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LOWER LIMB

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Poplitial fossa

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Front of thigh

  • Skin
  • Superficial fascia cutaneous nerves
  • deep fascia cutaneous vessels
  • superficial inguinal L N

  • muscles,vessels,nerves & deep inguinal L N

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Lines of Incision

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Superficial fascia

Superficial fatty layer

Deep membranous layer

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S.Q. What is Holden’s line

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Cutaneous nerves

  • Ilioinguinal n
  • Femoral branch of Genitofemoral n
  • Lateral cutaneous n of thigh
  • Intermediate cutaneous n of thigh
  • Medial cutaneous n of thigh
  • Cut br of ant division of obturator n
  • Lat cut br of subcostal n

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Lumber plexus

On post abdominal

wall

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S.Q. what is meralgia peresthetica

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Lat cut n of thigh

Iliacus muscle

Inguinal lig

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Cutaneous arteries�

  • Superficial epigastric a
  • Superficial external pudendal a
  • Superficial circumflex iliac a

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Cutaneous veins : great saphenous v & it’s tributaries

Great saphenous v

Femoral vein

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Great sephanous v

Saphes = easily seen

Femoral v

Saphenous opening

Dorsal venous arch

Medial malleolus

tibia

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S.Q : what is varicose vein

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Superficial inguinal lymphnodes

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Superficial inguinal lymphnodes

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Superficial inguinal L N

Great saphenous v

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Subcutaneous prepatellar bursa

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  • S. Q. what is housemaid’s knee or
  • miner’s beat knee
  • S. Q. what is clergyman’s knee

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Deep fascia of thigh � (Fascia lata)

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Modifications of fascia lata

  • Iliotibial tract
  • Intermuscular septa

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Iliotibial tract

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Intermuscular septa

Medial intermuscular septum

Post intermuscular septum

Lat intermuscular septum

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Saphenous opening

Lat margin

(falciform margin)

Med margin

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Structures piercing cribriform fascia

  • Great saphenous v
  • Superficial epigastric a
  • Superficial external pudendal a
  • A few lymph vessels connecting superficial and deep inguinal lymph nodes

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THANK YOU

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Ilioinguinal n

Femoral branch of genitofemoral n

lat cut br of subcostal n

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Upperlimb bud

Lowerlimb bud

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