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745 Cards in this Set

  • Front
  • Back
Origin of External Oblique Muscle
External surfaces of 5th-12th ribs
Insertion of External Oblique Muscle
Linea alba, pubic tubercle, and anterior half of iliac crest
Innervation of External Oblique Muscle
Thoracoabdominal nerves (T7-T11 spinal nerves) and subcostal nerve
Origin of Internal Oblique Muscle
Thoracolumbar fascia, anterior two thirds of iliac crest, and connective tissue deep to lateral third of inguinal ligament
Insertion of Internal Oblique Muscle
Inferior borders of 10th-12th ribs, linea alba, and pecten pubis via conjoint tendon
Innervation of Internal Oblique Muscle
Thoracoabdominal nerves (anterior rami of T6-T12 spinal nerves) and first lumbar nerves
Main Action of Internal Oblique Muscle
Compresses and supports abdominal viscera, flexes and rotates trunk
Origin of Transversus Abdominis Muscle
Internal surfaces of 7th-12th costal cartilages, thoracolumbar fascia, iliac crest, and connective tissue deep to lateral third of inguinal ligament
Insertion of Transversus Abdominis Muscle
Linea alba with aponeurosis of internal oblique, pubic crest, and pecten pubis via conjoint tendon
Innervation of Transversus Abdominis Muscle
Thoracoabdominal nerves (anterior rami of T6-T12 spinal nerves) and first lumbar nerves
Main Action of Transversus Abdominis Muscle
Compresses and supports abdominal viscera
Origin of Rectus Abdominis Muscle
Pubic symphysis and pubic crest
Insertion of Rectus Abdominis Muscle
Xiphoid process and 5th-7th costal cartilages
Innervation of Rectus Abdominis Muscle
Thoracoabdominal nerves (anterior rami of T6-T12 spinal nerves)
Main Action of Rectus Abdominis Muscle
Flexes trunk (lumbar vertebrae) and compresses abdominal viscera; stabilizes and controls tilt of pelvis (antilordosis)
Origin of Psoas Major Muscle
Transverse processes of lumbar vertebrae; sides of bodies of T12-L5 vertebrae and intervening intervertebral discs
Insertion of Psoas Major Muscle
By a strong tendon to lesser trochanter of femur
Innervation of Psoas Major Muscle
Anterior rami of lumbar nerves L1, L2, L3
Main Action of Psoas Major Muscle
Acting inferiorly with iliacus, it flexes thigh; acting superiorly it flexes vertebral column laterally; it is used to balance the trunk; when sitting it acts inferiorly with iliacus to flex trunk
Origin of Iliacus Muscle
Superior two thirds of iliac fossa, ala of sacrum, and anterior sacroiliac ligaments
Insertion of Iliacus Muscle
Lesser trochanter of femur and shaft inferior to it, and to psoas major tendon
Innervation of Iliacus Muscle
Femoral nerve (L2-L4)
Main Action of Iliacus Muscle
Flexes thigh and stabilizes hip joint; acts with psoas major
Origin of Quadratus Lumborum Muscle
Medial half of inferior border of 12th ribs and tips of lumbar transverse processes
Insertion of Quadratus Lumborum Muscle
Iliolumbar ligament and internal lip of iliac crest
Innervation of Quadratus Lumborum Muscle
Anterior branches of T12 and L1-L4 nerves
Main Action of Quadratus Lumborum Muscle
Extends and laterally flexes vertebral column; fixes 12th rib during inspiration
Origin of Obturator Internus Muscle
Pelvic surfaces of ilium and ischium; obturator membrane
Insertion of Obturator Internus Muscle
Greater trochanter of femur
Innervation of Obturator Internus Muscle
Nerve to obturator internus (L5, S1, S2)
Main Action of Obturator Internus Muscle
Rotates thigh laterally; assists in holding head of femur in acetabulum
Origin of Piriformis Muscle
Pelvic surface of S2-S4 segments; superior margin of greater sciatic notch and sacrotuberous ligament
Insertion of Piriformis Muscle
Greater trochanter of femur
Innervation of Piriformis Muscle
Anterior rami of S1 and S2
Main Action of Piriformis Muscle
Rotates thigh laterally; abducts thigh; assists in holding head of femur in acetabulum
Origin of Coccygeus (Ischiococcygeus) Muscle
Ischial spine
Insertion of Coccygeus (Ischiococcygeus) Muscle
Inferior end of sacrum and coccyx
Innervation of Coccygeus (Ischiococcygeus) Muscle
Branches of S4 and S5 spinal nerves
Main Action of Coccygeus (Ischiococcygeus) Muscle
Forms small part of pelvic diaphragm that supports pelvic viscera; flexes coccyx
Origin of Levator Ani (Puborectalis, Pubococcygeus, And Iliococcygeus) Muscle
Body of pubis; tendinous arch of obturator fascia; ischial spine
Insertion of Levator Ani (Puborectalis, Pubococcygeus, And Iliococcygeus) Muscle
Perineal body; coccyx; anococcygeal ligament; walls of prostate or vagina, rectum, and anal canal
Innervation of Levator Ani (Puborectalis, Pubococcygeus, And Iliococcygeus) Muscle
Nerve to levator ani (branches of S4), inferior anal (rectal) nerve, and coccygeal plexus
Main Action of Levator Ani (Puborectalis, Pubococcygeus, And Iliococcygeus) Muscle
Forms most of pelvic diaphragm that helps support pelvic viscera and resists increases in intra-abdominal pressure
Origin of External Anal Sphincter Muscle
Skin and fascia surrounding anus; coccyx via anococcygeal ligament
Insertion of External Anal Sphincter Muscle
Passes around lateral aspects of anal canal, insertion into perineal body
Innervation of External Anal Sphincter Muscle
Inferior anal (rectal) nerve, a branch of pudendal nerve (S2-S4)
Main Action of External Anal Sphincter Muscle
Constricts anal canal during peristalsis, resisting defecation; supports and fixes perineal body and pelvic floor
Origin of Bulbospongiosus (Male) Muscle
median raphe on ventral surface of bulb of penis; perineal body
Insertion of Bulbospongiosus (Male) Muscle
surrounds lateral aspects of bulb of penis and most proximal part of body of penis, inserting into perineal membrane, dorsal aspect of corpus spongiosum and corpora cavernosa, and fascia of bulb of penis
Innervation of Bulbospongiosus (Male) Muscle
Muscular (deep) branch of perineal nerve, a branch of pudendal nerve (S2-S4)
Main Action of Bulbospongiosus (Male) Muscle
supports and fixes perineal body/pelvic floor; compresses bulb of penis to expel last drops of urine/semen; assists erection by compressing outflow via deep perineal vein and by pushing blood from bulb into body of penis
Origin of Bulbospongiosus (Female) Muscle
perineal body
Insertion of Bulbospongiosus (Female) Muscle
passes on each side of lower vagina, enclosing bulb and greater vestibular gland; inserts into pubic arch and fascia of corpora cavernosa of clitoris
Innervation of Bulbospongiosus (Female) Muscle
Muscular (deep) branch of perineal nerve, a branch of pudendal nerve (S2-S4)
Main Action of Bulbospongiosus (Female) Muscle
supports and fixes perineal body/pelvic floor; “sphincter” of vagina; assists in erection of clitoris (and perhaps bulb of vestibule); compresses greater vestibular gland
Origin of Ischiocavernosus Muscle
Internal surface of ischiopubic ramus and ischial tuberosity
Insertion of Ischiocavernosus Muscle
Embraces crus of penis or clitoris, inserting onto inferior and medial aspects of crus and to perineal membrane medial to crus
Innervation of Ischiocavernosus Muscle
Muscular (deep) branch of perineal nerve, a branch of pudendal nerve (S2-S4)
Main Action of Ischiocavernosus Muscle
Maintains erection of penis or clitoris by compressing outflow veins and pushing blood from the root of penis or clitoris into the body of penis or clitoris
Origin of Superficial Transverse Perineal Muscle
Internal surface of ischiopubic ramus and ischial tuberosity
Insertion of Superficial Transverse Perineal Muscle
Passes along inferior aspect of posterior border of perineal membrane to perineal body
Innervation of Superficial Transverse Perineal Muscle
Muscular (deep) branch of perineal nerve, a branch of pudendal nerve (S2-S4)
Main Action of Superficial Transverse Perineal Muscle
Supports and fixes perineal body/pelvic floor to support abdominopelvic viscera and resist increased intra-abdominal pressure
Origin of Deep Transverse Perineal Muscle
Internal surface of ischiopubic ramus and ischial tuberosity
Insertion of Deep Transverse Perineal Muscle
Passes along superior aspect of posterior border of perineal membrane to perineal body and external anal sphincter
Innervation of Deep Transverse Perineal Muscle
Muscular (deep) branch of perineal nerve, a branch of pudendal nerve (S2-S4)
Main Action of Deep Transverse Perineal Muscle
Supports and fixes perineal body/pelvic floor to support abdominopelvic viscera and resist increased intra-abdominal pressure
Origin of External Urethra Sphincter Muscle
(Compressor urethra portion only)
Insertion of External Urethra Sphincter Muscle
Surrounds urethra superior to perineal membrane; in males, it also ascends anterior aspect of prostate; in females, some fibers also enclose vagina (urethrovaginal sphincter)
Innervation of External Urethra Sphincter Muscle
Dorsal nerve of penis or clitoris, the terminal branch of the pudendal nerve (S2-S4)
Main Action of External Urethra Sphincter Muscle
Compresses urethra to maintain urinary continence; in females, urethrovaginal sphincter portion also compresses vagina
Origin of Pectineus Muscle
Superior ramus of pubis
Insertion of Pectineus Muscle
Pectineal line of femur, just inferior to lesser trochanter
Innervation of Pectineus Muscle
Femoral nerve (L2, L3); may receive a branch from obturator nerve
Main Action of Pectineus Muscle
Adducts and flexes thigh; assists with medial rotation of thigh
Origin of Psoas Major Muscle
Sides of T12-L5 vertebrae and discs between them; transverse processes of all lumbar vertebrae
Insertion of Psoas Major Muscle
Lesser trochanter of femur
Innervation of Psoas Major Muscle
Anterior rami of lumbar nerves (L1, L2, L3)
Main Action of Psoas Major Muscle
Act conjointly in flexing thigh at hip joint and in stabilizing this joint
Origin of Psoas Minor Muscle
Sides of T12-L1 vertebrae and intervertebral discs
Insertion of Psoas Minor Muscle
Pectineal line, iliopectineal eminence via iliopectineal arch
Innervation of Psoas Minor Muscle
Anterior rami of lumbar nerves (L1, L2)
Main Action of Psoas Minor Muscle
Act conjointly in flexing thigh at hip joint and in stabilizing this joint
Origin of Iliacus Muscle
Iliac crest, iliac fossa, ala of sacrum, and anterior sacroiliac ligaments
Insertion of Iliacus Muscle
Tendon of psoas major, lesser trochanter, and femur distal to it
Innervation of Iliacus Muscle
Femoral nerve (L2, L3)
Main Action of Iliacus Muscle
Act conjointly in flexing thigh at hip joint and in stabilizing this joint
Origin of Sartorius Muscle
Anterior superior iliac spine and superior part of notch inferior to it
Insertion of Sartorius Muscle
Superior part of medial surface of tibia
Innervation of Sartorius Muscle
Femoral nerve (L2, L3)
Main Action of Sartorius Muscle
Flexes, abducts, and laterally rotates thigh at hip joint; flexes leg at knee joint, (medially rotating leg when knee is flexed)
Origin of Rectus Femoris Muscle
Anterior inferior iliac spine and ilium superior to acetabulum
Insertion of Rectus Femoris Muscle
Via common tendinous (quadriceps tendon) and independent attachments to base of patella; indirectly via patellar ligament to tibial tuberosity; medial and lateral vasti also attach to tibia and patella via aponeuroses (medial and lateral patellar retinacula)
Innervation of Rectus Femoris Muscle
Femoral nerve (L2, L3, L4)
Main Action of Rectus Femoris Muscle
Extend leg at knee joint; rectus femoris also steadies hip joint and helps iliopsoas flex thigh
Origin of Vastus Lateralis Muscle
Greater trochanter and lateral lip of linea aspera of femur
Insertion of Vastus Lateralis Muscle
Via common tendinous (quadriceps tendon) and independent attachments to base of patella; indirectly via patellar ligament to tibial tuberosity; medial and lateral vasti also attach to tibia and patella via aponeuroses (medial and lateral patellar retinacula)
Innervation of Vastus Lateralis Muscle
Femoral nerve (L2, L3, L4)
Main Action of Vastus Lateralis Muscle
Extend leg at knee joint; rectus femoris also steadies hip joint and helps iliopsoas flex thigh
Origin of Vastus Medialis Muscle
Intertrochanteric line and medial lip of linea aspera of femur
Insertion of Vastus Medialis Muscle
Via common tendinous (quadriceps tendon) and independent attachments to base of patella; indirectly via patellar ligament to tibial tuberosity; medial and lateral vasti also attach to tibia and patella via aponeuroses (medial and lateral patellar retinacula)
Innervation of Vastus Medialis Muscle
Femoral nerve (L2, L3, L4)
Main Action of Vastus Medialis Muscle
Extend leg at knee joint; rectus femoris also steadies hip joint and helps iliopsoas flex thigh
Origin of Vastus Intermedius Muscle
Anterior and lateral surfaces of shaft of femur
Insertion of Vastus Intermedius Muscle
Via common tendinous (quadriceps tendon) and independent attachments to base of patella; indirectly via patellar ligament to tibial tuberosity; medial and lateral vasti also attach to tibia and patella via aponeuroses (medial and lateral patellar retinacula)
Innervation of Vastus Intermedius Muscle
Femoral nerve (L2, L3, L4)
Main Action of Vastus Intermedius Muscle
Extend leg at knee joint; rectus femoris also steadies hip joint and helps iliopsoas flex thigh
Origin of Adductor Femoris Longus Muscle
Body of pubis inferior to pubic crest
Insertion of Adductor Femoris Longus Muscle
Middle third of linea aspera of femur
Innervation of Adductor Femoris Longus Muscle
Obturator nerve, branch of, anterior division (L2, L3, L4)
Main Action of Adductor Femoris Longus Muscle
Adducts thigh
Origin of Adductor Femoris Brevis Muscle
Body and inferior ramus of pubis
Insertion of Adductor Femoris Brevis Muscle
Pectineal line and proximal part of linea aspera of femur
Innervation of Adductor Femoris Brevis Muscle
Obturator nerve, branch of, anterior division (L2, L3, L4)
Main Action of Adductor Femoris Brevis Muscle
Adducts thigh; to some extent flexes it
Origin of Adductor Femoris Magnus Muscle
Adductor part: inferior ramus of pubis, ramus of ischium Hamstrings part: ischial tuberosity
Insertion of Adductor Femoris Magnus Muscle
Adductor part: gluteal tuberosity, linea aspera, medial supracondylar line Hamstring part: adductor tubercle of femur
Innervation of Adductor Femoris Magnus Muscle
Adductor part: obturator nerve (L2, L3, L4), branches of posterior division Hamstring part: tibial part of sciatic nerve (L4)
Main Action of Adductor Femoris Magnus Muscle
Adducts thigh Adductor part: flexes thigh Hamstrings part: extends thigh
Origin of Gracilis Muscle
Body and inferior ramus of pubis
Insertion of Gracilis Muscle
Superior part of medial surface of tibia.
Innervation of Gracilis Muscle
Obturator nerve (L2, L3)
Main Action of Gracilis Muscle
Adducts thigh; flexes leg; helps rotate leg medially
Origin of Obturator Externus Muscle
Margins of obturator foramen and obturator membrane
Insertion of Obturator Externus Muscle
Trochanteric fossa of femur
Innervation of Obturator Externus Muscle
Obturator nerve (L3, L4)
Main Action of Obturator Externus Muscle
Laterally rotates thigh; steadies head of femur in acetabulum
Origin of Gluteus Maximus Muscle
Ilium posterior to posterior gluteal line; dorsal surface of sacrum and coccyx; sacrotuberous ligament
Insertion of Gluteus Maximus Muscle
Most fibers end in iliotibial tract, which inserts into lateral condyle of tibia; some fibers insert on gluteal tuberosity
Innervation of Gluteus Maximus Muscle
Inferior gluteal nerve (L5, S1, S2)
Main Action of Gluteus Maximus Muscle
Extends thigh (especially from flexed position) and assists in its lateral rotation; steadies thigh and assists in rising from sitting position
Origin of Gluteus Medius Muscle
External surface of ilium between anterior and posterior gluteal lines
Insertion of Gluteus Medius Muscle
Lateral surface of greater trochanter of femur
Innervation of Gluteus Medius Muscle
Superior gluteal nerve (L5, S1)
Main Action of Gluteus Medius Muscle
Abduct and medially rotate thigh; keep pelvis level when ipsilateral limb is weight-bearing and advance opposite (unsupported) side during its swing phase
Origin of Gluteus Minimus Muscle
External surface of ilium between anterior and inferior gluteal lines
Insertion of Gluteus Minimus Muscle
Anterior surface of greater trochanter of femur
Innervation of Gluteus Minimus Muscle
Superior gluteal nerve (L5, S1)
Origin of Tensor Of Fascia Lata Muscle
Anterior superior iliac spine; anterior part of iliac crest
Insertion of Tensor Of Fascia Lata Muscle
Iliotibial tract, which attaches to lateral condyle of tibia
Innervation of Tensor Of Fascia Lata Muscle
Superior gluteal nerve (L5, S1)
Origin of Piriformis Muscle
Anterior surface of sacrum; sacrotuberous ligament
Insertion of Piriformis Muscle
Superior border of greater trochanter of femur
Innervation of Piriformis Muscle
Branches of anterior rami of S1, S2
Main Action of Piriformis Muscle
Laterally rotate extended thigh and abduct flexed thigh; steady femoral head in acetabulum
Origin of Obturator Internus Muscle
Pelvic surface of obturator membrane and surrounding bones
Insertion of Obturator Internus Muscle
Medial surface of greater trochanter (trochanteric fossa) of femur
Innervation of Obturator Internus Muscle
Nerve to obturator internus (L5, S1)
Main Action of Obturator Internus Muscle
Laterally rotate extended thigh and abduct flexed thigh; steady femoral head in acetabulum
Origin of Superior And Inferior Gemelli Muscle
Superior: ischial spine Inferior: ischial tuberosity
Insertion of Superior And Inferior Gemelli Muscle
Medial surface of greater trochanter (trochanteric fossa) of femur
Innervation of Superior And Inferior Gemelli Muscle
Superior gemellus: same nerve supply as obturator internus Inferior gemellus: same nerve supply as quadratus femoris
Main Action of Superior And Inferior Gemelli Muscle
Laterally rotate extended thigh and abduct flexed thigh; steady femoral head in acetabulum
Origin of Quadratus Femoris Muscle
Lateral border of ischial tuberosity
Insertion of Quadratus Femoris Muscle
Quadrate tubercle on intertrochanteric crest of femur and area inferior to it
Innervation of Quadratus Femoris Muscle
Nerve to quadratus femoris (L5, S1)
Main Action of Quadratus Femoris Muscle
Laterally rotates thigh; steadies femoral head in acetabulum
Origin of Semitendinosus Muscle
Ischial tuberosity
Insertion of Semitendinosus Muscle
Medial surface of superior part of tibia
Innervation of Semitendinosus Muscle
Tibial division of sciatic nerve part of tibia (L5, S1, S2)
Main Action of Semitendinosus Muscle
Extend thigh; flex leg and rotate it medially when knee is flexed; when thigh and leg are flexed, these muscles can extend trunk
Origin of Semimembranosus Muscle
Ischial tuberosity
Insertion of Semimembranosus Muscle
Posterior part of medial condyle of tibia; reflected attachment forms oblique popliteal ligament (to lateral femoral condyle)
Innervation of Semimembranosus Muscle
Tibial division of sciatic nerve part of tibia (L5, S1, S2)
Main Action of Semimembranosus Muscle
Extend thigh; flex leg and rotate it medially when knee is flexed; when thigh and leg are flexed, these muscles can extend trunk
Origin of Biceps Femoris Muscle
Long head: ischial tuberosity Short head: linea aspera and lateral supracondylar line of femur
Insertion of Biceps Femoris Muscle
Lateral side of head of fibula; tendon is split at this site by fibular collateral ligament of knee
Innervation of Biceps Femoris Muscle
Long head: tibial division of sciatic nerve (L5, S1, S2) Short head: common fibular division of sciatic nerve (L5, S1, S2)
Main Action of Biceps Femoris Muscle
Flexes leg and rotates it laterally when knee is flexed; extends thigh (e.g., accelerating mass during first step of gait).
Origin of Tibialis Anterior Muscle
Lateral condyle and superior half of lateral surface of tibia and interosseous membrane
Insertion of Tibialis Anterior Muscle
Medial and inferior surfaces of medial cuneiform and base of 1st metatarsal
Innervation of Tibialis Anterior Muscle
Deep fibular nerve (L4, L5)
Main Action of Tibialis Anterior Muscle
Dorsiflexes ankle and inverts foot
Origin of Extensor Digitorum Longus Muscle
Lateral condyle of tibia and superior three quarters of medial surface of fibula and interosseous membrane
Insertion of Extensor Digitorum Longus Muscle
Middle and distal phalanges of lateral four digits
Innervation of Extensor Digitorum Longus Muscle
Deep fibular nerve (L4, L5)
Main Action of Extensor Digitorum Longus Muscle
Extends lateral four digits and dorsiflexes ankle
Origin of Extensor Hallucis Longus Muscle
Middle part of anterior surface of fibula and interosseous membrane
Insertion of Extensor Hallucis Longus Muscle
Dorsal aspect of base of distal phalanx of great toe (hallux)
Innervation of Extensor Hallucis Longus Muscle
Deep fibular nerve (L4, L5)
Main Action of Extensor Hallucis Longus Muscle
Extends great toe and dorsiflexes ankle
Origin of Fibularis Tertius Muscle
Inferior third of anterior surface of fibula and interosseous membrane
Insertion of Fibularis Tertius Muscle
Dorsum of base of 5th metatarsal
Innervation of Fibularis Tertius Muscle
Deep fibular nerve (L4, L5)
Main Action of Fibularis Tertius Muscle
Dorsiflexes ankle and aids in eversion of foot
Origin of Fibularis Longus Muscle
Head and superior two thirds of lateral surface of fibula
Insertion of Fibularis Longus Muscle
Base of 1st metatarsal and medial cuneiform
Innervation of Fibularis Longus Muscle
Superficial fibular nerve (L5, S1, S2)
Main Action of Fibularis Longus Muscle
Everts foot and weakly plantarflexes ankle
Origin of Fibularis Brevis Muscle
Inferior two thirds of lateral surface of fibula
Insertion of Fibularis Brevis Muscle
Dorsal surface of tuberosity on lateral side of base of 5th metatarsal
Innervation of Fibularis Brevis Muscle
Superficial fibular nerve (L5, S1, S2)
Main Action of Fibularis Brevis Muscle
Everts foot and weakly plantarflexes ankle
Origin of Gastrocnemius Muscle
Lateral head: lateral aspect of lateral condyle of femur; Medial head: popliteal surface of femur; superior to medial condyle
Insertion of Gastrocnemius Muscle
Posterior surface of calcaneus via calcaneal tendon
Innervation of Gastrocnemius Muscle
Tibial nerve (S1, S2)
Main Action of Gastrocnemius Muscle
Plantarflexes ankle when knee is extended; raises heel during walking; flexes leg at knee joint
Origin of Soleus Muscle
Posterior aspect of head and superior quarter of posterior surface of fibula; soleal line and middle third of medial border of tibia; and tendinous arch extending between the bony attachments
Insertion of Soleus Muscle
Posterior surface of calcaneus via calcaneal tendon
Innervation of Soleus Muscle
Tibial nerve (S1, S2)
Main Action of Soleus Muscle
Plantarflexes ankle independent of position of knee; steadies leg on foot
Origin of Plantaris Muscle
Inferior end of lateral supracondylar line of femur; oblique popliteal ligament
Insertion of Plantaris Muscle
Posterior surface of calcaneus via calcaneal tendon
Innervation of Plantaris Muscle
Tibial nerve (S1, S2)
Main Action of Plantaris Muscle
Weakly assists gastrocnemius in plantarflexing ankle
Origin of Popliteus Muscle
Lateral surface of lateral condyle of femur and lateral meniscus
Insertion of Popliteus Muscle
Posterior surface of tibia, superior to soleal line
Innervation of Popliteus Muscle
Tibial nerve (L4, L5, S1)
Main Action of Popliteus Muscle
Weakly flexes knee and unlocks it by rotating femur 5° on fixed tibia; medially rotates tibia of unplanted limb
Origin of Flexor Hallucis Longus Muscle
Inferior two thirds of posterior surface of fibula; inferior part of interosseous membrane
Insertion of Flexor Hallucis Longus Muscle
Base of distal phalanx of great toe (hallux)
Innervation of Flexor Hallucis Longus Muscle
Tibial nerve (S2, S3)
Main Action of Flexor Hallucis Longus Muscle
Flexes great toe at all joints; weakly plantarflexes ankle; supports medial longitudinal arch of foot
Origin of Flexor Digitorum Longus Muscle
Medial part of posterior surface of tibia inferior to soleal line; by a broad tendon to fibula
Insertion of Flexor Digitorum Longus Muscle
Bases of distal phalanges of lateral four digits
Innervation of Flexor Digitorum Longus Muscle
Tibial nerve (S2, S3)
Main Action of Flexor Digitorum Longus Muscle
Flexes lateral four digits; plantarflexes ankle; supports longitudinal arches of foot
Origin of Tibialis Posterior Muscle
Interosseous membrane; posterior surface of tibia inferior to soleal line; posterior surface of fibula
Insertion of Tibialis Posterior Muscle
Tuberosity of navicular, cuneiform, cuboid, and sustentaculum tali of calcaneus; bases of 2nd, 3rd, and 4th metatarsals
Innervation of Tibialis Posterior Muscle
Tibial nerve (L4, L5)
Main Action of Tibialis Posterior Muscle
Plantarflexes ankle; inverts foot
Origin of Abductor Hallucis Muscle
Medial tubercle of tuberosity of calcaneus; flexor retinaculum; plantar aponeurosis
Insertion of Abductor Hallucis Muscle
Medial side of base of proximal phalanx of 1st digit
Innervation of Abductor Hallucis Muscle
Medial plantar nerve (S2, S3)
Main Action of Abductor Hallucis Muscle
Abducts and flexes 1st digit (great toe, hallux)
Origin of Flexor Digitorum Brevis Muscle
Medial tubercle of tuberosity of calcaneus; plantar aponeurosis; intermuscular septa
Insertion of Flexor Digitorum Brevis Muscle
Both sides of middle phalanges of lateral four digits
Innervation of Flexor Digitorum Brevis Muscle
Medial plantar nerve (S2, S3)
Main Action of Flexor Digitorum Brevis Muscle
Flexes lateral four digits
Origin of Abductor Digiti Minimi Muscle
Medial and lateral tubercles of tuberosity of calcaneus; plantar aponeurosis; intermuscular septa
Insertion of Abductor Digiti Minimi Muscle
Lateral side of base of proximal phalanx of 5th digit
Innervation of Abductor Digiti Minimi Muscle
Lateral plantar nerve (S2, S3)
Main Action of Abductor Digiti Minimi Muscle
Abducts and flexes little toe (5th digit)
Origin of Quadratus Plantae Muscle
Medial surface and lateral margin of plantar surface of calcaneus
Insertion of Quadratus Plantae Muscle
Posterolateral margin of tendon of flexor digitorum longus
Innervation of Quadratus Plantae Muscle
Lateral plantar nerve (S2, S3)
Main Action of Quadratus Plantae Muscle
Assists flexor digitorum longus in flexing lateral four digits
Origin of Lumbricals Muscle
Tendons of flexor digitorum longus
Insertion of Lumbricals Muscle
Medial aspect of expansion over lateral four digits
Innervation of Lumbricals Muscle
Medial one: medial plantar nerve (S2, S3); Lateral three: lateral plantar nerve (S2, S3)
Main Action of Lumbricals Muscle
Flex proximal phalanges, extend middle and distal phalanges of lateral four digits
Origin of Flexor Hallucis Brevis Muscle
Plantar surfaces of cuboid and lateral cuneiforms
Insertion of Flexor Hallucis Brevis Muscle
Both sides of base of proximal phalanx of 1st digit
Innervation of Flexor Hallucis Brevis Muscle
Medial plantar nerve (S2, S3)
Main Action of Flexor Hallucis Brevis Muscle
Flexes proximal phalanx of 1st digit
Origin of Adductor Hallucis Muscle
Oblique head: bases of metatarsals 2-4; Transverse head: plantar ligaments of metatarsophalangeal (MTP) joints
Insertion of Adductor Hallucis Muscle
Tendons of both heads attach to lateral side of base of proximal phalanx of 1st digit
Innervation of Adductor Hallucis Muscle
Deep branch of lateral plantar nerve (S2, S3)
Main Action of Adductor Hallucis Muscle
Traditionally said to adduct 1st digit; assists in transverse arch of foot by metatarsals medially
Origin of Flexor Digit Minimi Brevis Muscle
Base of 5th metatarsal
Insertion of Flexor Digit Minimi Brevis Muscle
Base of proximal phalanx of 5th digit
Innervation of Flexor Digit Minimi Brevis Muscle
Superficial branch of lateral plantar nerve (S2, S3)
Main Action of Flexor Digit Minimi Brevis Muscle
Flexes proximal phalanx of 5th digit, thereby assisting with its flexion
Origin of Plantar Interossei (Threes) Muscle
Bases and medial sides of metatarsals 3-5
Insertion of Plantar Interossei (Threes) Muscle
Medial sides of bases of phalanges of 3rd-5th digits
Innervation of Plantar Interossei (Threes) Muscle
Lateral plantar nerve (S2, S3)
Main Action of Plantar Interossei (Threes) Muscle
Adduct digits (2-4) and flex metatarsophalangeal joints
Origin of Dorsal Interossei (Fours) Muscle
Adjacent sides of metatarsals 1-5
Insertion of Dorsal Interossei (Fours) Muscle
1st: medial side of proximal phalanx of 2nd digit; 2nd-4th: lateral sides of 2nd-4th digits
Innervation of Dorsal Interossei (Fours) Muscle
Lateral plantar nerve (S2, S3)
Main Action of Dorsal Interossei (Fours) Muscle
Abduct digits (2-4) and flex metatarsophalangeal joints
Origin of Extensor Digitorum Brevis Muscle
Calcaneus (floor of tarsal sinus); interosseous talocalcaneal ligament; stem of inferior extensor retinaculum
Insertion of Extensor Digitorum Brevis Muscle
Long extensor tendons of four medial digits (toes 2-4)
Innervation of Extensor Digitorum Brevis Muscle
Deep fibular nerve (L5 or S1, or both)
Main Action of Extensor Digitorum Brevis Muscle
Aids the extensor digitorum longus in extending the four medial toes at the metatarsophalangeal and interphalangeal joints
Origin of Extensor Hallucis Brevis Muscle
In common with extensor digitorum brevis (above)
Insertion of Extensor Hallucis Brevis Muscle
Dorsal aspect of base of proximal phalanx of great toe (digit 1)
Innervation of Extensor Hallucis Brevis Muscle
Deep fibular nerve (L5 or S1, or both)
Main Action of Extensor Hallucis Brevis Muscle
Aids the extensor hallucis longus in extending the great toe at the metatarsophalangeal joint
Origin of Thoracoabdominal (T7-T11) Nerve
Continuation of lower (7th-11th) intercostal nerves distal to costal margin
Course of Thoracoabdominal (T7-T11) Nerve
Run between second and third layers of abdominal muscles; branches enter subcutaneous tissue as lateral cutaneous branches of T10-T11 (in anterior axillary line) and anterior cutaneous branches of T7-T11 (parasternal line)
Distribution of Thoracoabdominal (T7-T11) Nerve
Muscles of anterolateral abdominal wall and overlying skin
Origin of 7th-9th Lateral Cutaneous Nerve Branches
7th-9th intercostal nerves (anterior rami of spinal nerves T7-T9)
Course of 7th-9th Lateral Cutaneous Nerve Branches
Anterior divisions continue across costal margin in subcutaneous tissue
Distribution of 7th-9th Lateral Cutaneous Nerve Branches
Skin of right and left hypochondriac regions
Origin of Subcostal (Anterior Ramus Of T12) Nerve
Spinal nerve T12
Course of Subcostal (Anterior Ramus Of T12) Nerve
Runs along inferior border of 12th rib; then passes onto subumbilical abdominal wall between second and third layers of abdominal muscles
Distribution of Subcostal (Anterior Ramus Of T12) Nerve
Muscles of anterolateral abdominal wall (including most inferior slip of external oblique) and overlying skin, superior to iliac crest and inferior to umbilicus
Origin of Iliohypogastric (L1) Nerve
As superior terminal branch of anterior ramus of spinal nerve L1
Course of Iliohypogastric (L1) Nerve
Pierces transversus abdominis muscle to course between second and third layers of abdominal muscles; branches pierce external oblique aponeuroses of most inferior abdominal wall
Distribution of Iliohypogastric (L1) Nerve
Skin overlying iliac crest, upper inguinal, and hypogastric regions; internal oblique and transversus abdominis muscles
Origin of Ilioinguinal (L1) Nerve
As inferior terminal branch of anterior ramus of spinal nerve L1
Course of Ilioinguinal (L1) Nerve
Passes between second and third layers of abdominal muscles; then traverses inguinal canal
Distribution of Ilioinguinal (L1) Nerve
Skin of lower inguinal region, mons pubis, anterior scrotum or labium majus, and adjacent medial thigh; inferiormost internal oblique and transversus abdominis
Origin of Sciatic Nerve
L4, L5, S1, S2, S3
Distribution of Sciatic Nerve
Articular branches to hip joint and muscular branches to flexors of knee in thigh and all muscles in leg and foot
Origin of Superior Gluteal Nerve
L4, L5, S1
Distribution of Superior Gluteal Nerve
Gluteus medius and gluteus minimus muscles
Origin of Nerve To Quadratus Femoris (And Inferior Gemellus)
L4, L5, S1
Distribution of Nerve To Quadratus Femoris (And Inferior Gemellus)
Quadratus femoris and inferior gemellus muscles
Origin of Inferior Gluteal Nerve
L5, S1, S2
Distribution of Inferior Gluteal Nerve
Gluteus maximus
Origin of Nerve To Obturator Internus (And Superior Gemellus)
L5, S1, S2
Distribution of Nerve To Obturator Internus (And Superior Gemellus)
Obturator internus and superior gemellus muscles
Origin of Nerve To Piriformis
S1, S2
Distribution of Nerve To Piriformis
Piriformis muscle
Origin of Posterior Cutaneous Nerve Of Thigh
S2, S3
Distribution of Posterior Cutaneous Nerve Of Thigh
Cutaneous branches to buttock and uppermost medial and posterior surfaces of thigh
Origin of Perforating Cutaneous Nerve
S2, S3
Distribution of Perforating Cutaneous Nerve
Cutaneous branches to medial part of buttock
Origin of Pudendal Nerve
S2, S3, S4
Distribution of Pudendal Nerve
Structures in perineum: sensory to genitalia; muscular branches to perineal muscles, external urethral sphincter, and external anal sphincter
Origin of Pelvic Splanchnic Nerve
S2, S3, S4
Distribution of Pelvic Splanchnic Nerve
Pelvic viscera via inferior hypogastric and pelvic plexuses
Origin of Nerves To Levator Ani And Coccygeus
S3, S4
Distribution of Nerves To Levator Ani And Coccygeus
Levator ani and coccygeus muscles
Origin of Anterior Labial Nerves (♀); Anterior Scrotal Nerves (♂)
Terminal part of ilioinguinal nerve (L1)
Course of Anterior Labial Nerves (♀); Anterior Scrotal Nerves (♂)
Arise as ilioinguinal exits superficial inguinal ring; pass anteriorly and inferiorly
Distribution of Anterior Labial Nerves (♀); Anterior Scrotal Nerves (♂)
In females, sensory to mons pubis and anterior part of labium majus; in males, sensory to pubic region, skin of proximal penis, and anterior aspect of scrotum, and adjacent thigh
Origin of Femoral Nerve
L2-L4
Course of Femoral Nerve
Emerges through femoral canal
Distribution of Femoral Nerve
Anterior Compartment of the Thigh
Origin of Genital Branch Of Genitofemoral Nerve
Genitofemoral nerve (L1 and L2)
Course of Genital Branch Of Genitofemoral Nerve
Emerges through or near superficial inguinal ring
Distribution of Genital Branch Of Genitofemoral Nerve
In females, sensory to anterior labia majora; in males, motor to cremaster muscle, sensory to anterior aspect of scrotum and adjacent thigh
Origin of Perineal Branch Of Posterior Cutaneous Nerve Of Thigh
Posterior cutaneous nerve of thigh (S1-S3)
Course of Perineal Branch Of Posterior Cutaneous Nerve Of Thigh
Arises deep to inferior border of gluteus maximus; passes medially over sacrotuberous ligament to parallel ischiopubic ramus
Distribution of Perineal Branch Of Posterior Cutaneous Nerve Of Thigh
Sensory to lateral perineum (labia majora in ♀, scrotum in ♂), genitofemoral sulcus, and superiormost medial thigh; may overlap lateral parts of perineum supplied by pudendal nerve
Origin of Inferior Clunial Nerves
Posterior cutaneous nerve of thigh (S1-S3)
Course of Inferior Clunial Nerves
Arise deep to and emerge from inferior border of gluteus maximus, ascending in subcutaneous tissue
Distribution of Inferior Clunial Nerves
Skin of inferior and inferolateral gluteal region (buttock)—gluteal fold and area superior to it
Origin of Pudendal Nerve (S2-S4)
Sacral plexus (anterior rami of S2-S4)
Course of Pudendal Nerve (S2-S4)
Exits pelvis via infrapiriform part of greater sciatic foramen; passes posterior to sacrospinous ligament; enters perineum via lesser sciatic foramen, immediately dividing into branches as it enters pudendal canal
Distribution of Pudendal Nerve (S2-S4)
Motor to muscles of perineum and sensory to majority of perineal region via its branches, the inferior rectal and perineal nerves, and the dorsal nerve of clitoris or penis
Origin of Inferior Anal (Rectal) Nerve
Pudendal nerve (S3-4)
Course of Inferior Anal (Rectal) Nerve
Passes medially from area of ischial spine (entrance to pudendal canal), traversing ischioanal fat body
Distribution of Inferior Anal (Rectal) Nerve
External anal sphincter; participates in innervation of inferior and medial-most part of levator ani (puborectalis); sensory to anal canal inferior to pectinate line and circumanal skin
Origin of Perineal Nerve
Pudendal nerve
Course of Perineal Nerve
Arises near entrance to pudendal canal, paralleling parent nerve to end of canal, then passes medially
Distribution of Perineal Nerve
Divides into superficial and deep branches, the posterior labial or scrotal nerve and the deep perineal nerve
Origin of Posterior Labial Nerves (♀), Posterior Scrotal Nerves (♂)
Superficial terminal branch of perineal nerve
Course of Posterior Labial Nerves (♀), Posterior Scrotal Nerves (♂)
Arise in anterior (terminal) end of pudendal canal, passing medially and superficially
Distribution of Posterior Labial Nerves (♀), Posterior Scrotal Nerves (♂)
In females, labia minora and all but anterior labia majora; in males, posterior aspect of scrotum
Origin of Deep Perineal Nerve
Deep terminal branch of perineal nerve
Course of Deep Perineal Nerve
Arise in anterior (terminal) end of pudendal canal, passing medially then deeply in superficial perineal pouch
Distribution of Deep Perineal Nerve
Motor to muscles of superficial perineal pouch (ischiocavernosus, bulbospongiosus, and superficial perineal muscles); in females, sensory to vestibule of vagina and inferior part of vagina
Origin of Subcostal Nerve
T12 anterior ramus
Course of Subcostal Nerve
Courses along inferior border of 12th rib; lateral cutaneous branch descends over iliac crest
Distribution of Subcostal Nerve
Lateral cutaneous branch supplies skin of hip region inferior to anterior part of iliac crest and anterior to greater trochanter
Origin of Iliohypogastric Nerve
Lumbar plexus (L1; occasionally T12)
Course of Iliohypogastric Nerve
Parallels iliac crest; divides into lateral and anterior cutaneous branches
Distribution of Iliohypogastric Nerve
Lateral cutaneous branch supplies superolateral quadrant of buttock
Origin of Ilioinguinal Nerve
Lumbar plexus (L1; occasionally T12)
Course of Ilioinguinal Nerve
Passes through inguinal canal; divides into femoral and scrotal or labial branches
Distribution of Ilioinguinal Nerve
Femoral branch supplies skin over medial femoral triangle
Origin of Genitofemoral Nerve
Lumbar plexus (L1-L2)
Course of Genitofemoral Nerve
Descends anterior surface of psoas major; divides into genital and femoral branches
Distribution of Genitofemoral Nerve
Femoral branch supplies skin over lateral part of femoral triangle; genital branch supplies anterior scrotum or labia majora
Origin of Lateral Cutaneous Nerve Of Thigh
Lumbar plexus (L2-L3)
Course of Lateral Cutaneous Nerve Of Thigh
Passes deep to inguinal ligament, 2-3 cm medial to anterior superior iliac spine
Distribution of Lateral Cutaneous Nerve Of Thigh
Supplies skin on anterior and lateral aspects of thigh
Origin of Anterior Cutaneous Nerve Branches
Lumbar plexus via femoral nerve (L2-L4)
Course of Anterior Cutaneous Nerve Branches
Arise in femoral triangle; pierce fascia lata along path of sartorius muscle
Distribution of Anterior Cutaneous Nerve Branches
Supply skin of anterior and medial aspects of thigh
Origin of Cutaneous Branch Of Obturator Nerve
Lumbar plexus via obturator nerve, anterior branch (L2-L4)
Course of Cutaneous Branch Of Obturator Nerve
Following its descent between adductors longus and brevis, anterior division of obturator nerve pierces fascia lata to reach skin of thigh
Distribution of Cutaneous Branch Of Obturator Nerve
Skin of middle part of medial thigh
Origin of Posterior Cutaneous Nerve Of Thigh
Sacral plexus (S1-S3)
Course of Posterior Cutaneous Nerve Of Thigh
Enters gluteal region via infrapiriform portion of greater sciatic foramen deep to gluteus maximus; then descends deep to fascia lata
Distribution of Posterior Cutaneous Nerve Of Thigh
Terminal branches pierce fascia lata to supply skin of posterior thigh and popliteal fossa
Origin of Saphenous Nerve
Lumbar plexus via femoral nerve (L3-L4)
Course of Saphenous Nerve
Traverses adductor canal but does not pass through adductor hiatus; crossing medial side of knee deep to sartorius tendon
Distribution of Saphenous Nerve
Skin on medial side of leg and foot
Origin of Superficial Fibular Nerve
Common fibular nerve (L4-S1)
Course of Superficial Fibular Nerve
Courses through lateral compartment of leg; after supplying fibular muscles, perforates deep fascia of leg
Distribution of Superficial Fibular Nerve
Skin of anterolateral leg and dorsum of foot, excluding web between great and 2nd toes
Origin of Deep Fibular Nerve
Common fibular nerve (L5)
Course of Deep Fibular Nerve
After supplying muscles on dorsum of foot, pierces deep fascia superior to heads of 1st and 2nd metatarsals
Distribution of Deep Fibular Nerve
Skin of web between great and 2nd toes
Origin of Sural Nerve
Tibial and common fibular nerves (S1-S2)
Course of Sural Nerve
Medial sural cutaneous branch of tibial nerve and lateral sural cutaneous branch of fibular nerve merge at varying levels on posterior leg
Distribution of Sural Nerve
Skin of posterolateral leg and lateral margin of foot
Origin of Medial Plantar Nerve
Tibial nerve (L4-L5)
Course of Medial Plantar Nerve
Passes between first and second layers of plantar muscles; then between medial and middle muscles of first layer
Distribution of Medial Plantar Nerve
Skin of medial side of sole, and plantar aspect, sides, and nail beds of medial 3½ toes
Origin of Lateral Plantar Nerve
Tibial nerve (S1-S2)
Course of Lateral Plantar Nerve
Passes between first and second layers of plantar muscles; then between middle and lateral muscles of first layer
Distribution of Lateral Plantar Nerve
Skin of lateral sole, and plantar aspect, sides, and nail beds of lateral 1½ toes
Origin of Calcaneal Nerves
Tibial and sural nerves (S1-S2)
Course of Calcaneal Nerves
Lateral and medial branches of tibial and sural nerves, respectively, over calcaneal tuberosity
Distribution of Calcaneal Nerves
Skin of heel
Origin of Superior Clunial Nerves
L1-L3 posterior rami
Course of Superior Clunial Nerves
Penetrate thoracodorsal fascia; course laterally and inferiorly in subcutaneous tissue
Distribution of Superior Clunial Nerves
Skin overlying superior and central parts of buttock
Origin of Medial Clunial Nerves
S1-S3 posterior rami
Course of Medial Clunial Nerves
Emerge from dorsal sacral foramina; directly enter overlying subcutaneous tissue
Distribution of Medial Clunial Nerves
Skin of medial buttock and intergluteal cleft
Origin of Inferior Clunial Nerves
Posterior cutaneous nerve of thigh (S2-S3)
Course of Inferior Clunial Nerves
Arise deep to gluteus maximus; emerge from beneath inferior border of muscle
Distribution of Inferior Clunial Nerves
Skin of inferior buttock (overlying gluteal fold)
Origin of Sciatic Nerve
Sacral plexus (anterior and posterior divisions of anterior rami of L4-S3 spinal nerves)
Course of Sciatic Nerve
Enters gluteal region via greater sciatic foramen inferior to piriformis and deep to gluteus maximus; descends in posterior thigh deep to biceps femoris; bifurcates into tibial and common fibular nerves at apex of popliteal fossa
Distribution of Sciatic Nerve
Supplies no muscles in gluteal region; supplies all muscles of posterior compartment of thigh (tibial division supplies all but short head of biceps, which is supplied by common fibular division)
Origin of Posterior Cutaneous Nerve Of Thigh
Sacral plexus (anterior and posterior divisions of anterior rami of S1-S3 spinal nerves)
Course of Posterior Cutaneous Nerve Of Thigh
Enters gluteal region via greater sciatic foramen inferior to piriformis and deep to gluteus maximus, emerging from inferior border of latter; descends in posterior thigh deep to fascia lata
Distribution of Posterior Cutaneous Nerve Of Thigh
Supplies skin of inferior half of buttock (through inferior clunial nerves), skin over posterior thigh and popliteal fossa, and skin of lateral perineum and upper medial thigh (via its perineal branch)
Origin of Superior Gluteal Nerve
Sacral plexus (posterior divisions of anterior rami of L4-S1 spinal nerves)
Course of Superior Gluteal Nerve
Enters gluteal region via greater sciatic foramen superior to piriformis; courses laterally between gluteus medius and minimus as far as tensor fasciae latae
Distribution of Superior Gluteal Nerve
Innervates gluteus medius, gluteus minimus, and tensor fasciae latae muscles
Origin of Inferior Gluteal Nerve
Sacral plexus (posterior divisions of anterior rami of L5-S2 spinal nerves)
Course of Inferior Gluteal Nerve
Enters gluteal region via greater sciatic foramen inferior to piriformis and deep to inferior part of gluteus maximus, dividing into several branches
Distribution of Inferior Gluteal Nerve
Supplies gluteus maximus
Origin of Nerve To Quadratus Femoris
Sacral plexus (anterior divisions of anterior rami of L4-S1 spinal nerves)
Course of Nerve To Quadratus Femoris
Enters gluteal region via greater sciatic foramen inferior to piriformis, deep (anterior) to sciatic nerve
Distribution of Nerve To Quadratus Femoris
Innervates hip joint, inferior gemellus, and quadratus femoris
Origin of Pudendal Nerve
Sacral plexus (anterior divisions of anterior rami of S2-S4 spinal nerves)
Course of Pudendal Nerve
Exits pelvis via greater sciatic foramen inferior to piriformis; descends posterior to sacrospinous ligament; enters perineum through lesser sciatic foramen
Distribution of Pudendal Nerve
Supplies no structures in gluteal region or posterior thigh (principal nerve to perineum)
Origin of Nerve To Obturator Internus
Sacral plexus (posterior divisions of anterior rami of L5-S2 spinal nerves)
Course of Nerve To Obturator Internus
Exits pelvis via greater sciatic foramen inferior to piriformis; descends posterior to sacrospinous ligament; enters perineum through lesser sciatic foramen
Distribution of Nerve To Obturator Internus
Supplies superior gemellus and obturator internus
Origin of Saphenous Nerve
Femoral nerve
Course of Saphenous Nerve
Descends with femoral vessels through femoral triangle and adductor canal and then descends with great saphenous vein
Distribution of Saphenous Nerve
Supplies skin on medial side of ankle and foot
Origin of Sural Nerve
Usually arises from both tibial and common fibular nerves
Course of Sural Nerve
Descends between heads of gastrocnemius and becomes superficial at middle of leg; descends with small saphenous vein and passes inferior to lateral malleolus to lateral side of foot
Distribution of Sural Nerve
Supplies skin on posterior and lateral aspects of leg and lateral side of foot
Origin of Tibial Nerve
Sciatic nerve
Course of Tibial Nerve
Forms as sciatic bifurcates at apex of popliteal fossa; descends through popliteal fossa and lies on popliteus; runs inferiorly on tibialis posterior with posterior tibial vessels; terminates beneath flexor retinaculum by dividing into medial and lateral plantar nerves
Distribution of Tibial Nerve
Supplies posterior muscles of leg and knee joint
Origin of Common Fibular (Peroneal) Nerve
Sciatic nerve
Course of Common Fibular (Peroneal) Nerve
Forms as sciatic bifurcates at apex of popliteal fossa and follows medial border of biceps femoris and its tendon; passes over posterior aspect of head of fibula and then winds around neck of fibula deep to fibularis longus, where it divides into deep and superficial fibular nerves
Distribution of Common Fibular (Peroneal) Nerve
Supplies skin on lateral part of posterior aspect of leg via the lateral sural cutaneous nerve; also supplies knee joint via its articular branch
Origin of Superficial Fibular (Peroneal) Nerve
Common fibular nerve
Course of Superficial Fibular (Peroneal) Nerve
Arises between fibularis longus and neck of fibula and descends in lateral compartment of leg; pierces deep fascia at distal third of leg to become subcutaneous
Distribution of Superficial Fibular (Peroneal) Nerve
Supplies fibularis longus and brevis and skin on distal third of anterior surface of leg and dorsum of foot
Origin of Deep Fibular (Peroneal) Nerve
Common fibular nerve
Course of Deep Fibular (Peroneal) Nerve
Arises between fibularis longus and neck of fibula; passes through extensor digitorum longus and descends on interosseous membrane; crosses distal end of tibia and enters dorsum of foot
Distribution of Deep Fibular (Peroneal) Nerve
Supplies anterior muscles of leg, dorsum of foot, and skin of first interdigital cleft; sends articular branches to joints it crosses
Origin of Saphenous Nerve
Femoral nerve
Course of Saphenous Nerve
Arises in femoral triangle and descends through thigh and leg; accompanies great saphenous vein anterior to medial malleolus; ends on medial side of foot
Distribution of Saphenous Nerve
Supplies skin on medial side of foot as far anteriorly as head of 1st metatarsal
Origin of Superficial Fibular Nerve
Common fibular nerve
Course of Superficial Fibular Nerve
Pierces deep fascia in distal third of leg to become cutaneous; then sends branches to foot and digits
Distribution of Superficial Fibular Nerve
Supplies skin on dorsum of foot and all digits, except lateral side of 5th and adjoining sides of the 1st and 2nd digits
Origin of Deep Fibular Nerve
Common fibular nerve
Course of Deep Fibular Nerve
Passes deep to extensor retinaculum to enter dorsum of foot
Distribution of Deep Fibular Nerve
Supplies extensor digitorum brevis and skin on contiguous sides of 1st and 2nd digits
Origin of Medial Plantar Nerve
Larger terminal branch of tibial nerve
Course of Medial Plantar Nerve
Passes distally in foot between abductor hallucis and flexor digitorum brevis; divides into muscular and cutaneous branches
Distribution of Medial Plantar Nerve
Supplies skin of medial side of sole of foot and sides of first three digits; also supplies abductor hallucis, flexor digitorum brevis, flexor hallucis brevis, and first lumbrical
Origin of Lateral Plantar Nerve
Smaller terminal branch of tibial nerve
Course of Lateral Plantar Nerve
Passes laterally in foot between quadratus plantae and flexor digitorum brevis muscles; divides into superficial and deep branches
Distribution of Lateral Plantar Nerve
Supplies quadratus plantae, abductor digiti minimi, digiti minimi brevis; deep branch supplies plantar and dorsal interossei, lateral three lumbricals, and adductor hallucis; supplies skin on sole lateral to a line splitting 4th digit
Origin of Sural Nerve
Usually arises from both tibial and common fibular nerves
Course of Sural Nerve
Passes inferior to the lateral malleolus to lateral side of foot
Distribution of Sural Nerve
Lateral aspect of hindfoot and midfoot
Origin of Calcaneal Nerve Branches
Tibial and sural nerves
Course of Calcaneal Nerve Branches
Pass from distal part of the posterior aspect of leg to skin on heel
Distribution of Calcaneal Nerve Branches
Skin of heel
Are Cardiopulmonary (Cervical And Upper Thoracic) Splanchnic Nerves Presynaptic or Postsynaptic?
Postsynaptic
Are Cardiopulmonary (Cervical And Upper Thoracic) Splanchnic Nerves Sympathetic or Parasympathetic?
Sympathetic
Origin of Cardiopulmonary (Cervical And Upper Thoracic) Splanchnic Nerves
Cervical and upper thoracic sympathetic trunk
Destination of Cardiopulmonary (Cervical And Upper Thoracic) Splanchnic Nerves
Thoracic cavity (viscera superior to level of diaphragm)
Are Abdominopelvic (General) Splanchnic Nerves Presynaptic or Postsynaptic?
Presynaptic
Are Abdominopelvic (General) Splanchnic Nerves Sympathetic or Parasympathetic?
Sympathetic
Origin of Abdominopelvic (General) Splanchnic Nerves
Lower thoracic and abdominopelvic sympathetic trunk
Destination of Abdominopelvic (General) Splanchnic Nerves
Abdominopelvic cavity (prevertebral ganglia serving viscera and suprarenal glands inferior to level of diaphragm)
Are Lower Thoracic Splanchnic Nerves Presynaptic or Postsynaptic?
Presynaptic
Are Lower Thoracic Splanchnic Nerves Sympathetic or Parasympathetic?
Sympathetic
Origin of Lower Thoracic Splanchnic Nerves
Thoracic sympathetic trunk:
Destination of Lower Thoracic Splanchnic Nerves
Abdominal prevertebral ganglia
Are Greater Splanchnic Nerves Presynaptic or Postsynaptic?
Presynaptic
Are Greater Splanchnic Nerves Sympathetic or Parasympathetic?
Sympathetic
Origin of Greater Splanchnic Nerves
T5-T9 or T10 level
Destination of Greater Splanchnic Nerves
Celiac ganglia
Are Lesser Splanchnic Nerves Presynaptic or Postsynaptic?
Presynaptic
Are Lesser Splanchnic Nerves Sympathetic or Parasympathetic?
Sympathetic
Origin of Lesser Splanchnic Nerves
T10-T11 level
Destination of Lesser Splanchnic Nerves
Aorticorenal ganglia
Are Least Splanchnic Nerves Presynaptic or Postsynaptic?
Presynaptic
Are Least Splanchnic Nerves Sympathetic or Parasympathetic?
Sympathetic
Origin of Least Splanchnic Nerves
T12 level
Destination of Least Splanchnic Nerves
Other abdominal prevertebal ganglia (superior and inferior mesenteric, and of intermesenteric/hypogastric plexuses)
Are Lumbar Splanchnic Nerves Presynaptic or Postsynaptic?
Presynaptic
Are Lumbar Splanchnic Nerves Sympathetic or Parasympathetic?
Sympathetic
Origin of Lumbar Splanchnic Nerves
Abdominal sympathetic trunk
Destination of Lumbar Splanchnic Nerves
Other abdominal prevertebal ganglia (superior and inferior mesenteric, and of intermesenteric/hypogastric plexuses)
Are Sacral Splanchnic Nerves Presynaptic or Postsynaptic?
Presynaptic
Are Sacral Splanchnic Nerves Sympathetic or Parasympathetic?
Sympathetic
Origin of Sacral Splanchnic Nerves
Pelvic (sacral) sympathetic trunk
Destination of Sacral Splanchnic Nerves
Pelvic prevertebral ganglia
Are Pelvic Splanchnic Nerves Presynaptic or Postsynaptic?
Presynaptic
Are Pelvic Splanchnic Nerves Sympathetic or Parasympathetic?
Parasympathetic
Origin of Pelvic Splanchnic Nerves
Anterior rami of S2-S4 spinal nerves
Destination of Pelvic Splanchnic Nerves
Intrinsic ganglia of descending and sigmoid colon, rectum, and pelvic viscera
Arterial Supply for Superior Surface of Diaphragm
Superior phrenic arteries from thoracic aorta Musculophrenic and pericardiophrenic arteries from internal thoracic arteries
Arterial Supply for Inferior Surface of Diaphragm
Inferior phrenic arteries from abdominal aorta
Venous Drainage for Superior Surface of Diaphragm
Musculophrenic and pericardiacophrenic veins drain into internal thoracic veins; superior phrenic vein (right side) drains into IVC
Venous Drainage for Inferior Surface of Diaphragm
Inferior phrenic veins; right vein drains into IVC; left vein is doubled and drains into IVC and suprarenal vein
Lymphatic Drainage for Superior Surface of Diaphragm
Diaphragmatic lymph nodes to phrenic nodes, then to parasternal and posterior mediastinal nodes
Lymphatic Drainage for Inferior Surface of Diaphragm
Superior lumbar lymph nodes; lymphatic plexuses on superior and inferior surfaces communicate freely
Innervation for Superior Surface of Diaphragm
Motor supply: phrenic nerves (C3-C5)
Origin of Musculophrenic Artery
Internal thoracic artery
Course of Musculophrenic Artery
Descends along costal margin
Distribution of Musculophrenic Artery
Superficial and deep abdominal wall of hypochondriac region; anterolateral diaphragm
Origin of Superior Epigastric Artery
Internal thoracic artery
Course of Superior Epigastric Artery
Descends in rectus sheath deep to rectus abdominis
Distribution of Superior Epigastric Artery
Rectus abdominis muscle; superficial and deep abdominal wall of epigastric and upper umbilical regions
Origin of 10th And 11th Posterior Intercostal Artery
Aorta
Course of 10th And 11th Posterior Intercostal Artery
Arteries continue beyond ribs to descend in abdominal wall between internal oblique and transversus abdominis muscles
Distribution of 10th And 11th Posterior Intercostal Artery
Superficial and deep abdominal wall of lateral (lumbar or flank) region
Origin of Subcostal Artery
Aorta
Course of Subcostal Artery
Arteries continue beyond ribs to descend in abdominal wall between internal oblique and transversus abdominis muscles
Distribution of Subcostal Artery
Superficial and deep abdominal wall of lateral (lumbar or flank) region
Origin of Inferior Epigastric Artery
External iliac artery
Course of Inferior Epigastric Artery
Runs superiorly and enters rectus sheath; runs deep to rectus abdominis
Distribution of Inferior Epigastric Artery
Rectus abdominis muscle; deep abdominal wall of pubic and inferior umbilical regions
Origin of Deep Circumflex Iliac Artery
External iliac artery
Course of Deep Circumflex Iliac Artery
Runs on deep aspect of anterior abdominal wall, parallel to inguinal ligament
Distribution of Deep Circumflex Iliac Artery
Iliacus muscle and deep abdominal wall of inguinal region; iliac fossa
Origin of Superficial Circumflex Iliac Artery
Femoral artery
Course of Superficial Circumflex Iliac Artery
Runs in subcutaneous tissue along inguinal ligament
Distribution of Superficial Circumflex Iliac Artery
Superficial abdominal wall of inguinal region and adjacent anterior thigh
Origin of Superficial Epigastric Artery
Femoral artery
Course of Superficial Epigastric Artery
Runs in subcutaneous tissue toward umbilicus
Distribution of Superficial Epigastric Artery
Superficial abdominal wall of pubic and inferior umbilical regions
Origin of Celiac Trunk Artery
Abdominal aorta (at level of aortic hiatus)
Course of Celiac Trunk Artery
After short anteroinferior course, bifurcates into splenic and common hepatic arteries
Distribution of Celiac Trunk Artery
Esophagus, stomach, proximal duodenum, liver/biliary apparatus, pancreas
Origin of Left Gastric Artery
Celiac trunk
Course of Left Gastric Artery
Ascends retroperitoneally to esophageal hiatus, giving rise to an esophageal branch; then descending along lesser curvature to anastomose with right gastric artery
Distribution of Left Gastric Artery
Distal (mostly abdominal) part of esophagus and lesser curvature of stomach
Origin of Splenic Artery
Celiac trunk
Course of Splenic Artery
Runs retroperitoneally along superior border of pancreas; traverses splenorenal ligament to hilum of spleen
Distribution of Splenic Artery
Body of pancreas, spleen, and greater curvature and posterior stomach body
Origin of Posterior Gastric Artery
Splenic artery posterior to stomach
Course of Posterior Gastric Artery
Ascends retroperitoneally along posterior wall of lesser omental bursa to enter gastrophrenic ligament
Distribution of Posterior Gastric Artery
Posterior wall and fundus of stomach
Origin of Left Gastro-Omental (Left Gastroepiploic) Artery
Splenic artery in hilum of spleen
Course of Left Gastro-Omental (Left Gastroepiploic) Artery
Passes between layers of gastrosplenic ligament to stomach, then along greater curvature in greater omentum to anastomose with right gastro-omental artery
Distribution of Left Gastro-Omental (Left Gastroepiploic) Artery
Left portion of greater curvature of stomach
Origin of Short Gastric (N = 4-5) Artery
Splenic artery in hilum of spleen
Course of Short Gastric (N = 4-5) Artery
Passes between layers of gastrosplenic ligament to fundus of stomach
Distribution of Short Gastric (N = 4-5) Artery
Fundus of stomach
Origin of Hepatic Artery
Celiac trunk
Course of Hepatic Artery
Passes retroperitoneally to reach hepatoduodenal ligament; passing between layers to porta hepatis; bifurcates into right and left hepatic arteries
Distribution of Hepatic Artery
Liver, gallbladder and biliary ducts, stomach, duodenum, pancreas, and respective lobes of liver
Origin of Cystic Artery
Right hepatic artery
Course of Cystic Artery
Arises within hepatoduodenal ligament (in cystohepatic triangle of Calot)
Distribution of Cystic Artery
Gallbladder and cystic duct
Origin of Right Gastric Artery
Hepatic artery
Course of Right Gastric Artery
Runs along lesser curvature of stomach to anastomose with left gastric artery
Distribution of Right Gastric Artery
Right portion of lesser curvature of stomach
Origin of Gastroduodenal Artery
Hepatic artery
Course of Gastroduodenal Artery
Descends retroperitoneally, posterior to gastroduodenal junction
Distribution of Gastroduodenal Artery
Stomach, pancreas, first part of duodenum, and distal part of bile duct
Origin of Right Gastro-Omental (Right Gastroepiploic) Artery
Gastroduodenal artery
Course of Right Gastro-Omental (Right Gastroepiploic) Artery
Passes between layers of greater omentum along greater curvature of stomach to anastomose with left gastro-omental artery
Distribution of Right Gastro-Omental (Right Gastroepiploic) Artery
Right portion of greater curvature of stomach
Origin of Superior Pancreaticoduodenal Artery
Gastroduodenal artery
Course of Superior Pancreaticoduodenal Artery
Divides into anterior and posterior arteries that descend on each side of pancreatic head, anastomosing with similar branches of inferior pancreaticoduodenal artery
Distribution of Superior Pancreaticoduodenal Artery
Proximal portion of duodenum and superior part of head of pancreas
Origin of Inferior Pancreaticoduodenal Artery
Superior mesenteric artery
Course of Inferior Pancreaticoduodenal Artery
Divides into anterior and posterior arteries that ascend on each side of pancreatic head, anastomosing with similar branches of superior pancreaticoduodenal artery
Distribution of Inferior Pancreaticoduodenal Artery
Distal portion of duodenum and head of pancreas
Origin of Superior Mesenteric Artery
Abdominal aorta
Course of Superior Mesenteric Artery
Runs in root of mesentery to ileocecal junction
Distribution of Superior Mesenteric Artery
Part of gastrointestinal tract derived from midgut
Origin of Intestinal (Jejunal And Ileal) (N = 15-18) Artery
Superior mesenteric artery
Course of Intestinal (Jejunal And Ileal) (N = 15-18) Artery
Passes between two layers of mesentery
Distribution of Intestinal (Jejunal And Ileal) (N = 15-18) Artery
Jejunum and ileum
Origin of Middle Colic Artery
Superior mesenteric artery
Course of Middle Colic Artery
Ascends retroperitoneally and passes between layers of transverse mesocolon
Distribution of Middle Colic Artery
Transverse colon
Origin of Right Colic Artery
Superior mesenteric artery
Course of Right Colic Artery
Passes retroperitoneally to reach ascending colon
Distribution of Right Colic Artery
Ascending colon
Origin of Ileocolic Artery
Terminal branch of superior mesenteric artery
Course of Ileocolic Artery
Runs along root of mesentery and divides into ileal and colic branches
Distribution of Ileocolic Artery
Ileum, cecum, and ascending colon
Origin of Appendicular Artery
Ileocolic artery
Course of Appendicular Artery
Passes between layers of mesoappendix
Distribution of Appendicular Artery
Appendix
Origin of Inferior Mesenteric Artery
Abdominal aorta
Course of Inferior Mesenteric Artery
Descends retroperitoneally to left of abdominal aorta
Distribution of Inferior Mesenteric Artery
Supplies part of digestive tract derived from hindgut
Origin of Left Colic Artery
Inferior mesenteric artery
Course of Left Colic Artery
Passes retroperitoneally toward left to descending colon
Distribution of Left Colic Artery
Descending colon
Origin of Sigmoid (N = 3-4) Artery
Inferior mesenteric artery
Course of Sigmoid (N = 3-4) Artery
Passes retroperitoneally toward left to descending colon
Distribution of Sigmoid (N = 3-4) Artery
Descending and sigmoid colon
Origin of Superior Rectal Artery
Terminal branch of inferior mesenteric artery
Course of Superior Rectal Artery
Descends retroperitoneally to rectum
Distribution of Superior Rectal Artery
Proximal part of rectum
Origin of Middle Rectal Artery
Internal iliac artery
Course of Middle Rectal Artery
Passes retroperitoneally to rectum
Distribution of Middle Rectal Artery
Midpart of rectum
Origin of Inferior Rectal Artery
Internal pudendal artery
Course of Inferior Rectal Artery
Crosses ischioanal fossa to reach rectum
Distribution of Inferior Rectal Artery
Distal part of rectum and anal canal
Origin of Testicular (♂) Artery
Abdominal aorta
Course of Testicular (♂) Artery
traverses inguinal canal and enters scrotum
Distribution of Testicular (♂) Artery
Abdominal ureter, testis, and epididymis
Origin of Ovarian (♀) Artery
Abdominal aorta
Course of Ovarian (♀) Artery
crosses pelvic brim, descends in suspensory ligament of ovary
Distribution of Ovarian (♀) Artery
Abdominal and/or pelvic ureter, ovary, and ampullary end of uterine tube
Origin of Superior Rectal Artery
Continuation of inferior mesenteric artery
Course of Superior Rectal Artery
Crosses left common iliac vessels and descends into pelvis between layers of sigmoid mesocolon
Distribution of Superior Rectal Artery
Superior part of rectum
Origin of Median Sacral Artery
Posterior aspect of abdominal aorta
Course of Median Sacral Artery
Descends close to midline over L4 and L5 vertebrae, sacrum, and coccyx
Distribution of Median Sacral Artery
Inferior lumbar vertebrae, sacrum, and coccyx
Origin of Internal Iliac Artery
Common iliac artery
Course of Internal Iliac Artery
Passes medially over pelvic brim and descends into pelvic cavity; often forms anterior and posterior divisions
Distribution of Internal Iliac Artery
Main blood supply to pelvic organs, gluteal muscles, and perineum
Origin of Anterior Division Of Internal Iliac Artery
Internal iliac artery
Course of Anterior Division Of Internal Iliac Artery
Passes anteriorly along lateral wall of pelvis, dividing into visceral, obturator, and internal pudendal arteries
Distribution of Anterior Division Of Internal Iliac Artery
Pelvic viscera, muscles of superior medial thigh, and perineum
Origin of Umbilical Artery
Anterior division of internal iliac artery
Course of Umbilical Artery
Runs a short pelvic course, gives off superior vesical arteries, then obliterates, becoming medial umbilical ligament
Distribution of Umbilical Artery
Superior aspect of urinary bladder and, in some males, ductus deferens (via superior vesical arteries and artery to ductus deferens)
Origin of Superior Vesical Artery
Anterior division of internal iliac artery
Course of Superior Vesical Artery
Usually multiple; pass to superior aspect of urinary bladder
Distribution of Superior Vesical Artery
Superior aspect of urinary bladder; in some males, ductus deferens (via artery to ductus deferens)
Origin of Obturator Artery
Anterior division of internal iliac artery
Course of Obturator Artery
Runs anteroinferiorly on obturator fascia of lateral pelvic wall, exiting pelvis via obturator canal
Distribution of Obturator Artery
Pelvic muscles, nutrient artery to ilium, head of femur, and muscles of medial compartment of thigh
Origin of Inferior Vesical (♂) Artery
Anterior division of internal iliac artery
Course of Inferior Vesical (♂) Artery
Passes subperitoneally in lateral ligament of bladder, giving rise to prostatic artery (♂) and occasionally the artery to the ductus deferens
Distribution of Inferior Vesical (♂) Artery
Inferior aspect of male urinary bladder, pelvic part of ureter; prostate, and seminal glands; occasionally ductus deferens
Origin of Artery To Ductus Deferens (♂)
Anterior division of internal iliac artery
Course of Artery To Ductus Deferens (♂)
Runs subperitoneally to ductus deferens
Distribution of Artery To Ductus Deferens (♂)
Ductus deferens
Origin of Prostatic Arterial Branches (♂)
Anterior division of internal iliac artery
Course of Prostatic Arterial Branches (♂)
Descends on posterolateral aspects of prostate
Distribution of Prostatic Arterial Branches (♂)
Prostate and prostatic urethra
Origin of Uterine (♀) Artery
Anterior division of internal iliac artery
Course of Uterine (♀) Artery
Runs anteromedially in base of broad ligament/superior cardinal ligament, gives rise to vaginal branch, then crosses ureter superiorly to reach lateral aspect of uterine cervix
Distribution of Uterine (♀) Artery
Uterus, ligaments of uterus, medial parts of uterine tube and ovary, and superior vagina
Origin of Vaginal (♀) Artery
Anterior division of internal iliac artery
Course of Vaginal (♀) Artery
Divides into vaginal and inferior vesical branches, the former descending on the vagina, the latter passing to the urinary bladder
Distribution of Vaginal (♀) Artery
Vaginal branch: lower vagina, vestibular bulb, and adjacent rectum; inferior vesical branch: fundus of urinary bladder
Origin of Internal Pudendal Artery
Anterior division of internal iliac artery
Course of Internal Pudendal Artery
Exits pelvis via infrapiriform part of greater sciatic foramen, enters perineum (ischioanal fossa) via lesser sciatic foramen, passes via pudendal canal to UG triangle
Distribution of Internal Pudendal Artery
Main artery of perineum, including muscles and skin of anal and urogenital triangles, erectible bodies
Origin of Middle Rectal Artery
Anterior division of internal iliac artery
Course of Middle Rectal Artery
Descends in pelvis to inferior part of rectum
Distribution of Middle Rectal Artery
Inferior part of rectum, seminal glands, prostate (vagina)
Origin of Inferior Gluteal Artery
Anterior division of internal iliac artery
Course of Inferior Gluteal Artery
Exits pelvis via infrapiriform part of greater sciatic foramen
Distribution of Inferior Gluteal Artery
Pelvic diaphragm (coccygeus and levator ani), piriformis, quadratus femoris, superiormost hamstrings, gluteus maximus, and sciatic nerve
Origin of Posterior Division Of Internal Iliac Artery
Internal iliac artery
Course of Posterior Division Of Internal Iliac Artery
Passes posteriorly and gives rise to parietal branches
Distribution of Posterior Division Of Internal Iliac Artery
Pelvic wall and gluteal region
Origin of Iliolumbar Artery
Posterior division of internal iliac artery
Course of Iliolumbar Artery
Ascends anterior to sacroiliac joint and posterior to common iliac vessels and psoas major, dividing into iliac and lumbar branches
Distribution of Iliolumbar Artery
Psoas major, iliacus, and quadratus lumborum muscles; cauda equina in vertebral canal
Origin of Lateral Sacral (Superior And Inferior) Artery
Posterior division of internal iliac artery
Course of Lateral Sacral (Superior And Inferior) Artery
Runs on anteromedial aspect of piriformis to send branches into pelvic sacral foramina
Distribution of Lateral Sacral (Superior And Inferior) Artery
Piriformis, structures in sacral canal, erector spinae, and overlying skin
Origin of Superior Gluteal Artery
Posterior division of internal iliac artery
Course of Superior Gluteal Artery
Passes between lumbosacral trunk and anterior ramus of S1 spinal nerve to exit pelvis via suprapiriform portion of greater sciatic foramen
Distribution of Superior Gluteal Artery
Piriformis, all three gluteal muscles, and tensor fasciae latae
Origin of Internal Pudendal Artery
Anterior division of internal iliac artery
Course of Internal Pudendal Artery
Leaves pelvis through greater sciatic foramen; hooks around ischial spine to enter perineum via lesser sciatic foramen; enters pudendal canal
Distribution of Internal Pudendal Artery
Primary artery of perineum and external genital organs
Origin of Inferior Rectal Artery
Internal pudendal artery
Course of Inferior Rectal Artery
Arises at entrance to pudendal canal; traverses ischioanal fossa to anal canal
Distribution of Inferior Rectal Artery
Anal canal inferior to pectinate line; anal sphincters; perianal skin
Origin of Perineal Artery
Internal pudendal artery
Course of Perineal Artery
Arises within pudendal canal; passes to superficial pouch (space) on exit
Distribution of Perineal Artery
Supplies superficial perineal muscles and scrotum of male/vestibule of female
Origin of Posterior Scrotal (♂) Or Labial (♀) Artery
Terminal branch of perineal artery
Course of Posterior Scrotal (♂) Or Labial (♀) Artery
Runs in superficial fascia of posterior scrotum or labia majora
Distribution of Posterior Scrotal (♂) Or Labial (♀) Artery
Skin of scrotum or labia majora and minora
Origin of Artery Of Bulb Of Penis (♂) Or Vestibule (♀)
Terminal branch of perineal artery
Course of Artery Of Bulb Of Penis (♂) Or Vestibule (♀)
Pierces perineal membrane to reach bulb of penis or vestibule of vagina
Distribution of Artery Of Bulb Of Penis (♂) Or Vestibule (♀)
Supplies bulb of penis (including bulbar urethra) and bulbourethral gland (male) or bulb of vestibule and greater vestibular gland (female)
Origin of Deep Of Penis (♂) Or Clitoris (♀) Artery
Terminal branch of internal pudendal artery
Course of Deep Of Penis (♂) Or Clitoris (♀) Artery
Pierces perineal membrane to enter crura of corpora cavernosa of penis or clitoris; branches run proximally and distally
Distribution of Deep Of Penis (♂) Or Clitoris (♀) Artery
Supplies most erectile tissue of corpora cavernosa of penis or clitoris via helicine arteries
Origin of Dorsal Artery Of Penis (♂) Or Clitoris (♀)
Terminal branch of internal pudendal artery
Course of Dorsal Artery Of Penis (♂) Or Clitoris (♀)
Passes to deep pouch; pierces perineal membrane and traverses suspensory ligament of penis or clitoris to run on dorsum of penis or clitoris to glans
Distribution of Dorsal Artery Of Penis (♂) Or Clitoris (♀)
Deep perineal pouch; skin of penis; fascia of penis or clitoris; distal corpus spongiosum of penis, including spongy urethra; glans penis or clitoris
Origin of External Pudendal, Superficial, And Deep Arterial Branches
Femoral artery
Course of External Pudendal, Superficial, And Deep Arterial Branches
Pass medially from thigh to reach anterior aspect of the urogenital triangle of perineum
Distribution of External Pudendal, Superficial, And Deep Arterial Branches
Anterior aspect of scrotum and skin at root of penis of male; mons pubis and anterior aspect of labia of female
Origin of Femoral Artery
Continuation of external iliac artery distal to inguinal ligament
Course of Femoral Artery
Descends through femoral triangle bisecting it; then courses through adductor canal; terminates as it traverses adductor hiatus, where its name becomes popliteal artery
Distribution of Femoral Artery
Branches supply anterior and anteromedial aspects of thigh
Origin of Deep Of Thigh Artery
Femoral artery 1-5 cm inferior to inguinal ligament
Course of Deep Of Thigh Artery
Passes deeply between pectineus and adductor longus; descending posterior to latter on medial side of femur
Distribution of Deep Of Thigh Artery
Three to four perforating arteries pass through adductor magnus muscle, winding around femur to supply muscles in medial, posterior, and lateral part of anterior compartments
Origin of Medial Circumflex Femoral Artery
Deep artery of thigh; may arise from femoral artery
Course of Medial Circumflex Femoral Artery
Passes medially and posteriorly between pectineus and iliopsoas; enters gluteal region and gives rise to posterior retinacular arteries; then terminates by dividing into transverse and ascending branches
Distribution of Medial Circumflex Femoral Artery
Supplies most of blood to head and neck of femur; transverse branch takes part in cruciate anastomosis of thigh; ascending branch joins inferior gluteal artery
Origin of Lateral Circumflex Femoral Artery
Deep artery of thigh; may arise from femoral artery
Course of Lateral Circumflex Femoral Artery
Passes laterally deep to sartorius and rectus femoris, dividing into ascending, transverse, and descending arteries
Distribution of Lateral Circumflex Femoral Artery
Ascending branch supplies anterior part of gluteal region; transverse branch winds around femur; descending branch joins genicular periarticular anastomosis
Origin of Obturator (Lower Limb) Artery
Internal iliac artery or (in ~20%) as an accessory or replaced obturator artery from the inferior epigastric artery
Course of Obturator (Lower Limb) Artery
Passes through obturator foramen; enters medial compartment of thigh and divides into anterior and posterior branches, which pass on respective sides of adductor brevis
Distribution of Obturator (Lower Limb) Artery
Anterior branch supplies obturator externus, pectineus, adductors of thigh, and gracilis; posterior branch supplies muscles attached to ischial tuberosity
Origin of Superior Gluteal (Lower Limb) Artery
Posterior division of internal iliac artery
Course of Superior Gluteal (Lower Limb) Artery
Enters gluteal region through greater sciatic foramen superior to piriformis; divides into superficial and deep branches; anastomoses with inferior gluteal and medial circumflex femoral arteries (not shown in Fig. 5.44)
Distribution of Superior Gluteal (Lower Limb) Artery
Superficial branch: supplies gluteus maximus Deep branch: runs between gluteus medius and minimus and supplies them and tensor fasciae latae
Origin of Inferior Gluteal (Lower Limb) Artery
Anterior division of internal iliac artery
Course of Inferior Gluteal (Lower Limb) Artery
Enters gluteal region through greater sciatic foramen inferior to piriformis; descends on medial side of sciatic nerve; anastomoses with superior gluteal artery and participates in cruciate anastomosis of thigh, involving first perforating artery of deep femoral and medial and lateral circumflex arteries (not shown in Fig. 5.44)
Distribution of Inferior Gluteal (Lower Limb) Artery
Supplies gluteus maximus, obturator internus, quadratus femoris, and superior parts of hamstrings
Origin of Internal Pudendal (Lower Limb) Artery
Anterior division of internal iliac artery
Course of Internal Pudendal (Lower Limb) Artery
Enters gluteal region through greater sciatic foramen; descends posterior to ischial spine; enters perineum through lesser sciatic foramen
Distribution of Internal Pudendal (Lower Limb) Artery
Supplies external genitalia and muscles in perineal region; does not supply gluteal region
Origin of Perforating (Lower Limb) Artery
Femoral artery
Course of Perforating (Lower Limb) Artery
Enters posterior compartment by perforating aponeurotic portion of adductor magnus attachment and medial intermuscular septum; after providing muscular branches to hamstrings, continues to anterior compartment by piercing lateral intermuscular septum
Distribution of Perforating (Lower Limb) Artery
Supplies majority (central portions) of hamstring muscles, then continues to supply vastus lateralis in anterior compartment
Origin of Popliteal Artery
Continuation of femoral artery at adductor hiatus in adductor magnus
Course of Popliteal Artery
Passes through popliteal fossa to leg; ends at lower border of popliteus muscle by dividing into anterior and posterior tibial arteries
Distribution of Popliteal Artery
Superior, middle, and inferior genicular arteries to both lateral and medial aspects of knee
Origin of Anterior Tibial Artery
Popliteal
Course of Anterior Tibial Artery
Passes between tibia and fibula into anterior compartment through gap in superior part of interosseous membrane and descends this membrane between tibialis anterior and extensor digitorum longus
Distribution of Anterior Tibial Artery
Anterior compartment of leg
Origin of Dorsalis Pedis (Dorsal Of Foot) Artery
Continuation of anterior tibial artery distal to inferior extensor retinaculum
Course of Dorsalis Pedis (Dorsal Of Foot) Artery
Descends anteromedially to first interosseous space and divides into plantar and arcuate arteries
Distribution of Dorsalis Pedis (Dorsal Of Foot) Artery
Muscles on dorsum of foot; pierces first dorsal interosseous muscles as deep plantar artery to contribute to formation of plantar arch
Origin of Posterior Tibial Artery
Popliteal
Course of Posterior Tibial Artery
Passes through posterior compartment of leg and terminates distal to flexor retinaculum by dividing into medial and lateral plantar arteries
Distribution of Posterior Tibial Artery
Posterior and lateral compartments of leg; circumflex fibular branch joins anastomoses around knee; nutrient artery passes to tibia
Origin of Fibular Artery
Posterior tibial
Course of Fibular Artery
Descends in posterior compartment adjacent to posterior intermuscular septum
Distribution of Fibular Artery
Posterior compartment of leg: perforating branches supply lateral compartment of leg
Posterior Wall of Deep Ring/Lateral Third of Inguinal Canal
Transversalis fascia
Posterior Wall of Middle Third of Inguinal Canal
Transversalis fascia
Posterior Wall of Lateral Third/Superficial Ring of Inguinal Canal
Inguinal falx (conjoint tendon) plus reflected inguinal ligament
Anterior Wall of Deep Ring/Lateral Third of Inguinal Canal
Internal oblique plus lateral crus of aponeurosis of external oblique
Anterior Wall of Middle Third of Inguinal Canal
Aponeurosis of external oblique (lateral crus and intercrural fibers)
Anterior Wall of Lateral Third/Superficial Ring of Inguinal Canal
Aponeurosis of external oblique (intercrural fibers), with fascia of external oblique continuing onto cord as external spermatic fascia
Roof of Deep Ring/Lateral Third of Inguinal Canal
Transversalis fascia
Roof of Middle Third of Inguinal Canal
Musculoaponeurotic arches of internal oblique and transverse abdominal
Roof of Lateral Third/Superficial Ring of Inguinal Canal
Medial crus of aponeurosis of external oblique
Floor of Deep Ring/Lateral Third of Inguinal Canal
Iliopubic tract
Floor of Middle Third of Inguinal Canal
Inguinal ligament
Floor of Lateral Third/Superficial Ring of Inguinal Canal
Lacunar ligament
Structures Typically Draining to Lumbar Lymph Nodes (Female: along ovarian vessels)
Gonads and associated structures: ovary, uterine tube (except isthmus and intrauterine parts), fundus of uterus; common iliac nodes
Structures Typically Draining to Lumbar Lymph Nodes (Male: along testicular vessels)
Gonads and associated structures: testis, epididymis; common iliac nodes
Structures Typically Draining to Inferior Mesenteric Lymph Nodes
Superiormost rectum; sigmoid colon; descending colon; pararectal nodes
Structures Typically Draining to Common Iliac Lymph Nodes
External and internal iliac lymph nodes
Structures Typically Draining to Internal Iliac Lymph Nodes (Female)
Inferior pelvic structures: base of bladder, inferior pelvic ureter, anal canal (above pectinate line), inferior rectum, middle and upper vagina, cervix, body of uterus; deep perineal structures: terminal urethra, vagina; sacral nodes
Structures Typically Draining to Internal Iliac Lymph Nodes (Male)
Inferior pelvic structures: prostatic urethra, prostate, base of bladder, inferior pelvic ureter, inferior seminal glands, cavernous bodies, anal canal (above pectinate line), inferior rectum; deep perineal structures; sacral nodes
Structures Typically Draining to External Iliac Lymph Nodes (Female)
Anterosuperior pelvic structures: superior bladder, superior pelvic ureter, upper vagina, cervix, lower body of uterus; deep inguinal nodes
Structures Typically Draining to Superficial Inguinal Lymph Nodes (Female)
Lower limb; superficial drainage of inferolateral quadrant of trunk, including anterior abdominal wall inferior to umbilicus, gluteal region, and superficial perineal structures
Structures Typically Draining to Superficial Inguinal Lymph Nodes (Male)
Lower limb; superficial drainage of inferolateral quadrant of trunk, including anterior abdominal wall inferior to umbilicus, gluteal region, and superficial perineal structures: skin of perineum including skin and prepuce of penis, scrotum, perianal skin, anal canal inferior to pectinate line
Structures Typically Draining to Deep Inguinal Lymph Nodes
Glans of clitoris or penis; superficial inguinal nodes
Structures Typically Draining to Sacral Lymph Nodes
Posteroinferior pelvic structures: inferior rectum; inferior vagina
Structures Typically Draining to Pararectal Lymph Nodes
Superior rectum