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                                                                                 Iliac crest
                                                                                 Fascia covering gluteus medius
                                                                                 Tensor fasciae latae

                                                                                 Gluteus maximus

                                                                                 Iliotibial tract

                                                                                 Rectus femoris

                                                                                 Vastus lateralis

                                                                                 Biceps femoris (long head)
                              Fig.47.4
                              The lateral side of the thigh.
                              Note the two muscles inserted
                              into the iliotibial tract



                The contents of the medial compartment of the thigh   The adductor (subsartorial or Hunter’s) canal
                (Figs 47.2 and 47.3)                                  The adductor canal serves to transmit structures from the apex of the
                • Muscles: these comprise the hip adductors:  gracilis, adductor  femoral triangle through the hiatus in adductor magnus into the
                longus, adductor brevis, adductor magnus and obturator externus (a  popliteal fossa. It commences in the mid-portion of the thigh and is
                lateral rotator of the thigh at the hip) (see Muscle index, p. 165).  formed by the following walls:
                • Arteries: profunda femoris (p. 95) as well as its medial circumflex  • The posterior wall: adductor longus, with adductor magnus in the
                femoral and perforating branches and the obturator artery.  lower part of the thigh.
                • Veins: profunda femoris and obturator veins.        • The lateral wall: vastus medialis.
                • Nerves: the anterior and posterior divisions of the obturator nerve   • The roof: thickened fascia underlying sartorius.
                (p. 99).
                                                                      The contents of the adductor canal
                The contents of the posterior compartment of the thigh   These include: the femoral artery, the femoral vein which lies deep to
                (Fig. 47.3)                                           the femoral artery, lymphatics, the saphenous branch of the femoral
                • Muscles: these are the hamstrings and effect knee flexion and hip ex-  nerve (which passes behind sartorius to leave the canal and descends
                tension. They include: biceps femoris,semitendinosus,semimembranosus  the lower limb with the great saphenous vein), the nerve to vastus medi-
                and the hamstring part of adductor magnus (see Muscle index, p. 165).  alis (in the upper part) and the  subsartorial plexus. This plexus is
                • Arteries: the perforating branches of profunda femoris.  formed by branches from the saphenous nerve (terminal branch of the
                • Veins: the venae comitantes of the small arteries.  femoral nerve, p. 99), the anterior division of the obturator nerve and
                • Nerves: the sciatic nerve (L4,5,S1–3, p. 101). The muscles of the  the intermediate cutaneous nerve of the thigh (branch of the femoral
                posterior compartment are supplied by the tibial component of the sci-  nerve, p. 99). It supplies the skin over the medial aspect of the knee.
                atic nerve with the exception of the short head of biceps femoris which
                is supplied by the common peroneal component.

















                108 Lower limb
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