Файл: Atlas of musculoskeletal ultrasound anatomy. By M Bradley and P O\'Donnell, 2002.pdf
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of Atlas
ultrasound musculoskeletal anatomy
148
Femoral neck
(Figures 184–187)
Notes
and Abdomen
pelvis Hip
FIG. 184 LS, supine, leg straight, probe slightly distal to femoral head, angled to femoral neck
Ilio-psoas
Synovium/capsule
and iliofemoral ligament
Proximal |
Distal |
Femoral neck
FIG. 185 LS, anterior femoral neck
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ultrasound musculoskeletal anatomy
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FIG. 186 TS, supine, leg straight, probe slightly distal to femoral head
Ilio-psoas
Synovium/ iliofemoral ligament
Ilio-psoas tendon
Lateral |
Medial |
Femoral neck
FIG. 187 TS, anterior femoral neck
Ilio-psoas
(Figures 188 and 189)
•Distal insertion: lesser trochanter.
•Sartorius: proximal attachment is at the anterior superior iliac spine, distal insertion is antero-medial tibia.
and Abdomen
pelvis Hip
FIG. 188 TS, supine, leg straight
Sartorius
Femoral vein
Pectineus
Femoral artery
Rectus femoris |
Adductor brevis |
Lateral |
Medial |
Muscle, tendon |
Lesser trochanter |
ilio-psoas |
|
FIG. 189 TS, distal psoas insertion
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Panorama of anterior hip
(Figures 190–193)
Notes
and Abdomen
pelvis Hip
FIG. 190 TS, supine
Tensor fasciae latae |
Rectus femoris |
Ilio-psoas Sartorius |
muscle |
|
|
Gluteal muscles
Lateral |
Medial |
Femoral head cartilage |
Femoral head |
Femoral artery |
Adductors |
FIG. 191 TS panorama, anterior hip
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FIG. 192 TS, probe over lesser trochanter
Rectus femoris
Tensor fasciae latae
Ilio-psoas tendon
Lateral |
Medial |
Lesser trochanter
FIG. 193 TS, hip – lesser trochanter
Greater trochanter
(Figures 194 and 195)
•Tensor fasciae latae
Origin: iliac crest.
Insertion: ilio-tibial tract.
•Gluteus maximus
Origin: ilium, sacrum, coccyx.
Insertion: ilio-tibial tract, gluteal tuberosity of femur.
•Trochanteric bursa
Deep to fascia lata and gluteus.
and Abdomen
pelvis Hip
FIG. 194 LS, supine, probe lateral overlying greater trochanter
Fascia lata |
Fat |
Gluteus maximus
Proximal |
Distal |
Trochanteric bursa |
Greater trochanter |
FIG. 195 LS, greater trochanter
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ultrasound musculoskeletal anatomy
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Adductors
(Figures 196 and 197)
•Adductor longus
Origin: anterior body of pubis.
•Adductor brevis
Origin: body and inferior ramus of pubis.
•Adductor magnus
Origin: ischiopubic ramus.
Notes
and Abdomen
pelvis Hip
FIG. 196 TS, probe antero-medial thigh. The leg may be semi-flexed and abducted as an alternative position
Femoral vessels |
Adductor longus |
Adductor brevis |
Anterior |
Posterior |
Femoral triangle |
Adductor magnus |
FIG. 197 TS panorama, hip adductors
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Adductor origin – LS
(Figures 198 and 199)
Notes
FIG. 198 LS, leg abducted
Pectineus
Pubis
Proximal
FIG. 199 LS, hip adductors origin
and Abdomen
pelvis Hip
Adductor longus
Adductor brevis
Distal
Adductor magnus
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Adductor origin/antero-medial thigh
(Figures 200 and 201)
•Pectineus
Origin: pectineal line, pubis to lesser trochanter/linea aspera.
•Adductor longus
Anterior pubis to linea aspera.
•Adductor brevis
Body and inferior ramus of pubis to linea aspera.
•Adductor magnus
Ramus and ischial tuberosity to linea aspera and adductor tubercle on medial femoral condyle.
•Gracilis
Pubic ramus to antero-medial tibia.
Notes
and Abdomen
pelvis Hip
FIG. 200 TS, leg abducted
Adductor longus
Adductor brevis
Anterior |
Posterior |
Adductor magnus
FIG. 201 TS, hip adductors
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Rectus femoris
(Figures 202 and 203)
•Origin: anterior inferior iliac spine and ilium superior to acetabulum.Insertion: upper border of patella.
Notes
and Abdomen
pelvis Hip
FIG. 202 LS, supine, proximal to hip joint
Anterior inferior iliac spine |
Rectus femoris |
|
tendon and |
muscle |
Proximal |
Distal |
Vastus intermedius
FIG. 203 LS, proximal rectus femoris insertion
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Rectus femoris – TS
(Figures 204 and 205)
Notes
and Abdomen
pelvis Hip
FIG. 204 TS, supine, proximal to hip joint
Rectus femoris |
Ilio-psoas |
Anterior inferior |
Ilio-pubic |
iliac spine |
eminence |
Lateral |
Medial |
FIG. 205 TS, proximal rectus femoris
165