Fasciotomy of the Thigh, Lower Leg, and Foot



Fasciotomy of the Thigh, Lower Leg, and Foot


Graeme E. McFarland

Jason T. Lee





ANATOMY



  • There are three fascial compartments of the thigh all surrounded by the strong fascia lata.



    • Anterior:



      • Muscles: Sartorius, articularis genus, rectus femoris, vastus lateralis, vastus intermedius, and the vastus medialis


      • Neurovascular: Femoral nerve


    • Medial (adductor):



      • Muscles: Adductor longus/brevis/minimus, gracilis, pectineus, and external obturator


      • Neurovascular: Obturator nerve


    • Posterior:



      • Muscles: Adductor magnus, biceps femoris, semitendinosus, and semimembranosus


      • Neurovascular: Sciatic nerve


  • There are four fascial compartments of the lower leg.



    • Anterior:



      • Muscles: Tibialis anterior, extensor hallucis longus, extensor digitorum longus, and the peroneus tertius


      • Neurovascular: Anterior tibial artery and vein and the deep peroneal nerve


    • Lateral:



      • Muscles: Fibularis longus/brevis


      • Neurovascular: Superficial peroneal nerve


    • Superficial posterior:



      • Muscles: Gastrocnemius, soleus, plantaris


      • Neurovascular: Tibial nerve


    • Deep posterior compartment:



      • Muscles: Tibialis posterior, flexor hallucis longus, flexor digitorum longus, and popliteus


      • Neurovascular: Tibial nerve, posterior tibial artery and veins, and the peroneal artery and veins


  • There are technically nine compartments of the foot.



    • Medial compartment:



      • Muscles: Abductor hallucis and flexor hallucis brevis


    • Lateral compartment:



      • Muscles: Flexor digiti minimi brevis and abductor digiti minimi


    • Superficial central compartment:



      • Muscles: Flexor digitorum brevis


    • Central central compartment



      • Muscles: Quadratus plantae


    • Deep central compartment



      • Muscles: Adductor hallucis compartment


    • Intrinsic compartment:



      • Muscles: Four intrinsic muscles (compartments) between the 1st and 5th metatarsals


Nov 24, 2019 | Posted by in Aesthetic plastic surgery | Comments Off on Fasciotomy of the Thigh, Lower Leg, and Foot
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