Retrospective cohort This study examines the course of treatment of nine consecutive patients with thigh compartment syndrome sustained during an eight-year period at our Level 1 trauma centre, admitting more than 2,000 trauma patients yearly. TCS is a rare (0.3% of trauma patients) condition of elevated pressure within a constrained space that may cause necrosis of all tissues within the compartment resulting in severe local (infection, amputation) and systemic complications (renal insufficiency, even death). Actions: Adduction of the thigh at the hip and flexion of the leg at the knee.To describe the patient population, etiology, and complications associated with thigh compartment syndrome (TCS).It descends down the medial aspect of the thigh and attaches to the medial surface of the tibial shaft. Attachments: Originates from the inferior rami of the pubis and the body of the pubis.It crosses at both the hip and knee joints. The gracilis is the most superficial and medial of the muscles in this compartment. Actions: Adduction and lateral rotation of the thigh.It passes under the neck of femur and attaches onto the posterior aspect of the greater trochanter. Attachments: Originates from the membrane of the obturator foramen and adjacent bone.The obturator externus is one of the smaller muscles of the medial thigh and it is located superiorly within the compartment. Attaches to the linea aspera on the posterior surface of the femur (proximal to the adductor longus attachment). Attachments: Originates from the body of pubis and inferior pubic rami.It separates the anterior and posterior branches of the obturator nerve and is an important anatomical landmark within the medial thigh. The adductor brevis is a short muscle, lying underneath the adductor longus. It has a broad distal attachment along the linea aspera of the femur. Attachments: Originates from the pubis bone of the pelvis and expands into a fan shape.The muscle forms the medial border of the femoral triangle. It partially covers the adductor brevis and magnus. The adductor longus is a large, flat muscle. The overlying muscles in the anterior compartment have been removed. Hamstring part - Tibial component of the sciatic nerve (L4-S3).Hamstring - Adduction and extension of the thigh.Adductor - Adduction and flexion of the thigh.Hamstring part – Originates from the ischial tuberosity, attaches to the adductor tubercle and medial supracondylar line of the femur.

Adductor – Originates from the inferior rami of the pubis and the rami of ischium, attaches to the linea aspera of the femur.It is comprised of two parts - an adductor component and a hamstring component. The adductor magnus is the largest muscle in the medial compartment of the thigh. In this article, we shall examine the anatomy of the muscles of the medial thigh - their attachments, actions and clinical correlations. Arterial supply is through the obturator artery. There are five muscles in this group gracilis, obturator externus, adductor brevis, adductor longus and adductor magnus.Īll the medial thigh muscles are innervated by the obturator nerve, which arises from the lumbar plexus. The muscles in the medial compartment of the thigh are collectively known as the hip adductors.

Medial compartment of thigh