Musculoskeletal Imaging Review
|
|
- Colleen Johns
- 6 years ago
- Views:
Transcription
1 Musculoskeletal Imaging Review Kassarjian et al. MRI of the Quadratus Femoris Musculoskeletal Imaging Review Ara Kassarjian 1 Xavier Tomas 2 Luis Cerezal 3 Ana Canga 4,5 Eva Llopis 6 Kassarjian A, Tomas X, Cerezal L, Canga A, Llopis E Keywords: anatomy, hip, impingement, MRI, muscle, quadratus femoris DOI: /AJR Received October 4, 2010; accepted after revision November 18, Department of Musculoskeletal Radiology, Corades, S.L., (28220 Majadahonda), Madrid, Spain. Address correspondence to A. Kassarjian (akassarjian@gmail.com). 2 Musculoskeletal Unit, Department of Radiology, Hospital Clinic, Barcelona, Catalonia, Spain. 3 Diagnóstico Médico Cantabria, Santander, Cantabria, Spain. 4 Department of Radiology, Marqués de Valdecilla University Hospital, Santander, Cantabria, Spain. 5 Department of Anatomy and Cellular Biology, University of Cantabria, Santander, Cantabria, Spain. 6 Department of Radiology, Hospital de la Ribera, Alzira, Valencia, Spain. AJR 2011; 197: X/11/ American Roentgen Ray Society MRI of the Quadratus Femoris Muscle: Anatomic Considerations and Pathologic Lesions OBJECTIVE. The purpose of this review is to describe the gross anatomic and MRI appearance of the quadratus femoris muscle and the MRI appearance of common lesions of the quadratus femoris. CONCLUSION. Lesions of the quadratus femoris have been implicated as a cause of hip pain. It therefore is important to be familiar with the anatomy of the quadratus muscle and to be able to diagnose the causes of abnormal signal intensity in the quadratus femoris, which include tears and impingement. Background Because of the ever-increasing use of MRI, with or without MR arthrography, in the evaluation of hip pain, radiologists must be aware of subtle and less common abnormalities that mimic both intraarticular and extraarticular hip disease. Lesions of the quadratus femoris muscle have been implicated as a cause of hip pain [1 6]. It therefore is important to be familiar with the normal anatomy of the quadratus muscle and to be able to accurately diagnose the cause of abnormal signal intensity in the muscle. Gross Anatomy The quadratus femoris muscle is situated along the posterior aspect of the hip joint and, as the name suggests, has a quadrangular, somewhat rectangular, appearance. Its origin is at the inferolateral margin of the ischium along the anterior portion of the ischial tuberosity just anterior to the origin of the hamstring tendons. Its insertion is along the posterior medial aspect of the proximal femur along the quadrate tubercle of the posterior intertrochanteric ridge (Figs. 1 3). The muscle has a somewhat striated appearance, the fibers running along the horizontal (axial) plane. The fibers are more closely opposed along the femoral end of the muscle, are more loosely arranged, and have more interspersed fat along the ischial aspect. Along its anterior aspect, the quadratus femoris is bordered by the obturator externus muscle; along its posterior aspect it is bordered by fat and the sciatic nerve (Fig. 4 7). Along its su- perior aspect, the quadratus femoris is bordered by fat and the inferior gemellus; along its inferior aspect, it is bordered by the adductor magnus. Innervation and Function The quadratus femoris muscle acts as an adductor and external rotator of the hip. It is innervated by a small branch off the sacral plexus. Specifically, it derives its innervation from the L4, L5, and S1 spinal nerves. The nerve to the quadratus femoris muscle exits the pelvis through the greater sciatic notch, travels inferiorly along the anterior border of the gemellus and obturator internus muscles, and enters the quadratus muscle along its anterior surface. This same nerve can give rise to a small articular branch. MRI Anatomy The quadratus femoris muscle is easily identified on axial, sagittal, and, depending on slice thickness, coronal images of the hip. The muscle is often best evaluated on axial images, on which the origin, insertion, and anterior and posterior relations can be evaluated (Figs. 2 and 3). The tendinous origin along the ischium can appear broad based and fasciculated and is best located by searching along the ischial tuberosity just anterior to the hamstring tendons. The insertion of the quadratus femoris muscle onto the posteromedial femur is characterized by a convergence of muscle fibers toward a narrower attachment compared with that of the origin (Figs. 2, 3, 5, and 6). The hamstring 170 AJR:197, July 2011
2 MRI of the Quadratus Femoris tendons are just posterior to the quadratus femoris origin and the sciatic nerve along the posterior margin of the quadratus femoris muscle. Sagittal images can show these same relations and the inferior gemellus along the superior aspect and the sciatic nerve along the posterior aspect (Fig. 7). Injuries and MRI Signal-Intensity Abnormalities of the Quadratus Femoris Muscle Lesions of the quadratus femoris muscle have not been reported with great frequency in the English radiologic literature. According to the literature, the most common primary lesions of the quadratus femoris are myotendinous strains, or partial tears, of the quadratus femoris and impingement of the belly of the quadratus femoris [3, 4]. Certain lesions of the quadratus femoris muscle, such as impingement, appear to be more common in middle-aged and older women and typically become evident as posterior gluteal hip pain or groin pain with or without a clear inciting event. The pain can radiate along the posterior thigh, possibly because of irritation of the closely apposed sciatic nerve, which travels along the posterior aspect of the muscle. As with most muscle strains in other parts of the body, strain of the quadratus femoris muscle appears as edema centered along the myotendinous junction of the quadratus femoris muscle with or without associated fluid. This finding is most commonly seen along the distal myotendinous junction along the posteromedial aspect of the proximal femur. Strains of the quadratus femoris are best seen on axial and sagittal fat-suppressed fluid-sensitive images obtained with STIR, fat-suppressed proton density weighted, or fat-suppressed T2-weighted sequences (Fig. 8). On axial and sagittal images, tears can become evident as edema and fluid posterior to the lesser trochanter. The entity of impingement of the quadratus femoris muscle, first described by Kassarjian [4] in three patients, is visualized as crowding of the fibers of the muscle belly in the space between the ischium or hamstring tendons and the posteromedial femur. Subsequent reports described similar cases and confirmed the association between impingement of the quadratus femoris muscle and hip pain. The edema associated with impingement of the muscle is typically centered in the muscle belly at the site of maximal impingement (Figs. 9 and 10). This finding is in contradistinction to the edema in myotendinous strains, which is typically seen along the distal myotendinous junction. Impingement of the quadratus femoris muscle is best assessed on axial images, on which the location of the edema can be accurately localized. In addition, axial images facilitate assessment of the relation between the muscle belly and the surrounding structures. Although muscle fiber orientation can be seen on fatsuppressed images, the orientation is typically better seen on images without fat suppression. Torriani et al. [6] attempted to correlate a narrowed distance between the ischial tuberosity and the lesser trochanter and impingement of the quadratus femoris. However, because of small sample size and lack of control for degree of hip rotation at imaging, the validity of such measurements remains unclear. Although at first glance it may be difficult to differentiate strain and impingement, careful analysis of the location of edema and the configuration of the muscle fibers and surrounding structures can aid in differentiating the two entities. Other entities can affect the quadratus femoris. There have been case reports of tendinitis of the quadratus femoris presenting as hip pain [2]. In addition, denervation of the quadratus femoris (Fig. 11) can occur in the absence of a tear, which is presumed to be the result of an injury or lesion of the neural branch from the sacral plexus that innervates the quadratus femoris. In addition, areas of abnormal signal intensity (e.g., due to edema) can be seen after new or intense activities (Fig. 12). Although with imaging alone the findings can resemble mild acute (partial) tears, the lack of muscle fiber disruption and the clinical history often can help differentiate acute partial tear from exercise-induced edema, such as delayed-onset muscle soreness. If substantial edema or fluid is present in the region, the findings can mimic those of other entities. For instance, if bone marrow edema or proliferative change is present in the lesser trochanter or ischial tuberosity, the findings can mimic a primary osseous abnormality or osseous abnormality secondary to iliopsoas tendon or hamstring tendon abnormalities. If a substantial amount of fluid is found (rare in our experience), the findings can theoretically mimic iliopsoas bursitis if the fluid is near the lesser trochanter and mimic ischial bursitis if the fluid is near the ischial tuberosity. Careful analysis of the images and scrutiny of the actual location of fluid and edema and local muscle and tendon anatomy typically aids differentiation of these entities. Conclusion MRI can elegantly depict the normal anatomy and pathologic conditions of the quadratus femoris muscle. Strain and impingement are the two most common primary lesions of this muscle. These two entities can be differentiated at MRI by careful analysis of the location of edema and the configuration of the muscle fibers. References 1. Klinkert P Jr, Porte RJ, de Rooij TP, de Vries AC. Quadratus femoris tendinitis as a cause of groin pain. Br J Sports Med 1997; 31: Peltola K, Heinonen OJ, Orava S, Mattila K. Quadratus femoris muscle tear: an uncommon cause for radiating gluteal pain. Clin J Sport Med 1999; 9: O Brien SD, Bui-Mansfield LT. MRI of quadratus femoris muscle tear: another cause of hip pain. AJR 2007; 189: Kassarjian A. Signal abnormalities in the quadratus femoris muscle: tear or impingement? (letter). AJR 2008; 190:[web]W Patti JW, Ouellette H, Bredella MA, Torriani M. Impingement of lesser trochanter on ischium as a potential cause for hip pain. Skeletal Radiol 2008; 37: Torriani M, Souto SC, Thomas BJ, Ouellette H, Bredella MA. Ischiofemoral impingement syndrome: an entity with hip pain and abnormalities of the quadratus femoris muscle. AJR 2009; 193: AJR:197, July
3 Kassarjian et al. Fig. 1 Cadaver of 69-year-old man with normal anatomy of quadratus femoris muscle. Photograph shows axial gross anatomic relations. Single arrow indicates origin of quadratus femoris; arrowhead, insertion; asterisk, obturator externus muscle; oval, sciatic nerve; double arrow, hamstring origin. I = ischial tuberosity, QF = quadratus femoris, F = femur. Fig year-old girl with left hip pain and normal hip arthrogram and normal anatomy of quadratus femoris muscle. Axial T1-weighted clinical MR image shows anatomic relations. Asterisk indicates obturator externus muscle; arrow, origin of quadratus femoris muscle; oval, sciatic nerve; double arrow, hamstring origin; arrowhead: insertion of quadratus femoris muscle. F = femur, QF = quadratus femoris, I = ischial tuberosity. Fig. 2 Cadaver of 69-year-old man with normal anatomy of quadratus femoris muscle. Axial T1-weighted MR image shows anatomic relations. Asterisk indicates obturator externus muscle; arrow, origin; oval, sciatic nerve; double arrows, hamstring origin; arrowhead, insertion. QF = quadratus femoris, I = ischial tuberosity, F = femur. Fig. 4 Cadaver of 69-year-old man with normal anatomy of quadratus femoris muscle. Photograph shows coronal gross anatomy. Arrow indicates inferior gemellus muscle. I = ischium, QF = quadratus femoris, F = femur. 172 AJR:197, July 2011
4 MRI of the Quadratus Femoris Fig. 5 Cadaver of 69-year-old man with normal anatomy of quadratus femoris muscle. Coronal T1-weighted MR image shows anatomic relations. Arrow indicates inferior gemellus muscle. QF = quadratus femoris, I = ischium, F = femur. Fig year-old girl with left hip pain and normal hip arthrogram and normal anatomy of quadratus femoris muscle. Sagittal T2-weighted clinical MR images from medial to lateral show origin (QF1), belly (QF2), and insertion (QF3) of quadratus femoris muscle. Arrow indicates inferior gemellus muscle; arrowheads, sciatic nerve. I = ischium, H = hamstring origin. Fig year-old girl with left hip pain and normal hip arthrogram and normal anatomy of quadratus femoris muscle. Coronal T1-weighted clinical MR image shows anatomic relations. Arrow indicates inferior gemellus muscle. I = ischium, F= femur, QF = quadratus femoris. Fig year-old girl with right hip pain. Axial fat-suppressed T2-weighted MR image shows tear (grade 2 strain) (arrow). Tears appear to be more frequent near femoral end of muscle. F = femur, I = ischium. AJR:197, July
5 Kassarjian et al. Fig year-old woman with right posterior hip and buttock pain and impingement of quadratus femoris. Axial T1-weighted (left) and fat-suppressed T2-weighted (right) MR images show crowding of fibers and edema in fibers (arrow) of quadratus femoris. These are typical findings of impingement of quadratus femoris. Oval indicates sciatic nerve. F = femur, I = ischium. Fig year-old woman with asymptomatic atrophy of quadratus femoris (QF) muscle. Axial T1-weighted MR image shows complete atrophy of quadratus femoris. Asterisk indicates obturator externus muscle; oval, sciatic nerve; arrowhead, intact quadratus femoris tendon insertion; double arrow, hamstring origin. F = femur, I = ischium. Fig year-old man with right hip pain and impingement of quadratus femoris muscle. Axial T1-weighted (left) and fat-suppressed T2-weighted (right) images show crowding of fibers and edema in fibers (arrows) of quadratus femoris muscle. These findings are typical in impingement of quadratus femoris. Oval indicates sciatic nerve. F = femur, I = ischium. Fig year-old woman with exercise-induced edema of quadratus femoris muscle. Progressive buttock pain and sciatica occurred after patient began new exercise regimen consisting of intensive spinning (stationary cycling) classes. A C, Coronal (A) and sagittal (B and C) fat-suppressed proton density weighted MR images show area of increased signal intensity (arrows) in both quadratus femoris muscles, right greater than left. 174 AJR:197, July 2011
MR imaging of the quadratus femoris: Anatomic considerations and pathologic lesions
MR imaging of the quadratus femoris: Anatomic considerations and pathologic lesions Poster No.: C-2355 Congress: ECR 2010 Type: Educational Exhibit Topic: Musculoskeletal Authors: A. Kassarjian, X. Tomás,
More informationUsing proximal hamstring tendons as a landmark for ultrasound- and CT-guided injections of ischiofemoral impingement
Radiology Case Reports Using proximal hamstring tendons as a landmark for ultrasound- and CT-guided injections of ischiofemoral impingement Yulia Volokhina, DO, and David Dang, MD Volume 8, Issue 1, 2013
More informationMRI of Quadratus Femoris Muscle Tear: Another Cause of Hip Pain
MRI of Quadratus Femoris Muscle Tear Musculoskeletal Imaging Clinical Observations Seth D. O Brien 1 Liem T. Bui-Mansfield 1,2,3 O Brien SD, Bui-Mansfield LT Keywords: hip pain, MRI, muscle tear, quadratus
More informationQuadratus Femoris Muscle edema as spectrum of Ischiofemoral impingement
Quadratus Femoris Muscle edema as spectrum of Ischiofemoral impingement Poster No.: P-0042 Congress: ESSR 2013 Type: Scientific Exhibit Authors: A. Castrillo 1, J. J. Fondevila 2, I. Aguirregoicoa 3, A.
More informationClinical significance of signal changes in the quadratus
JBR BTR, 2014, 97: 69-75. Clinical significance of signal changes in the quadratus femoris muscle on MR B. Vanzieleghem 1, F. Van Kerkhove 1, K. Govaers 2 Objectives: To evaluate the clinical significance
More informationThe University Of Jordan Faculty Of Medicine THE LOWER LIMB. Dr.Ahmed Salman Assistant Prof. of Anatomy. The University Of Jordan
The University Of Jordan Faculty Of Medicine THE LOWER LIMB Dr.Ahmed Salman Assistant Prof. of Anatomy. The University Of Jordan Gluteal Region Cutaneous nerve supply of (Gluteal region) 1. Lateral cutaneous
More informationIschiofemoral Impingement in Children: Imaging With Clinical Correlation
Pediatric Imaging Original Research Stenhouse et al. MRI of Pediatric Ischiofemoral Impingement Pediatric Imaging Original Research Gregor Stenhouse 1,2 Scott Kaiser 1,3 Simon P. Kelley 4 Jennifer Stimec
More informationLectures of Human Anatomy
Lectures of Human Anatomy Lower Limb Gluteal Region and Hip Joint By DR. ABDEL-MONEM AWAD HEGAZY M.B. with honor 1983, Dipl."Gynecology and Obstetrics "1989, Master "Anatomy and Embryology" 1994, M.D.
More informationSnapping Hip and Impingement
Snapping Hip and Impingement Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Disclosures: Consultant: Bioclinica Advisory Board: GE,
More informationGluteal region DR. GITANJALI KHORWAL
Gluteal region DR. GITANJALI KHORWAL Gluteal region The transitional area between the trunk and the lower extremity. The gluteal region includes the rounded, posterior buttocks and the laterally placed
More informationMohammad Ashraf. Abdulrahman Al-Hanbali. Ahmad Salman. 1 P a g e
- 7 Mohammad Ashraf Abdulrahman Al-Hanbali Ahmad Salman 1 P a g e Structures under the cover of Gluteus Maximus: 1-Bones: Ileum, Femur (Head, greater trochanter and gluteal tuberosity), Ischium (ischial
More informationMSK Radiology Interesting Case Presentation
MSK Radiology Interesting Case Presentation Sitt Ching Man Jacqueline 27 th Feb 2015 Patient 1: YPY F/27 Professional badminton player C/o sudden onset of right shoulder pain after a very vigorous match
More informationThe Lower Limb. Anatomy RHS 241 Lecture 2 Dr. Einas Al-Eisa
The Lower Limb Anatomy RHS 241 Lecture 2 Dr. Einas Al-Eisa The bony pelvis Protective osseofibrous ring for the pelvic viscera Transfer of forces to: acetabulum & head of femur (when standing) ischial
More informationPosterior compartment of the thigh. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Posterior compartment of the thigh Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Posterior compartment of the thigh 1-Muscles: Biceps femoris Semitendinosus Semimembranosus Adductor magnus
More informationIschiofemoral impingement: spectrum of findings
Ischiofemoral impingement: spectrum of findings Poster No.: C-1005 Congress: ECR 2013 Type: Scientific Exhibit Authors: A. Thomas, R. Dominguez Oronoz, M. Vera Cartas, S. Roche, 1 1 1 1 1 1 2 1 X. Merino-Casabiel,
More informationMuscles of the lower extremities. Dr. Nabil khouri MD, MSc, Ph.D
Muscles of the lower extremities Dr. Nabil khouri MD, MSc, Ph.D Posterior leg Popliteal fossa Boundaries Biceps femoris (superior-lateral) Semitendinosis and semimembranosis (superior-medial) Gastrocnemius
More informationMain Menu. Joint and Pelvic Girdle click here. The Power is in Your Hands
1 Hip Joint and Pelvic Girdle click here Main Menu K.6 http://www.handsonlineeducation.com/classes//k6entry.htm[3/23/18, 2:01:12 PM] Hip Joint (acetabular femoral) Relatively stable due to : Bony architecture
More informationMuscles of Gluteal Region
1 The Gluteal Region In the gluteal region the skin is tough with many layers underneath. Directly under it is the superficial fascia followed by the deep fascia then the muscles and the bones of the thigh.
More informationThe Hip (Iliofemoral) Joint. Presented by: Rob, Rachel, Alina and Lisa
The Hip (Iliofemoral) Joint Presented by: Rob, Rachel, Alina and Lisa Surface Anatomy: Posterior Surface Anatomy: Anterior Bones: Os Coxae Consists of 3 Portions: Ilium Ischium Pubis Bones: Pubis Portion
More informationLumbar and Sacral Plexuses. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Lumbar and Sacral Plexuses Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Structure of Spinal Nerves: Somatic Pathways dorsal root CNS interneuron spinal nerve dorsal ramus somatic sensory
More informationANATOMY TEAM GLUTEAL REGION & BACK OF THIGH
ANATOMY TEAM GLUTEAL REGION & BACK OF THIGH OBJECTIVES By the end of this lecture, the student should be able to identify and discuss: Contents of gluteal region: Groups of Glutei muscles and small muscles
More informationSURGICAL AND APPLIED ANATOMY
Página 1 de 6 Copyright 2001 Lippincott Williams & Wilkins Bucholz, Robert W., Heckman, James D. Rockwood & Green's Fractures in Adults, 5th Edition SURGICAL AND APPLIED ANATOMY Part of "37 - HIP DISLOCATIONS
More informationlesser trochanter of femur lesser trochanter of femur iliotibial tract (connective tissue) medial surface of proximal tibia
LOWER LIMB MUSCLES OF THE APPENDICULAR SKELETON The muscles that act on the lower limb fall into three groups: those that move the thigh, those that move the lower leg, and those that move the ankle, foot,
More informationVariation in Bifurcation of Sciatic Nerve Found in Gluteal Region in Dissection Deepa 1 * and Bhanu Pratap Singh 2
CASE STUDY www.ijapc.com e-issn 2350-0204 Variation in Bifurcation of Sciatic Nerve Found in Gluteal Region in Dissection Deepa 1 * and Bhanu Pratap Singh 2 1 Dept. of Sharira Rachana, National Institute
More informationBeyond the femoroacetabular impingement: other atypical causes of hip impingement
Beyond the femoroacetabular impingement: other atypical causes of hip impingement Poster No.: C-0229 Congress: ECR 2015 Type: Educational Exhibit Authors: N. Arevalo, E. Diez, J. Gredilla Molinero, A.
More informationThe Hip Joint. Shenequia Howard David Rivera
The Hip Joint Shenequia Howard David Rivera Topics Of Discussion Movement Bony Anatomy Ligamentous Anatomy Muscular Anatomy Origin/Insertion/Action/Innervation Common Injuries MOVEMENT Flexion Extension
More informationThe thigh. Prof. Oluwadiya KS
The thigh Prof. Oluwadiya KS www.oluwadiya.com The Thigh: Boundaries The thigh is the region of the lower limb that is approximately between the hip and knee joints Anteriorly, it is separated from the
More informationMR Imaging in Athlete s Hip/Pelvis
MR Imaging in Athlete s Hip/Pelvis Tara Lawrimore, MD FRCPC Department of Radiology Musculoskeletal Division Massachusetts General Hospital Harvard Medical School No disclosures MR and Hip Pain in the
More informationImaging in Groin Pain What the Team Physician Needs to Know
Imaging in Groin Pain What the Team Physician Needs to Know Üstün Aydıngöz, MD Professor of Radiology Hacettepe University School of Medicine Ankara, Turkey ustunaydingoz@yahoo.com No conflicts of interest
More informationmusculoskeletal system anatomy nerves of the lower limb 2 done by: Dina sawadha & mohammad abukabeer
musculoskeletal system anatomy nerves of the lower limb 2 done by: Dina sawadha & mohammad abukabeer #Sacral plexus : emerges from the ventral rami of the spinal segments L4 - S4 and provides motor and
More informationCopyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings. Dr. Nabil Khouri MD, MSc, Ph.D
Dr. Nabil Khouri MD, MSc, Ph.D Pelvic Girdle (Hip) Organization of the Lower Limb It is divided into: The Gluteal region The thigh The knee The leg The ankle The foot The thigh and the leg have compartments
More informationEvaluation of the Hip
Evaluation of the Hip Adam Lewno, DO PCSM Fellow, University of Michigan Primary Care Sports Update 2017 Disclosures Financial: None Images: I would like to acknowledge the work of the original owners
More informationLAB Notes#1. Ahmad Ar'ar. Eslam
LAB Notes#1 Ahmad Ar'ar Eslam 1 P a g e Anatomy lab Notes Lower limb bones :- Pelvic girdle: It's the connection between the axial skeleton and the lower limb; it's made up of one bone called the HIP BONE
More informationHip Arthroscopy Techniques: Deep Gluteal Space Access
1 2 Hip Arthroscopy Techniques: Deep Gluteal Space Access 3 4 5 6 7 8 9 10 11 Carlos A. Guanche, MD Southern California Orthopedic Institute 6815 Noble Avenue Van Nuys, CA 91405 cguanche@scoi.com 12 13
More informationLower limb summary. Anterior compartment of the thigh. Done By: Laith Qashou. Doctor_2016
Lower limb summary Done By: Laith Qashou Doctor_2016 Anterior compartment of the thigh Sartorius Anterior superior iliac spine Upper medial surface of shaft of tibia 1. Flexes, abducts, laterally rotates
More informationThe Lower Limb II. Anatomy RHS 241 Lecture 3 Dr. Einas Al-Eisa
The Lower Limb II Anatomy RHS 241 Lecture 3 Dr. Einas Al-Eisa Tibia The larger & medial bone of the leg Functions: Attachment of muscles Transfer of weight from femur to skeleton of the foot Articulations
More informationFirst practical session. Bones of the gluteal region
First practical session 2017 Bones of the gluteal region The Hip bone The hip bone is made of: 1 The ilium: superior in position 2 The ischium:postero-inferior in position 3 The pubis: antero-inferior
More informationHip joint and pelvic girdle. Lower Extremity. Pelvic Girdle 6/5/2017
Hip joint and pelvic girdle Lower Extremity The relationship between the pelvic girdle and hip is similar to that between the shoulder girdle and shoulder joint. The lower limbs are attached to the axial
More informationMuscles of the Thigh. 6.1 Identify, describe the attachments of and deduce the actions of the muscles of the thigh: Anterior group
Muscles of the Thigh 6.1 Identify, describe the attachments of and deduce the actions of the muscles of the thigh: Anterior group Sartorius: This is a long strap like muscle with flattened tendons at each
More informationNon-Discogenic Sciatic Nerve Entrapment: a Pictorial Review of Common Causes from a High-Volume Centre
Non-Discogenic Sciatic Nerve Entrapment: a Pictorial Review of Common Causes from a High-Volume Centre Poster No.: R-0071 Congress: 2016 ASM Type: Educational Exhibit Authors: A. Imrie, R. Pow, N. McGrigor,
More informationNormal Anatomy and Strains of the Deep Musculotendinous Junction of the Proximal Rectus Femoris: MRI Features
Musculoskeletal Imaging Clinical Observations Gyftopoulos et al. MRI of the Proximal Rectus Femoris Musculotendinous Junction Musculoskeletal Imaging Clinical Observations Soterios Gyftopoulos 1 Zehava
More informationBony Anatomy. Femur. Femoral Head Femoral Neck Greater Trochanter Lesser Trochanter Intertrochanteric Crest Intertrochanteric Line Gluteal Tuberosity
Hip Anatomy Bony Anatomy Femur Femoral Head Femoral Neck Greater Trochanter Lesser Trochanter Intertrochanteric Crest Intertrochanteric Line Gluteal Tuberosity Bony Anatomy Pelvic Girdle Acetabulum 3 bones
More informationMuscles of Lesson Five. Muscular Nomenclature and Kinesiology - Two. Muscles of Lesson Five, cont. Chapter 16
Chapter 16 Muscular Nomenclature and Kinesiology - Two Lessons 5-6 Muscles of Lesson Five Iliopsoas (psoas major, iliacus) Hip outward rotators (piriformis, gemellus superior, gemellus inferior, obturator
More informationlower limb Anterior Compartment: lecture 3 The deep fascia ( fascia lata) divides the thigh into 3 compartments:
lower limb lecture 3 The deep fascia ( fascia lata) divides the thigh into 3 compartments: 1. Anterior Extensor compartment 2. Medial Adductor compartment 3. Posterior Flexor compartment Anterior Compartment:
More informationrotation of the hip Flexion of the knee Iliac fossa of iliac Lesser trochanter Femoral nerve Flexion of the thigh at the hip shaft of tibia
Anatomy of the lower limb Anterior & medial compartments of the thigh Dr. Hayder The fascia lata encloses the entire thigh like a sleeve/stocking. Three intramuscular fascial septa (lateral, medial, and
More informationGreater Trochanter: Anatomy and Pathology
Greater Trochanter: Anatomy and Pathology Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Disclosures: Consultant: Bioclinica Book Royalties:
More informationmusculoskeletal system anatomy nerves of the lower limb 1 done by: dina sawadha & mohammad abukabeer
musculoskeletal system anatomy nerves of the lower limb 1 done by: dina sawadha & mohammad abukabeer What is the importance of plexuses? plexuses provides us the advantage of a phenomenon called convergence
More informationPractical 1 Worksheet
Practical 1 Worksheet ANATOMICAL TERMS 1. Use the word bank to fill in the missing words. reference side stand body arms palms anatomical forward All anatomical terms have a(n) point which is called the
More informationIdentify the muscles associated with the medial compartment of the thigh. Identify the attachment points of the medial thigh muscles.
L 8 A B O R A T O R Y Thigh MEDIAL THIGH Identify the muscles associated with the medial compartment of the thigh. Identify the attachment points of the medial thigh muscles. Identify the actions of these
More informationThe psoas minor is medial to the psoas major. The iliacus is a fan-shaped muscle that when contracted helps bring the swinging leg forward in walking
1 p.177 2 3 The psoas minor is medial to the psoas major. The iliacus is a fan-shaped muscle that when contracted helps bring the swinging leg forward in walking and running. The iliopsoas and adductor
More informationANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 5- Intermediate cutaneous nerve of the thigh 1, 2 and 3 are
More informationBones of the Lower Limb Bone Structure Description Notes. border of the superior ramus. inferolaterally from the pubic symphysis
Bones of the Lower Limb Bone Structure Description Notes pubis an angulated bone the forms the anterior part of the pelvis one of three bones that form the os coxae: ilium, ischium, pubis; its forms 1/5
More informationBeyond the Bump: The Spectrum of Extra-articular Pathology in Hip MRI for Clinical Femoroacetabular Impingement
Beyond the Bump: The Spectrum of Extra-articular Pathology in Hip MRI for Clinical Femoroacetabular Impingement Poster No.: C-2239 Congress: ECR 2012 Type: Authors: Keywords: DOI: Educational Exhibit K.
More informationGluteal Region and Back of Thigh
Gluteal Region and Back of Thigh Musculoskeletal block- Anatomy-lecture 14 Editing file Objectives Know contents of gluteal region: 1. Groups of Glutei muscles and small muscles (Lateral Rotators). 2.
More informationIt is formed by fusion of 3 bones: I. Ilium (superior bone). II. Pubis (antero-inferior bone). III. Ischium (postero-inferior bone).
It is formed by fusion of 3 bones: I. Ilium (superior bone). II. Pubis (antero-inferior bone). III. Ischium (postero-inferior bone). Pubis Acetabulum Ana (242 ) The three constituent of bones of the hip
More informationOrganization of the Lower Limb
Organization of the Lower Limb Most illustrations from: Thieme Atlas of Anatomy: Musculoskeletal System. M Schuenke, et al, 2006. Anatomy: A Regional Atlas of the Human Body. Carmine Clemente, 4th edition.
More informationMRI of the Distal Biceps Femoris Muscle: Normal Anatomy, Variants, and Association with Common Peroneal Entrapment Neuropathy
Vieira et al. MRI of the iceps Femoris Muscle Musculoskeletal Imaging Original Research 09_07_2308_Vieira.fm 7/27/07 Renata La Rocca Vieira 1 Zehava Sadka Rosenberg Kiril Kiprovski Vieira RLR, Rosenberg
More informationSoft Tissue and Osseous Lesions of the Hip
Soft Tissue and Osseous Lesions of the Hip Osseous Anatomy Christine B. Chung, M.D. Professor of Radiology Musculoskeletal Division UCSD and VA Healthcare System Osseous Anatomy Osseous Anatomy Gluteus
More informationTo classify the joints relative to structure & shape
To classify the joints relative to structure & shape To describe the anatomy of the hip joint To describe the ankle joint To memorize their blood & nerve supply JOINTS: Joints are sites where skeletal
More informationLower Limb Nerves. Clinical Anatomy
Lower Limb Nerves Clinical Anatomy Lumbar Plexus Ventral rami L1 L4 Supplies: Abdominal wall External genitalia Anteromedial thigh Major nerves.. Lumbar Plexus Nerves relation to psoas m. : Obturator n.
More informationViviane Khoury, MD. Assistant Professor Department of Radiology University of Pennsylvania
U Penn Diagnostic Imaging: On the Cape Chatham, MA July 11-15, 2016 Viviane Khoury, MD Assistant Professor Department of Radiology University of Pennsylvania Hip imaging has changed in recent years: new
More informationOrganization of the Lower Limb
Organization of the Lower Limb Limb Development Lower limb develops in an aterolateral position at the level of the L2 to S3 trunk segments Great toe positioned cephalic direction with the soles of the
More informationIschiofemoral impingement in young patients
Ischiofemoral impingement in young patients Poster No.: P-0023 Congress: ESSR 2014 Type: Educational Poster Authors: M. Vansevenant, F. M. H. M. Vanhoenacker, K. L. Verstraete ; 1 1 2 1 2 Gent/BE, Antwerp/BE
More informationLumbar Plexus. Ventral rami L1 L4 Supplies: Major nerves.. Abdominal wall External genitalia Anteromedial thigh
Lower Limb Nerves Lectures Objectives Describe the structure and relationships of the plexuses of the lower limb. Describe the course, relationships and structures supplied for the major nerves of the
More informationRicki Shah, M.D., Nirav Shelat, D.O., Georges Y. El-Khoury, M.D., D. Lee Bennett, M.A., M.B.A., M.D.
vulsion Injuries of the Pelvis Ricki Shah, M.D., Nirav Shelat, D.O., Georges Y. El-Khoury, M.D., D. Lee ennett, M.., M..., M.D. Division of Musculoskeletal Radiology, University of Iowa Hospitals & linics,
More informationAnatomage Table Instructors Guide- Lower Limb
The Lower Limb Anatomage Table Instructors Guide- Lower Limb Table of Contents Lower Limb 1- The Skeletal System...3 1: Hip Bone...3 2: Hip Joint and Femur...4 3: Patella and Knee Joint...7 4: Tibia, Fibula,
More informationEvaluation of Posterior Hip Pain
Evaluation of Posterior Hip Pain Anthony J. Ferretti, D.O., MHSA Hip Pain in the Adult Various etiologies: Traumatic Infectious Neurovascular Degenerative Congenital Pathologic 1 Hip Pain Complex interaction
More informationApplied anatomy of the hip and buttock
CHAPTER CONTENTS The hip joint e9 Capsule and ligaments e9 s e0 Flexor muscles................... e0 Extensor muscles.................. e Abductor muscles.................. e Adductor muscles..................
More informationSonographic Findings of Adductor Insertion Avulsion Syndrome With Magnetic Resonance Imaging Correlation
Case Report Sonographic Findings of Adductor Insertion Avulsion Syndrome With Magnetic Resonance Imaging Correlation Jennifer S. Weaver, MD, Jon A. Jacobson, MD, David A. Jamadar, MBBS, Curtis W. Hayes,
More information1-Muscles: 2-Blood supply: Branches of the profunda femoris artery. 3-Nerve supply: Sciatic nerve
1-Muscles: B i c e p s f e m o r i s S e m i t e n d i n o s u s S e m i m e m b r a n o s u s a small part of the adductor magnus (h a m s t r i n g p a r t o r i s c h i a l p a r t ) 2-Blood supply:
More informationHuman Anatomy Biology 351
Human Anatomy Biology 351 Lower Limb Please place your name on the back of the last page of this exam. You must answer all questions on this exam. Because statistics demonstrate that, on average, between
More informationFUNCTIONAL ANATOMY AND EXAM OF THE HIP, GROIN AND THIGH
FUNCTIONAL ANATOMY AND EXAM OF THE HIP, GROIN AND THIGH Peter G Gerbino, MD, FACSM Orthopedic Surgeon Monterey Joint Replacement and Sports Medicine Monterey, CA TPC, San Diego, 2017 The lecturer has no
More informationMyology of the Knee. PTA 105 Kinesiology
Myology of the Knee PTA 105 Kinesiology Objectives Describe the planes of motion and axes of rotation of the knee joint Visualize the origins and insertions of the muscles about the knee List the innervations
More informationBones of Lower Limb. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Bones of Lower Limb Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Bones of the lower limb Hip Bone Made up of 3 bones: 1) Ilium (flat), superior in position 2) Ischium (L), postero-inferior
More informationAdvanced Imaging of Hamstring Injuries in Athletes and Active Patients
Advanced Imaging of Hamstring Injuries in Athletes and Active Patients Mayo Clinic Sports Symposium 2016 Mark S. Collins MD Musculoskeletal Division Department of Radiology Mayo Clinic Rochester, MN Hamstring
More informationOriginal Report. The Reverse Segond Fracture: Association with a Tear of the Posterior Cruciate Ligament and Medial Meniscus
Eva M. Escobedo 1 William J. Mills 2 John. Hunter 1 Received July 10, 2001; accepted after revision October 1, 2001. 1 Department of Radiology, University of Washington Harborview Medical enter, 325 Ninth
More informationUltrasound of the Hip: Anatomy, Pathology, and Procedures
Ultrasound of the Hip: Anatomy, Pathology, and Procedures Jon A. Jacobson, M.D. Professor of Radiology Director, Division of Musculoskeletal Radiology University of Michigan Outline Hip Joint Native hip
More informationGross Anatomy Coloring Book Series. Lower Extremity Arteries
Gross Anatomy Coloring Book Series Lower Extremity Arteries 1 Femoral Artery and Associated Branches For the life of the flesh is in the blood. Leviticus 17:11 Femoral Artery and Associated Branches After
More informationThe Muscular System. Chapter 10 Part D. PowerPoint Lecture Slides prepared by Karen Dunbar Kareiva Ivy Tech Community College
Chapter 10 Part D The Muscular System Annie Leibovitz/Contact Press Images PowerPoint Lecture Slides prepared by Karen Dunbar Kareiva Ivy Tech Community College Table 10.14: Muscles Crossing the Hip and
More informationAnterior and Medial compartments of the thigh. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Anterior and Medial compartments of the thigh Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Terms Related to Movements Movement Flexion Extension Abduction Adduction Medial (internal)
More informationMR Imaging of the Distribution and Location of Acute Hamstring Injuries in Athletes
Downloaded from www.ajronline.org by 46.3.197.176 on 2/4/18 from IP address 46.3.197.176. Copyright ARRS. For personal use only; all rights reserved Arthur A. De Smet 1 Thomas M. Best 2 Received May 3,
More informationContents of the Posterior Fascial Compartment of the Thigh
Contents of the Posterior Fascial Compartment of the Thigh 1-Muscles: B i c e p s f e m o r i s S e m i t e n d i n o s u s S e m i m e m b r a n o s u s a small part of the adductor magnus (h a m s t
More informationHuman Anatomy Biology 351
Human Anatomy Biology 351 Lower Limb Please place your name on the back of the last page of this exam. You must answer all questions on this exam. Because statistics demonstrate that, on average, between
More informationSURGICAL EXPOSURES SURGERY OF THE HIP
1 of 24 11/19/03 1:11 PM SURGICAL EXPOSURES SURGERY OF THE HIP by R. CALANDRUCCIO In: Atlas of Orthopaedic Surgery Volume 3 Lower Extremity; Editors: Laurin, CA, Riley Jr. LH, Roy-Camille R Reprinted with
More informationHuman Anatomy Biology 255
Human Anatomy Biology 255 Exam #4 Please place your name and I.D. number on the back of the last page of this exam. You must answer all questions on this exam. Because statistics demonstrate that, on average,
More informationCT Findings of Traumatic Posterior Hip Dislocation after Reduction 1
CT Findings of Traumatic Posterior Hip Dislocation after Reduction 1 Sung Kyoung Moon, M.D., Ji Seon Park, M.D., Wook Jin, M.D. 2, Kyung Nam Ryu, M.D. Purpose: To evaluate the CT images of reduced hips
More informationJoints of the lower limb
Joints of the lower limb 1-Type: Hip joint Synovial ball-and-socket joint 2-Articular surfaces: a- head of femur b- lunate surface of acetabulum Which is deepened by the fibrocartilaginous labrum acetabulare
More informationOverview. Overview. Introduction. Introduction Anatomy History Examination Common Disorders. Introduction Anatomy History Examination Common Disorders
Common Hip Disorders in Figure Skaters 14 th Annual Meeting of Sports Medicine and Science in Figure Skating January 25, 2009 8:15-8:45am Robert J. Dimeff, MD Medical Director of Sports Medicine Overview
More informationAcland's DVD Atlas of Human Anatomy. Transcript for Volume Robert D Acland
Acland's DVD Atlas of Human Anatomy Transcript for Volume 2 2007 Robert D Acland This free downloadable pdf file is to be used for individual study only. It is not to be reproduced in any form without
More informationMR findings in patients with athletic pubalgia: our experience
MR findings in patients with athletic pubalgia: our experience Poster No.: C-0727 Congress: ECR 2015 Type: Scientific Exhibit Authors: P. Schvartzman, A. Fernandez Viña, F. Olmos Cantarero, J. 1 2 1 1
More informationRad Tech 4643 MRI Torso and Extremities
Rad Tech 4643 MRI Torso and Extremities Prostate Cancer Leiomyoma Retroverted Anteverted Ovarian Cyst Gone Wrong Fibroid (Leiomyoma) IUD Ovary Hysterectomy? What are we to see when imaging a female pelvis
More informationStress-Related Injuries Around the Lesser Trochanter in Long-Distance Runners
Musculoskeletal Imaging Clinical Observations Nguyen et al. Stress Injury Around Lesser Trochanter Musculoskeletal Imaging Clinical Observations Josephine T. Nguyen 1 Jeffrey S. Peterson 2 Sandip Biswal
More informationUltrasound-guided Sciatic Nerve Blocks: Higher and Popliteal Approaches
10.5005/jp-journals-10027-1026 K Kondov, S Fransis REVIEW ARTICLE Ultrasound-guided Sciatic Nerve Blocks: Higher and Popliteal Approaches K Kondov, S Fransis ABSTRACT Background and objective: In modern
More informationTHE HIP. Cooler than cool, the pinnacle of what is "it". Beyond all trends and conventional coolness.
THE HIP Cooler than cool, the pinnacle of what is "it". Beyond all trends and conventional coolness. Objectives Hip anatomy Causes of hip pain Hip exam Anatomy Bones Ilium Anterior Superior Iliac Spine
More informationMuscle Testing of Knee Extensors. Yasser Moh. Aneis, PhD, MSc., PT. Lecturer of Physical Therapy Basic Sciences Department
Muscle Testing of Knee Extensors Yasser Moh. Aneis, PhD, MSc., PT. Lecturer of Physical Therapy Basic Sciences Department Muscle Testing of Knee Extensors othe Primary muscle Quadriceps Femoris -Rectus
More informationThis presentation is the intellectual property of the author. Contact them for permission to reprint and/or distribute.
MRI of the Knee Jennifer Swart, M.D. Musculoskeletal Radiology South Texas Radiology Group Outline Coils, Patient Positioning Acquisition Parameters, Planes and Pulse Sequences Knee Arthrography Normal
More informationMuscles of the Gluteal Region
Muscles of the Gluteal Region 1 Some of the most powerful in the body Extend the thigh during forceful extension Stabilize the iliotibial band and thoracolumbar fascia Related to shoulders and arms because
More informationOrganization of the Lower Limb Audrone Biknevicius, Ph.D. Dept. Biomedical Sciences, OU HCOM at Dublin Clinical Anatomy Immersion 2014
Organization of the Lower Limb Audrone Biknevicius, Ph.D. Dept. Biomedical Sciences, OU HCOM at Dublin Clinical Anatomy Immersion 2014 www.thestudio1.co.za LIMB FUNCTION choco-locate.com blog.coolibar.com
More information