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Lower Extremity Dissection
Human Cadaver Dissection Course
Dr. Anne Geller
San Diego Mesa College - 2012
Michael R. Dunbar
Initial Observations
• Assigned lower extremity dissection of an adult
male, approximate age determined in mid-late 50s.
COD related to cardiovascular disease.
• Cadaver presented in supine position, dissection to
begin on anterior thigh and transition to leg before
rotating to posterior aspect.
• Approach determined, dissection guideline
developed and submitted for approval.
Initial incision and removal of skin
Cutaneous Removal & Adipose Layer
Removal of skin to
reveal subdermal
adipose tissue
determined to be
tedious process
Adipose tissue
reveals multitude of
cutaenous blood
vessels and nerves
Anterior Thigh
Anterior thigh with
cutaneous layer
reflected to reveal
adipose and fascia.
Medial thigh.
Observe: Great
Saphenous Vein
Notable Superficial Landmarks
Supromedial
superficial inguinal
lymph node
Lateral femoral
cutaenous
nerve
Femoral Triangle
Once adipose is cleared from field of view, fascia
must be removed. The Femoral Triangle is a
common area with recognizable landmarks and a
number of vital structures that pass through it.
Femoral Blood Vessels & Nerve
Anterior Leg
Utilizing similar techniques, now slightly refined
compared to initial dissection, transition to anterior leg.
Anterior Leg
Observe the
superficial nature of
the Tibia; note
directly lateral the
Tibialis Anterior
Note the Extensor
Hallucis Longus
situated between the
Tibialis Anterior and
Extensor Digitorum
Longus
Anterior Leg Continued
Observe the Anterior Tibial Artery
Posterior Aspect
While anterior aspect was
compartmentalized;
posterior dissection was
performed on a broader
scale due to time
constraints; note that
cutaneous layer is
removed and adipose is
being removed to reveal
underlying musculature in
its entirety
Posterior Thigh
Observe hamstrings, deep femoral artery, sciatic nerve
Posterior Thigh – Interior Compartment
• Observe Femoral
artery and Superior
Genicular Artery
• Note that the
Sciatic nerve
branches into the
Tibial and Common
Peroneal Nerves
Posterior Leg
• Observe the Gastrocnemius as it lays superficially
to the Soleus
• Note the superficial, Posterior Tibial Artery
Posterior Leg - Continued
• Observe the Tibial Nerve laying beneath the head
of the Gastornemius and Soleus
Posterior Leg – Calcaneal Tendon
• Calcaneal tendon was cut in order to reflect the
superficial musculature away in order to see deep
laying structures. Should be noted the thickness
and density of the tendon was difficult to cut, even
with scalpel.
Posterior Leg – Deep Structures
• With Soleus partially reflected away, note Tibial
nerve as it runs along the Flexor Hallucis Longus as
well as the Lateral Sural Cutaneous nerve
Notes of Omission
• It should be noted that the knee dissection was
omitted, this was factored at the beginning of the
semester due to lack of dissection partner.
• Also note the foot dissection was omitted, this was
also determined at the beginning of the semester
due to the complexity of the foot and the small and
delicate structures contained within.
End of Semester Observations
• Time may be the enemy, but discovering and
preserving minor cutaneous nerves and blood
vessels gives better appreciation for mechanics of
biological functions.
• Anticipate to make mistakes, learn from them
• This is an excellent learning experience, ensure the
takeaway is worth it; work slow but steady, observe
the major landmarks, but appreciate the small
details that are often overlooked.
• Respect that a human being has chosen to give
their body to science so the students as well as the
medical community can broaden its understanding
of human anatomy and physiology

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Cadaver Presentation

  • 1. Lower Extremity Dissection Human Cadaver Dissection Course Dr. Anne Geller San Diego Mesa College - 2012 Michael R. Dunbar
  • 2. Initial Observations • Assigned lower extremity dissection of an adult male, approximate age determined in mid-late 50s. COD related to cardiovascular disease. • Cadaver presented in supine position, dissection to begin on anterior thigh and transition to leg before rotating to posterior aspect. • Approach determined, dissection guideline developed and submitted for approval.
  • 3. Initial incision and removal of skin
  • 4. Cutaneous Removal & Adipose Layer Removal of skin to reveal subdermal adipose tissue determined to be tedious process Adipose tissue reveals multitude of cutaenous blood vessels and nerves
  • 5. Anterior Thigh Anterior thigh with cutaneous layer reflected to reveal adipose and fascia. Medial thigh. Observe: Great Saphenous Vein
  • 6. Notable Superficial Landmarks Supromedial superficial inguinal lymph node Lateral femoral cutaenous nerve
  • 7. Femoral Triangle Once adipose is cleared from field of view, fascia must be removed. The Femoral Triangle is a common area with recognizable landmarks and a number of vital structures that pass through it.
  • 9. Anterior Leg Utilizing similar techniques, now slightly refined compared to initial dissection, transition to anterior leg.
  • 10. Anterior Leg Observe the superficial nature of the Tibia; note directly lateral the Tibialis Anterior Note the Extensor Hallucis Longus situated between the Tibialis Anterior and Extensor Digitorum Longus
  • 11. Anterior Leg Continued Observe the Anterior Tibial Artery
  • 12. Posterior Aspect While anterior aspect was compartmentalized; posterior dissection was performed on a broader scale due to time constraints; note that cutaneous layer is removed and adipose is being removed to reveal underlying musculature in its entirety
  • 13. Posterior Thigh Observe hamstrings, deep femoral artery, sciatic nerve
  • 14. Posterior Thigh – Interior Compartment • Observe Femoral artery and Superior Genicular Artery • Note that the Sciatic nerve branches into the Tibial and Common Peroneal Nerves
  • 15. Posterior Leg • Observe the Gastrocnemius as it lays superficially to the Soleus • Note the superficial, Posterior Tibial Artery
  • 16. Posterior Leg - Continued • Observe the Tibial Nerve laying beneath the head of the Gastornemius and Soleus
  • 17. Posterior Leg – Calcaneal Tendon • Calcaneal tendon was cut in order to reflect the superficial musculature away in order to see deep laying structures. Should be noted the thickness and density of the tendon was difficult to cut, even with scalpel.
  • 18. Posterior Leg – Deep Structures • With Soleus partially reflected away, note Tibial nerve as it runs along the Flexor Hallucis Longus as well as the Lateral Sural Cutaneous nerve
  • 19. Notes of Omission • It should be noted that the knee dissection was omitted, this was factored at the beginning of the semester due to lack of dissection partner. • Also note the foot dissection was omitted, this was also determined at the beginning of the semester due to the complexity of the foot and the small and delicate structures contained within.
  • 20. End of Semester Observations • Time may be the enemy, but discovering and preserving minor cutaneous nerves and blood vessels gives better appreciation for mechanics of biological functions. • Anticipate to make mistakes, learn from them • This is an excellent learning experience, ensure the takeaway is worth it; work slow but steady, observe the major landmarks, but appreciate the small details that are often overlooked. • Respect that a human being has chosen to give their body to science so the students as well as the medical community can broaden its understanding of human anatomy and physiology