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Iliopsoas
The iliopsoas muscle (; from lat, ile, lit=groin and grc, ψόᾱ, psóā, muscles of the loins) refers to the joined psoas major and the iliacus muscles. The two muscles are separate in the abdomen, but usually merge in the thigh. They are usually given the common name ''iliopsoas''. The iliopsoas muscle joins to the femur at the lesser trochanter. It acts as the strongest flexor of the hip. The iliopsoas muscle is supplied by the lumbar spinal nerves L1– L3 (psoas) and parts of the femoral nerve (iliacus). Structure The iliopsoas muscle is a composite muscle formed from the psoas major muscle, and the iliacus muscle. The psoas major originates along the outer surfaces of the vertebral bodies of T12 and L1– L3 and their associated intervertebral discs. The iliacus originates in the iliac fossa of the pelvis. The psoas major unites with the iliacus at the level of the inguinal ligament. It crosses the hip joint to insert on the lesser trochanter of the fem ...
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Psoas Major Muscle
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 disc An intervertebral disc (or intervertebral fibrocartilage) lies between adjacent vertebrae in the vertebral column. Each disc forms a fibrocartilaginous joint (a symphysis), to allow slight movement of the vertebrae, to act as a ligament to h ...s. The lumbar plexus lies between the two layers. Together, the iliacus muscle and the psoas major form the iliops ...
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Iliacus Muscle
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 il ...
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Lumbar Spinal Nerve 4
The lumbar nerves are the five pairs of spinal nerves emerging from the lumbar vertebrae. They are divided into posterior and anterior divisions. Structure The lumbar nerves are five spinal nerves which arise from either side of the spinal cord below the thoracic spinal cord and above the sacral spinal cord. They arise from the spinal cord between each pair of lumbar spinal vertebrae and travel through the intervertebral foramina. The nerves then split into an anterior ramus, anterior branch, which travels forward, and a posterior ramus of spinal nerve, posterior branch, which travels backwards and supplies the area of the back. Posterior divisions The middle divisions of the posterior branches run close to the articular processes of the vertebrae and end in the multifidus muscle. The outer branches supply the erector spinae muscles. The nerves give off branches to the skin. These pierce the aponeurosis of the greater trochanter. Anterior divisions The anterior divisions of th ...
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Pelvis
The pelvis (plural pelves or pelvises) is the lower part of the trunk, between the abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also called bony pelvis, or pelvic skeleton). The pelvic region of the trunk includes the bony pelvis, the pelvic cavity (the space enclosed by the bony pelvis), the pelvic floor, below the pelvic cavity, and the perineum, below the pelvic floor. The pelvic skeleton is formed in the area of the back, by the sacrum and the coccyx and anteriorly and to the left and right sides, by a pair of hip bones. The two hip bones connect the spine with the lower limbs. They are attached to the sacrum posteriorly, connected to each other anteriorly, and joined with the two femurs at the hip joints. The gap enclosed by the bony pelvis, called the pelvic cavity, is the section of the body underneath the abdomen and mainly consists of the reproductive organs (sex organs) and the rectum, while the ...
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Lumbar Spinal Nerve 2
The lumbar nerves are the five pairs of spinal nerves emerging from the lumbar vertebrae. They are divided into posterior and anterior divisions. Structure The lumbar nerves are five spinal nerves which arise from either side of the spinal cord below the thoracic spinal cord and above the sacral spinal cord. They arise from the spinal cord between each pair of lumbar spinal vertebrae and travel through the intervertebral foramina. The nerves then split into an anterior branch, which travels forward, and a posterior branch, which travels backwards and supplies the area of the back. Posterior divisions The middle divisions of the posterior branches run close to the articular processes of the vertebrae and end in the multifidus muscle. The outer branches supply the erector spinae muscles. The nerves give off branches to the skin. These pierce the aponeurosis of the greater trochanter. Anterior divisions The anterior divisions of the lumbar nerves ( la, rami anteriores) in ...
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Lumbar Spinal Nerve 1
The lumbar nerves are the five pairs of spinal nerves emerging from the lumbar vertebrae. They are divided into posterior and anterior divisions. Structure The lumbar nerves are five spinal nerves which arise from either side of the spinal cord below the thoracic spinal cord and above the sacral spinal cord. They arise from the spinal cord between each pair of lumbar spinal vertebrae and travel through the intervertebral foramina. The nerves then split into an anterior branch, which travels forward, and a posterior branch, which travels backwards and supplies the area of the back. Posterior divisions The middle divisions of the posterior branches run close to the articular processes of the vertebrae and end in the multifidus muscle. The outer branches supply the erector spinae muscles. The nerves give off branches to the skin. These pierce the aponeurosis of the greater trochanter. Anterior divisions The anterior divisions of the lumbar nerves ( la, rami anteriores) increa ...
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Lumbar Spinal Nerve 3
The lumbar nerves are the five pairs of spinal nerves emerging from the lumbar vertebrae. They are divided into posterior and anterior divisions. Structure The lumbar nerves are five spinal nerves which arise from either side of the spinal cord below the thoracic spinal cord and above the sacral spinal cord. They arise from the spinal cord between each pair of lumbar spinal vertebrae and travel through the intervertebral foramina. The nerves then split into an anterior branch, which travels forward, and a posterior branch, which travels backwards and supplies the area of the back. Posterior divisions The middle divisions of the posterior branches run close to the articular processes of the vertebrae and end in the multifidus muscle. The outer branches supply the erector spinae muscles. The nerves give off branches to the skin. These pierce the aponeurosis of the greater trochanter. Anterior divisions The anterior divisions of the lumbar nerves ( la, rami anteriores) increas ...
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Lesser Trochanter
The lesser trochanter is a conical posteromedial bony projection of the femoral shaft. it serves as the principal insertion site of the iliopsoas muscle. Structure The lesser trochanter is a conical posteromedial projection of the shaft of the femur, projecting from the posteroinferior aspect of its junction with the femoral neck. The summit and anterior surface of the lesser trochanter are rough, whereas its posterior surface is smooth. From its apex three well-marked borders extend: * two of these are above ** a medial continuous with the lower border of the femur neck ** a lateral with the intertrochanteric crest * the inferior border is continuous with the middle division of the linea aspera Attachments The summit of the lesser trochanter gives insertion to the tendon of the psoas major muscle and the iliacus muscle; the lesser trochanter represents the principal attachment of the iliopsoas. Anatomical relations The intertrochanteric crest (which demarcates the j ...
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Lesser Trochanter
The lesser trochanter is a conical posteromedial bony projection of the femoral shaft. it serves as the principal insertion site of the iliopsoas muscle. Structure The lesser trochanter is a conical posteromedial projection of the shaft of the femur, projecting from the posteroinferior aspect of its junction with the femoral neck. The summit and anterior surface of the lesser trochanter are rough, whereas its posterior surface is smooth. From its apex three well-marked borders extend: * two of these are above ** a medial continuous with the lower border of the femur neck ** a lateral with the intertrochanteric crest * the inferior border is continuous with the middle division of the linea aspera Attachments The summit of the lesser trochanter gives insertion to the tendon of the psoas major muscle and the iliacus muscle; the lesser trochanter represents the principal attachment of the iliopsoas. Anatomical relations The intertrochanteric crest (which demarcates the j ...
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Psoas Minor Muscle
The psoas minor muscle ( or ; from grc, ψόᾱ, psóā, muscles of the loins) is a long, slender skeletal muscle. When present, it is located anterior to the psoas major muscle.Tank (2005), p 93Gray (2008), p 1372 Structure The psoas minor muscle originates from the vertical fascicles inserted on the last thoracic and first lumbar vertebrae. From there, it passes down onto the medial border of the psoas major, and is inserted to the innominate line and the iliopectineal eminence. Additionally, it attaches to and stretches the deep surface of the iliac fascia and occasionally its lowermost fibers reach the inguinal ligament.Bendavid (2001), p 58 It is posteriolateral to the iliopsoas muscle. Variations occur, however, and the insertion on the iliopubic eminence sometimes radiates into the iliopectineal arch.Platzer (2004), p 234 The psoas minor muscle receives oxygenated blood from the four lumbar arteries (inferior to the subcostal artery) and the lumbar branch of the iliol ...
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Lumbar Plexus
The lumbar plexus is a web of nerves (a nervous plexus) in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the Ventral ramus of spinal nerve, divisions of the first four lumbar nerves (L1-L4) and from contributions of the subcostal nerve (T12), which is the last Thoracic nerves, thoracic nerve. Additionally, the ventral rami of the fourth lumbar nerve pass communicating branches, the lumbosacral trunk, to the sacral plexus. The nerves of the lumbar plexus pass in front of the hip joint and mainly support the anterior part of the thigh.''Thieme Atlas of anatomy'' (2006), pp 470-471 The plexus is formed lateral to the intervertebral foramina and passes through Psoas major muscle, psoas major. Its smaller motor branches are distributed directly to psoas major, while the larger branches leave the muscle at various sites to run obliquely down through the pelvis to leave under the inguinal ligament with the exception of the obturator n ...
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Femoral Triangle
The femoral triangle (or Scarpa's triangle) is an anatomical region of the upper third of the thigh. It is a subfascial space which appears as a triangular depression below the inguinal ligament when the thigh is flexed, abducted and laterally rotated. Structure The femoral triangle is bounded: * superiorly (also known as the base) by the inguinal ligament. * medially by the medial border of the adductor longus muscle. (Some people consider the femoral triangle to be smaller hence the medial border being at the lateral border of the adductor longus muscle.) * laterally by the medial border of the sartorius muscle. The apex of the triangle is continuous with the adductor canal. The roof is formed by the skin, superficial fascia, and deep fascia (fascia lata). The superficial fascia contains the superficial inguinal lymph nodes, femoral branch of the genitofemoral nerve, branches of the ilioinguinal nerve, superficial branches of the femoral artery with accompanying veins, and up ...
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