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Adductor Hiatus
In human anatomy, the adductor hiatus also known as hiatus magnus is a hiatus (gap) between the adductor magnus muscle and the femur that allows the passage of the femoral vessels from the anterior thigh to the posterior thigh and then the popliteal fossa. It is the termination of the adductor canal and lies about superior to the adductor tubercle. Structure Kale et al. classified the adductor hiatus according to its shape and the structures surrounding. An adductor hiatus is described as oval or bridging depending on the shape of the upper boundary. It can also be described as muscular or fibrous depending on whether the structure surrounding is the muscular part or the tendinous part of the adductor magnus muscle. For example, the top drawing on the right shows an oval fibrous type of adductor hiatus, and the bottom one shows a bridging muscular adductor hiatus. Four structures are associated with the adductor hiatus. However, only two structures enter and then leave throug ...
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Hiatus (anatomy)
{{set index article In anatomy, a hiatus is a natural fissure in a structure. Examples include: * Adductor hiatus In human anatomy, the adductor hiatus also known as hiatus magnus is a hiatus (gap) between the adductor magnus muscle and the femur that allows the passage of the femoral vessels from the anterior thigh to the posterior thigh and then the poplite ... * Aortic hiatus * Esophageal hiatus, the opening in the diaphragm through which the esophagus passes from the thorax into the abdomen * Greater petrosal nerve hiatus * Maxillary hiatus * Sacral hiatus * Semilunar hiatus * Urogenital hiatus Anatomy ...
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Popliteal Vein
The popliteal vein is a vein of the lower limb. It is formed from the anterior tibial vein and the posterior tibial vein. It travels medial to the popliteal artery, and becomes the femoral vein. It drains blood from the leg. It can be assessed using medical ultrasound. It can be affected by popliteal vein entrapment. Structure The popliteal vein is formed by the junction of the venae comitantes of the anterior tibial vein and the posterior tibial vein at the lower border of the popliteus muscle. It travels on the medial side of the popliteal artery. It is superficial to the popliteal artery. As it ascends through the fossa, it crosses behind the popliteal artery so that it comes to lie on its lateral side. It passes through the adductor hiatus (the opening in the adductor magnus muscle) to become the femoral vein.Moore K.L. and Dalley A.F. (2006), Clinically Oriented Anatomy, 5th Edition, Lippincott Williams & Wilkins, Toronto, page 636 Tributaries The tributarie ...
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Musculoskeletal Abnormality
A musculoskeletal abnormality is a disorder of the musculoskeletal system present at birth. They can be due to deformity or malformation A birth defect is an abnormal condition that is present at birth, regardless of its cause. Birth defects may result in disabilities that may be physical, intellectual, or developmental. The disabilities can range from mild to severe. Birth de .... An example is Klippel–Feil syndrome. Although present at birth, some only become obvious postnatally. References External links Congenital disorders of musculoskeletal system {{genetic-disorder-stub ...
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Bone Fracture
A bone fracture (abbreviated FRX or Fx, Fx, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a ''comminuted fracture''. An open fracture (or compound fracture) is a bone fracture where the broken bone breaks through the skin. A bone fracture may be the result of high force Impact force, impact or Stress fracture, stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture. Most bone fractures require urgent medical attention to prevent further injury. Signs and symptoms Although bone tissue contains no nociceptors, pain receptors, a bone fracture is painful for several reasons: * Breaking in the continuity of the periosteum, with or without similar disconti ...
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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 derived from the lumbar plexus (L3-L4). It is a strictly sensory nerve, and has no motor function. It commences in the proximal (upper) thigh and travels along the adductor canal. Upon exiting the adductor canal, the saphenous nerve terminates by splitting into two terminal branches: the sartorial nerve, and the infrapatellar nerve (which together innervate the medial, anteromedial, posteromedial aspects of the distal thigh). The saphenous nerve is responsible for providing sensory innervation to the skin of the anteromedial leg. Structure It is purely a sensory nerve. Origin The saphenous nerve is the largest and terminal branch of the femoral nerve. It is derived from the lumbar plexus (L3-L4). Course Shortly after the femoral nerve passes under the inguinal ligament, it splits into anterior and posterior divisions by the passage of the lateral femoral ci ...
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Descending Genicular Artery
The descending genicular artery (also known as the highest genicular artery) arises from the femoral artery just before its passage through the adductor hiatus. The descending geniculate artery immediately divides into two branches: a saphenous branch (which classically joins with the medial inferior genicular artery), and muscular and articular branches. Structure Branches Saphenous branch The saphenous branch pierces the aponeurotic covering of the adductor canal, and accompanies the saphenous nerve to the medial side of the knee. It passes between the sartorius muscle and the gracilis muscle, and, piercing the fascia lata, is distributed to the integument of the upper and medial part of the leg, anastomosing with the medial inferior genicular artery. Articular branches The articular branches descend within the vastus medialis muscle, and in front of the tendon of the adductor magnus muscle, to the medial side of the knee, where they join with the medial superior gen ...
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Genicular Arteries
The genicular arteries (from Latin ''geniculum'', "knee") are six arteries in the human leg, five of which are branches of the popliteal artery, that anastomose in the knee region in the patellar network or ''genicular anastomosis''. They supply blood to the patella, together with contributions from the descending genicular artery, anterior tibial recurrent artery, and descending branch of lateral circumflex femoral artery. The descending genicular artery also known as the ''highest genicular artery'' is the only genicular artery to arise from the femoral artery and has the most superior or proximal origin of all six genicular arteries. Popliteal branches Five genicular arteries branch from the popliteal artery to form a network around the knee, the genicular anastomosis. The anastomosis provides collateral circulation in the event of damage to the region. Inferior or distal to the origin of the descending genicular artery are two superior genicular arteries: * Medial super ...
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Anastomoses
An anastomosis (, : anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf#Veins, leaf veins, or streams. Such a connection may be normal (such as the foramen ovale (heart), foramen ovale in a fetus' heart) or abnormal (such as the atrial septal defect#Patent foramen ovale, patent foramen ovale in an adult's heart); it may be acquired (such as an arteriovenous fistula) or innate (such as the arteriovenous shunt of a metarteriole); and it may be natural (such as the aforementioned examples) or artificial (such as a surgical anastomosis). The reestablishment of an anastomosis that had become blocked is called a reanastomosis. Anastomoses that are abnormal, whether congenital disorder, congenital or acquired, are often called fistulas. The term is used in medicine, biology, mycology, geology, and geography. Etymology Anastomosis: medical or Modern Latin, from Greek ἀ ...
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Popliteal Artery
The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries. The deepest (most anterior) structure in the fossa, the popliteal artery runs close to the joint capsule of the knee as it spans the intercondylar fossa. Five genicular branches of the popliteal artery supply the capsule and ligaments of the knee joint. The genicular arteries are the superior lateral, superior medial, middle, inferior lateral, and inferior medial genicular arteries. They participate in the formation of the periarticular genicular anastomosis, a network of vessels surrounding the knee that provides collateral circulation capable of maintaining blood supply to the leg during full knee flexion, which may kink the popliteal artery. Structure The popliteal artery is the con ...
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Adductor Magnus
The adductor magnus is a large triangular muscle, situated on the medial side of the thigh. It consists of two parts. The portion which arises from the ischiopubic ramus (a small part of the inferior ramus of the pubis, and the inferior ramus of the ischium) is called the pubofemoral portion, adductor portion, or adductor minimus, and the portion arising from the tuberosity of the ischium is called the ischiocondylar portion, extensor portion, or "hamstring portion". Due to its common embryonic origin, innervation, and action the ischiocondylar portion (or hamstring portion) is often considered part of the hamstring group of muscles. The ischiocondylar portion of the adductor magnus is considered a muscle of the posterior compartment of the thigh while the pubofemoral portion of the adductor magnus is considered a muscle of the medial compartment. Structure Pubofemoral (adductor) portion Those fibers which arise from the ramus of the pubis are short, horizontal in direc ...
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Femoral Vein
In the human body, the femoral vein is the vein that accompanies the femoral artery in the femoral sheath. It is a deep vein that begins at the adductor hiatus (an opening in the adductor magnus muscle) as the continuation of the popliteal vein. The great saphenous vein (a superficial vein), and the deep femoral vein drain into the femoral vein in the femoral triangle when it becomes known as the common femoral vein. It ends at the inferior margin of the inguinal ligament where it becomes the external iliac vein. Its major tributaries are the deep femoral vein, and the great saphenous vein. The femoral vein contains valves. Structure The femoral vein bears valves which are mostly bicuspid and whose number is variable between individuals and often between left and right leg. Course The femoral vein continues into the thigh as the continuation from the popliteal vein at the back of the knee. It drains blood from the deep thigh muscles and thigh bone. Proximal to th ...
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Femoral Artery
The femoral artery is a large artery in the thigh and the main arterial supply to the thigh and leg. The femoral artery gives off the deep femoral artery and descends along the anteromedial part of the thigh in the femoral triangle. It enters and passes through the adductor canal, and becomes the popliteal artery as it passes through the adductor hiatus in the adductor magnus near the junction of the middle and distal thirds of the thigh. The femoral artery proximal to the origin of the deep femoral artery is referred to as the ''common femoral artery'', whereas the femoral artery distal to this origin is referred to as the ''superficial femoral artery''. Structure The femoral artery represents the continuation of the external iliac artery beyond the inguinal ligament underneath which the vessel passes to enter the thigh. The vessel passes under the inguinal ligament just medial of the midpoint of this ligament, midway between the anterior superior iliac spine and ...
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