Gracilis muscle
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| Gracilis muscle | ||
|---|---|---|
| The gracilis and nearby muscles | ||
 | ||
| Gracilis labeled at center right. | ||
| Latin | musculus gracilis | |
| Gray's | subject #128 471 | |
| Origin: | ischiopubic ramus | |
| Insertion: | tibia (pes anserinus) | |
| Artery: | obturator artery | |
| Nerve: | anterior branch of obturator nerve | |
| Action: | flexes hip, knee | |
| Dorlands/Elsevier | m_22/12549236 | |
The Gracilis (Latin: slender) is the most superficial muscle on the medial side of the thigh. It is thin and flattened, broad above, narrow and tapering below. It arises by a thin aponeurosis from the anterior margins of the lower half of the symphysis pubis and the upper half of the pubic arch.
The muscle's fibers run vertically downward, ending in a rounded tendon. This tendon passes behind the medial condyle of the femur, curves around the medial condyle of the tibia where it becomes flattened, and inserts into the upper part of the medial surface of the body of the tibia, below the condyle. At its insertion the tendon is situated immediately above that of the semitendinosus muscle, and its upper edge is overlapped by the tendon of the sartorius muscle, which it joins to form the pes anserinus. The pes anserinus is separated from the medial collateral ligament of the knee-joint by a bursa.
A few of the fibers of the lower part of the tendon are prolonged into the deep fascia of the leg.
Microsurgery
The gracillis muscle (also known as "the baby landing") is commonly used as a flap in microsurgery. According to the classification of Mathes and Nahai it presents a type II blood supply. This allows it to be transferred on its artery derived from the medial circumflex femoral artery. This artery enters the muscle about 10cm from the pubic symphysis. At this point (or 1cm proximal) the nerve also enters.
Transplantation Sites
The muscle may be split to reduce bulk for facial reanimation, as well as to repair hand muscles. It can be used to fashion an external anal sphincter. [1]
Additional images
 Right hip bone. External surface. |
 Structures surrounding right hip-joint. |
 Muscles of the iliac and anterior femoral regions. |
 Muscles of the gluteal and posterior femoral regions. |
 The left femoral triangle. |
 Nerves of the right lower extremity. Front view. |
References
- ↑ Moore, Keith (2007). Essential Clinical Anatomy, 3rd ed. Lippincott Williams & Wilkins.
External links
- LUC grac
- -194314161 at GPnotebook
- SUNY Figs 12:02-07 - "Muscles of the anterior (extensor) compartment of the thigh."
- SUNY Figs 14:02-02 - "Muscles that form the superficial boundaries of the popliteal fossa."
- Cross section at UV pembody/body18b
- PTCentral
This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.
de:Musculus gracilisAcknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
