topograficheskaya anatomiya nijney konechnosti

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golenostopnaya oblast. gulmanov ilich djumabaevich. toshkent tibbiyot akademiyasi. golenostopnaya oblast. gulmanov ilich djumabaevich. toshkent tibbiyot akademiyasi. topograficheskaya anatomiya nijney konechnosti golenostopnaya oblast (regio talocruralis). granitsi: sverxu – gorizontalnaya liniya, provedyonnaya cherez osnovaniya lodijek, snizu – ploskost, provedyonnaya na urovne verxushek lodijek cherez podoshvu i til stopi. v sostav golenostopnoy oblasti vxodyat perednyaya i zadnyaya golenostopnie oblasti, a takje oblasti medialnoy i lateralnoy lodijek. v predelax oblasti raspolojen golenostopniy sustav. golenostopniy sustav (articulatio talocruralis). obrazovan distalnimi kontsami bolshebertsovoy i malobertsovoy kostey (tibia et fibula), i tarannoy kostyu (trochlea tali). sustavnaya kapsula prikreplyaetsya po krayu sustavnix xryashey, s bokov ukreplena svyazkami:  s medialnoy storoni raspolagaetsya medialnaya (deltovidnaya) svyazka [lig. mediate (deltoideum)], v ney videlyayut neskolko chastey:  poverxnostnaya chast – pars tibionavicularis (prikreplyaetsya k ladevidnoy kosti), pars tibiocalcanea (prikreplyaetsya k pyatochnoy kosti);  glubokaya chast – pars tibionavicularis anterior (natyanutaya ot perednego kraya medialnoy lodijki k zadnemedialnoy poverxnosti tarannoy kosti), pars …

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a. 1. koja (cutis) tonkaya, podvijnaya. 2. podkojno jirovaya kletchatka (panniculus adiposus) virajeni slabo, v nix proxodyat poverxnostnie sosudi i nervi. 3. poverxnostnaya fastsiya (fascia supeificialis) predstavlyaet soboy tonkuyu soedinitelnotkannuyu plastinku. v tolshe poverxnostnoy fastsii speredi ot medialnoy lodijki proxodyat n.saphenus i v.saphena magna. speredi ot lateralnoy lodijki proxodyat vetvi n.peroneus supeificialis, n.cutaneus dorsalis medialis et n.cutaneus dorsalis intermedius. 4. sobstvennaya fastsiya, fastsiya obrazuet verxniy i nijniy uderjivateli suxojiliy razgibateley.  retinaculum musculorum extensorum superius tyanetsya ot lateralnoy lodijki k medialnoy na urovne ix osnovaniy.  retinaculum musculorum extensorum inferius nachinaetsya na lateralnoy poverxnosti pyatochnoy kosti pod lateralnoy lodijkoy i prikreplyaetsya dvumya nojkami: verxney – k medialnoy lodijke, a nijney – k ladevidnoy i medialnoy klinovidnoy kostyam. ot nijnego uderjivatelya suxojiliy razgibateley k kostyam predplyusni otxodyat peregorodki, obrazuyushie tri kostnofibroznix kanala, gde raspolagayutsya sinovialnie vlagalisha:  vagina tendinis m.tibialis anterioris raspolojeno v medialnom kanale;  vagina tendinis m.extensoris hallucis longi, …

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pokrivaet jirovie otlojeniya. 4. sobstvennaya fastsiya, predstavlyaet soboy plotnuyu fibroznuyu plastinku, vistilayushuyu pyatochnoe suxojilie. 5. pyatochnoe suxojilie (tendo calcanei), prikreplyaetsya k pyatochnomu bugru. 6. glubokaya plastinka fastsii goleni (lamina profunda fasciae cruris). mejdu pyatochnim bugrom i pyatochnim suxojiliem raspolojena pyatochnaya sinovialnaya sumka (bursa tendinis calcanei). golenostopnaya oblast. gulmanov ilich djumabaevich. toshkent tibbiyot akademiyasi. oblast medialnoy lodijki (regio malleolaris medialis). posloynaya topografiya. 1. koja (cutis) tonkaya, legko sobiraetsya v skladku. 2. podkojno jirovaya kletchatka (panniculus adiposus) virajena slabo, soderjit bursa subcutanea malleoli medialis. 3. poverxnostnaya fastsiya (fascia supeificialis) – tonkuyu soedinitelnotkannuyu plastinka. v tolshe poverxnostnoy fastsii speredi ot medialnoy lodijki proxodyat n.saphenus i v.saphena magna, a.malleolaris anterior medialis i rr.malleolares mediales tibialis posteriores (obrazuyut rete malleolare mediale. 4. sobstvennaya fastsiya. utolshayas, fastsiya obrazuet retinaculum musculorum flexorum (natyanutiy ot medialnoy lodijki k medialnoy poverxnosti pyatochnoy kosti). ot uderjivatelya suxojiliy sgibateley k pyatochnoy kosti otxodyat fibroznie peremichki, v rezultate obrazuyutsya 4 kostno-fibroznie kanali, …

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va (n.tibialis).  chetvyortiy kanal (szadi ogibaet oporu tarannoy kosti), zdes raspolagaetsya okrujyonnoe sinovialnim vlagalishem m.flexor hallucis longus. 5. tarannaya i pyatochnaya kosti. golenostopnaya oblast. gulmanov ilich djumabaevich. toshkent tibbiyot akademiyasi. oblast lateralnoy lodijki (regio malleolaris lateralis). posloynaya topografiya. 1. koja (cutis) tonkaya, legko sobiraetsya v skladku. 2. podkojnaya jirovaya kletchatka (panniculus adiposus) virajena slabo, soderjit podkojnuyu sumku lateralnoy lodijki (bursa subcutanea malleoli lateralis). 3. poverxnostnaya fastsiya (fascia supetflcialis). sosudi i nervi:  lateralnaya lodijkovaya set (rete malleolaris lateralis) obrazovana razvetvleniyami peredney narujnoy lodijkovoy arterii (a.malleolaris anterior lateralis), otxodyashey ot peredney bolshebertsovoy arterii, probodayushey vetvi (ramus perforans) i lateralnix lodijkovix vetvey (aa. malleolares laterales), otxodyashix ot malobertsovoy arterii.  ikronojniy nerv (n.suralis) i v.saphena parva. 4. sobstvennaya fastsiya – prodoljenie fastsii goleni (fascia cruris), snizu perexodit v fastsiyu tila stopi (fascia dorsalis pedis) i v podoshvenniy aponevroz (aponeurosis plantaris). fastsiya obrazuet verxniy i nijniy uderjivateli suxojiliy malobertsovix mishts.  retinaculum …

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chlea peronealis calcanei). suxojilie korotkoy malobertso- voy mishtsi proxodit vishe malobertsovogo bloka pyatochnoy kosti, suxojilie dlinnoy malobertsovoy mishtsi ogibaet snizu malobertsoviy blok pyatochnoy kosti. ot borozdi kubovidnoy kosti do mesta prikrepleniya k osnovaniyam i i ii plyusnevix kostey i medialnoy klinovidnoy kosti suxojilie dlinnoy malobertsovoy mishtsi proxodit v vag. tendinis musculiperonei longi plantaris. 5. kosti.

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golenostopnaya oblast. gulmanov ilich djumabaevich. toshkent tibbiyot akademiyasi. golenostopnaya oblast. gulmanov ilich djumabaevich. toshkent tibbiyot akademiyasi. topograficheskaya anatomiya nijney konechnosti golenostopnaya oblast (regio talocruralis). granitsi: sverxu – gorizontalnaya liniya, provedyonnaya cherez osnovaniya lodijek, snizu – ploskost, provedyonnaya na urovne verxushek lodijek cherez podoshvu i til stopi. v sostav golenostopnoy oblasti vxodyat perednyaya i zadnyaya golenostopnie oblasti, a takje oblasti medialnoy i lateralnoy lodijek. v predelax oblasti raspolojen golenostopniy sustav. golenostopniy sustav (articulatio talocruralis). obrazovan distalnimi kontsami bolshebertsovoy i malobertsovoy kostey (tibia et fibula), i tarannoy kostyu (trochlea tali). sustavnaya kaps...

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