WordNet

a sheet or band of fibrous connective tissue separating or binding together muscles and organs etc (同)facia
the syllable naming the sixth (submediant) note of a major or minor scale in solmization (同)lah

PrepTutorEJDIC

(髪を束ねる)細ひも / 鼻隠(はなかくし)板(軒先のたる木の木口を隠す板)
ラ(全音階の第6音)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/02/08 20:32:14」(JST)

wiki en

[Wiki en表示]

The fascia lata is the deep fascia of the thigh.

Structure

Thickness

It is an investment for the whole of the thigh, but varies in thickness in different parts.

Thus, it is thicker in the upper and lateral part of the thigh, where it receives a fibrous expansion from the Gluteus maximus, and where the Tensor fasciae latae is inserted between its layers; it is very thin behind and at the upper and medial part, where it covers the Adductor muscles, and again becomes stronger around the knee, receiving fibrous expansions from the tendon of the Biceps femoris laterally, from the sartorius medially, and from the Quadriceps femoris in front.

Above and behind

The fascia lata is attached, above and behind (i.e. proximal and posterior), to the back of the sacrum and coccyx; laterally, to the iliac crest; in front, to the inguinal ligament, and to the superior ramus of the pubis; and medially, to the inferior ramus of the pubis, to the inferior ramus and tuberosity of the ischium, and to the lower border of the sacrotuberous ligament.

From its attachment to the iliac crest it passes down over the Gluteus medius to the upper border of the Gluteus maximus, where it splits into two layers, one passing superficial to and the other beneath this muscle; at the lower border of the muscle the two layers reunite.

Laterally

Laterally, the fascia lata receives the greater part of the tendon of insertion of the Gluteus maximus, and becomes proportionately thickened.

The portion of the fascia lata attached to the front part of the iliac crest, and corresponding to the origin of the Tensor fasciae latae, extends down the lateral side of the thigh as two layers, one superficial to and the other beneath this muscle; at the lower end of the muscle these two layers unite and form a strong band, having first received the insertion of the muscle.

This band is continued downward, under the name of the iliotibial band (tractus iliotibialis) and is attached to the lateral condyle of the tibia.

The part of the iliotibial band which lies beneath the Tensor fasciae latae is prolonged upward to join the lateral part of the capsule of the hip-joint.

Below

Below, the fascia lata is attached to all the prominent points around the knee-joint, viz., the condyles of the femur and tibia, and the head of the fibula.

On either side of the patella it is strengthened by transverse fibers from the lower parts of the Vasti, which are attached to and support this bone.

Of these the lateral are the stronger, and are continuous with the iliotibial band.

The deep surface of the fascia lata gives off two strong intermuscular septa, which are attached to the whole length of the linea aspera and its prolongations above and below; the lateral and stronger one, which extends from the insertion of the Gluteus maximus to the lateral condyle, separates the Vastus lateralis in front from the short head of the Biceps femoris behind, and gives partial origin to these muscles; the medial and thinner one separates the Vastus medialis from the Adductores and Pectineus.

Besides these there are numerous smaller septa, separating the individual muscles, and enclosing each in a distinct sheath.

Crural fascia

The crural fascia is a continuation of the fascia lata.^[1]

Clinical significance

Transplantation

Since the 1920s fascia latas from deceased donors have been used in reconstructive surgery. In 1999 preserved mashed fascia latas became FDA-approved as a tissue product designed to replace areas of lost fascia or collagen.^[2]

History

Etymology

It is named from its great extent. "Latus" give the superlative "Latissimus" meaning broadest or widest.^[3]

Additional images

The superficial branches of the internal pudendal artery.
Femoral sheath laid open to show its three compartments.

References

This article incorporates text from a public domain edition of Gray's Anatomy.

^ Anatomy.med
^ Burres S (October 1999). "Preserved particulate fascia lata for injection: a new alternative". Dermatol Surg 25 (10): 790–4. doi:10.1046/j.1524-4725.1999.99118.x. PMID 10594581.
^ [Lexicon of Orthopaedic Etymology, Google books]

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 外科手術で使用される再建材料：分類および宿主応答 reconstructive materials used in surgery classification and host response
2. 成人におけるopen abdomen（閉腹しない状態）のマネージメント management of the open abdomen in adults
3. 男性における尿道狭窄疾患の治療 treatment of urethral stricture disease in men
4. 骨盤臓器脱および腹圧性尿失禁の治療における再建材料（外科用メッシュまたは
biograft）の経膣的留置の概要 overview of transvaginal placement of reconstructive materials surgical mesh or biografts for treatment of pelvic organ prolapse or stress urinary incontinence
5. 腹壁ヘルニアの概要 overview of abdominal hernias

English Journal

The endoscopic endonasal approach for cerebrospinal fluid leak repair in the elderly.

Emanuelli E1, Milanese L2, Rossetto M3, Cazzador D1, d'Avella E3, Volo T1, Baro V3, Denaro L3, Gioffrè G3, Borsetto D1, Martini A1.
Clinical neurology and neurosurgery.Clin Neurol Neurosurg.2015 May;132:21-5. doi: 10.1016/j.clineuro.2015.02.013. Epub 2015 Feb 24.
INTRODUCTION: Cerebrospinal fluid (CSF) rhinorrhea can lead to CNS infections, carrying significant moribidity and mortality, especially in the elderly. Endoscopic endonasal surgery is a validated technique in the repair of anterior skull base CSF leaks. The aim of this study is to assess diagnostic
PMID 25746317

Use of autologous fascia lata as a natural biomaterial for tectonic support in surgically induced necrotizing scleritis.

Kobtan H1.
Eye (London, England).Eye (Lond).2015 Apr;29(4):580-4. doi: 10.1038/eye.2014.327. Epub 2015 Jan 30.
BackgroundSurgically induced scleral necrosis (SINS) is a severe form of scleritis threatening both vision and integrity of the eye. SINS is a rare sequel of ocular surgery and has been described after cataract extraction, trabeculectomy, strabismus, retinal detachment surgery including parsplana vi
PMID 25633880

Reappraisal on the Role of Ultrasound Imaging for Lateral Hip Pain in a Case with Tensor Fascia Lata Tear.

Hung CY1, Chang KV, Özçakar L.
American journal of physical medicine & rehabilitation / Association of Academic Physiatrists.Am J Phys Med Rehabil.2015 Mar 24. [Epub ahead of print]
PMID 25802964

Japanese Journal

腱板広範囲断裂に対する大腿筋膜パッチ法 (特集広範囲腱板断裂の治療)

河合伸昭,菅谷啓之
整形・災害外科 57(5), 499-506, 2014-05
NAID 40020085451

症例報告大腿筋膜でコントロールし得た腹壁瘢痕ヘルニア術後メッシュ感染の1例

長濱正吉,狩俣弘幸,下地英明 [他]
日本外科感染症学会雑誌 11(2), 169-173, 2014-04
NAID 40020099605

遊離大腿筋膜移植で修復したほぼ全腸管が脱出した傍ストマヘルニアの1例

深田真宏,横山伸二,奥本龍夫,藤井徹也,金谷欣明,丸山修一郎
日本臨床外科学会雑誌 75(5), 1428-1432, 2014
症例は75歳，男性．28年前に直腸癌に対し腹会陰式直腸切断術を施行された．10年前から傍ストマヘルニアを認めるようになり，用手還納を繰り返していた．徐々にヘルニアが増大し人工肛門の装具管理が困難となり根治術施行となる．ヘルニア門は15cm大，二つに分かれた小児頭大のヘルニア嚢を認め，ほぼ全小腸と結腸が陥入していた．まず，左下腹部の旧人工肛門を切除し，右上腹部に横行結腸で新人工肛門を造設した．ヘルニ …
NAID 130004706304

Related Pictures

★リンクテーブル★

リンク元

「大腿筋膜」

Fascia lata
	The fossa ovalis. (Fascia lata labeled at bottom left.)
	Iliotibial tract.
Details
Latin	Fascia lata
Identifiers
Gray's	p.468
Dorlands; /Elsevier	f_03/12355200
TA	A04.7.03.002
FMA	13902
	Anatomical terminology

　　[★]

英: deep fasciaof thigh
ラ: fascia lata (KH)
関: 大腿筋

大腿前面の筋を覆う筋膜

[1] Anatomy.med

[pmid10594581-2] Burres S (October 1999). "Preserved particulate fascia lata for injection: a new alternative". Dermatol Surg 25 (10): 790–4. doi:10.1046/j.1524-4725.1999.99118.x. PMID 10594581.

[3] [Lexicon of Orthopaedic Etymology, Google books]

匿名

検索

案内

案内

fascia lata