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5. TOPOGRAPHIC ANATOMY AND OPERATIVE SURGERY OF THE FRONT AND BACK OF THE THIGH, GLUTEAL REGION AND HIP JOINT

Topics of the lesson: Topographic anatomy and operative surgery of the front and back of the thigh, gluteal region and hip joint. Accesses to the neurovascular bundle of the lower limb. Puncture of the hip joint.

5.1. Highlight and name the borders of anterior and posterior regions of thigh in the

Fig. 5.1:

Superiorly_

_

Inferiorly_

_

Laterally_

_

Medially_

_

Fig. 5.1. The regions of lower limb 5.2. Shade femoral triangle (Scarpa's Triangle) and name its borders on the Fig. 5.2.

Superiorly_

_

Medially_

_

Laterally_

_

Fig. 5.2. The topography of the femoral triangle 5.3. Name the structures according to the Fig. 5.3 in English and Latin.

Fig. 5.3. Surface structures of the femoral triangle

5.4. Highlight the fascial compartments of thigh shown in Fig. 5.4 and name the muscles located there.

name of the muscle

function

Anterior - the extensor compartment of thigh

Medial - the adductor compartment of thigh

Posterior - the flexor compartment of thigh

Fig. 5.4. Fascial compartments of thigh in a transverse section in the upper third

5.5. Using Fig. 5.5, describe the topography of the muscular and vascular spaces.

Fig. 5.5. The muscular and vascular spaces of the thigh

muscular space (lacuna musculorum)

Anteriorly:

Posteriorly:

Medially:

Content:

-

-

-

vascular space (lacuna vasorum)

Anteriorly:

Laterally:

Medially:

Posteriorly:

Content:

-

-

-

5.6. In Fig. 5.6, mark the projection line of the femoral artery (Ken line), and mark with color the femoral artery and its branches.

Fig. 5.6. Bones of the lower limb 5.7. Using Fig. 5.7, describe the topography of the femoral canal.

Fig. 5.7. Femoral canal and a femoral hernia

THE WALLS OF THE FEMORAL CANAL

Anterior

Posterior

Lateral

BORDERS OF THE DEEP FEMORAL RING

Anterior

Posterior

Medial

Lateral

SUPERFICIAL FEMORAL RING IS FORMED BY -

5.8. Using Fig. 5.8, describe the topography of the adductor canal (Hunter).

Fig. 5.8. Explain the situation in this clinical case

ADDUCTOR CANAL

WALLS:

FORMED BY:

1

2

3

OPENING OF THE CANAL

FORMED BY

STRUCTURES INSIDE

1

2

3

5.9. Explain the situation in this clinical case.

The patient was diagnosed with cellulitis of the anterior fascial compartment of thigh. Specify the possible ways of dissemination of purulent discharge.

Upper_

_

Lower_

_

Laterally_

_

Medially_

_

Posteriorly_

_

In the subcutaneous_

_

5.10. Using Figs. 5.9 and 5.10 name the borders and layers of the gluteal region.

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