoral artery

Epiphyseal place

Obturator artery

Acetabular branch

Anterior view in situ

Medial circumflex femoral artery

Anastomosis

Ascending Lateral circumflex femoral artery

Transverse  Lateral circumflex femoral artery

Descending  Lateral circumflex femoral artery branches

Iliopsoas muscle

Femoral artery

Pectineus muscle

Medial circumflex femoral artery

Profunda femoris (deep femoral) artery

Femur of child: anterior view

Medial circumflex femoral artery

Iliopsoas tendon

Lateral circumflex femoral artery


Hip and Thigh | Thigh: Serial Cross Section


Sartorius muscle

Profunda femoris deep (deep femoral) artery and vein

Pectineus muscle

Iliopsoas

Rectus femoris muscle

Vastus medialis muscle

Lateral femoral cutaneous nerve

Vastus intermedius muscle

Femur

Vastus lateralis muscle

Tensor fasciae latae muscle

Iliotibial tract

Gluteus maximus muscle

Vastus medialis muscle

Rectus femoris muscle

Vastus intermedius muscle

Vastus lateralis muscle

Iliotibial tract

Lateral intermuscular septum of thigh

Short head of Biceps femoris muscle

Long head of Biceps femoris muscle

Semitendinous muscle

Semimembranous muscle

Rectus femoris tendon

Vastus intermedius muscle

Iliotibial tract

Vastus lateralis muscle

Articularis genus muscle

Lateral intermuscular septum of thigh

Femur

Biceps femoris muscle

Common fibular (peroneal) nerve

Tibial nerve

Fascia lata

Branches of femoral nerve

Femoral artery and vein

Adductor longus muscle

Great saphenous vein

Obturator nerve (anterior branch)

Adductor brevis muscle

Obturator nerve (posterior branch)

Gracilis muscle

Adductor magnus muscle

Sciatic nerve

Posterior femoral cutaneous nerve

Semimembranous muscle

Semitendinous muscle

Biceps femoris muscle (long head)

Medial intermuscular septum of thigh

Sartorius muscle

Nerve to vastus medialis muscle in adductor canal

Saphenous nerve in adductor canal

Femoral artery and vein in adductor canal

Great saphenous vein

Adductor longus muscle

Gracilis muscle

Adductor brevis muscle

Profunda femoris (deep femoral) artery

Adductor magnus muscle

Posterior intermuscular septum of thigh

Sciatic nerve

Vastus medialis muscle

Sartorius muscle

Saphenous nerve and descending genicular artery

Great saphenous vein

Gracilis muscle

Adductor magnus tendon

Popliteal vein and artery

Semimembranous muscle

Semitendinous muscle


Knee | Knee: Lateral and Medial Views


Lateral view

Iliotibial tract

Long head of Biceps femoris muscle

Short head of Biceps femoris muscle

Bursa deep to iliotibial tract

Fibular collateral ligament and bursa deep to it

Plantaris muscle

Biceps femoris tendon and its inferior subtendinous bursa

Common fibular (peroneal) nerve

Head of fibula

Gastrocnemius muscle

Soleus muscle

Fibularis (peroneus) longus muscle

Vastus lateralis muscle

Quadriceps femoris tendon

Patella

Lateral patellar retinaculum

Joint capsule of knee

Patellar ligament

Tibial tuberosity

Tibialis anterior muscle

Medial view

Vastus medialis muscle

Quadriceps femoris tendon

Medial epicondyle of femur

Patella

Medial patellar retinaculum

Joint capsule

Patellar ligament

Tibial tuberosity

Sartorius muscle

Gracilis muscle

Tendon of semitendinous muscle

Semimembranous muscle and tendon

Adductor magnus tendon

Parallel fibers of Tibial collateral ligament

Oblique fibers of Tibial collateral ligament

Semimembranous bursa

Anserine bursa deep to Semitendinous tendons of Pes anserinus

Anserine bursa deep to Gracilis tendons of Pes anserinus

Anserine bursa deep to Sartorius tendons of Pes anserinus

Gastrocnemius muscle

Soleus muscle


Knee | Knee: Anterior Views


Right knee in extension

Vastus intermedius

Vastus lateralis muscle

Iliotibial tract

Lateral patellar retinaculum

Lateral epicondyle of femur

Fibular collateral ligament and bursa

Biceps femoris tendon and its inferior subtendinous bursa

Broken line indicates bursa deep to iliotibial tract

Insertion of iliotibial tract to Gerdy’s tubercle and oblique line of tibia

Common fibular (peroneal) nerve

Head of fibula

Fibularis (peroneus longus muscle

Extensor digitorum longus muscle

Tibialis anterior muscle

Femur

Articularis genus muscle

Vastus medialis muscle

Rectus femoris tendon (becoming quadriceps femoris tendon)

Patella

Medial epicondyle of femur

Medial patellar retinaculum

Tibial collateral ligament

Semitendinous tendons of Pes anserinus

Gracilis tendons of Pes anserinus

Sartorius of Pes anserinus

Anserine bursa

Medial condyle of tibia

Patellar ligament

Tibial tuberosity

Gastrocnemius muscle

Joint opened, knee slightly in flexion

Femur

Articularis genus muscle

Synovial membrane (cut edge)

Lateral condyle of femur

Origin of popliteus tendons (covered by synovial membrane)

Subpopliteal recess

Lateral meniscus

Fibular collateral ligament

Head of fibula

Patella (articular surface on posterior aspect)

Vastus lateralis muscle (reflected inferiorly)

Suprapatellar (synovial) bursa

Cruciate ligaments (covered by synovial membrane)

Medial condyle of femur

Infrapatellar synovial fold

Medial meniscus

Alar folds (cut)

Infrapatellar fat pads (lined by synovial membrane)

Suprapatellar (synovial) bursa (roof reflected)

Vastus medialis muscle (reflected inferiorly)


Knee | Knee: Interior


Inferior view

Iliotibial tract blended into lateral patellar retinaculum and capsule

Bursa

Subpopliteal recess

Popliteus tendon

Fibular collateral ligament

Bursa

Lateral condyle of femur

Anterior cruciate ligament

Arcuate popliteal ligament

Patellar ligament

Medial patellar retinaculum blended into joint capsule

Suprapatellar synovial bursa

Synovial membrane (cut edge)

Infrapatellar synovial fold

Posterior cruciate ligament

Tibial collateral ligament (superficial and deep parts)

Medial condyle of femur

Oblique popliteal ligament

Semimembranous tendon

Posterior aspect

Superior view

Posterior meniscofemoral ligament

Arcuate popliteal ligament

Fibular collateral ligament

Bursa

Popliteus tendon

Subpopliteal recess

Lateral meniscus

Superior articular surface of tibia (lateral facet)

Iliotibial tract blended into capsule

Infrapatellar fat pad

Semimembranous tendon

Oblique popliteal ligament

Posterior cruciate ligament

Tibial collateral ligament (deep part bound to medial meniscus)

Medial meniscus

Synovial membrane

Superior articular surface of tibia (medial facet)

Joint capsule

Anterior cruciate ligament

Patellar ligament

Anterior aspect

Superior view: ligaments and cartilage removed

Attachment of posterior cruciate ligament

Attachment of synovial membrane

Superior articular surface of tibia (lateral facet)

Attachments of horns of lateral meniscus

Attachments of horns of medial meniscus

Intercondylar eminence

Attachment of synovial membrane

Superior articular surface of tibia (medial facet)

Attachment of anterior cruciate ligament

Tibial tuberosity

Anterior aspect


Knee | Knee Cruciate and Collateral Ligaments


Right knee in flexion: anterior view

Anterior cruciate ligament

Lateral condyle of femur (articular surface)

Popliteus tendon

Fibular collateral ligament

Lateral meniscus

Transverse ligament of knee

Head of fibula

Gerdy’s tubercle

Posterior cruciate ligament

Medial condyle of femur (articular surface)

Medial meniscus

Tibial collateral ligament

Medial condyle of fibia

Tibial tuberosity

Right knee in extension: posterior view

Adductor tubercle on medial epicondyle of femur

Medial condyle of femur (articular surface)

Medial meniscus

Tibial collateral ligament

Medial condyle of tibia

Posterior cruciate ligament

Anterior cruciate ligament

Posterior meniscofemoral ligament

Lateral condyle of femur (articular surface)

Popliteus tendon

Fibular collateral ligament

Lateral meniscus

Head of fibula


Knee | Knee: Anteroposterior Radiograph


F Fibula

FE Femur

HF Head of fibula

ICE Intercondylar eminence

L Lateral epicondyle

LCF Lateral condyle of femur

LCT LAteral condyle of tibia

M Medial epicondyle

MCF Medial condyle of femur

MCT Medial condyle of tibia

P Patella

T Tibia


Knee | Knee: Posterior and Sagittal Views


Right knee: posterior view

Adductor magnus tendon

Medial head of gastrocnemius muscle

Medial head of subtendinous bursa

Tibial collateral ligament

Semimembranous tendon

Oblique popliteal ligament (tendinous expansion of semimembranous muscle)

Semimembranous bursa deep to tendon (broken line)

Popliteus muscle

Femur (popliteal surface)

Attachment of joint capsule

Plantaris muscle

Lateral head of gastrocnemius muscle

Lateral head of subtendinous bursa

Biceps femoris tendon

Biceps femoris bursa

Arcuate popliteal ligament (edge of capsule that arches over popliteus muscle)

Head of fibula

Posterior ligament of fibular head

Attachment of joint capsule

Interosseous membrane

Tibia

Sagittal section (lateral to midline of knee)

Femur

Articularis genus muscle

Quadriceps femoris tendon

Suprapatellar fat body

Suprapatellar (synovial) bursa

Patella

Subcutaneous prepatellar bursa

Articular cavity

Synovial membrane

Patellar ligament

Infrapatellar fat pad

Subcutaneous infrapatellar bursa

Deep (subtendinous) infrapatellar bursa

Lateral meniscus

Tibial tuberosity

Lateral subtendinous bursa of gastrocnemius muscle

Synovial membrane

Articular cartilages Tibia


Knee | Arteries of Thigh and Knee: Schema


Superficial circumflex iliac artery

Femoral artery

Ascending branch of Lateral circumflex femoral artery

Transverse branch of Lateral circumflex femoral artery

Descending branch of Lateral circumflex femoral artery

Profunda femoris (deep femoral) artery

Perforating branches

Femoral artery passing through adductor hiatus

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

Superficial epigastric artery

Superficial external pudendal artery

Obturator artery

Deep external pudendal artery

Medial circumflex femoral artery

Femoral artery

Muscular branches

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)


Leg | Tibia and Fibula


Bones of right leg

Anterior view

Lateral intercondylar tubercle of intercondylar eminence

Medial intercondylar tubercle of intercondylar eminence

Anterior intercondylar area

Lateral condyle

Apex of fibula

Head of fibula

Neck of fibula

Lateral surface

Anterior border

Interosseous border

Medial surface

Fibula

Tibia

Lateral malleolus

Articular facet of lateral malleolus

Inferior articular surface

Articular facet of medial malleolus

Medial malleolus

Medial border

Medial surface

Interosseous border

Anterior border

Lateral surface

Tibial tuberosity

Oblique line

Gerdy’s tubercle (insertion of iliotibial tract)

Medial condyle

Posterior view

Tibia

Fibula

Medial intercondylar tubercle of Intercondylar eminence

Lateral intercondylar tubercle of Intercondylar eminence

Posterior intercondylar area

Soleal line

Interosseous border

Posterior surface

Medial border

Groove for tibialis posterior and flexor digitorum longus tendons

Medial malleolus

Articular facet of medial malleolus

Inferior articular surface

Malleolar fossa of lateral malleolus

Lateral malleolus

Fibular notch

Posterior border

Lateral surface

Medial crest

Posterior surface

Nutrient foramen

Groove for insertion of semimembranous tendon

Apex of fibula

Head of fibula

Neck of fibula

Lateral condyle

Superior articular surfaces (medial and lateral facets)


Leg | Tibia and Fibula (continued)


Anterior view with ligament attachments

Iliotibial tract

Fibular collateral ligament

Biceps femoris tendon

Head of fibula

Anterior ligament of fibular head

Gerdy’s tubercle

Anterior border

Interosseus border

Lateral surface

Fibula

Tibia

Anterior tibiofibular ligament

Lateral malleolus

Calcaneofibular ligament

Posterior of Cruciate ligaments

Anterior of Cruciate ligaments

Tibial collateral ligament

Patellar ligament

Tibial tuberosity

Anterior border

Interosseus border

Interosseous membrane

Lateral surface

Medial malleolus

Medial (deltoid) ligament of ankle

Ankle talofibular ligament

Superior view

Posterior of Tibia and Fibula

Posterior ligament of fibular head

Apex of Fibula

Head of Fibula

Anterior ligament of fibular head

Lateral condyle

Superior articular surface (lateral facet)

Anterior intercondylar area (origin of anterior cruciate ligament)

Anterior of Tibia and Fibula

Posterior intercondylar area (origin of posterior cruciate ligament)

Intercondylar eminence

Medial condyle

Superior articular surface (medial facet)

Medial Intercondylar tubercles

Lateral Intercondylar tubercles

Tibial tuberosity

Cross section

Interosseous border

Interosseous membrane

Interosseous border

Anterior border

Lateral surface

Fibula

Posterior border

Lateral surface

Anterior border

Medial surface

Tibia

Medial border

Posterior surface

Medial surface

Medial crest

Posterior surface

Inferior view

Anterior tibiofibular ligament

Articular facet of lateral malleolus

Fibula

Malleolar fossa of lateral malleolus

Posterior tibiofibular ligament

Anterior

Posterior

Articular facet of medial malleolus

Medial malleolus

Tibia

Inferior articular surface of tibia


Leg | Attachments of Muscles of 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) tertius muscle

Sartorius muscle of Pes anserinus

Gracilis muscle of Pes anserinus

Semitendinous muscle of Pes anserinus

Quadriceps femoris muscle via patellar ligament

Tibialis anterior muscle

Extensor digitorum longus muscle

Extensor hallucis longus muscle

Posterior view

Gastrocnemius muscle (medial head)

Semimembranous muscle

Popliteus muscle

Soleus muscle

Flexor digitorum longus muscle

Tibialis posterior muscle

Tibialis anterior muscle

Flexor hallucis longus muscle

Plantaris muscle

Gastrocnemius muscle

Popliteus muscle

Tibialis posterior muscle

Flexor hallucis longus muscle

Fibularis (peroneus) brevis muscle

Plantaris muscle

Soleus muscles via calcaneal (Achilles) tendon

Gastrocnemius muscles via calcaneal (Achilles) tendon

Fibularis (peroneus) longus muscle

Flexor digitorum longus muscle


Leg | Muscles of Leg (Superficial Dissection): Posterior View


Semitendinous muscle

Semimembranous muscle

Gracilis muscle

Popliteal artery and vein

Sartorius muscle

Superior medial genicular artery

Gastrocnemius muscle (medial head)

Nerve to soleus muscle

Small saphenous vein

Gastrocnemius muscle

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


Leg | Muscles of Leg (Intermediate Dissection): Posterior View


Adductor magnus tendon

Popliteal artery and vein

Superior medial genicular artery

Gastrocnemius muscle (medial head) (cut)

Tibial collateral ligament

Semimembranous tendon (cut)

Inferior medial genicular artery

Popliteus muscle

Tendinous arch

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

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 | Muscles of Leg (Deep Dissection): Posterior View


Superior medial genicular artery

Gastrocnemius muscle (medial head) (cut)

Sural (muscular) branches

Popliteal artery and tibial nerve

Tibial collateral ligament

Semimembranous 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 (peroneal) artery

Communicating branch of fibular (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

5th metatarsal bone


Leg | Muscles of Leg (Superficial Dissection): Anterior View


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 digitla nerves

Vastus medialis muscle

Patella

Superior medial genicular artery

Tibial collateral ligament

Medial patellar retinaculum

Inferior medial genicular artery

Infrapatellar branch (cut)

Infrapatellar branch (cut) of Saphenous nerve (cut)

Joint capsule

Patellar ligament

Insertion of sartorius muscle

Tibial tuberosity

Tibia

Gastrocnemius muscle

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


Leg | Muscles of Leg (Deep Dissection): Anterior View


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 peroneal nerve

Interosseus 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

Dorsalis pedis artery

Tibialis anterior tendon

Medial tarsal 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 nerve


Leg | Muscles of Leg: Lateral View


Long head of Biceps femoris muscle

Short head of Biceps femoris muscle

Tendon of Biceps femoris muscle

Fibular collateral ligament

Common fibular (peroneal) nerve

Inferior lateral genicular artery

Head of fibula

Gastrocnemius muscle

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

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 | Leg: Cross Sections and Fascial Compartments


Deep fascia of leg (crural fascia)

Anterior compartment

Extensor muscles

Tibialis anterior

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)

Interosseous membrane

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)

Cross section just above middle of leg

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

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


Ankle and Foot | Bones of Foot


Dorsal view

Body of Calcaneus

Fibular (peroneal) trochlea of Calcaneus

Tarsal sinus

Transverse tarsal joint

Cuboid

Tuberosity of 5th metatarsal bone

Metatarsal bones

Proximal Phalanges

Middle Phalanges

Distal Phalanges

Talus

Posterior process of Talus

Lateral tubercle Posterior process of Talus

Medial tubercle of Posterior process of Talus

Groove for tendon of flexor hallucis longus of Posterior process of Talus

Trochlea of Talus

Neck of Talus

Head of Talus

Navicular

Tuberosity of Navicular

Lateral Cuneiform bones

Intermediate Cuneiform bones

Medial Cuneiform bones

Tarsometatarsal joint

Base

Shaft (body)

Head

Base

Shaft (body)

Head

Base

Tuberosity

Plantar view

Talus

Lateral tubercle

Medial tubercle

Posterior process

Head

Calcaneus

Tuberosity

Medial process

Lateral process

Sustentaculum tali

Groove for tendon of flexor hallucis longus

Fibular (peroneal) trochlea

Cuboid

Tuberosity

Groove for fibularis of (peroneus) longus tendon

Tuberosity of 5th metatarsal bone

Base

Shaft (body)

Head

Base

Shaft (body)

Head

Base

Head

Base

Tuberosity

Distal Phalanges

Middle Phalanges

Proximal Phalanges

Lateral Sesamoid bones

Medial Sesamoid bones

Metatarsal bones

Tarsometatarsal joint

Cuneiform bones

Medial Cuneiform bones

Intermediate Cuneiform bones

Lateral Cuneiform bones

Navicular

Tuberosity

Transverse tarsal joint


Ankle and Foot | Bones of Food (continued)


Lateral view

Posterior process of Talus

Lateral process of Talus

Trochlea of Talus

Neck of Talus

Head of Talus

Transverse tarsal joint

Navicular 

Intermediate Cuneiform bones

Lateral Cuneiform bones

Tarsometatarsal joint

Metatarsal bones

Phalanges

Body of Calcaneus

Fibular (peroneal) trochlea of Calcaneus

Tuberosity of Calcaneus

Groove for fibularis (peroneus) longus tendon of Calcaneus

Groove for fibularis (peroneus) longus tendon

Tuberosity

Cuboid

Tuberosity of 5th metatarsal bone

Medial view

Posterior process of Talus

Trochlea of Talus

Head of Talus

Neck of Talus

Tuberosity of Calcaneus

Groove for tendon of flexor hallucis longus of Calcaneus

Sustentaculum tali of Calcaneus

Transverse tarsal joint

Navicular

Tuberosity of Navicular

Intermediate Cuneiform bones

Medial Cuneiform bones

Tarsometatarsal joint

Metatarsal bones

Phalanges

Sesamoid bone

Tuberosity of 1st metatarsal bone


Ankle and Foot | Calcaneus


Right foot

Body

Posterior talar articular surface

Middle talar articular surface

Anterior talar articular surface

Articular surface for cuboid bone

Fibular (peroneal) trochlea

Groove for fibularis (peroneus) longus tendon

Tuberosity

Lateral process of tuberosity

Superior view

Anterior talar articular surface

Articular surface for cuboid bone

Middle talar articular surface

Sustentaculum tali

Calcaneal sulcus

Posterior talar articular surface

Fibular (peroneal) trochlea

Body

Tuberosity

Medial view

Anterior talar articular surface

Middle talar articular surface

Posterior talar articular surface

Tuberosity

Medial process of tuberosity

Groove for tendon of flexor hallucis longus

Sustentaculum tali

Articular surface for cuboid bone

Posterior view

Middle talar articular

Posterior talar articular surface

Fibular (peroneal) trochlea

Tuberosity

Lateral process of tuberosity

Medial process of tuberosity

Groove for tendon of flexor hallucis longus

Sustentaculum tali

Posterior view with ligaments

Tibia

Talus

Medial (deltoid) ligament of ankle

Posterior talocalcaneal ligament

Fibula

Interosseous membrane

Posterior tibiofibular

Posterior talofibular ligament

Calcaneofibular ligament

Fibular (peroneal) tendons in inferior fibular (peroneal) retinaculum

Functional relations of calcaneus

Tuber angle

Critical angle


Ankle and Foot | Ankle: Radiographs


Lateral view

C Calcaneus

CB Cuboid

F Fibula

HT Head of talus

LC Lateral cuneiform

N Navicular

PT Posterior process of talus

ST Sustentaculum tali of calcaneus

T Tibia

TC Tuberosity of calcaneus

TM Tuberosity of 5th metatarsal

TT Trochlea of talus

Anterior view

F Fibula

LM Lateral malleolus

MM Medial malleolus

T Tibia

TA Talus


Ankle and Foot | Ligaments and Tendons of Ankle


Right foot: lateral view

Tibia

Fibula

Anterior tibiofibular ligaments

Posterior tibiofibular ligaments

Superior fibular (peroneal) retinaculum

Calcaneal (Achilles) tendon (cut)

Inferior fibular (peroneal) retinaculum

Lateral talocalcaneal ligament

Long plantar ligament

Fibularis (peroneus) longus tendon

Fibular (peroneus) brevis tendon

Dorsal calcaneocuboid ligament

Cuboid bone

Dorsal cuneocuboid ligament

Dorsal metatarsal ligaments

Posterior talofibular ligament Components of lateral (collateral) ligament of ankle

Calcaneofibular ligament Components of lateral (collateral) ligament of ankle

Anterior talofibular ligament Components of lateral (collateral) ligament of ankle

Interosseus calcaneal ligament

Dorsal talonavicular ligament

Calcaneonavicular ligament of Bifurcate ligament

Calcaneocuboid ligament of Bifurcate ligament

Dorsal cuboideonavicular ligament

Dorsal cuneonavicular ligaments

Dorsal intercuneiform ligaments

Dorsal tarsometatarsal ligaments

Right foot: medial view

Tibia

Medial talocalcaneal ligament

Posterior process of talus

Posterior talocalcaneal ligament

Calcaneal (Achilles) tendon (cut)

Sustentaculum tali

Long plantar ligament

Short plantar ligament

Plantar calcaneonavicular (spring) ligament

Tibialis posterior tendon

Tibialis anterior tendon

Tuberosity

1st metatarsal bone

Dorsal tarsometatarsal ligaments

Dorsal intercuneiform ligament

Medial cuneiform bone

Dorsal cuneonavicular ligaments

Navicular bone

Dorsal talonavicular ligament

Posterior tibiotalar part of Medial (deltoid) ligament of ankle

Tibiocalcaneal part of Medial (deltoid) ligament of ankle

Tibionavicular part of Medial (deltoid) ligament of ankle

Anterior tibiotalar part of Medial (deltoid) ligament of ankle


Ankle and Foot | Ligaments and Tendons of Foot: Plantar View

Flexor digitorum longus tendon to 2nd toe (cut)

Flexor digitorum brevis tendon to 2nd toe (cut)

4th distal phalanx

4th middle phalanx

Deep transverse metatarsal ligaments

5th proximal phalanx

4th lumbrical tendon (cut)

Abductor digiti minimi brevis tendons (cut)

Flexor digiti minimi brevis tendons (cut)

Plantar ligaments (plates)

Interosseous muscles (cut)

5th metatarsal bone

Plantar metatarsal ligaments

Tuberosity of 5th metatarsal bone

Fibularis (peroneus) brevis tendon

Tuberosity of cuboid bone

Long plantar ligament

Plantar calcaneocuboid (short plantar) ligament

Calcaneus

Medial process of Tuberosity of calcaneus

Lateral process of Tuberosity of calcaneus

Distal phalanx of great toe

Interphalangeal (IP) joint

Flexor hallucis longus tendon (cut)

Proximal phalanx of great toe

Metatarsophalangeal (MP) joint

Sesamoid bones

Abductor hallucis and medial head of flexor hallucis brevis tendons (cut)

Abductor hallucis and lateral head of flexor hallucis brevis tendons (cut)

1st metatarsal bone

Plantar tarsometatarsal ligaments

Medial cuneiform bone

Tibialis anterior tendon (cut)

Plantar cuneonavicular ligament

Plantar cuboideonavicular ligament

Tuberosity of navicular bone

Plantar calcaneonavicular (spring) ligament

Tibialis posterior tendon

Flexor digitorum longus tendon (cut)

Sustentaculum tali

Flexor hallucis longus tendon

Posterior process of talus (medial and lateral tubercles)

Capsules and ligaments of metatarsophalangeal and interphalangeal joints: lateral view

Distal Phalanges

Middle Phalanges

Proximal Phalanges

Collateral ligaments

Joint capsule

Metatarsal bone

Plantar ligament (plate


Ankle and Foot | Tendon Sheaths of Ankle


Lateral view

Soleus muscle

Fibularis (peroneus) longus muscle

Fibularis (peroneus) brevis muscle

Calcaneal (Achilles) tendon

Common tendinous sheath of fibularis (peroneus) longus and brevis

Subcutaneous calcaneal bursa

(Subtendinous) bursa of calcaneal tendon

Superior fibular (peroneal) retinacula

Inferior fibular (peroneal) retinacula

Calcaneus

Extensor digitorum brevis muscle

Abductor digiti minimi muscle

Fibularis (peroneus) longus tendon

Fibularis (peroneus) brevis tendon

Tuberosity of 5th metatarsal bone

Fibularis (peroneus) tertius tendon

Tendinous sheath of extensor hallucis longus

Tendinous sheath of extensor digitorum longus and fibularis (peroneal) tertius

Inferior extensor retinaculum

Lateral malleolus and subcutaneous bursa

Tendinous sheath of tibialis anterior

Superior extensor retinaculum

Extensor digitorum longus muscle

Medial view

Tibialis anterior tendon and sheath

Tibia

Sheath of tibialis posterior tendon

Superior extensor retinaculum

Medial malleolus and subcutaneous bursa

Inferior extensor retinaculum

Tibialis posterior tendon and sheath

Tendinous sheath of extensor hallucis longus

1st metatarsal bone

Tendinous sheath of flexor hallucis longus

Medial plantar nerve

Tendinous sheath of flexor digitorum longus

Calcaneal (Achilles) tendon

Tendinous sheath of flexor digitorum longus

Posterior tibial artery and tibial nerve

Tendinous sheath of flexor hallucis longus

Subcutaneous calcaneal bursa

(Subtendinous) bursa of calcaneal tendon

Flexor retinaculum

Calcaneus

Lateral plantar nerve

Abductor hallucis muscle (cut)

Plantar aponeurosis (cut)

Flexor digitorum brevis muscle (cut)


Ankle and Foot | Muscles of Dorsum of Foot: Superficial Dissection


Superficial fibular (peroneal) nerve (cut)

Fibularis (peroneus) brevis muscle

Fibularis (peroneus) longus tendon

Extensor digitorum longus muscle and tendon

Superior extensor retinaculum

Fibula

Perforating branch of fibular (peroneal) artery

Lateral malleolus and anterior lateral malleolar artery

Inferior extensor retinaculum

Lateral tarsal artery and lateral branch of deep peroneal nerve (to muscles of dorsum of foot)

Fibularis (peroneus) brevis tendon

Tuberosity of 5th metatarsal bone

Fibularis (peroneus) tertius tendon

Extensor digitorum brevis

Extensor hallucis brevis muscles

Extensor digitorum longus tendons

Lateral dorsal cutaneous nerve (continuation of sural nerve) (cut)

Dorsal metatarsal arteries

Dorsal digital arteries

Dorsal branches of proper plantar digital arteries

Dorsal branches of proper plantar digital nerves

Tibialis anterior tendon

Anterior tibial artery and deep fibular (peroneal) nerve

Tibia

Extensor hallucis longus tendon

Tendinous sheath of extensor digitorum longus

Medial malleolus

Tendinous sheath of tibialis anterior 

Tendinous sheath of extensor hallucis longus

Anterior medial malleolar artery

Dorsalis pedis artery and medial branch of deep fibular (peroneal) nerve

Medial tarsal artery

Arcuate artery

Deep plantar artery passing between heads of 1st dorsal interosseous muscle to join deep plantar arch

Extensor hallucis longus tendon

Extensor expansions

Dorsal digital branches of deep fibular (peroneal) nerve

Dorsal digital branches of superficial fibular (peroneal) nerve


Ankle and Foot | Dorsum of Foot: Deep Dissection


Superficial fibular (peroneal) nerve (cut)

Fibularis (peroneus) longus tendon

Fibularis (peroneus) brevis muscle and tendon

Fibula

Perforating branch of fibular (peroneal) artery

Anterior lateral malleolar artery

Lateral malleolus

Lateral branch of deep peroneal nerve (to muscles of dorsum and foot)

Lateral branch of lateral tarsal artery

Fibularis (peroneus) longus tendon (cut)

Extensor digitorum brevis and extensor hallucis brevis muscles (cut)

Fibularis (peroneus) brevis tendon (cut)

Fibularis (peroneus) tertius tendon (cut)

Abductor digiti minimi muscle

Dorsal metatarsal arteries

Metatarsal bones

Dorsal interosseous muscles

Lateral dorsal cutaneous nerve (continuation of sural nerve) (cut)

Anterior perforating branches from plantar metatarsal arteries

Dorsal digital arteries

Dorsal branches of proper plantar digital arteries and nerves

Soleus muscle

Tibialis anterior muscle and tendon

Tibia

Anterior tibial artery and deep fibular (peroneal) nerve

Extensor hallucis longus muscle and tendon

Anterior medial malleolar artery

Medial malleolus

Dorsalis pedis artery

Medial branch of deep fibular (peroneal) nerve

Medial tarsal arteries

Tuberosity of navicular bone

Arcuate artery

Posterior perforating branches from deep plantar arch

Deep plantar artery to deep plantar arch

Abductor hallucis muscle

Extensor hallucis longus tendon

Extensor hallucis brevis tendon (cut)

Extensor digitorum brevis tendons (cut)

Extensor digitorum longus tendons

Extensor expansions

Dorsal digital branches of deep fibular (peroneal) nerve

Dorsal digital branches of superficial fibular (peroneal) nerve


Ankle and Foot | Sole of Foot: Superficial Dissection


Superficial transverse metatarsal ligaments

Lateral plantar fascia

Cutaneous branches of lateral plantar artery

Cutaneous branches of lateral plantar nerve

Lateral band of plantar aponeurosis (calcaneometatarsal ligament)

Tuberosity of calcaneus with overlying fat pad (partially cut away)

Proper plantar digital arteries

Proper plantar digital nerves

Superficial branch of medial plantar artery

Transverse fasciculi

Digital slips of plantar aponeurosis

Medial plantar fascia

Cutaneous branches of medial plantar artery and nerve

Plantar aponeurosis

Medial calcaneal branches of tibial nerve and posterior tibial artery


Ankle and Foot | Muscles of Sole of Foot: First Layer


Proper plantar digital branches of lateral plantar nerve

Proper plantar digital branches of medial plantar nerve

Proper plantar digital arteries

Common plantar digital arteries from plantar metatarsal arteries

Lumbrical muscles

Superficial branch of medial plantar artery

Lateral head of flexor hallucis brevis muscle

Medial head of flexor hallucis brevis muscle

Flexor hallucis longus tendon

Abductor hallucis muscle

Abductor hallucis tendon

Flexor digitorum brevis muscle

Plantar aponeurosis (cut)

Medial calcaneal branches of tibial nerve and posterior tibial artery

Fibrous sheaths of flexor tendons

Flexor digitorum brevis tendons

Flexor digitorum longus tendons

Plantar metatarsal branch of lateral plantar artery

Flexor digiti minimi brevis muscle

Abductor digiti minimi muscle  (deep to lateral plantar fascia)

Medial process of Tuberosity of calcaneus

Lateral process of Tuberosity of calcaneus


Ankle and Foot | Muscles of Foot: Second Layer


Proper plantar digital branches of lateral plantar nerve

Proper plantar digital branches of medial plantar nerve

Flexor digitorum longus tendons

Flexor digitorum brevis tendons

Fibrous sheaths (opened)

Sesamoid bones

Common plantar digital nerves and arteries

Lumbrical muscles

Lateral head of flexor hallucis brevis muscle

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

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

Flexor digitorum brevis muscle and plantar aponeurosis (cut)

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

Abductor digiti minimi muscle (cut)

Quadratus plantae muscle

Lateral plantar nerve and artery

Superficial branch of lateral plantar nerve

Deep branch of lateral plantar nerve

Flexor digiti minimi brevis muscle


Ankle and Foot | Muscles of Sole of Foot: Third Layer


Proper plantar digital branches of medial plantar nerve

Proper plantar digital branches of lateral plantar nerve

Flexor digitorum longus tendons

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

Peroneus brevis tendon

Peroneus longus tendon

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

Medial calcaneal artery and nerve

Flexor digitorum brevis muscle and plantar aponeurosis (cut)

Abductor hallucis muscle (cut)

Flexor retinaculum

Flexor hallucis longus tendon

Medial plantar artery and nerve

Tibialis posterior tendon

Flexor digitorum longus tendon (cut)

Deep branches of medial plantar artery and nerve

Abductor hallucis muscle (cut)

Flexor hallucis longus tendon (cut)

Superficial branches of medial plantar artery and nerve

Lateral head of flexor hallucis brevis muscle

Medial head of flexor hallucis brevis muscle

Oblique head of flexor hallucis brevis muscle

Transverse head of flexor hallucis brevis muscle

Sesamoid bones

Tendons of lumbrical muscles (cut)

Anterior perforating arteries to dorsal metatarsal arteries

Proper plantar digital branch of superficial branch of medial plantar artery


Ankle and Foot | Interosseous Muscles and Deep Arteries of Foot


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

Navicular bone

Dorsalis pedis artery

Medial tarsal artery

Lateral Cuneiform bones

Intermediate Cuneiform bones

Medial Cuneiform bones

Dorsal tarsometatarsal ligaments

Dorsal metatarsal ligaments

Arcuate artery

Deep plantar artery passes to contribute to deep plantar arch

Dorsal interosseous muscles

Metatarsal bones

Extensor hallucis longus tendon (cut)

Extensor digitorum brevis and extensor hallucis brevis tendons (cut)

Plantar view

Proper plantar digital arteries

Common plantar digital arteries

Lumbrical muscles (cut)

Deep transverse metatarsal ligament and plantar ligaments (plates)

Plantar Interosseous muscles

Dorsal Interosseous muscles

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

Tuberosity of cuboid bone

Long plantar ligament

Calcaneocuboid (short plantar) ligament

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

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


Ankle and Foot | Interosseous Muscles of Foot


Dorsal view

Cuboid

Tuberosity of 5th metatarsal bone

Dorsal interosseous muscles (bipennate)

5th metatarsal bone

Proximal phalanx of Little (5th) toe

Middle phalanx of Little (5th) toe

Distal phalanx of Little (5th) toe

Navicular

Lateral Cuneiform bones

Intermediate Cuneiform bones

Medial Cuneiform bones

1st metatarsal bone

Proximal phalanx of great toe

Distal phalanx of great toe

Plantar view

Distal phalanx of great toe

Proximal phalanx of great toe

Sesamoid bones

1st metatarsal bone

Lateral Cuneiform bones

Intermediate Cuneiform bones

Medial Cuneiform bones

Navicular

Distal phalanx of Little (5th) toe

Middle phalanx of Little (5th) toe

Proximal phalanx of little (5th) toe

Plantar interosseous muscles (unipennate)

5th metatarsal bone

Tuberosity of 5th metatarsal bone

Cuboid


Neurovasculature | Femoral Nerve and Lateral Femoral Cutaneous Nerve


Lateral femoral cutaneous nerve L2

Lateral femoral cutaneous nerve L3

Femoral nerve L2

Femoral nerve L3

Femoral nerve L4

Obturator nerve

Iliacus muscle

Psoas major muscle (lower part)

Articular branch

Sartorius muscle (cut and reflected)

Pectineus muscle

Rectus femoris muscle (cut and reflected) of Quadriceps femoris muscle

Vastus intermedius muscle of Quadriceps femoris muscle

Vastus medialis muscle of Quadriceps femoris muscle

Vastus lateralis muscle of Quadriceps femoris muscle

Articularis genus muscle

T12

L1 of Lumbar plexus

L2 of Lumbar plexus

L3 of Lumbar plexus

L4 of Lumbar plexus

Lumbosacral trunk

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)

Lateral femoral cutaneous nerve

Cutaneous innervation


Neurovasculature | Obturator Nerve


Iliohypogastric nerve

Iliolinguinal nerve

Genitofemoral nerve

Lateral femoral cutaneous nerve

Femoral nerve

Obturator nerve L2

Obturator nerve L3

Obturator nerve L4

Posterior branch

Articular branch

Anterior branch

Posterior branch

Cutaneous branch

Articular branch to knee joint

Adductor hiatus

L1 of Lumbar plexus

L2 of Lumbar plexus

L3 of Lumbar plexus

L4 of Lumbar plexus

Lumbosacral trunk

Obturator externus muscle

Adductor brevis muscle

Adductor longus muscle (cut)

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

Gracilis muscle

Cutaneous innervation

Note: Only muscles innervated by obturator nerve shown


Neurovasculature | Sciatic Nerve and Posterior Femoral Cutaneous Nerve


Posterior femoral cutaneous nerve (S1, S2, S3)

Inferior clunial nerves

Perineal branches

Tibial division of sciatic nerve

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, L5, S1, S2, S3)

Common fibular (peroneal) division of sciatic nerve

Short head of biceps femoris muscle

Long head (cut) of biceps femoris muscle

Common fibular (peroneal) nerve

Articular branch

Lateral sural cutaneous nerve

Sural communicating branch

Lateral calcaneal branches

Lateral dorsal cutaneous nerve

Cutaneous innervation

Posterior femoral cutaneous nerve

Common fibular (peroneal) nerve via lateral sural cutaneous nerve from sciatic nerve

Medial sural cutaneous nerve from sciatic nerve

Superficial fibular (peroneal) nerve from sciatic nerve

Sural nerve from from sciatic nerve

Tibial nerve via medial calcaneal branches from sciatic nerve


Neurovasculature | Tibial Nerve


Tibial nerve (L4, L5, S1, S2, S3)

Medial sural cutaneous nerve (cut)

Articular branches

Plantaris muscle

Gastrocnemius muscle (cut)

Nerve to 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

Common fibular (peroneal) nerve

Articular branch

Lateral sural cutaneous nerve (cut)

Medial calcaneal branches (S1, S2) From tibial nerve

Medial plantar nerve (L4, L5) From tibial nerve

Lateral plantar nerve (S1, S2) From tibial nerve

Saphenous nerve (L3, L4)

Sural nerve (S1, S2) via lateral calcaneal and lateral dorsal cutaneous branches

Cutaneous innervation of sole

Flexor retinaculum (cut)

Tibial nerve

Medial calcaneal branch

Medial plantar nerve

Flexor digitorum brevis muscle and nerve

Abductor hallucis muscle and nerve

Flexor hallucis brevis muscle and nerve

1st lumbrical muscle and nerve

Common plantar digital nerves

Proper plantar digital nerves

Lateral calcaneal branch of sural nerve

Lateral plantar nerve

Nerve to abductor digiti minimi muscle

Quadratus plantae muscle and nerve

Abductor digiti minimi muscle

Deep branch to interosseous muscles

2nd lumbrical muscle

3rd lumbrical muscle

4th lumbrical muscle

Adductor hallucis muscle

Superficial branch to 4th interosseous muscle

Flexor digiti minimi brevis muscle

Common plantar digital nerves

Proper plantar digital nerves


Neurovasculature | Common Fibular (Peroneal) Nerve


Common fibular (peroneal) nerve (phantom)

Biceps femoris tendon

Common fibular (peroneal) nerve (L4, L5, S1, S2)

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

Extensor digitorum longus muscle

Extensor hallucis longus muscle

Lateral branch of deep fibular (peroneal) nerve to Extensor digitorum brevis muscles

Extensor digitorum brevis muscles

Medial branch of deep fibular (peroneal) nerve

Cutaneous innervation

Lateral sural cutaneous nerve

Superficial fibular (peroneal) nerve

Deep fibular (peroneal) nerve

Sural nerve via lateral dorsal cutaneous branch


Neurovasculature | Dermatomes of Lower Limb


Anterior view

Schematic demarcation of dermatomes (according to Keegan and Garrett) shown as distinct segments. There is actually considerable overlap between any two adjacent dermatomes. An alternative dermatome map is that provided by Foerster (see References).

T10

T11

T12

L1

L2

Autonomous sensory zones

L3

L4

L5

S1

Posterior view

T12

L1

L2

L3

L4

S2

S3

S4

S5

Co

L1

L2

L3

L4

Autonomous sensory zones

L5

S1

Segmental innervation of lower limb movements

Hip

Flexion

Extension

Knee

Flexion

Extension

Ankle

Dorsiflexion

Plantar flexion

Foot

Inversion

Eversion


Neurovasculature | Superficial Nerves and Veins of Lower Limb: Anterior View


Lateral cutaneous branch of subcostal nerve

Inguinal ligament (Poupart’s)

Superficial circumflex iliac vein

Femoral branches of genitofemoral nerve

Lateral femoral cutaneous nerve

Saphenous opening (fossa ovalis)

Fascia lata

Anterior cutaneous branches of femoral nerve

Patellar nerve plexus

Branches of lateral sural cutaneous nerve (from common fibular [peroneal] nerve)

Deep fascia of leg (crural fascia)

Superficial fibular (peroneal) nerve

Medial dorsal cutaneous branch of Superficial fibular (peroneal) nerve

Intermediate dorsal cutaneous branch of Superficial fibular (peroneal) nerve

Small saphenous vein and lateral dorsal cutaneous nerve (from sural nerve)

Lateral dorsal digital nerve and vein of 5th toe

Dorsal metatarsal veins

Dorsal digital nerves and veins

Superficial epigastric vein

Ilioinguinal nerve (scrotal branch) (usually passes through superficial inguinal ring)

Genital branch of genitofemoral nerve

Femoral vein

Superficial external pudendal vein

Accessory saphenous vein

Great saphenous vein

Cutaneous branch of obturator nerve

Infrapatellar branch of saphenous nerve

Saphenous nerve (terminal branch of femoral nerve)

Great saphenous vein

Dorsal digital nerves

Dorsal venous arch

Dorsal digital nerve and vein of medial side of great toe

Dorsal digital branch of deep fibular (peroneal) nerve


Neurovasculature | Superficial Nerves and Veins of Lower Limb: Posterior View


Lateral cutaneous branch of iliohypogastric nerve

Iliac crest

Superior clunial nerves (from dorsal rami of L1, L2, L3)

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 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

Medial clunial nerves (from dorsal rami of S1, S2, S3)

Perforating cutaneous nerve (from dorsal rami of S1, S2, S3)

Branches of posterior femoral cutaneous nerve

Accessory saphenous vein

Branch of femoral cutaneous nerve

Branch of cutaneous branch of femoral nerve

Great saphenous vein

Small saphenous vein

Branches of saphenous nerve

Medial calcaneal branches of tibial nerve

Plantar cutaneous branches of medial plantar nerve


Neurovasculature | Lymph Vessels and Nodes of Lower Limb


Cribriform fascia within saphenous opening

Fascia lata

Deep fascia of leg (crural fascia)

Great saphenous vein

Superficial inguinal nodes

Horizontal group:

Superolateral nodes of Superficial inguinal nodes

Superomedial nodes of Superficial inguinal nodes

Vertical group:

Inferior nodes of Superficial inguinal nodes

Great saphenous vein

Superficial lymph vessels

Popliteal vein

Popliteal lymph nodes

Small saphenous vein

External iliac lymph nodes

Femoral nerve

Inguinal ligament (Poupart’s)

Ductus (vas) deferens

Femoral sheath

Femoral canal (opened)

Femoral artery

Femoral vein

Great saphenous vein

Femoral ring

Lacunar ligament (Gimbernat’s)

Deep inguinal lymph nodes


Regional Scans | CT Angiograms of Arteries of the Lower Limb


Fibular artery

Anterior tibial artery

Posterior tibial artery

Internal iliac artery

External iliac artery

Profunda femoris artery

Femoral artery


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