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Medial Compartment of Thigh

Dr. Muhammad rehan

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Contents of the Medial Fascial
Compartment of the Thigh

Muscles:
Gracilis, adductor longus, adductor brevis,
adductor magnus, and obturator externus

Vessels:
Profunda femoris and Obturator vessels

Nerve:
Obturator nerve

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Medial Fascial Compartment of the Thigh

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Muscles of the Medial Fascial Compartment of the Thigh
Muscle Origin Insertion Nerve Nerv Action
Supply e
Root
s
Gracilis Inferior ramus of Upper part of Obturator L2, 3L2, Adducts thigh at hip
pubis, ramus of shaft of tibia on nerve 3, 4L2, 3, joint; flexes leg at knee
ischium medial surface 4 joint
Adductor Body of pubis, Posterior surface Obturator L2, 3L2, Adducts thigh at hip
longus medial to pubic of shaft of femur nerve 3, 4L2, 3, joint and assists in
tubercle (linea aspera) 4 lateral rotation

Adductor Inferior ramus of Posterior surface Obturator L2, 3L2, Adducts thigh at hip
brevis pubis of shaft of femur nerve 3, 4L2, 3, joint and assists in
(linea aspera) 4 lateral rotation

Adductor Inferior ramus of Posterior surface Adductor L2,3 & 4 Adducts thigh at hip
magnus pubis, ramus of of shaft of femur, portion: joint and assists in
ischium, ischial adductor tubercle obturator lateral rotation;
tuberosity of femur nerve hamstring portion
Hamstring extends thigh at hip join
portion: sciatic
nerve
Obturator Outer surface of Medial surface of Obturator Laterally rotates thigh at
obturator greater trochanter nerve L3, 4 hip joint
externus
membrane and 5
pubic and ischial
rami
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Anterior View Posterior View

Anterior View Posterior View Anterior View

Dr. Vohra 7
Dr. Vohra 8
The obturator artery
Is a branch of the internal iliac artery.
On entering the medial fascial compartment of the thigh, it
divides into medial and lateral branches, It gives off
muscular branches and an articular branch to the hip
joint.

Obturator Vein
The obturator vein receives tributaries that correspond to
the branches of the artery. It drains into the internal iliac
vein.

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Obturator Nerve
Nerve of Medial Fascial Compartment of the Thigh

The posterior division


pierces the obturator
The anterior externus and passes
division passes downward behind the
downward in adductor brevis and in
front of the front of the adductor
obturator magnus
externus.

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obturator nerve
 The obturator nerve arises from the
ventral divisions of the second, third, and
fourth lumbar nerves; the branch from the
third is the largest, while that from the
second is often very small.

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•The obturator nerve is formed by the anterior divisions of the second, third
and fourth lumbar nerves.

•It descends through the fibers of the psoas major muscle and emerges
from its medial border

•It then enters the thigh through the obturator canal and splits into
anterior and posterior divisions.

•The anterior division descends between the adductor longus and


adductor brevis muscles towards the femoral artery, giving off branches to
the adductor longus, adductor brevis and gracilis muscles.

•In rare cases it also gives off a branch to the pectineus muscle. It then
pierces the fascia lata to become the cutaneous branch of the obturator
nerve.

•The posterior division descends through the obturator externus muscle


before passing anteriorly to adductor magnus and giving off branches to
supply it.

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The adductor hiatus is a
gap in the distal
attachment of adductor
magnus to the femur,
which permits the femoral
vessels to pass from the
adductor canal downward
into the popliteal space.

Dr. Vohra 15
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