Posterior compartment of thigh

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Posterior compartment of thigh
Thigh cross section.svg
Cross-section through the middle of the thigh. (Posterior compartment is at center bottom.)
Gray1239.png
Back of left lower extremity.
Details
Artery Inferior gluteal artery, profunda femoris artery, perforating arteries
Nerve Sciatic nerve
Identifiers
Latin compartimentum femoris posterius
TA98 A04.7.01.003
TA2 2637
FMA 45157
Anatomical terminology

The posterior compartment of the thigh is one of the fascial compartments that contains the knee flexors and hip extensors known as the hamstring muscles, as well as vascular and nervous elements, particularly the sciatic nerve.

Contents

Structure

The posterior compartment is a fascial compartment bounded by fascia. It is separated from the anterior compartment by two folds of deep fascia, known as the medial intermuscular septum and the lateral intermuscular septum. [1]

The muscles of the posterior compartment of the thigh are the: [2] [3]

These muscles (or their tendons) apart from the short head of the biceps femoris, are commonly known as the hamstrings. The depression at the back of the knee, or kneepit is the popliteal fossa, colloquially called the ham. The tendons of the above muscles can be felt as prominent cords on both sides of the fossa—the biceps femoris tendon on the lateral side and the semimembranosus and semitendinosus tendons on the medial side. The hamstrings flex the knee, and aided by the gluteus maximus, they extend the hip during walking and running. The semitendinosus is named for its unusually long tendon. The semimembranosus is named for the flat shape of its superior attachment. [4]

Innervation

The hamstrings are innervated by the sciatic nerve, specifically by a main branch of it: the tibial nerve. (The short head of the biceps femoris is innervated by the common fibular nerve). The sciatic nerve runs along the longitudinal axis of the compartment, giving the cited terminal branches close to the superior angle of the popliteal fossa.

Blood supply

The arteries that supply the posterior compartment of the thigh arise from the inferior gluteal and the perforating branches of the profunda femoris artery, [5] a major collateral branch of the femoral artery and part of the anterior compartment of thigh. The femoral artery itself crosses the adductor hiatus to enter the posterior compartment at the level of the popliteal fossa, giving branches that supply the knee. This crossing marks the point in which the vessel changes its name to popliteal artery.

Clinical significance

As with any other fascial compartment, the posterior compartment of thigh can develop compartment syndrome when pressure builds up inside it, reducing the ability of arteries to transport blood to muscles and nerves. In acute cases, this is most frequently a consequence of trauma. [6]

See also

Related Research Articles

<span class="mw-page-title-main">Human leg</span> Lower extremity or limb of the human body (foot, lower leg, thigh and hip)

The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula. The thigh is between the hip and knee, while the calf (rear) and shin (front) are between the knee and foot.

<span class="mw-page-title-main">Hamstring</span> Any of the three tendons in the thigh

In human anatomy, a hamstring is any one of the three posterior thigh muscles between the hip and the knee.

<span class="mw-page-title-main">Thigh</span> The part of the body between the pelvis and the knee; upper leg

In anatomy, the thigh is the area between the hip (pelvis) and the knee. Anatomically, it is part of the lower limb.

<span class="mw-page-title-main">Sciatic nerve</span> Large nerve in humans and other animals

The sciatic nerve, also called the ischiadic nerve, is a large nerve in humans and other vertebrate animals which is the largest branch of the sacral plexus and runs alongside the hip joint and down the lower limb. It is the longest and widest single nerve in the human body, going from the top of the leg to the foot on the posterior aspect. The sciatic nerve has no cutaneous branches for the thigh. This nerve provides the connection to the nervous system for the skin of the lateral leg and the whole foot, the muscles of the back of the thigh, and those of the leg and foot. It is derived from spinal nerves L4 to S3. It contains fibers from both the anterior and posterior divisions of the lumbosacral plexus.

<span class="mw-page-title-main">Deep femoral artery</span> Large branch of the femoral artery that supplies the thigh

The deep femoral artery also known as the deep artery of the thigh, or profunda femoris artery, is a large branch of the femoral artery. It travels more deeply ("profoundly") than the rest of the femoral artery. It gives rise to the lateral circumflex femoral artery and medial circumflex femoral artery, and the perforating arteries, terminating within the thigh.

<span class="mw-page-title-main">Popliteal artery</span> Continuation of the femoral artery that supplies the lower leg

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 biceps femoris is a muscle of the thigh located to the posterior, or back. As its name implies, it consists of two heads; the long head is considered part of the hamstring muscle group, while the short head is sometimes excluded from this characterization, as it only causes knee flexion and is activated by a separate nerve.

<span class="mw-page-title-main">Adductor magnus muscle</span> Muscle in the thigh

The adductor magnus is a large triangular muscle, situated on the medial side of the thigh.

<span class="mw-page-title-main">Gracilis muscle</span> Most superficial muscle on the medial side of the thigh

The gracilis muscle is the most superficial muscle on the medial side of the thigh. It is thin and flattened, broad above, narrow and tapering below.

The semimembranosus muscle is the most medial of the three hamstring muscles in the thigh. It is so named because it has a flat tendon of origin. It lies posteromedially in the thigh, deep to the semitendinosus muscle. It extends the hip joint and flexes the knee joint.

<span class="mw-page-title-main">Semitendinosus muscle</span> One of the hamstring muscles; posterior part of the thigh

The semitendinosus is a long superficial muscle in the back of the thigh. It is so named because it has a very long tendon of insertion. It lies posteromedially in the thigh, superficial to the semimembranosus.

The common fibular nerve is a nerve in the lower leg that provides sensation over the posterolateral part of the leg and the knee joint. It divides at the knee into two terminal branches: the superficial fibular nerve and deep fibular nerve, which innervate the muscles of the lateral and anterior compartments of the leg respectively. When the common fibular nerve is damaged or compressed, foot drop can ensue.

<span class="mw-page-title-main">Popliteal fossa</span> Depression at back of knee joint

The popliteal fossa is a shallow depression located at the back of the knee joint. The bones of the popliteal fossa are the femur and the tibia. Like other flexion surfaces of large joints, it is an area where blood vessels and nerves pass relatively superficially, and with an increased number of lymph nodes.

<span class="mw-page-title-main">Posterior cutaneous nerve of thigh</span> Sensory nerve that supplies the back of the thigh, leg, buttock, and perineum

The posterior cutaneous nerve of the thigh is a sensory nerve of the thigh. It is a branch of the sacral plexus. It supplies the skin of the posterior surface of the thigh, leg, buttock, and also the perineum.

<span class="mw-page-title-main">Fascia lata</span> Deep fascia of the thigh

The fascia lata is the deep fascia of the thigh. It encloses the thigh muscles and forms the outer limit of the fascial compartments of thigh, which are internally separated by the medial intermuscular septum and the lateral intermuscular septum. The fascia lata is thickened at its lateral side where it forms the iliotibial tract, a structure that runs to the tibia and serves as a site of muscle attachment.

<span class="mw-page-title-main">Inferior gluteal artery</span>

The inferior gluteal artery is a terminal branch of the anterior trunk of the internal iliac artery. It exits the pelvis through the greater sciatic foramen. It is distributed chiefly to the buttock and the back of the thigh.

<span class="mw-page-title-main">Fascial compartments of arm</span> Anatomical compartments

The fascial compartments of arm refers to the specific anatomical term of the compartments within the upper segment of the upper limb of the body. The upper limb is divided into two segments, the arm and the forearm. Each of these segments is further divided into two compartments which are formed by deep fascia – tough connective tissue septa (walls). Each compartment encloses specific muscles and nerves.

<span class="mw-page-title-main">Fascial compartments of thigh</span>

The fascial compartments of thigh are the three fascial compartments that divide and contain the thigh muscles. The fascia lata is the strong and deep fascia of the thigh that surrounds the thigh muscles and forms the outer limits of the compartments. Internally the muscle compartments are divided by the lateral and medial intermuscular septa.

<span class="mw-page-title-main">Anterior compartment of thigh</span> Muscles which extend the knee and flex the hip

The anterior compartment of thigh contains muscles which extend the knee and flex the hip.

<span class="mw-page-title-main">Deep fascia of leg</span> Forms a complete investment to the muscles

The deep fascia of leg or crural fascia forms a complete investment to the muscles, and is fused with the periosteum over the subcutaneous surfaces of the bones.

References

  1. "UAMS Department of Neurobiology and Developmental Sciences - Topographical Anatomy of the Lower limb". Anatomy.uams.edu.
  2. Sauerland, Eberhardt K.; Patrick W. Tank; Tank, Patrick W. (2005). Grant's dissector . Hagerstown, MD: Lippincott Williams & Wilkins. pp.  133. ISBN   0-7817-5484-4.
  3. "Summary of Lower Limb". Archived from the original on 2008-01-23. Retrieved 2008-01-27.
  4. Saladin, Kenneth S. (2012). Anatomy and Physiology the Unity of Form and Function. Boston, MA: McGraw Hill Higher Education. p. 133. ISBN   978-0077351144.
  5. "Posterior Thigh". Archived from the original on 2012-09-06. Retrieved 2012-12-13.
  6. Ojike NI, Roberts CS, Giannoudis PV (2010). "Compartment syndrome of the thigh: a systematic review". Injury. 41 (2): 133–136. doi:10.1016/j.injury.2009.03.016. PMID   19555950.