Fasciotomy of the Thigh, Lower Leg, and Foot

Fasciotomy of the Thigh, Lower Leg, and Foot

Graeme E. McFarland

Jason T. Lee


  • 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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