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Saphenous Nerve
The saphenous nerve (long or internal saphenous nerve) is the largest cutaneous branch of the femoral nerve. It is a strictly sensory nerve, and has no motor function. Structure It is purely a sensory nerve. The saphenous nerve is the largest and terminal branch of the femoral nerve. Shortly after the femoral nerve passes under the inguinal ligament, it splits into anterior and posterior divisions by the passage of the lateral femoral circumflex artery (a branch of the profunda femoris artery). The posterior division then gives off the saphenous nerve as it converges with the femoral artery where it passes beneath the sartorius muscle. The saphenous nerve lies in front of the femoral artery, behind the aponeurotic covering of the adductor canal, as far as the opening in the lower part of the adductor magnus muscle. There it diverges from the artery, and emerges from behind the lower edge of the aponeurotic covering of the canal. It descends vertically along the medial side o ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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 fem ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Great Saphenous Vein
The great saphenous vein (GSV, alternately "long saphenous vein"; ) is a large, subcutaneous, superficial vein of the leg. It is the longest vein in the body, running along the length of the lower limb, returning blood from the foot, leg and thigh to the deep femoral vein at the femoral triangle. Structure The great saphenous vein originates from where the dorsal vein of the big toe (the hallux) merges with the dorsal venous arch of the foot. After passing in front of the medial malleolus (where it often can be visualized and palpated), it runs up the medial side of the leg. At the knee, it runs over the posterior border of the medial epicondyle of the femur bone. In the proximal anterior thigh inferolateral to the pubic tubercle, the great saphenous vein dives down deep through the cribriform fascia of the saphenous opening to join the femoral vein. It forms an arch, the saphenous arch, to join the common femoral vein in the region of the femoral triangle at the sapheno-f ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
CABG
Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage") is a surgical procedure to treat coronary artery disease (CAD), the buildup of plaques in the arteries of the heart. It can relieve chest pain caused by CAD, slow the progression of CAD, and increase life expectancy. It aims to bypass narrowings in heart arteries by using arteries or veins harvested from other parts of the body, thus restoring adequate blood supply to the previously ischemic (deprived of blood) heart. There are two main approaches. The first uses a cardiopulmonary bypass machine, a machine which takes over the functions of the heart and lungs during surgery by circulating blood and oxygen. With the heart in arrest, harvested arteries and veins are used to connect across problematic regions—a construction known as surgical anastomosis. In the second approach, called the off-pump coronary artery bypass graft (OPCABG), these anastomoses are constructed while t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Orthopedic Surgery
Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders. Etymology Nicholas Andry coined the word in French as ', derived from the Ancient Greek words ὀρθός ''orthos'' ("correct", "straight") and παιδίον ''paidion'' ("child"), and published ''Orthopedie'' (translated as ''Orthopædia: Or the Art of Correcting and Preventing Deformities in Children'') in 1741. The word was assimilated into English as ''orthopædics''; the ligature ''æ'' was common in that era for ''ae'' in Greek- and Latin-based words. As the name implies, the discipline was initially developed with attention to children, but the correction of spinal and bone deformities in all stages of life eventu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Venous Cutdown
Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used to get vascular access in trauma and hypovolemic shock patients when peripheral cannulation is difficult or impossible. The saphenous vein is most commonly used. This procedure has fallen out of favor with the development of safer techniques for central venous catheterization such as the Seldinger technique, the modified Seldinger technique, intraosseous infusion, as well as the use of ultrasound guidance for placement of central venous catheters without using the cutdown technique.Sabba JA, Hedges JR: Ultrasonographic guidance for internal jugular vein cannulation: An educational imperative; a desirable practice alternative. Ann Emerg Med 2006; 48:548-550 Procedure The skin is cleaned, draped, and anesthetized if time allows. The greater saphenous vein is identified on the surface above the medial malleolus, a full-thicknes ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Obturator Nerve
The obturator nerve in human anatomy arises from the ventral divisions of the second, third, and fourth lumbar nerves in the lumbar plexus; the branch from the third is the largest, while that from the second is often very small. Structure The obturator nerve originates from the anterior divisions of the L2, L3, and L4 spinal nerve roots. It descends through the fibers of the psoas major, and emerges from its medial border near the brim of the pelvis. It then passes behind the common iliac arteries, and on the lateral side of the internal iliac artery and vein, and runs along the lateral wall of the lesser pelvis, above and in front of the obturator vessels, to the upper part of the obturator foramen. Here it enters the thigh, through the obturator canal, and divides into an anterior and a posterior branch, which are separated at first by some of the fibers of the obturator externus, and lower down by the adductor brevis. An accessory obturator nerve may be present in appr ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Patella
The patella, also known as the kneecap, is a flat, rounded triangular bone which articulates with the femur (thigh bone) and covers and protects the anterior articular surface of the knee joint. The patella is found in many tetrapods, such as mice, cats, birds and dogs, but not in whales, or most reptiles. In humans, the patella is the largest sesamoid bone (i.e., embedded within a tendon or a muscle) in the body. Babies are born with a patella of soft cartilage which begins to ossify into bone at about four years of age. Structure The patella is a sesamoid bone roughly triangular in shape, with the apex of the patella facing downwards. The apex is the most inferior (lowest) part of the patella. It is pointed in shape, and gives attachment to the patellar ligament. The front and back surfaces are joined by a thin margin and towards centre by a thicker margin. The tendon of the quadriceps femoris muscle attaches to the base of the patella., with the vastus in ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Infrapatellar Branch
The infrapatellar branch of saphenous nerve is a nerve of the lower limb. The saphenous nerve, located about the middle of the thigh, gives off a branch which joins the subsartorial plexus. It pierces the sartorius and fascia lata, and is distributed to the skin in front of the patella. This nerve communicates above the knee with the anterior cutaneous branches of the femoral nerve; below the knee, with other branches of the saphenous; and, on the lateral side of the joint, with branches of the lateral femoral cutaneous nerve The lateral cutaneous nerve of the thigh (also called the lateral femoral cutaneous nerve) is a cutaneous nerve of the thigh. It originates from the dorsal divisions of the second and third lumbar nerves from the lumbar plexus. It passes under t ..., forming a plexiform net-work, the plexus patellae. The infrapatellar branch is occasionally small, and ends by joining the anterior cutaneous branches of the femoral, which supply its place in front of th ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Subsartorial Plexus
The subsartorial plexus is a plexus of nerves that is located under the sartorius muscle. Structure The subsartorial plexus is formed by: # the medial cutaneous nerve of the thigh (a branch of the femoral nerve).{{Citation, last=Gardner, first=ERNEST D., title=Chapter 2 - Gross Anatomy of the Peripheral Nervous System, date=2005-01-01, url=https://www.sciencedirect.com/science/article/pii/B9780721694917500053, work=Peripheral Neuropathy (Fourth Edition), pages=11–33, editor-last=Dyck, editor-first=Peter J., place=Philadelphia, publisher=W.B. Saunders, language=en, doi=10.1016/b978-0-7216-9491-7.50005-3, isbn=978-0-7216-9491-7, access-date=2021-02-23, last2=Bunge, first2=RICHARD P., editor2-last=Thomas, editor2-first=P. K. # the saphenous nerve (a branch from femoral nerve). # the cutaneous branch of anterior division of the obturator nerve. At the lower border of the adductor brevis muscle, the cutaneous branch of anterior division of the obturator nerve communicates with the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Superficial Peroneal Nerve
The superficial fibular nerve (also known as superficial peroneal nerve) innervates the fibularis longus and fibularis brevis muscles and the skin over the antero-lateral aspect of the leg along with the greater part of the dorsum of the foot (with the exception of the first web space, which is innervated by the deep fibular nerve). Structure Lateral side of the leg The superficial fibular nerve is the main nerve of the lateral compartment of the leg. It begins at the lateral side of the neck of fibula, and runs through the fibularis longus and fibularis brevis muscles. In the middle third of the leg, it descends between the fibularis longus and fibularis brevis, and then reaches the anterior border of the fibularis brevis to enter the groove between the fibularis brevis and the extensor digitorum longus under the deep fascia of leg. It becomes superficial at the junction of upper two-thirds and lower one-thirds of the leg by piercing the deep fascia. The superficial fibular nerve ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Great Toe
Toes are the digits (fingers) of the foot of a tetrapod. Animal species such as cats that walk on their toes are described as being '' digitigrade''. Humans, and other animals that walk on the soles of their feet, are described as being '' plantigrade''; '' unguligrade'' animals are those that walk on hooves at the tips of their toes. Structure There are normally five toes present on each human foot. Each toe consists of three phalanx bones, the proximal, middle, and distal, with the exception of the big toe ( la, hallux). For a minority of people, the little toe also is missing a middle bone. The hallux only contains two phalanx bones, the proximal and distal. The joints between each phalanx are the interphalangeal joints. The proximal phalanx bone of each toe articulates with the metatarsal bone of the foot at the metatarsophalangeal joint. Each toe is surrounded by skin, and present on all five toes is a toenail. The toes are, from medial to lateral: * the f ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
