SlideShare a Scribd company logo
Please check our Editing File.
Popliteal Fossa,
Posterior Compartment
of leg & Sole of foot
Lecture 18
{ُ‫ﻪ‬ُ‫ﺒ‬ْ‫ﺴ‬َ‫ﺣ‬ َ‫ﻮ‬ُ‫ﻬ‬َ‫ﻓ‬ ِ‫ﻪ‬‫اﻟﻠ‬ ‫َﻰ‬‫ﻠ‬َ‫ﻋ‬ ْ‫ﻞ‬‫َﻛ‬‫ﻮ‬َ‫ﺘ‬َ‫ﻳ‬ ْ‫ﻦ‬َ‫ﻣ‬َ‫و‬}
‫ﻟﻠﻤﺬاﻛﺮة‬ ‫اﻷﺳﺎﺳﻲ‬ ‫اﻟﻤﺼﺪر‬ ‫ﻋﻦ‬ ‫ﯾﻐﻨﻲ‬ ‫ﻻ‬ ‫اﻟﻌﻤﻞ‬ ‫ھﺬا‬
Objectives
● The location, boundaries & contents of the popliteal fossa
● The contents of posterior fascial compartment of Leg.
● The structures hold by retinacula at ankle.
● Layers forming in the sole of foot & bone forming the arches of the foot.
Popliteal Fossa
Definition :
Is a diamond-shaped, intermuscular space
at the back of knee .
Boundaries :
Laterally Above : biceps femoris.
Laterally Below : lateral head of
gastrocnemius & plantaris
Medially Above : semitendinosus &
semimembranosus.
Medially Below : medial head of gastrocnemius.
Roof (‫ﻓوق‬ ‫ﯾﻛون‬ ‫ﺷرط‬ ‫)ﻣو‬ ‫ﻣﻐطﯾﮫ‬ ‫اﻟﻠﻲ‬ ‫ﺑﮫ‬ ‫ﯾﻘﺻد‬: Skin, superficial fascia and deep fascia of
the thigh.
Floor: popliteal surface of femur, posterior ligament of knee
joint and popliteus muscle.
‫وﯾﺣده‬ ‫اﻟرﻛﺑﺔ‬ ‫ﻣن‬ ‫اﻟﺧﻠﻔﻲ‬ ‫اﻟﺟزء‬ ‫ﻓﻲ‬ ‫اﻟﺷﻛل‬ ‫ﻣﻌﯾن‬ ‫ﻓراغ‬ ‫ﯾوﺟد‬
: ‫ﻋﺿﻼت‬ ‫أرﺑﻌﺔ‬
‫ﻋﺿﻼت‬ ‫ﻣن‬ ‫وﺗﻌﺗﺑر‬ biceps femoris ‫ﻓوق‬ ‫ﻻﺗرال‬
. hamstring muscles
. hamstring ‫ﻣن‬ ‫اﻟﺛﻧﺗﯾن‬ ‫اﻟﺳﯾﻣﻲ‬ ‫اﻟﻌﺿﻼت‬ ‫ﻓوق‬ ‫ﻣﯾدﯾﺎل‬
‫واﺣد‬ ‫راﺳﯾن‬ ‫وﻟﮭﺎ‬ gastrocnemius ‫ﻋﺿﻠﺔ‬ ‫ﻓﯾﮫ‬ ‫ﺗﺣت‬ ‫اﻟﻠﻲ‬
‫ﺑﻌد‬ ‫ﺗﺣت‬ ‫اﻟﻼﺗرال‬ ‫ﻣﻊ‬ ‫وﯾﻛون‬ ‫ﻻﺗرال‬ ‫واﻟﺛﺎﻧﻲ‬ ‫ﻣﯾدﯾﺎل‬
plantaris
Contents : (From medial to lateral) 6 structures
Popliteal vessels(artery & vein) → Small saphenous vein →
Tibial nerve → Common peroneal nerve → Posterior
cutaneous nerve of thigh → Connective tissue & popliteal
lymph nodes.
The deepest structure is popliteal artery.
Popliteal Fossa
Contents of The posterior fascial compartment of the leg
The deep transverse fascia or
transverse intermuscular septum
of the leg is a septum that divides the
muscles of the posterior compartment
into superficial and deep groups.
Contents: **no veins
1.Superficial group of muscles
2.Deep group of muscles
3.Posterior tibial artery
4.Tibial nerve
‫اﻟﻰ‬ Leg ‫اﻟـ‬ ‫ﯾﻘﺳم‬ Interosseous membrane ‫ﻋﺎم‬ ‫ﺑﺷﻛل‬
posterior ‫اﻟـ‬ ‫و‬ anterior and posterior compartment
‫ﺑواﺳطﺔ‬ ‫ﻗﺳﻣﯾن‬ ‫اﻟﻰ‬ ‫ﯾﻧﻘﺳﻣون‬ compartment
. deep and ‫اﻟﻰ‬ transverse intermuscular septum
. superficial
Interosseous = ‫اﻟﻌظﺎم‬ ‫ﺑﯾن‬
intermuscular = ‫اﻟﻌﺿﻼت‬ ‫ﺑﯾن‬
Superficial group
Muscle Origin Insertion Nerve Action
Gastrocnemius Lateral head from lateral condyle of femur
& medial head from above medial condyle
Posterior surface of calcaneum
via tendo calcaneus
Tibial
Plantar flexes foot at ankle joint; flexes
knee joint
Plantaris Lateral supracondylar ridge of femur Posterior surface of calcaneum Plantar flexes foot at ankle joint; flexes
knee joint
Soleus Shafts of tibia and fibula Posterior surface of calcaneum
via tendo calcaneus
Together with gastrocnemius and
plantaris,it is a powerful plantar flexor of
ankle joint; provides main propulsive force
in walking and running
lateral
condyle
medial
condyle
Deep group
Popliteus Groove on Lateral surface of lateral condyle of
femur (Intracapsular)
Post surface of shaft of tibia above soleal line
Tibial
Flexes knee joint : Unlocks knee joint by lateral rotation of
femur on tibia(or slight medial rotation of leg which
accompanies the flexion)
Flexor digitorum
longus
Posterior surface of shaft of tibia Bases of distal phalanges of lateral 4 toes Flexes distal phalanges of lateral four toes; plantar Flexes foot at
ankle joint; Supports medial and lateral longitudinal arches
Flexor hallucis
longus
Posterior surface of shaft of fibula Base of distal phalanx of big toe Flexes distal phalanx of big toe; plantar flexes foot at ankle joint;
supports medial longitudinal arch
Tibialis
posterior
Posterior surface of shafts of tibia and fibula
and interosseous membrane
Tuberosity of navicular bone and other
neighboring tarsal bones, except talus
Plantar flexes foot at ankle joint; inverts foot at subtalar and
transverse tarsal joints; supports medial longitudinal arch
origin insertion nerve action
muscle
Posterior tibial artery and tibial nerve
Posterior tibial artery:
It is one of the terminal branches
of the popliteal artery.
Tibial nerve
It is the larger terminal branch
of the sciatic nerve in the lower
1/3 of the back of the thigh
Flexor Retinaculum
Extends from back
of medial malleolus
to medial side of
calcaneum.
Structures passing posterior to
medial malleolus, deep to flexor
retinaculum:
Medial to lateral :
1- Tibialis posterior tendon
2- Flexor digitorum longus tendon
3- Posterior tibial artery with venae
comitantes
4- Tibial nerve
5- Flexor hallucis longus tendon
(All the tendons are surrounded by
a synovial sheath)
“Tom, Dick And Nervous Harry”
Sensory Nerve supply
The sensory nerve
supply to the skin
of the sole of the
foot is derived
from:
Lateral plantar nerve
innervate the lateral
third of the sole.
Tibial nerve
innervates the medial
side of the heel.
Medial plantar nerve
innervate the medial
two thirds of the sole
Sole of the foot
- The skin of the sole of the foot is
thick and hairless.
- The skin of the sole shows a few
flexure creases at the sites of skin
movement.
- Sweat glands are present in large
numbers.
- The plantar aponeurosis is a
triangular thickening of the deep
fascia that protects the
underlying nerves, blood
vessels, and muscles.
- Its apex is attached to the
medial and lateral tubercles of
the calcaneum.
- The base of the aponeurosis
divides into five slips that pass
into the toes.
Deep fascia
Muscles of the sole of the foot
The muscles of the sole are conveniently described in four layers from superficial to deep
First
Layer
Second
Layer
1- Abductor hallucis
2- Flexor digitorum
brevis
3- Abductor digiti
minimi
1 2
3
1- Quadratus plantea
2- Lumbricals (4 muscles)
3- Flexor digitorum
longus tendon*
4- Flexor hallucis longus
tendon*
1
2
(TEAM436)
*Only the TENDON
not the muscle
To remember: only
the even layers have
tendons (2,4)
Muscles of the sole of the foot cont
Third
Layer
Fourth
Layer
1-Flexor hallucis brevis
2-Adductor hallucis
3-Flexor digiti minimi brevis
1-Interossei, (3 plantar + 4
dorsal).
2-Peroneus longus tendon,
3-Tibialis posterior tendon
Fibrous Flexor Sheaths
the inferior surface of each toe, from the head of
the metatarsal bone to the base of the distal
phalanx, is provided with a strong fibrous sheath
which is attached to the sides of the phalanges.
the fibrous sheath, together with the inferior
surfaces of the phalanges and the
interphalangeal joints, forms a blind tunnel in
which lie the flexor tendons of the toe.
Synovial Flexor Sheaths
the tendons of the flexor hallucis
longus and the flexor digitorum longus
are surrounded by synovial sheaths.
Movement of
Metatarsophalangeal
joints
flexion
1-flexor digitorum
brevis
2-lumbricals
3-interossei
4-flexor hallucis brevis
5-flexor hallucis longus
6-flexor digiti minimi
brevis
7-flexor digitorum longus
extension
1-extensor hallucis longus
2-extensor digitorum longus
3-extensor digitorum brevis
adduction
1-adductor hallucis
2-planter interossei
abduction
1-abductor
hallucis
2-abductor digiti
minimi
3-dorsal
interossei
muscles in bold are chiefly responsible for the movement, the other muscles assist them
Movement of
Interphalangeal
joints
flexion
1-flexor hallucis
longus
2-flexor digitorum
longus
3-flexor digitorum
brevis
4-quadratus plantae
extension
1-extensor hallucis
longus
2-extensor digitorum
longus
3-extensor digitorum
brevis
muscles in bold are chiefly responsible for the movement, the other muscles assist them
Medial and lateral plantar arteries and nerve
The medial plantar artery is the
smaller & lateral plantar artery is the
larger of the terminal branches of the
posterior tibial artery
● The medial plantar nerve is a
terminal branch of the tibial nerve.
● The lateral plantar nerve is a
terminal branch of the tibial nerve.
(1st lumbrical )
summary
Team Members
Lamia Abdullah Alkuwaiz (Team Leader)
Rawan Mohammad Alharbi
Abeer Alabduljabbar
Afnan Abdulaziz Almustafa
Ahad Algrain
Alanoud Almansour
Albandari Alshaye
AlFhadah abdullah alsaleem
Arwa Alzahrani
Dana Abdulaziz Alrasheed
Dimah Khalid Alaraifi
Ghada Alhaidari
Ghada Almuhanna
Ghaida Alsanad
Hadeel Khalid Awartani
Haifa Alessa
Khulood Alwehabi
Layan Hassan Alwatban
Lojain Azizalrahman
Lujain Tariq AlZaid
Maha Barakah
Majd Khalid AlBarrak
Norah Alharbi
Nouf Alotaibi
Noura Mohammed Alothaim
Rahaf Turki Alshammari
Reham Alhalabi
Rinad Musaed Alghoraiby
Sara Alsultan
Shahad Alzahrani
Wafa Alotaibi
Wejdan Fahad Albadrani
Wjdan AlShamry
Faisal Fahad Alsaif (Team Leader)
Abdulaziz Al dukhayel
Fahad Alfaiz
Akram Alfandi
Saad Aloqile
Saleh Almoaiqel
Abdulaziz Alabdulkareem
Abdullah Almeaither
Yazeed Aldossari
Muath Alhumood
Abdulrahman Almotairi
Abdulelah Aldossari
Abdulrahman Alduhayyim
Abdullah AlOmar
Hamdan Aldossari
Mohammed Alomar
Abdulrahman Aldawood
Saud Alghufaily
Hassan Aloraini
Khalid Almutairi
Rakan Alkharan
Abdullah AL-Essa
Abdulmajeed
Alwardi
Abdulrahman Alageel
Rayyan Almousa
Sultan Alfuhaid
Ali Alammari
Fahad alshughaithry
Fayez Ghiyath
Aldarsouni
Mohammed Alquwayfili
Abduljabbar Al-yamani
Sultan Al-nasser
Majed Aljohani
Zeyad Al-khenaizan
Mohammed Nouri
Abdulaziz Al-drgam
Fahad Aldhowaihy
Omar alyabis

More Related Content

Similar to Lecture 18 popliteal fossa anatomy lower limb

Sole of the foot
Sole of the footSole of the foot
Sole of the foot
Eimaan Ktk
 
Muscles of the anterior thigh
Muscles of the anterior thighMuscles of the anterior thigh
Muscles of the anterior thigh
Eimaan Ktk
 
Lecture (16) Popliteal fossa.pdf
Lecture (16) Popliteal fossa.pdfLecture (16) Popliteal fossa.pdf
Lecture (16) Popliteal fossa.pdf
GUNASEKARANM20
 
GLUTEAL REGION And POST THIGH
GLUTEAL REGION And POST THIGHGLUTEAL REGION And POST THIGH
GLUTEAL REGION And POST THIGHDante Mercado
 
Anatomy of the foot
Anatomy of the footAnatomy of the foot
Anatomy of the foot
Khlody Barakat
 
Sole of foot
Sole of footSole of foot
Sole of foot
mattygamer
 
Kinetics of knee joint
Kinetics of knee jointKinetics of knee joint
Kinetics of knee joint
AkhilaNatesan
 
knee joint
knee jointknee joint
knee joint
hanan777
 
Anatomy of foot and arches of foot
Anatomy of foot and arches of footAnatomy of foot and arches of foot
Anatomy of foot and arches of foot
Shiva Kandanulu
 
Lateral & posterior compartment of leg
Lateral & posterior compartment of leg   Lateral & posterior compartment of leg
Lateral & posterior compartment of leg
Prabhakar Yadav
 
Sole Of Foot Final.pptx
Sole Of Foot Final.pptxSole Of Foot Final.pptx
Sole Of Foot Final.pptx
MeetVaghasiya20
 
Ankle joint
Ankle  jointAnkle  joint
Anatomy of the leg
Anatomy of the legAnatomy of the leg
Anatomy of the leg
Randolph Tulsie
 
Muscles of foot
Muscles of footMuscles of foot
Muscles of foot
Idris Siddiqui
 
Limbs applied anatomy 2015
Limbs applied anatomy 2015Limbs applied anatomy 2015
Limbs applied anatomy 2015
Dalitso Mwale
 
ANTEROLATERAL LEG.pptx
ANTEROLATERAL LEG.pptxANTEROLATERAL LEG.pptx
ANTEROLATERAL LEG.pptx
GUNASEKARANM20
 
Tarsal, Metatarsal and Phalanges of the Foot
Tarsal, Metatarsal and Phalanges of the FootTarsal, Metatarsal and Phalanges of the Foot
Tarsal, Metatarsal and Phalanges of the Foot
Sado Anatomist
 
Knee joint ps3
Knee joint  ps3Knee joint  ps3
Knee joint ps3
DR. SHRUTI SINGH
 
The foot
The footThe foot
The foot
Idris Siddiqui
 
Ankle joint Anatomy.pptx
Ankle joint Anatomy.pptxAnkle joint Anatomy.pptx
Ankle joint Anatomy.pptx
AfifaWaseem2
 

Similar to Lecture 18 popliteal fossa anatomy lower limb (20)

Sole of the foot
Sole of the footSole of the foot
Sole of the foot
 
Muscles of the anterior thigh
Muscles of the anterior thighMuscles of the anterior thigh
Muscles of the anterior thigh
 
Lecture (16) Popliteal fossa.pdf
Lecture (16) Popliteal fossa.pdfLecture (16) Popliteal fossa.pdf
Lecture (16) Popliteal fossa.pdf
 
GLUTEAL REGION And POST THIGH
GLUTEAL REGION And POST THIGHGLUTEAL REGION And POST THIGH
GLUTEAL REGION And POST THIGH
 
Anatomy of the foot
Anatomy of the footAnatomy of the foot
Anatomy of the foot
 
Sole of foot
Sole of footSole of foot
Sole of foot
 
Kinetics of knee joint
Kinetics of knee jointKinetics of knee joint
Kinetics of knee joint
 
knee joint
knee jointknee joint
knee joint
 
Anatomy of foot and arches of foot
Anatomy of foot and arches of footAnatomy of foot and arches of foot
Anatomy of foot and arches of foot
 
Lateral & posterior compartment of leg
Lateral & posterior compartment of leg   Lateral & posterior compartment of leg
Lateral & posterior compartment of leg
 
Sole Of Foot Final.pptx
Sole Of Foot Final.pptxSole Of Foot Final.pptx
Sole Of Foot Final.pptx
 
Ankle joint
Ankle  jointAnkle  joint
Ankle joint
 
Anatomy of the leg
Anatomy of the legAnatomy of the leg
Anatomy of the leg
 
Muscles of foot
Muscles of footMuscles of foot
Muscles of foot
 
Limbs applied anatomy 2015
Limbs applied anatomy 2015Limbs applied anatomy 2015
Limbs applied anatomy 2015
 
ANTEROLATERAL LEG.pptx
ANTEROLATERAL LEG.pptxANTEROLATERAL LEG.pptx
ANTEROLATERAL LEG.pptx
 
Tarsal, Metatarsal and Phalanges of the Foot
Tarsal, Metatarsal and Phalanges of the FootTarsal, Metatarsal and Phalanges of the Foot
Tarsal, Metatarsal and Phalanges of the Foot
 
Knee joint ps3
Knee joint  ps3Knee joint  ps3
Knee joint ps3
 
The foot
The footThe foot
The foot
 
Ankle joint Anatomy.pptx
Ankle joint Anatomy.pptxAnkle joint Anatomy.pptx
Ankle joint Anatomy.pptx
 

Recently uploaded

How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
Jisc
 
Language Across the Curriculm LAC B.Ed.
Language Across the  Curriculm LAC B.Ed.Language Across the  Curriculm LAC B.Ed.
Language Across the Curriculm LAC B.Ed.
Atul Kumar Singh
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
Jisc
 
A Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in EducationA Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in Education
Peter Windle
 
Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdfUnit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
Thiyagu K
 
Embracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic ImperativeEmbracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic Imperative
Peter Windle
 
CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
camakaiclarkmusic
 
Lapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdfLapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdf
Jean Carlos Nunes Paixão
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
siemaillard
 
Guidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th SemesterGuidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th Semester
Atul Kumar Singh
 
Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.
Ashokrao Mane college of Pharmacy Peth-Vadgaon
 
Supporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptxSupporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptx
Jisc
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
Pavel ( NSTU)
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
RaedMohamed3
 
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
Nguyen Thanh Tu Collection
 
The Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptxThe Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptx
DhatriParmar
 
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
Vivekanand Anglo Vedic Academy
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
Sandy Millin
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
kaushalkr1407
 
Thesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.pptThesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.ppt
EverAndrsGuerraGuerr
 

Recently uploaded (20)

How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
 
Language Across the Curriculm LAC B.Ed.
Language Across the  Curriculm LAC B.Ed.Language Across the  Curriculm LAC B.Ed.
Language Across the Curriculm LAC B.Ed.
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
 
A Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in EducationA Strategic Approach: GenAI in Education
A Strategic Approach: GenAI in Education
 
Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdfUnit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
 
Embracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic ImperativeEmbracing GenAI - A Strategic Imperative
Embracing GenAI - A Strategic Imperative
 
CACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdfCACJapan - GROUP Presentation 1- Wk 4.pdf
CACJapan - GROUP Presentation 1- Wk 4.pdf
 
Lapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdfLapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdf
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
 
Guidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th SemesterGuidance_and_Counselling.pdf B.Ed. 4th Semester
Guidance_and_Counselling.pdf B.Ed. 4th Semester
 
Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.
 
Supporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptxSupporting (UKRI) OA monographs at Salford.pptx
Supporting (UKRI) OA monographs at Salford.pptx
 
Synthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptxSynthetic Fiber Construction in lab .pptx
Synthetic Fiber Construction in lab .pptx
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
 
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
 
The Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptxThe Accursed House by Émile Gaboriau.pptx
The Accursed House by Émile Gaboriau.pptx
 
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
 
Thesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.pptThesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.ppt
 

Lecture 18 popliteal fossa anatomy lower limb

  • 1. Please check our Editing File. Popliteal Fossa, Posterior Compartment of leg & Sole of foot Lecture 18 {ُ‫ﻪ‬ُ‫ﺒ‬ْ‫ﺴ‬َ‫ﺣ‬ َ‫ﻮ‬ُ‫ﻬ‬َ‫ﻓ‬ ِ‫ﻪ‬‫اﻟﻠ‬ ‫َﻰ‬‫ﻠ‬َ‫ﻋ‬ ْ‫ﻞ‬‫َﻛ‬‫ﻮ‬َ‫ﺘ‬َ‫ﻳ‬ ْ‫ﻦ‬َ‫ﻣ‬َ‫و‬} ‫ﻟﻠﻤﺬاﻛﺮة‬ ‫اﻷﺳﺎﺳﻲ‬ ‫اﻟﻤﺼﺪر‬ ‫ﻋﻦ‬ ‫ﯾﻐﻨﻲ‬ ‫ﻻ‬ ‫اﻟﻌﻤﻞ‬ ‫ھﺬا‬
  • 2. Objectives ● The location, boundaries & contents of the popliteal fossa ● The contents of posterior fascial compartment of Leg. ● The structures hold by retinacula at ankle. ● Layers forming in the sole of foot & bone forming the arches of the foot.
  • 3. Popliteal Fossa Definition : Is a diamond-shaped, intermuscular space at the back of knee . Boundaries : Laterally Above : biceps femoris. Laterally Below : lateral head of gastrocnemius & plantaris Medially Above : semitendinosus & semimembranosus. Medially Below : medial head of gastrocnemius. Roof (‫ﻓوق‬ ‫ﯾﻛون‬ ‫ﺷرط‬ ‫)ﻣو‬ ‫ﻣﻐطﯾﮫ‬ ‫اﻟﻠﻲ‬ ‫ﺑﮫ‬ ‫ﯾﻘﺻد‬: Skin, superficial fascia and deep fascia of the thigh. Floor: popliteal surface of femur, posterior ligament of knee joint and popliteus muscle. ‫وﯾﺣده‬ ‫اﻟرﻛﺑﺔ‬ ‫ﻣن‬ ‫اﻟﺧﻠﻔﻲ‬ ‫اﻟﺟزء‬ ‫ﻓﻲ‬ ‫اﻟﺷﻛل‬ ‫ﻣﻌﯾن‬ ‫ﻓراغ‬ ‫ﯾوﺟد‬ : ‫ﻋﺿﻼت‬ ‫أرﺑﻌﺔ‬ ‫ﻋﺿﻼت‬ ‫ﻣن‬ ‫وﺗﻌﺗﺑر‬ biceps femoris ‫ﻓوق‬ ‫ﻻﺗرال‬ . hamstring muscles . hamstring ‫ﻣن‬ ‫اﻟﺛﻧﺗﯾن‬ ‫اﻟﺳﯾﻣﻲ‬ ‫اﻟﻌﺿﻼت‬ ‫ﻓوق‬ ‫ﻣﯾدﯾﺎل‬ ‫واﺣد‬ ‫راﺳﯾن‬ ‫وﻟﮭﺎ‬ gastrocnemius ‫ﻋﺿﻠﺔ‬ ‫ﻓﯾﮫ‬ ‫ﺗﺣت‬ ‫اﻟﻠﻲ‬ ‫ﺑﻌد‬ ‫ﺗﺣت‬ ‫اﻟﻼﺗرال‬ ‫ﻣﻊ‬ ‫وﯾﻛون‬ ‫ﻻﺗرال‬ ‫واﻟﺛﺎﻧﻲ‬ ‫ﻣﯾدﯾﺎل‬ plantaris
  • 4. Contents : (From medial to lateral) 6 structures Popliteal vessels(artery & vein) → Small saphenous vein → Tibial nerve → Common peroneal nerve → Posterior cutaneous nerve of thigh → Connective tissue & popliteal lymph nodes. The deepest structure is popliteal artery. Popliteal Fossa
  • 5. Contents of The posterior fascial compartment of the leg The deep transverse fascia or transverse intermuscular septum of the leg is a septum that divides the muscles of the posterior compartment into superficial and deep groups. Contents: **no veins 1.Superficial group of muscles 2.Deep group of muscles 3.Posterior tibial artery 4.Tibial nerve ‫اﻟﻰ‬ Leg ‫اﻟـ‬ ‫ﯾﻘﺳم‬ Interosseous membrane ‫ﻋﺎم‬ ‫ﺑﺷﻛل‬ posterior ‫اﻟـ‬ ‫و‬ anterior and posterior compartment ‫ﺑواﺳطﺔ‬ ‫ﻗﺳﻣﯾن‬ ‫اﻟﻰ‬ ‫ﯾﻧﻘﺳﻣون‬ compartment . deep and ‫اﻟﻰ‬ transverse intermuscular septum . superficial Interosseous = ‫اﻟﻌظﺎم‬ ‫ﺑﯾن‬ intermuscular = ‫اﻟﻌﺿﻼت‬ ‫ﺑﯾن‬
  • 6. Superficial group Muscle Origin Insertion Nerve Action Gastrocnemius Lateral head from lateral condyle of femur & medial head from above medial condyle Posterior surface of calcaneum via tendo calcaneus Tibial Plantar flexes foot at ankle joint; flexes knee joint Plantaris Lateral supracondylar ridge of femur Posterior surface of calcaneum Plantar flexes foot at ankle joint; flexes knee joint Soleus Shafts of tibia and fibula Posterior surface of calcaneum via tendo calcaneus Together with gastrocnemius and plantaris,it is a powerful plantar flexor of ankle joint; provides main propulsive force in walking and running lateral condyle medial condyle
  • 7. Deep group Popliteus Groove on Lateral surface of lateral condyle of femur (Intracapsular) Post surface of shaft of tibia above soleal line Tibial Flexes knee joint : Unlocks knee joint by lateral rotation of femur on tibia(or slight medial rotation of leg which accompanies the flexion) Flexor digitorum longus Posterior surface of shaft of tibia Bases of distal phalanges of lateral 4 toes Flexes distal phalanges of lateral four toes; plantar Flexes foot at ankle joint; Supports medial and lateral longitudinal arches Flexor hallucis longus Posterior surface of shaft of fibula Base of distal phalanx of big toe Flexes distal phalanx of big toe; plantar flexes foot at ankle joint; supports medial longitudinal arch Tibialis posterior Posterior surface of shafts of tibia and fibula and interosseous membrane Tuberosity of navicular bone and other neighboring tarsal bones, except talus Plantar flexes foot at ankle joint; inverts foot at subtalar and transverse tarsal joints; supports medial longitudinal arch origin insertion nerve action muscle
  • 8. Posterior tibial artery and tibial nerve Posterior tibial artery: It is one of the terminal branches of the popliteal artery. Tibial nerve It is the larger terminal branch of the sciatic nerve in the lower 1/3 of the back of the thigh
  • 9. Flexor Retinaculum Extends from back of medial malleolus to medial side of calcaneum. Structures passing posterior to medial malleolus, deep to flexor retinaculum: Medial to lateral : 1- Tibialis posterior tendon 2- Flexor digitorum longus tendon 3- Posterior tibial artery with venae comitantes 4- Tibial nerve 5- Flexor hallucis longus tendon (All the tendons are surrounded by a synovial sheath) “Tom, Dick And Nervous Harry”
  • 10. Sensory Nerve supply The sensory nerve supply to the skin of the sole of the foot is derived from: Lateral plantar nerve innervate the lateral third of the sole. Tibial nerve innervates the medial side of the heel. Medial plantar nerve innervate the medial two thirds of the sole
  • 11. Sole of the foot - The skin of the sole of the foot is thick and hairless. - The skin of the sole shows a few flexure creases at the sites of skin movement. - Sweat glands are present in large numbers. - The plantar aponeurosis is a triangular thickening of the deep fascia that protects the underlying nerves, blood vessels, and muscles. - Its apex is attached to the medial and lateral tubercles of the calcaneum. - The base of the aponeurosis divides into five slips that pass into the toes. Deep fascia
  • 12. Muscles of the sole of the foot The muscles of the sole are conveniently described in four layers from superficial to deep First Layer Second Layer 1- Abductor hallucis 2- Flexor digitorum brevis 3- Abductor digiti minimi 1 2 3 1- Quadratus plantea 2- Lumbricals (4 muscles) 3- Flexor digitorum longus tendon* 4- Flexor hallucis longus tendon* 1 2 (TEAM436) *Only the TENDON not the muscle To remember: only the even layers have tendons (2,4)
  • 13. Muscles of the sole of the foot cont Third Layer Fourth Layer 1-Flexor hallucis brevis 2-Adductor hallucis 3-Flexor digiti minimi brevis 1-Interossei, (3 plantar + 4 dorsal). 2-Peroneus longus tendon, 3-Tibialis posterior tendon
  • 14. Fibrous Flexor Sheaths the inferior surface of each toe, from the head of the metatarsal bone to the base of the distal phalanx, is provided with a strong fibrous sheath which is attached to the sides of the phalanges. the fibrous sheath, together with the inferior surfaces of the phalanges and the interphalangeal joints, forms a blind tunnel in which lie the flexor tendons of the toe.
  • 15. Synovial Flexor Sheaths the tendons of the flexor hallucis longus and the flexor digitorum longus are surrounded by synovial sheaths.
  • 16. Movement of Metatarsophalangeal joints flexion 1-flexor digitorum brevis 2-lumbricals 3-interossei 4-flexor hallucis brevis 5-flexor hallucis longus 6-flexor digiti minimi brevis 7-flexor digitorum longus extension 1-extensor hallucis longus 2-extensor digitorum longus 3-extensor digitorum brevis adduction 1-adductor hallucis 2-planter interossei abduction 1-abductor hallucis 2-abductor digiti minimi 3-dorsal interossei muscles in bold are chiefly responsible for the movement, the other muscles assist them
  • 17. Movement of Interphalangeal joints flexion 1-flexor hallucis longus 2-flexor digitorum longus 3-flexor digitorum brevis 4-quadratus plantae extension 1-extensor hallucis longus 2-extensor digitorum longus 3-extensor digitorum brevis muscles in bold are chiefly responsible for the movement, the other muscles assist them
  • 18. Medial and lateral plantar arteries and nerve The medial plantar artery is the smaller & lateral plantar artery is the larger of the terminal branches of the posterior tibial artery ● The medial plantar nerve is a terminal branch of the tibial nerve. ● The lateral plantar nerve is a terminal branch of the tibial nerve. (1st lumbrical )
  • 20.
  • 21. Team Members Lamia Abdullah Alkuwaiz (Team Leader) Rawan Mohammad Alharbi Abeer Alabduljabbar Afnan Abdulaziz Almustafa Ahad Algrain Alanoud Almansour Albandari Alshaye AlFhadah abdullah alsaleem Arwa Alzahrani Dana Abdulaziz Alrasheed Dimah Khalid Alaraifi Ghada Alhaidari Ghada Almuhanna Ghaida Alsanad Hadeel Khalid Awartani Haifa Alessa Khulood Alwehabi Layan Hassan Alwatban Lojain Azizalrahman Lujain Tariq AlZaid Maha Barakah Majd Khalid AlBarrak Norah Alharbi Nouf Alotaibi Noura Mohammed Alothaim Rahaf Turki Alshammari Reham Alhalabi Rinad Musaed Alghoraiby Sara Alsultan Shahad Alzahrani Wafa Alotaibi Wejdan Fahad Albadrani Wjdan AlShamry Faisal Fahad Alsaif (Team Leader) Abdulaziz Al dukhayel Fahad Alfaiz Akram Alfandi Saad Aloqile Saleh Almoaiqel Abdulaziz Alabdulkareem Abdullah Almeaither Yazeed Aldossari Muath Alhumood Abdulrahman Almotairi Abdulelah Aldossari Abdulrahman Alduhayyim Abdullah AlOmar Hamdan Aldossari Mohammed Alomar Abdulrahman Aldawood Saud Alghufaily Hassan Aloraini Khalid Almutairi Rakan Alkharan Abdullah AL-Essa Abdulmajeed Alwardi Abdulrahman Alageel Rayyan Almousa Sultan Alfuhaid Ali Alammari Fahad alshughaithry Fayez Ghiyath Aldarsouni Mohammed Alquwayfili Abduljabbar Al-yamani Sultan Al-nasser Majed Aljohani Zeyad Al-khenaizan Mohammed Nouri Abdulaziz Al-drgam Fahad Aldhowaihy Omar alyabis