Ayak. Yüzeyel fascia (dorsal. yüz) Prof. Dr. Mürvet Tuncel. V. saphena magna V. saphena parva

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1 Ayak Prof. Dr. Mürvet Tuncel Yüzeyel fascia (dorsal yüz) V. saphena magna V. saphena parva N. peroneus profundus N. peroneus superficialis N. saphenus (medial) N. suralis (lateral)

2

3 Yüzeyel fascia (plantar yüz) N. tibialis N. plantaris lateralis N. plantaris medialis N. suralis (lateral) N. saphenus (medial) Fascia cruris Fascia pedis

4 FASCIA PLANTARIS Aponeurosis plantaris SANTRAL, MEDIAL, LATERAL ART. METATARSOPHALANGEALES LIG. METATARSALE TRANSVERSUM SUPERFICIALIS SANTRAL, MEDIAL, LATERAL

5 Retinaculum musculorum. peroneorum superius İnferius.extensorum superius İnferius.flexorum

6 VAGINAE SYNOVIALES MEMBRI INFERIORIS Retinaculum ların derininde: Stratum synoviale (vaginae synoviales tendinum digitorum pedis) Parmaklarda: Stratum synoviale (vaginae synoviales tendinum digitorum pedis) Stratum fibrosum (vaginae fibroase tendinum digitorum pedis)

7 Ayak tabanının konkavitesini oluşturan arcus lar Arcus longitudinalis medialis; Calcaneus, talus, os naviculare, ossa cuneiforme, ossa metatarsi I, II ve III

8 Ayak tabanının konkavitesini oluşturan arcus lar Arcus transversus; Ossa metatarsi ve distal sıradaki ossa tarsi Ayak tabanının konkavitesini oluşturan arcus lar Arcus longitudinalis lateralis; Calcaneus, os cuboideum, ossa metatarsi IV, V

9 alttan üstten MET-II MET-III MET-III MET-II CUN-III CU NA TA CA CUN-III NA CU CA T TA PES PLANUS KLİNİK BİLGİ Arcus longitudinalis medialis, Arcus transversus, Arcus longitudinalis lateralis

10 Arterler A. tibialis anterior A. dorsalis pedis A. tibialis posterior A.plantaris lateralis A. plantaris medialis Arcus plantaris A. plantaris lateralis A. plantaris profundus

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12 Ayağın dorsal yüzünde bulunanan kaslar M. extensor digitorum brevis INN: n. peroneus profundus FNKS: parmakların ekstansiyonunda m. extensor digitorum longus a yardım M. extensor hallucis brevis INN: n. peroneus profundus FNKS: başparmak ekstansiyonu

13 Ayağın plantar yüzünde bulunanan kaslar (I. tabaka) M. abductor hallucis INN: n. plantaris medialis FNKS: başparmak abduksiyon ve fleksiyonu M. flexor digitorum brevis INN: n. plantaris medialis FNKS: parmakların fleksiyonu M. abductor digiti minimi INN: n. plantaris lateralis FNKS: 5. parmak abduksiyon ve fleksiyonu

14 Ayağın plantar yüzünde bulunanan kaslar (II. tabaka) M. quadratus plantae (m. flexor accessorius) INN: n. plantaris lateralis FNKS: parmakların fleksiyonuna yardım Mm. lumbricales INN: I-I n. plantaris medialis II, III, IV- n. plantaris lateralis FNKS: parmakların proksimal falankslarına fleksiyon,, orta ve distal falankslarına ekstensiyon

15 Ayağın plantar yüzünde bulunanan kaslar (III. tabaka) M. flexor hallucis brevis INN: n. plantaris medialis FNKS: başparmak proksimal falanks fleksiyonu M. adductor hallucis INN: n. plantaris lateralis FNKS: başparmak adduksiyonu M. flexor digiti minimi brevis INN: n. plantaris lateralis FNKS: 5. parmak proksimal falanks fleksiyonu

16 Ayağın plantar yüzünde bulunanan kaslar (IV. tabaka) M. interossei plantares. 3 tane INN: n. plantaris lateralis FNKS: parmak adduksiyon ve fleksiyonu M. interossei dorsales. 4 tane INN: n. plantaris lateralis FNKS: parmak abduksiyon ve fleksiyonu

17 KAYNAKLAR Anderson J. E. Grant's Atlas of Anatomy, Eighth Edition, Williams and Wilkins,, Baltimore/ London,, April E. W. Anatomy (NMS) Third Edition,Williams and Wilkins,, Pennsylvania, Benninghoff-Goerttler Goerttler. Lehrbuch der Anatomie des Menschen, Band I-III, III, Urban & Schwarzenberg, München/ Berlin/ Wien, Carola,, R., Harley J.P., Noback C.R. Human Anatomy, McGraw-Hill Hill, NewYork,, Christensen J.B., Telford I.R. Synopsis of Gross Anatomy, Fifth Edition,, J.B. Lippincott Company, Philadelphia, Cumhur M., Temel Anatomi, Birinci Baskı, Metu Press,, Ankara, Hollinshead W.H. Anatomy for Surgeons, Volume I-III, III, Third Edition, Harper & Row, Philadelphia,, Junqueira L.C., Carneiro J., Kelley R.O. Basic Histology Seventh Edition. Appleton & Lange,, Moore K.L. Clinically Oriented Anatomy, Forth Edition, Williams and Wilkins,, Baltimore, Moore K.L. The Developing Human, Clinically Oriented Embryology Fourth Edition,, W.B. Saunders Company, Philadelphia,, Netter F.H. Digestive System Volume III, Part I-3. CIBA Company,, New York, Rauber-Kopsch Kopsch. Lehrbuch und atlas der Anatomie des Menschen, Band I-II, II, Georg Thieme, Verlag, Stuttgart,, Sadler T.W. Langman's Medical Embryology, Sixth Edition, Williams & Wilkins,, Baltimore, Snell,, R.S. Clinical Anatomy for Medical Students, Fourth Edition, Little,, Brown and Company,, Boston/ Massachusetts, Staubesand J., Ferner H. Sobotta Atlas of Human Anatomy Volume I-II II Tenth Edition,, Urban & Schwarzenberg, Taner D. (Editör) Fonksiyonel Nöroanatomi,, METU Press,, 2. baskı,, Taner D. (Editör) Fonksiyonel Anatomi, Hekimler Yayın n Birliği, i, 2. baski,, Terminologia Anatomica 1998, FCAT (Federative( Commitee on Anatomical Terminology), Thieme Stuttgart,, New York. Williams P.L., Bannister L.H., Berry M.M., Collins P., Dyson M., Dussek J.E., Ferguson M.W.J. Gray's Anatomy, Thirty-Eighth edition,, Churchill Livingstone, London,, 1995.

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