Iliac Fascia
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Iliac Fascia
The iliac fascia, or Abernethy's fascia, is a fascia in the region of the ilium of the pelvis. It has the following connections: * ''laterally'', to the whole length of the inner lip of the iliac crest. * ''medially'', to the linea terminalis of the lesser pelvis, where it is continuous with the periosteum. At the iliopectineal eminence it receives the tendon of insertion of the Psoas minor, when that muscle exists. Lateral to the femoral vessels it is intimately connected to the posterior margin of the inguinal ligament, and is continuous with the transversalis fascia. Immediately lateral to the femoral vessels the iliac fascia is prolonged backward and medialward from the inguinal ligament as a band, the iliopectineal fascia, which is attached to the iliopectineal eminence. This fascia divides the space between the inguinal ligament and the hip bone into two lacunæ or compartments: * the ''medial'' vascular lacuna transmits the femoral vessels. * the ''lateral'' muscular l ...
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Fascia
A fascia (; plural fasciae or fascias; adjective fascial; from Latin: "band") is a band or sheet of connective tissue, primarily collagen, beneath the skin that attaches to, stabilizes, encloses, and separates muscles and other internal organs. Fascia is classified by layer, as superficial fascia, deep fascia, and ''visceral'' or ''parietal'' fascia, or by its function and anatomical location. Like ligaments, aponeuroses, and tendons, fascia is made up of fibrous connective tissue containing closely packed bundles of collagen fibers oriented in a wavy pattern parallel to the direction of pull. Fascia is consequently flexible and able to resist great unidirectional tension forces until the wavy pattern of fibers has been straightened out by the pulling force. These collagen fibers are produced by fibroblasts located within the fascia. Fasciae are similar to ligaments and tendons as they have collagen as their major component. They differ in their location and function: ligament ...
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Iliopectineal Fascia
The Iliopectineal arch is a thickened band of fused iliac fascia and psoas fascia passing from the posterior aspect of the inguinal ligament anteriorly across the front of the femoral nerve to attach to the iliopubic eminence of the hip bone posteriorly. The iliopectineal arch thus forms a septum which subdivides the space deep to the inguinal ligament into a lateral muscular lacuna and a medial vascular lacuna. When a psoas minor muscle is present, its tendon of insertion blends with the iliopectineal arch It is sometimes transected in treatment of femoral nerve The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee. Structure The femoral nerve is the major nerve supplying the anterior compartment of the thigh. It is the largest ... entrapment. Additional Images File:Slide2gala.JPG, ILIOPECTINEAL ARCH.Deep dissection.Anterior view. References {{Authority control Pelvis Fascia ...
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Fascia Iliaca Block
Fascia iliaca blocks (FIC, FICB) is a local anesthetic nerve block, a type of regional anesthesia technique, used to provide analgesia or anaesthesia to the hip and thigh. FICB can performed by using ultrasound or with a loss of resistance technique, the latter sometimes referred to as the "''two-pop-method''". FICB works by affecting the femoral, obturator and the lateral cutaneous nerves with a local anesthetic. Technique When FICB is performed with the loss of resistance technique, the injection site for FICB is found by drawing an imaginary line between the pubic tubercle to the anterior superior iliac spine. The injection site is 1 cm. below the lateral one third and the medial two thirds of this line. Two losses of resistances are felt as the fascia lata and the fascia iliaca is penetrated by a semi-blunt cannula. Aspiration (drawing back the cannula) is performed, after which a local anaesthetic is injected while compressing on the skin distally to increase cra ...
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Conjoint Tendon
The conjoint tendon (previously known as the inguinal aponeurotic falx) is a sheath of connective tissue formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle, joining the muscle to the pelvis. It forms the medial part of the posterior wall of the inguinal canal. Structure The conjoint tendon is formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle. It inserts into the pubic crest and the pectineal line immediately behind the superficial inguinal ring. It is usually conjoint with the tendon of the internal oblique muscle, but they may be separate as well. It forms the medial part of the posterior wall of the inguinal canal. Clinical significance The conjoint tendon serves to protect what would otherwise be a weak point in the abdominal wall. A weakening of the conjoint tendon can precipitate a direct inguinal hernia. A direc ...
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Pectineal Line (pubis)
The pectineal line of the pubis (also pecten pubis) is a ridge on the superior ramus of the pubic bone. It forms part of the pelvic brim. Lying across from the pectineal line are fibers of the pectineal ligament, and the proximal origin of the pectineus muscle. In combination with the arcuate line, it makes the iliopectineal line The iliopectineal line is the border of the iliopubic eminence. It can be defined as a compound structure of the arcuate line (from the ilium) and pectineal line (from the pubis). With the sacral promontory, it makes up the linea terminalis The .... References External links * () {{Authority control Bones of the pelvis Pubis (bone) ...
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Femoral Nerve
The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee. Structure The femoral nerve is the major nerve supplying the anterior compartment of the thigh. It is the largest branch of the lumbar plexus, and arises from the dorsal divisions of the ventral rami of the second, third, and fourth lumbar nerves (L2, L3, and L4). The nerve enters Scarpa's triangle by passing beneath the inguinal ligament, just lateral to the femoral artery. In the thigh, the nerve lies in a groove between iliacus muscle and psoas major muscle, outside the femoral sheath, and lateral to the femoral artery. After a short course of about 4 cm in the thigh, the nerve is divided into anterior and posterior divisions, separated by lateral femoral circumflex artery. The branches are shown below: Muscular branches * The nerve to the pectineus muscle arises immediately above the inguinal ligament from the medial side of the femoral n ...
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Iliacus
The iliacus is a flat, triangular muscle which fills the iliac fossa. It forms the lateral portion of iliopsoas, providing flexion of the thigh and lower limb at the acetabulofemoral joint. Structure The iliacus arises from the iliac fossa on the interior side of the hip bone, and also from the region of the anterior inferior iliac spine (AIIS). It joins the psoas major to form the iliopsoas. It proceeds across the iliopubic eminence through the muscular lacuna to its insertion on the lesser trochanter of the femur. Its fibers are often inserted in front of those of the psoas major and extend distally over the lesser trochanter.Platzer (2004), p 234 Nerve supply The iliopsoas is innervated by the femoral nerve and direct branches from the lumbar plexus.''Thieme Atlas of Anatomy'' (2006), p 422 Function In open-chain exercises, as part of the iliopsoas, the iliacus is important for lifting (flexing) the femur forward (e.g. front scale). In closed-chain exercises, the iliopsoas b ...
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Psoas Major
The psoas major ( or ; from grc, ψόᾱ, psóā, muscles of the loins) is a long fusiform muscle located in the lateral lumbar region between the vertebral column and the brim of the lesser pelvis. It joins the iliacus muscle to form the iliopsoas. In animals, this muscle is equivalent to the tenderloin. Structure The psoas major is divided into a superficial and a deep part. The deep part originates from the transverse processes of lumbar vertebrae L1–L5. The superficial part originates from the lateral surfaces of the last thoracic vertebra, lumbar vertebrae L1–L4, and the neighboring intervertebral discs. The lumbar plexus lies between the two layers. Together, the iliacus muscle and the psoas major form the iliopsoas, which is surrounded by the iliac fascia. The iliopsoas runs across the iliopubic eminence through the muscular lacuna to its insertion on the lesser trochanter of the femur. The iliopectineal bursa separates the tendon of the iliopsoas muscle from th ...
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Muscular Lacuna
The muscular lacuna (Latin: ''lacuna musculorum'') is the lateral compartment of the thigh inferior to the inguinal ligament, for the passage of the iliopsoas muscle, the femoral nerve and the lateral cutaneous nerve of the thigh; it is separated by the iliopectineal arch from the vascular lacuna The vascular lacuna (Latin: ''lacuna vasorum'') is the compartment beneath the inguinal ligament which allows for passage of the femoral vessels, lymph vessels and lymph nodes. Its boundaries are the iliopectineal arch, the inguinal ligament, .... Muscular system {{musculoskeletal-stub ...
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Vascular Lacuna
The vascular lacuna (Latin: ''lacuna vasorum'') is the compartment beneath the inguinal ligament which allows for passage of the femoral vessels, lymph vessels and lymph nodes. Its boundaries are the iliopectineal arch, the inguinal ligament, the lacunar ligament, and the superior border of the pubis. The structures found in the vascular lacuna, from medial to lateral, are: * Cloquet's node; * Femoral vein; * Femoral artery; and * Femoral branch of the genitofemoral nerve The vascular lacuna is separated from the muscular lacuna The muscular lacuna (Latin: ''lacuna musculorum'') is the lateral compartment of the thigh inferior to the inguinal ligament, for the passage of the iliopsoas muscle, the femoral nerve and the lateral cutaneous nerve of the thigh; it is separate ... by the iliopectineal arch. The lacunar ligament can be a site of entrapment for femoral hernias.Ross, L.M., Lamperti, E.D. (2006). Thieme: Atlas of Anatomy: 489 References Muscular system ...
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Transversalis Fascia
The transversalis fascia (or transverse fascia) is a thin aponeurotic membrane of the abdomen. It lies between the inner surface of the transverse abdominal muscle and the parietal peritoneum. It forms part of the general layer of fascia lining the abdominal parietes. It is directly continuous with the iliac fascia, the internal spermatic fascia, and pelvic fasciae. Structure In the inguinal region, the transversalis fascia is thick and dense. It is joined by fibers from the aponeurosis of the transverse abdominal muscle. It becomes thin as it ascends to the diaphragm and blends with the fascia covering the under surface of this muscle. It is directly continuous with the iliac fascia, the internal spermatic fascia, and pelvic fasciae. Borders Behind, it is lost in the fat which covers the posterior surfaces of the kidneys. Below, it has the following attachments: posteriorly, to the whole length of the iliac crest, between the attachments of the transverse abdominal an ...
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Ilium (bone)
The ilium () (plural ilia) is the uppermost and largest part of the hip bone, and appears in most vertebrates including mammals and birds, but not bony fish. All reptiles have an ilium except snakes, although some snake species have a tiny bone which is considered to be an ilium. The ilium of the human is divisible into two parts, the body and the wing; the separation is indicated on the top surface by a curved line, the arcuate line, and on the external surface by the margin of the acetabulum. The name comes from the Latin (''ile'', ''ilis''), meaning "groin" or "flank". Structure The ilium consists of the body and wing. Together with the ischium and pubis, to which the ilium is connected, these form the pelvic bone, with only a faint line indicating the place of union. The body ( la, corpus) forms less than two-fifths of the acetabulum; and also forms part of the acetabular fossa. The internal surface of the body is part of the wall of the lesser pelvis and gives ...
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