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THE MEDIAL COMPARTMENT
OF THIGH
femur
medial
lateral
Anterior compartment-
Extensors of the knee
Femoral Nerve
Medial compartment-
Adductors of the
knee
Obturator Nerve
Posterior
compartment-
Flexors of the
knee
Sciatic Nerve
 Medial Compartment = hip adductors
(some rotation and flexion); innervated
by obturator nerve and its branch,
blood supply by branches off deep
femoral artery and obturator artery
Thigh
Medial Compartment of Thigh
 The medial compartment of the thigh is
frequently called the adductor compartment
because the major action of this group of
muscles is adduction, except for the
hamstring portion of the adductor magnus
which performs as a hamstring and is
supplied by a different nerve than the
obturator, which supplies the muscles of the
medial compartment.
Medial Compartment of Thigh
 Blood Supply:
Obturator artery:
Branch of internal iliac artery.
 Innervation:
Obturator nerve.
Tibial nerve:
To hamstring portion of adductor
magnus.
 Action:
Adduction
Arteries
OBTURATOR NERVE
Medial Compartment of Thigh
Muscles:
Gracilis.
Adductor longus.
Adductor brevis.
Adductor magnus.
Obturator externus
Medial Compartment
MUSCLE ORIGIN INSERTION ACTION
NERVE
SUPPLY
GRACILIS INFERIOR
RAMUS OF
PUBIS;
RAMUS OF
ISCHIUM
UPPER PART
OF SHAFT OF
TIBIA
ON ITS MEDIAL
SURFACE
ADDUCTS
THIGH;
FLEXES LEG
OBTURATOR NERVE
ADDUCTOR
LONGUS
BODY OF
PUBIS
POSTERIOR
SURFACE OF
SHAFT OF
FEMUR
ADDUCTS
THIGH AND
ASSISTS
IN LATERAL
ROTATION
OBTURATOR NERVE
ADDUCTOR
BREVIS
INFERIOR
RAMUS OF
PUBIS
POSTERIOR
SURFACE OF
SHAFT OF
FEMUR
ADDUCTS
THIGH AND
ASSISTS IN
LATERAL
ROTATION
OBTURATOR NERVE
ADDUCTOR
MAGNUS
INFERIOR
RAMUS OF
PUBIS; RAMUS
OF ISCHIUM
ISCHIAL
TUBEROSITY
POSTERIOR
SURFACE OF
SHAFT OF
FEMUR;
ADDUCTOR
TUBERCLE OF
FEMUR
ADDUCTS
THIGH AND
ASSISTS IN
LATERAL
ROTATION.
HAMSTRING
PART
EXTENDS
OBTURATOR NERVE AND
TIBIAL PART OF SCIATIC
POSTERIOR
COMPARTMENT
 Posterior compartment = hip
extensors and knee flexors;
innervated by tibial or common
peroneal nerves, blood supply by
deep femoral artery
Thigh
Posterior Compartment of Thigh
 Cutaneous Nerve
◦ The Lateral Femoral Cutaneous Nerve
◦ The Posterior Femoral Cutaneous Nerve
 Innervation:
Common peroneal nerve
Tibial nerve
 Vascular Supply:
Perforating arteries (from profunda
femoris)
Inferior gluteal
 Action:
Hip extension.
Sciatic nerve
(L4,L5,S1,S2,S3)
 In pelvis
Lies in front of piriformis
 In gluteal region
Enters the gluteal region through
greator sciatic foramina between the
ischial tuberosity and greator trochentor
 In thigh
Enters at lower border of gluteus
maximus . Runs vertically down at
superior border of popliteal fossa where
it divides into tibial ( L4,L5,S1,S2,S3)
and comon peroneal part.(L4,L5,S1,S2)
 Medial; semimembranosis,
semitendinosis
 Lateral; biceps femoris
 Deep/anterior; adductor magnus
MUSCLES OF POSTERIOR
COMPARTMENT
 All the muscles are known as the
Hamstrings
 ALL arise from the ischial tuberosity
 The hamstrings are:
◦ Biceps femoris (long head & Short head)
◦ Semimembranosus
◦ Semitendinosus
LECTURE 7MEDIAL and posterior compartment of thigh.ppt
LECTURE 7MEDIAL and posterior compartment of thigh.ppt
LECTURE 7MEDIAL and posterior compartment of thigh.ppt
LECTURE 7MEDIAL and posterior compartment of thigh.ppt
LECTURE 7MEDIAL and posterior compartment of thigh.ppt
LECTURE 7MEDIAL and posterior compartment of thigh.ppt

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LECTURE 7MEDIAL and posterior compartment of thigh.ppt

  • 1.
  • 3. femur medial lateral Anterior compartment- Extensors of the knee Femoral Nerve Medial compartment- Adductors of the knee Obturator Nerve Posterior compartment- Flexors of the knee Sciatic Nerve
  • 4.  Medial Compartment = hip adductors (some rotation and flexion); innervated by obturator nerve and its branch, blood supply by branches off deep femoral artery and obturator artery Thigh
  • 5.
  • 6. Medial Compartment of Thigh  The medial compartment of the thigh is frequently called the adductor compartment because the major action of this group of muscles is adduction, except for the hamstring portion of the adductor magnus which performs as a hamstring and is supplied by a different nerve than the obturator, which supplies the muscles of the medial compartment.
  • 7. Medial Compartment of Thigh  Blood Supply: Obturator artery: Branch of internal iliac artery.  Innervation: Obturator nerve. Tibial nerve: To hamstring portion of adductor magnus.  Action: Adduction
  • 10.
  • 11. Medial Compartment of Thigh Muscles: Gracilis. Adductor longus. Adductor brevis. Adductor magnus. Obturator externus
  • 13. MUSCLE ORIGIN INSERTION ACTION NERVE SUPPLY GRACILIS INFERIOR RAMUS OF PUBIS; RAMUS OF ISCHIUM UPPER PART OF SHAFT OF TIBIA ON ITS MEDIAL SURFACE ADDUCTS THIGH; FLEXES LEG OBTURATOR NERVE ADDUCTOR LONGUS BODY OF PUBIS POSTERIOR SURFACE OF SHAFT OF FEMUR ADDUCTS THIGH AND ASSISTS IN LATERAL ROTATION OBTURATOR NERVE ADDUCTOR BREVIS INFERIOR RAMUS OF PUBIS POSTERIOR SURFACE OF SHAFT OF FEMUR ADDUCTS THIGH AND ASSISTS IN LATERAL ROTATION OBTURATOR NERVE ADDUCTOR MAGNUS INFERIOR RAMUS OF PUBIS; RAMUS OF ISCHIUM ISCHIAL TUBEROSITY POSTERIOR SURFACE OF SHAFT OF FEMUR; ADDUCTOR TUBERCLE OF FEMUR ADDUCTS THIGH AND ASSISTS IN LATERAL ROTATION. HAMSTRING PART EXTENDS OBTURATOR NERVE AND TIBIAL PART OF SCIATIC
  • 15.  Posterior compartment = hip extensors and knee flexors; innervated by tibial or common peroneal nerves, blood supply by deep femoral artery Thigh
  • 16. Posterior Compartment of Thigh  Cutaneous Nerve ◦ The Lateral Femoral Cutaneous Nerve ◦ The Posterior Femoral Cutaneous Nerve  Innervation: Common peroneal nerve Tibial nerve  Vascular Supply: Perforating arteries (from profunda femoris) Inferior gluteal  Action: Hip extension.
  • 17. Sciatic nerve (L4,L5,S1,S2,S3)  In pelvis Lies in front of piriformis  In gluteal region Enters the gluteal region through greator sciatic foramina between the ischial tuberosity and greator trochentor
  • 18.
  • 19.  In thigh Enters at lower border of gluteus maximus . Runs vertically down at superior border of popliteal fossa where it divides into tibial ( L4,L5,S1,S2,S3) and comon peroneal part.(L4,L5,S1,S2)  Medial; semimembranosis, semitendinosis  Lateral; biceps femoris  Deep/anterior; adductor magnus
  • 20. MUSCLES OF POSTERIOR COMPARTMENT  All the muscles are known as the Hamstrings  ALL arise from the ischial tuberosity  The hamstrings are: ◦ Biceps femoris (long head & Short head) ◦ Semimembranosus ◦ Semitendinosus