Fascia lata
Encyclopedia

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 Glutæus maximus, and where the Tensor fasciæ latæ 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
Sartorius muscle
The Sartorius muscle – the longest muscle in the human body – is a long thin muscle that runs down the length of the thigh. Its upper portion forms the lateral border of the femoral triangle.-Origin and insertion:...

 medially, and from the Quadriceps femoris in front.

Above and behind

The fascia lata is attached, above and behind, to the back of the sacrum
Sacrum
In vertebrate anatomy the sacrum is a large, triangular bone at the base of the spine and at the upper and back part of the pelvic cavity, where it is inserted like a wedge between the two hip bones. Its upper part connects with the last lumbar vertebra, and bottom part with the coccyx...

 and coccyx
Coccyx
The coccyx , commonly referred to as the tailbone, is the final segment of the vertebral column. Comprising three to five separate or fused vertebrae below the sacrum, it is attached to the sacrum by a fibrocartilaginous joint, the sacrococcygeal symphysis, which permits limited movement between...

; laterally, to the iliac crest
Iliac crest
-External links: - "Superficial muscles of the gluteal region and posterior thigh." - "Anterior Abdominal Wall: Osteology and Surface Anatomy " - "The Back, Posterior View" * *...

; in front, to the inguinal ligament
Inguinal ligament
The inguinal ligament is a band running from the pubic tubercle to the anterior superior iliac spine. Its anatomy is very important for operating on hernia patients.-Anatomy:...

, and to the superior ramus
Superior pubic ramus
The superior pubic ramus is a part of the pubic bone which forms a portion of the obturator foramen.It extends from the body to the median plane where it articulates with its fellow of the opposite side...

 of the pubis
Pubis (bone)
In vertebrates, the pubic bone is the ventral and anterior of the three principal bones composing either half of the pelvis.It is covered by a layer of fat, which is covered by the mons pubis....

; and medially, to the inferior ramus
Inferior pubic ramus
The inferior pubic ramus is a part of the pelvis and is thin and flat. It passes laterally and downward from the medial end of the superior ramus; it becomes narrower as it descends and joins with the inferior ramus of the ischium below the obturator foramen....

 of the pubis, to the inferior ramus and tuberosity of the ischium, and to the lower border of the sacrotuberous ligament
Sacrotuberous ligament
The sacrotuberous ligament is situated at the lower and back part of the pelvis. It is flat, and triangular in form; narrower in the middle than at the ends....

.

From its attachment to the iliac crest it passes down over the Glutæus medius to the upper border of the Glutæus 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 Glutæus 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 fasciæ latæ, 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
Tibia
The tibia , shinbone, or shankbone is the larger and stronger of the two bones in the leg below the knee in vertebrates , and connects the knee with the ankle bones....

.

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

Below

Below, the fasciæ 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 Glutæus maximus to the lateral condyle
Lateral condyle
Lateral condyle can refer to:* Lateral condyle of tibia* Lateral condyle of femur* Lateral condyle on metatarsal...

, 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
Vastus medialis
The vastus medialis , often called the 'teardrop' muscle, is a medially located muscle of the quadriceps.-Function:The vasti appear to act largely in a co-ordinated manner throughout the control of knee extension...

 from the Adductores
Adductores
Adductores can refer to:* Adductor brevis muscle* Adductor longus muscle* Adductor magnus muscle...

 and Pectineus.

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

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.

Etymology

It is named from its great extent. "Latus" give the superlative "Latissimus" meaning broadest or widest.
The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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