484 Thigh: Posterior Region

Cutaneous nerves of thigh (posterior aspect).

The fascia lata and the fasciae of muscles have been removed.

1 Middle cluneal nerves

2 Perineal branch of posterior femoral cutaneous nerve

3 Posterior femoral cutaneous nerve

4 Semimembranosus muscle

5 Semitendinosus muscle

6 Tibial nerve

7 Medial sural cutaneous nerve

8 Small saphenous vein

9 Medial head of gastrocnemius muscle

10 Gluteus maximus muscle

11 Inferior cluneal nerves

12 Cutaneous veins

13 Long head of biceps femoris muscle

14 Iliotibial tract

15 Short head of biceps femoris muscle

16 Popliteal fossa

17 Lateral sural cutaneous nerve

18 Lateral head of gastrocnemius muscle

19 Common peroneal nerve

20 Tendon of biceps femoris muscle

21 Inferior gluteal nerve

22 Sacrotuberous ligament

23 Inferior rectal branches of pudendal nerve

24 Anus

25 Gluteus medius muscle

26 Piriformis muscle

27 Sciatic nerve

28 Inferior gluteal artery

29 Gluteus maximus muscle (cut)

30 Quadratus femoris muscle

31 Sciatic nerve dividing into its two branches: the common

peroneal nerve and the tibial nerve

32 Muscular branches of sciatic nerve to hamstring muscles

33 Popliteal artery

34 Popliteal vein

35 Small saphenous vein (cut)

36 Long head of biceps femoris muscle (cut)

37 Superficial peroneal nerve


Thigh: Posterior Region 485

Gluteal region and posterior region of right thigh (posterior

aspect). The gluteus maximus muscle has been divided and

reflected.

Gluteal region and posterior region of right thigh (posterior

aspect). The gluteus maximus muscle and the long head of the

biceps femoris muscle have been divided and reflected.


486 Knee and Popliteal Fossa

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Anterior region of right knee, cutaneous

nerves and veins (anterior aspect).

Coronal section of popliteal fossa (MRI scan;

from Heuck et al., MRT-Atlas, 2009).

1 Cutaneous veins (tributaries of

great saphenous vein)

2 Great saphenous vein

3 Cutaneous branch of femoral nerve

4 Position of medial condyle of

femur

5 Position of small saphenous vein

6 Fascia lata

7 Terminal branches of posterior

femoral cutaneous nerve

8 Cutaneous veins of popliteal fossa

9 Position of head of fibula

10 Superficial layer of fascia cruris

11 Lateral sural cutaneous nerve

12 Venous network around knee

13 Patella

14 Saphenous nerve

15 Infrapatellar branch of saphenous

nerve

16 Patellar ligament

17 Position of tuberosity of tibia

18 Sartorius muscle

19 Semimembranosus muscle

20 Gastrocnemius muscle

21 Popliteal vein

22 Tibial nerve

23 Biceps femoris muscle

24 Popliteal artery

25 Lateral inferior genicular artery

26 Fibula

Posterior region of right knee, cutaneous

nerves and veins (posterior aspect).


Knee and Popliteal Fossa 487

Right leg, popliteal fossa, middle layer (posterior aspect).

The gastrocnemius muscle has been divided and reflected.

1 Semitendinosus muscle

2 Gracilis muscle

3 Semimembranosus muscle

4 Sartorius muscle

5 Tendon of semitendinosus muscle

6 Position of medial condyle of femur

7 Muscular branches of tibial nerve

8 Sural arteries and veins

9 Tendon of semimembranosus muscle

10 Common tendon of gracilis, semitendinosus, and sartorius

muscles

11 Medial head of gastrocnemius muscle

12 Biceps femoris muscle

13 Muscular branch of popliteal artery

14 Popliteal artery

15 Popliteal vein

16 Tibial nerve

17 Common peroneal nerve

18 Lateral head of gastrocnemius muscle

19 Medial sural cutaneous nerve

20 Medial superior genicular artery

21 Medial head of gastrocnemius muscle (cut and reflected)

22 Medial inferior genicular artery

23 Soleus muscle

24 Tendon of plantaris muscle

25 Lateral superior genicular artery

26 Lateral inferior genicular artery

27 Plantaris muscle

Right leg, popliteal fossa, deep layer (posterior aspect). The

gastrocnemius and the soleus muscles have been divided and reflected.


488 Knee and Popliteal Fossa

Right leg, popliteal fossa, deep layer (posterior aspect).

The muscles have been reflected to display the genicular arteries.

1 Semitendinosus muscle

2 Semimembranosus muscle

3 Medial superior genicular artery

4 Popliteal artery

5 Medial head of gastrocnemius muscle

6 Middle genicular artery

7 Muscular branches

8 Medial inferior genicular artery

9 Tendon of plantaris muscle

10 Tibial nerve (cut)

11 Biceps femoris muscle

12 Popliteal vein (cut)

13 Lateral superior genicular artery

14 Lateral inferior genicular artery

15 Lateral head of gastrocnemius muscle

16 Common peroneal nerve

17 Head of fibula

18 Lateral sural cutaneous nerves

19 Soleus muscle

20 Medial sural cutaneous nerve

21 Anterior tibial artery

22 Posterior tibial artery

23 Lateral sural cutaneous nerve

Right leg, popliteal fossa, deepest layer (posterior aspect).

Tibial nerve and popliteal vein have been partly removed

and a portion of the soleus muscle was cut away to display the

anterior tibial artery.


Crural Region 489

Right leg, cutaneous veins and

nerves (posterior aspect).

Right leg, cutaneous veins and

nerves (posterior aspect).

The superficial layer of the crural fascia

has been removed.

Right leg, cutaneous veins and

nerves (antero-medial aspect).

1 Great saphenous vein

2 Venous anastomosis between small and

great saphenous veins

3 Medial malleolus

4 Popliteal fossa

5 Position of head of fibula

6 Lateral sural cutaneous nerve

7 Small saphenous vein

8 Sural nerve

9 Calcaneal tendon

10 Lateral malleolus

11 Semitendinosus muscle

12 Medial head of gastrocnemius muscle

13 Saphenous nerve

14 Common peroneal nerve

15 Medial sural cutaneous nerve

16 Perforating veins

17 Superficial peroneal nerve

18 Dorsal venous arch

19 Intermediate dorsal cutaneous nerve

20 Infrapatellar branches of saphenous

nerve

21 Terminal branches of saphenous nerve

22 Medial dorsal cutaneous nerve


490 Crural Region

Right leg, posterior crural region, and popliteal fossa,

middle layer (posterior aspect). The cutaneous veins and nerves

have been removed.

Right leg, posterior crural region, and popliteal fossa, deep

layer (posterior aspect). The medial head of gastrocnemius muscle

has been divided and reflected.


Crural Region 491

Right leg, posterior crural region, deepest layer (posterior

aspect). Triceps surae (gastrocnemius and soleus) and flexor hallucis

longus muscles have been cut and reflected.

Cross section of the leg, superior to the malleoli

(from below).

1 Semimembranosus muscle

2 Semitendinosus muscle

3 Popliteal vein

4 Popliteal artery

5 Tibial nerve

6 Small saphenous vein (cut)

7 Muscular branch of tibial nerve

8 Medial head of gastrocnemius muscle

9 Tendon of plantaris muscle

10 Posterior tibial artery

11 Medial malleolus

12 Biceps femoris muscle

13 Common peroneal nerve

14 Sural arteries

15 Plantaris muscle

16 Lateral head of gastrocnemius muscle

17 Soleus muscle

18 Calcaneal tendon

19 Lateral malleolus

20 Calcaneal tuberosity

21 Sartorius muscle

22 Popliteal artery

23 Tendinous arch of soleus muscle

24 Flexor digitorum longus muscle

25 Flexor retinaculum

26 Peroneal artery

27 Soleus muscle

28 Flexor hallucis longus muscle

29 Anterior tibial artery

30 Muscular branches of tibial nerve

31 Tibialis posterior muscle

32 Communicating branch of peroneal artery

33 Tendon of tibialis anterior muscle

34 Tibia

35 Tendon of extensor hallucis longus muscle

36 Tendons of extensor digitorum longus muscle

37 Anterior tibialis artery

38 Fibula

39 Tendons of peroneus longus and brevis muscles


492 Crural Region and Foot

Right leg and foot, anterior crural region and dorsum of

foot (anterior aspect). Cutaneous nerves and veins.

Right leg and foot (medial aspect). Cutaneous nerves and veins.

1 Superficial crural fascia

2 Medial cutaneous branch of superficial peroneal nerve

3 Lateral malleolus

4 Lateral cutaneous branch of superficial peroneal nerve

5 Cutaneous branch of sural nerve

6 Position of tuberosity of tibia

7 Anterior margin of tibia

8 Great saphenous vein

9 Medial malleolus

10 Deep peroneal nerve

11 Venous arch of dorsum of foot

12 Position of patella

13 Infrapatellar branches of saphenous nerve

14 Saphenous nerve

15 Small saphenous vein

16 Perforating vein

17 Calcaneal tendon


Crural Region and Foot 493

Right leg and foot (lateral aspect). Cutaneous nerves and veins.

1 Position of fibula

2 Sural nerve

3 Small saphenous vein

4 Calcaneal tendon

5 Lateral calcaneal branches of

sural nerve

6 Venous network at lateral malleolus

7 Cutaneous branch of sural nerve

8 Tendon of peroneus brevis muscle

9 Tendons of extensor digitorum

longus muscle

10 Fascia cruris

22 Tendons of extensor digitorum

brevis muscle

23 Medial malleolus

24 Synovial sheath of tendon of

tibialis anterior muscle

25 Tendon of tibialis anterior muscle

26 Synovial sheath of tendon of

extensor hallucis longus muscle

27 Tendon of extensor hallucis longus

muscle

11 Superficial peroneal nerve

12 Position of tibia

13 Lateral cutaneous branch of superficial

14 Medial cutaneous branch peroneal nerve

15 Lateral malleolus

16 Dorsal digital nerves

17 Dorsal venous arch

18 Deep peroneal nerve

19 Inferior extensor retinaculum

20 Common synovial sheath of

extensor digitorum longus muscle

21 Extensor digitorum brevis muscle


Right foot with synovial sheaths of

extensor muscles (dorsal aspect). The

synovial sheaths have been injected

with blue solution.

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494

25

Crural Region and Foot

Right leg and foot, anterior crural region and dorsum of foot,

middle layer (antero-lateral aspect). The extensor digitorum longus

muscle has been divided and reflected laterally.

Right leg and foot, anterior crural region and dorsum of

foot, deep layer (antero-lateral aspect). The extensor digitorum

longus and peroneus longus muscles have been divided or

removed. The common peroneal nerve has been elevated to

show its course around the head of fibula.


495

38

Coronal Sections through the Foot

Coronal section through the foot and ankle joint

(anterior aspect).

1 Iliotibial tract

2 Common peroneal nerve

3 Position of head of fibula

4 Extensor digitorum longus muscle

5 Muscular branches of deep peroneal nerve

6 Superficial peroneal nerve

7 Tendon of extensor digitorum longus muscle

8 Lateral malleolus

9 Extensor digitorum brevis muscle

10 Tendons of extensor digitorum longus muscle

11 Patella

12 Patellar ligament

13 Anterior margin of tibia

14 Anterior tibial artery

15 Tibialis anterior muscle

16 Deep peroneal nerve

17 Extensor hallucis longus muscle

18 Tendon of tibialis anterior muscle

19 Extensor retinaculum

20 Dorsalis pedis artery

21 Extensor hallucis brevis muscle

22 Deep peroneal nerve (on dorsum of foot)

23 Dorsal digital nerves (terminal branches

of deep peroneal nerve)

24 Deep peroneal nerve

25 Peroneus longus muscle (cut)

26 Superficial peroneal nerve (with peroneal muscles

laterally reflected)

27 Peroneus brevis muscle

28 Lateral anterior malleolar artery

29 Fibula

30 Distal tibiofibular joint (syndesmosis)

31 Talocalcaneal interosseous ligament

32 Calcaneus

33 Tendon of peroneus brevis muscle

34 Cuboid bone

35 Lateral cuneiform bone

36 Metatarsal bones

37 Dorsal interosseous muscles

38 Tibia

39 Ankle joint

40 Medial malleolus

41 Talus

42 Talocalcaneonavicular joint

43 Navicular bone

44 Medial cuneiform bone

45 Intermediate cuneiform bone

46 First metatarsal bone

47 Metatarsophalangeal joint of great toe

48 Proximal phalanx of great toe

49 Distal phalanx of great toe

50 Heads of metatarsal bones II–III

Coronal section through the foot and ankle joint (MRI scan;

from Heuck et al., MRT-Atlas, 2009).

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496 Sections through the Lower Limb

Axial section through the middle of the right

thigh (section 2; MRI scan; inferior aspect).

Axial section through the middle of the right

thigh (section 2; inferior aspect).

1 Sartorius muscle

2 Femoral artery and vein

3 Iliopsoas muscle

4 Pubis (os pubis)

5 Femoral head with ligament of femoral

head

6 Articular cavity

7 Rectum

8 Sciatic nerve and accompanying artery

9 Gluteus maximus muscle

10 Obturator vessels and obturator nerve

11 Rectus abdominis muscle

12 Pyramidalis muscle

13 Urinary bladder

14 Obturator internus muscle

15 Rectus femoris muscle

16 Vastus intermedius and vastus lateralis

of quadriceps femoris muscle

Lower limb,

location of sections 1–5

(MRI scans, courtesy of

Prof. Heuck, Munich, Germany).

Axial section through the pelvis and the hip joints

(section 1; MRI scan; inferior aspect).

Axial section through the pelvis and the hip joints in the female

(section 1; inferior aspect). Arrows: uterus, myometrium with myoma.

1

2

3

4

5

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