The Popliteal Fossa
The Popliteal Fossa is a
diamond-shaped intermuscular area
found on the posterior aspect of the knee
joint
Boundaries of the Popliteal Fossa
Boundaries of the Popliteal Fossa
Upper Medial Boundary
Comprises two muscles
•Semimembranosus
•Semitendinosus
Boundaries of the Popliteal Fossa
Upper Medial Boundary
•Semimembranosus
Posterior view, right thigh and knee
Boundaries of the Popliteal Fossa
Upper Medial Boundary
•Semitendinosus
Posterior view, right thigh and knee
Proximal
Thigh
Semimembranosus
Knee joint line
Cadaver specimen of
posterior thigh
Upper Medial Border
Posterior view, right thigh and knee
Proximal
Thigh
Semitendinosus
Cadaver specimen of
posterior thigh
Upper Medial Border
Knee joint line
Posterior view, right thigh and knee
Boundaries of the Popliteal Fossa
Upper Lateral Boundary
Tendon of Biceps Femoris
Boundaries of the Popliteal Fossa
Upper Lateral Boundary
Tendon of Biceps Femoris
Posterior view, right thigh
Biceps Femoris
Cadaver specimen of
posterior thigh
Upper Lateral Border
Posterior view, right thigh
The upper angle of the
Popliteal Fossa is where
Biceps Femoris meets
Semimembranosus and Semitendinosus
Posterior view, right thigh
Boundaries of the Popliteal Fossa
Lower Lateral Boundary
Lateral Head of Gastrocnemius
Lateral Head Gastrocnemius
Posterior view, right thigh and knee
Boundaries of the Popliteal Fossa
Lower Medial Boundary
Medial Head of Gastrocnemius
Medial Head of
Gastrocnemius
Posterior view, right thigh and knee
Lateral Head Gastrocnemius
Medial Head of
Gastrocnemius
Distal or Inferior angle of
Popliteal Fossa
Gastrocnemius arises by two heads:
One from the Medial Femoral Condyle
and one from the Lateral Femoral
Condyle
Distally the two heads converge to
form the Distal or Inferior angle of the
Popliteal Fossa
Lateral Head Gastrocnemius
Medial Head of
Gastrocnemius
Distal or Inferior angle of
Popliteal Fossa
Lateral Head of
Gastrocnemius
Medial Head of
Gastrocnemius
Cadaver specimen of
posterior thigh
Lower Medial and Lateral Borders
Upper Medial
Boundary
Lower Medial
Boundary
Upper Lateral
Boundary
Lower Lateral
Boundary
Upper Medial Boundary
Semitendinosus
Semimembranosus
Upper Lateral Boundary
Tendon of Biceps Femoris
Lower Medial Boundary
Medial Head of Gastrocnemius
Lower Lateral Boundary
Lateral Head of Gastrocnemius
Upper Medial
Boundary
Lower Medial
Boundary
Upper Lateral
Boundary
Lower Lateral
Boundary
The roof of the Popliteal Fossa
is a fibrous structure called the
Popliteal Fascia
The popliteal fascia is continuous
•Proximally with the deep fascia of
the thigh – Fascia Lata
•Distally with the deep fascia of the
leg - Crural Fascia
Contents of the Popliteal Fossa
From Superficial to Deep are
•Sciatic Nerve
•Popliteal Vein
•Popliteal Artery
Tibial Component of
Sciatic Nerve
The Sciatic Nerve divides into
two terminal branches near the
Upper Angle of the
Popliteal Fossa
Biceps Femoris
Semimembranosus
Medial Head
Gastrocnemius Lateral Head
Gastrocnemius
Common Peroneal
Component of
Sciatic Nerve
The Sciatic Nerve divides into
two terminal branches near the
Upper Angle of the
Popliteal Fossa
Biceps Femoris
Semimembranosus
Medial Head
Gastrocnemius Lateral Head
Gastrocnemius
Popliteal Vein
The Popliteal Vein
changes name to the
Femoral Vein at the
Adductor Hiatus
Popliteal Vein
The Popliteal Vein
changes name to the
Femoral Vein at the
Adductor Hiatus
It receives numerous tributaries
but in the context of
varicose vein disease the
Short Saphenous Vein is
particularly important
The Popliteal Artery lies in front of the
Popliteal Vein and immediately behind
the capsule of the Knee Joint
The Popliteal Artery lies in front of the
Popliteal Vein and immediately behind
the capsule of the Knee Joint
The Popliteal Artery lies in front of the
Popliteal Vein and immediately behind
the capsule of the Knee Joint
In the distal part of the
popliteal fossa the
Popliteal Artery divides into
its two terminal branches
•Anterior Tibial Artery
•Posterior Tibial Artery
Summary of Muscles
Semimembranosus
Origin Superior lateral quadrant of
posterior surface ischial tuberosity
Insertion Posterior surface of the medial
tibial condyle. Sends fascial
extension over popliteus, and gives
rise to oblique popliteal ligament
Action Extends hip, flexes and medially
rotates the knee
Nerve Supply Tibial component of sciatic nerve
(L5, S1)
Blood Supply Perforating branches of profunda
femoris artery, inferior gluteal
artery, and the superior muscular
branches of popliteal artery
Posterior thigh
Semitendinosus
Origin Superior medial quadrant,
posterior surface ischial tuberosity
Insertion Superior part, medial tibial shaft
Action Extends hip, flexes and medially
rotates knee
Nerve Supply Tibial component of sciatic nerve
(L5, S1)
Blood Supply Perforating branches of profunda
femoris artery, inferior gluteal
artery, superior muscular branches
of popliteal artery
Posterior thigh
Posterior Thigh
Biceps Femoris
Origin Long Head: Superior medial quadrant
of the posterior surface of the ischial
tuberosity
Short Head: Middle third linea aspera,
lateral supracondylar ridge of femur
Insertion Fibular head, with extensions to lateral
collateral ligament and lateral tibial
condyle
Action Flexes the knee, rotates tibia laterally,
extends the hip joint
Nerve Supply Long head: tibial component of sciatic
nerve, Short head: common peroneal
component of sciatic nerve (L5, S1)
Blood Supply Perforating branches of profunda
femoris artery, inferior gluteal artery,
superior muscular branches of
popliteal artery
Gastrocnemius
Origin Medial head: posterior surface of
medial femoral condyle
Lateral head: posterior surface of
lateral femoral condyle
Insertion The two heads unite and with
soleus form the Achilles tendon,
which inserts onto the posterior
and upper surface of calcaneum
Action Powerful plantar flexor of ankle
Nerve Supply Tibial nerve ( S1, S2)
Blood Supply Sural branches of the popliteal
artery
Posterior Leg

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SLideshow: Popliteal Fossa

  • 2. The Popliteal Fossa is a diamond-shaped intermuscular area found on the posterior aspect of the knee joint
  • 3. Boundaries of the Popliteal Fossa
  • 4. Boundaries of the Popliteal Fossa Upper Medial Boundary Comprises two muscles •Semimembranosus •Semitendinosus
  • 5. Boundaries of the Popliteal Fossa Upper Medial Boundary •Semimembranosus Posterior view, right thigh and knee
  • 6. Boundaries of the Popliteal Fossa Upper Medial Boundary •Semitendinosus Posterior view, right thigh and knee
  • 7. Proximal Thigh Semimembranosus Knee joint line Cadaver specimen of posterior thigh Upper Medial Border Posterior view, right thigh and knee
  • 8. Proximal Thigh Semitendinosus Cadaver specimen of posterior thigh Upper Medial Border Knee joint line Posterior view, right thigh and knee
  • 9. Boundaries of the Popliteal Fossa Upper Lateral Boundary Tendon of Biceps Femoris
  • 10. Boundaries of the Popliteal Fossa Upper Lateral Boundary Tendon of Biceps Femoris Posterior view, right thigh
  • 11. Biceps Femoris Cadaver specimen of posterior thigh Upper Lateral Border Posterior view, right thigh
  • 12. The upper angle of the Popliteal Fossa is where Biceps Femoris meets Semimembranosus and Semitendinosus Posterior view, right thigh
  • 13. Boundaries of the Popliteal Fossa Lower Lateral Boundary Lateral Head of Gastrocnemius
  • 14. Lateral Head Gastrocnemius Posterior view, right thigh and knee
  • 15. Boundaries of the Popliteal Fossa Lower Medial Boundary Medial Head of Gastrocnemius
  • 16. Medial Head of Gastrocnemius Posterior view, right thigh and knee
  • 17. Lateral Head Gastrocnemius Medial Head of Gastrocnemius Distal or Inferior angle of Popliteal Fossa
  • 18. Gastrocnemius arises by two heads: One from the Medial Femoral Condyle and one from the Lateral Femoral Condyle Distally the two heads converge to form the Distal or Inferior angle of the Popliteal Fossa Lateral Head Gastrocnemius Medial Head of Gastrocnemius Distal or Inferior angle of Popliteal Fossa
  • 19. Lateral Head of Gastrocnemius Medial Head of Gastrocnemius Cadaver specimen of posterior thigh Lower Medial and Lateral Borders
  • 20. Upper Medial Boundary Lower Medial Boundary Upper Lateral Boundary Lower Lateral Boundary Upper Medial Boundary Semitendinosus Semimembranosus Upper Lateral Boundary Tendon of Biceps Femoris Lower Medial Boundary Medial Head of Gastrocnemius Lower Lateral Boundary Lateral Head of Gastrocnemius
  • 21. Upper Medial Boundary Lower Medial Boundary Upper Lateral Boundary Lower Lateral Boundary The roof of the Popliteal Fossa is a fibrous structure called the Popliteal Fascia The popliteal fascia is continuous •Proximally with the deep fascia of the thigh – Fascia Lata •Distally with the deep fascia of the leg - Crural Fascia
  • 22. Contents of the Popliteal Fossa From Superficial to Deep are •Sciatic Nerve •Popliteal Vein •Popliteal Artery
  • 23. Tibial Component of Sciatic Nerve The Sciatic Nerve divides into two terminal branches near the Upper Angle of the Popliteal Fossa Biceps Femoris Semimembranosus Medial Head Gastrocnemius Lateral Head Gastrocnemius
  • 24. Common Peroneal Component of Sciatic Nerve The Sciatic Nerve divides into two terminal branches near the Upper Angle of the Popliteal Fossa Biceps Femoris Semimembranosus Medial Head Gastrocnemius Lateral Head Gastrocnemius
  • 25. Popliteal Vein The Popliteal Vein changes name to the Femoral Vein at the Adductor Hiatus
  • 26. Popliteal Vein The Popliteal Vein changes name to the Femoral Vein at the Adductor Hiatus It receives numerous tributaries but in the context of varicose vein disease the Short Saphenous Vein is particularly important
  • 27. The Popliteal Artery lies in front of the Popliteal Vein and immediately behind the capsule of the Knee Joint
  • 28. The Popliteal Artery lies in front of the Popliteal Vein and immediately behind the capsule of the Knee Joint
  • 29. The Popliteal Artery lies in front of the Popliteal Vein and immediately behind the capsule of the Knee Joint In the distal part of the popliteal fossa the Popliteal Artery divides into its two terminal branches •Anterior Tibial Artery •Posterior Tibial Artery
  • 31. Semimembranosus Origin Superior lateral quadrant of posterior surface ischial tuberosity Insertion Posterior surface of the medial tibial condyle. Sends fascial extension over popliteus, and gives rise to oblique popliteal ligament Action Extends hip, flexes and medially rotates the knee Nerve Supply Tibial component of sciatic nerve (L5, S1) Blood Supply Perforating branches of profunda femoris artery, inferior gluteal artery, and the superior muscular branches of popliteal artery Posterior thigh
  • 32. Semitendinosus Origin Superior medial quadrant, posterior surface ischial tuberosity Insertion Superior part, medial tibial shaft Action Extends hip, flexes and medially rotates knee Nerve Supply Tibial component of sciatic nerve (L5, S1) Blood Supply Perforating branches of profunda femoris artery, inferior gluteal artery, superior muscular branches of popliteal artery Posterior thigh
  • 33. Posterior Thigh Biceps Femoris Origin Long Head: Superior medial quadrant of the posterior surface of the ischial tuberosity Short Head: Middle third linea aspera, lateral supracondylar ridge of femur Insertion Fibular head, with extensions to lateral collateral ligament and lateral tibial condyle Action Flexes the knee, rotates tibia laterally, extends the hip joint Nerve Supply Long head: tibial component of sciatic nerve, Short head: common peroneal component of sciatic nerve (L5, S1) Blood Supply Perforating branches of profunda femoris artery, inferior gluteal artery, superior muscular branches of popliteal artery
  • 34. Gastrocnemius Origin Medial head: posterior surface of medial femoral condyle Lateral head: posterior surface of lateral femoral condyle Insertion The two heads unite and with soleus form the Achilles tendon, which inserts onto the posterior and upper surface of calcaneum Action Powerful plantar flexor of ankle Nerve Supply Tibial nerve ( S1, S2) Blood Supply Sural branches of the popliteal artery Posterior Leg