A Bones of the left lower limb, from the lateral side
B Muscles of the left lower limb, from the lateral side
C Surface landmarks of the left lower limb, from the lateral side
1 Iliac crest 2 Sacrum 3 Hip bone 4 Hip joint 5 Head 6 Greater trochanter 7 Body 8 Lateral epicondyle 9 Lateral condyle 10 Patella 11 Knee joint 12 Superior tibiofibular joint 13 Lateral condyle 14 Body 15 Head 16 Neck 17 Body 18 Lateral malleolus 19 Inferior tibiofi bular joint 20 Ankle joint 21 Foot 22 Tensor fasciae latae 23 Gluteus medius 24 Gluteus maximus 25 Iliotibial tract 26 Vastus lateralis 27 Biceps femoris 28 Common fibular (peroneal) nerve 29 Tibialis anterior 30 Extensor digitorum longus 31 Fibularis (peroneus) longus 32 Soleus 33 Gastrocnemius 34 Tendo calcaneus 35 Tibial tuberosity 36 Patellar ligament | 1髂骨 2骶骨 3髋骨 4髋关节 5股骨头 6大转子 7股骨干 8外上髁 9外侧髁 10髌骨 11膝关节 12 上胫腓关节 13外侧髁 14胫骨干 15腓骨头 16腓骨颈 17腓骨干 18外踝 19 下胫腓关节 20踝关节 21足 22阔筋膜张肌 23臀中肌 24臀大肌 25髂胫束 26股外侧肌 27股二头肌 28腓骨总神经 29胫骨前肌 30指长伸肌 31腓骨长腓 32比目鱼肌 33腓肠肌 34跟腱 35胫骨粗隆 36髌骨韧带 |
The common fibular (peroneal) nerve (28), the only palpable major nerve of the lower limb, can be felt as it passes downward and forward across the neck of the fibula (16).
腓骨(腓)总神经(28)是下肢唯一可触及的主要神经,当它向下和向前穿过腓骨颈部时,可以感觉到它(16)。
扩展:
The iliotibial tract, also known as the iliotibial band, is a thick strip of connective tissue connecting several muscles in the lateral thigh. It plays an important role in the movement of the thigh by connecting hip muscles to the tibia of the lower leg.
Located on the lateral edge of the fascia lata, the iliotibial tract forms a wide sheath of fibrous connective tissue that surrounds the lateral thigh. It arises at its proximal end from the tendons of the tensor fasciae latae and gluteus maximus muscles. From its origin, the iliotibial tract travels along the lateral side of the thigh and across the knee joint, inserting on the lateral epicondyle of the tibia.
The iliotibial tract is classified as a deep fascia of the body, surrounding and connecting the muscles of the body to surrounding tissues. Like all other deep fascia, it is made almost exclusively of dense regular connective tissue. Dense regular connective tissue is a form of fibrous connective tissue that is extremely strong, tough, and avascular. It is made almost exclusively of collagen fibers and fibroblast cells, which produce collagen. Collagen is the strongest protein found in nature and is one of the strongest structures in the entire human body. The collagen fibers are arranged in a regular pattern of straight lines, giving the iliotibial tract incredible strength in the direction in which muscle force is applied to it and considerably less strength in other directions. A small number of elastin protein fibers are also found intermingled with the collagen fibers to permit a degree of elasticity in the tissue.
Functionally, the iliotibial tract extends the tensor fascia latae muscle into the lower thigh and leg, allowing it to function as an abductor, medial rotator and flexor of the thigh. It also allows the tensor fascia latae and gluteus maximus muscles to support the extension of the knee while standing, walking, running and biking. A common injury to the iliotibial tract is iliotibial band syndrome (ITBS), a condition caused by the friction of the tract moving across the tissues on the lateral side of the thigh. When the knee flexes, the iliotibial band moves posteriorly over the bony ridge of the lateral condyle of the femur. It then passes over the lateral condyle again when it moves anteriorly during knee extension. The repeated flexion and extension involved in long distance running results in the iliotibial band becoming inflamed, irritated and painful. Fortunately, this condition is easily treated with rest, ice, compression and elevation (RICE).
机器翻译:
髂胫束图像
髂胫束,又称髂胫束,是连接大腿外侧几块肌肉的厚条状结缔组织。它通过连接臀部肌肉和小腿胫骨,在大腿的运动中起着重要的作用。
髂胫束位于阔筋膜外侧边缘,形成一宽的纤维结缔组织鞘,环绕大腿外侧。它的近端起源于阔筋膜张肌和臀大肌的肌腱。髂胫束从其起源开始,沿大腿外侧穿过膝关节,插入胫骨外侧上髁。
髂胫束被归类为身体的深筋膜,包围并连接着身体的肌肉和周围组织。像所有其他深筋膜一样,它几乎完全由致密的规则结缔组织组成。致密的规则结缔组织是纤维结缔组织的一种形式,非常强壮,坚韧,无血管。它几乎完全由胶原纤维和成纤维细胞组成,成纤维细胞产生胶原蛋白。胶原蛋白是自然界中最强壮的蛋白质,也是整个人体中最强壮的结构之一。胶原纤维以规则的直线模式排列,使髂胫束在肌肉力作用的方向上具有令人难以置信的力量,而在其他方向上的力量则相对较小。少量的弹性蛋白纤维也被发现与胶原纤维混合在一起,使组织具有一定程度的弹性。
在功能上,髂胫束将阔筋膜张肌延伸至大腿下部和小腿,使其具有股外展肌、内侧旋肌和屈肌的功能。它还允许阔筋膜张肌和臀大肌在站立、行走、跑步和骑自行车时支持膝盖的伸展。髂胫束综合症(ITBS)是髂胫束的一种常见损伤,它是由髂胫束在大腿外侧组织间的摩擦引起的。当膝关节屈曲时,髂胫束在股骨外侧髁的骨脊上向后移动。然后,当它在膝关节伸展时向前移动时,再次经过外侧髁。长跑中反复的屈曲和伸展会导致髂胫束发炎、发炎和疼痛。幸运的是,这种情况很容易通过休息、冰敷、压缩和抬高(RICE)来治疗。
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