Book contents
- Atlas of Surgical Techniques in Trauma
- Atlas of Surgical Techniques in Trauma
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- Acknowledgments
- Section 1 The Trauma Operating Room
- Section 2 Resuscitative Procedures in the Emergency Room
- Section 3 Head
- Section 4 Neck
- Section 5 Chest
- Section 6 Abdomen
- Section 7 Pelvic Fractures and Bleeding
- Section 8 Upper Extremities
- Section 9 Lower Extremities
- Chapter 40 Femoral Artery Injuries
- Chapter 41 Popliteal Vessels
- Chapter 42 Harvesting of Saphenous Vein
- Chapter 43 Lower Extremity Amputations
- Chapter 44 Lower Extremity Fasciotomies
- Section 10 Orthopedic Damage Control
- Section 11 Soft Tissues
- Index
Chapter 44 - Lower Extremity Fasciotomies
from Section 9 - Lower Extremities
Published online by Cambridge University Press: 21 October 2019
- Atlas of Surgical Techniques in Trauma
- Atlas of Surgical Techniques in Trauma
- Copyright page
- Dedication
- Contents
- Contributors
- Foreword
- Preface
- Acknowledgments
- Section 1 The Trauma Operating Room
- Section 2 Resuscitative Procedures in the Emergency Room
- Section 3 Head
- Section 4 Neck
- Section 5 Chest
- Section 6 Abdomen
- Section 7 Pelvic Fractures and Bleeding
- Section 8 Upper Extremities
- Section 9 Lower Extremities
- Chapter 40 Femoral Artery Injuries
- Chapter 41 Popliteal Vessels
- Chapter 42 Harvesting of Saphenous Vein
- Chapter 43 Lower Extremity Amputations
- Chapter 44 Lower Extremity Fasciotomies
- Section 10 Orthopedic Damage Control
- Section 11 Soft Tissues
- Index
Summary
The lower extremity fascial compartments include three gluteal, three thigh, four calf, and nine of the foot. These compartments contain muscles, nerves, and blood vessels.
The compartments of the buttock include the gluteus maximus, the gluteus medius/minimus, and the extension of the fascia lata of the thigh into the gluteal region. The sciatic nerve is the only major neurovascular structure in the compartments of the buttock.
The thigh has three compartments:
The anterior compartment contains the quadriceps femoris and sartorius muscles, as well as the femoral vessels and femoral nerve.
The posterior compartment contains the biceps femoris, semitendinosus, and semimembranosus muscles and the sciatic nerve.
The medial compartment contains the adductor muscle group and the gracilis muscle.
The lower leg has four leg compartments:
The anterior compartment: Contains the tibialis anterior muscle, extensor halluces muscle, extensor digitorum longus muscle, the anterior tibial artery, and the deep peroneal nerve.
The lateral compartment: Contains the peroneus longus and brevis muscles, and the superficial peroneal nerve.
The superficial posterior compartment: Contains the gastrocnemius muscle, soleus muscles, plantaris muscle, and the sural nerve.
The deep posterior compartment: Contains the flexor hallucis longus muscle, flexor digitorum longus muscle, tibialis posterior muscles, popliteus muscle, the posterior tibial artery, and the tibial nerve.
The foot contains a total of nine compartments, including four interosseous (medial, lateral, deep, and superficial central) and the adductor hallucis compartments that may require decompression in crush injuries to the foot. The medial, lateral, and superficial compartments pass through the entire length of the foot, while the interosseous compartments and the calcaneal compartments are confined to the forefoot and the hind foot, respectively.
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- Information
- Atlas of Surgical Techniques in Trauma , pp. 400 - 412Publisher: Cambridge University PressPrint publication year: 2020