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Each innominate bone (ilium) joins the femur (thigh bone) to form the hip joint; thus the sacroiliac joint moves with walking and movement of the torso. [9] In this joint, hyaline cartilage on the sacral side moves against fibrocartilage on the iliac side. The sacroiliac joint contains numerous ridges and depressions that function in stability.
It is more common in soldiers, but also occurs in hikers, organists, and other people whose duties entail much standing (such as hospital doctors). March fractures most commonly occur in the second and third metatarsal bones of the foot. [1] [2] [3] It is a common cause of foot pain, especially when people suddenly increase their activities. [4]
The femoral vein continues into the thigh as the continuation from the popliteal vein at the back of the knee. It drains blood from the deep thigh muscles and thigh bone. [2] Proximal to the confluence with the deep femoral vein, and the joining of the great saphenous vein, the femoral vein is widely known as the common femoral vein. [3]
Greater trochanteric pain syndrome (GTPS), a form of bursitis, is inflammation of the trochanteric bursa, a part of the hip. This bursa is at the top, outer side of the femur , between the insertion of the gluteus medius and gluteus minimus muscles into the greater trochanter of the femur and the femoral shaft .
In the thigh, the nerve lies in a groove between iliacus muscle and psoas major muscle, outside the femoral sheath, and lateral to the femoral artery. After a short course of about 4 cm in the thigh, the nerve is divided into anterior and posterior divisions, separated by lateral femoral circumflex artery. The branches are shown below: [1]
Patients also frequently report persistent or intermittent pain or dysthesias in posterior hip, buttocks, or thigh. [ 4 ] Unlike discogenic sciatica (caused by the spine), patients with deep gluteal syndrome report exacerbation of symptoms with pressure in the buttocks, such as tenderness or pain on deep palpation, or pain on prolonged sitting.
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It can also affect the thigh, buttock, hand, abdomen, and foot. [ 19 ] [ 14 ] The most common cause of acute compartment syndrome is a fractured bone, usually the tibia . [ 14 ] [ 27 ] Leg compartment syndrome occurs in 1% to 10% of tibial fractures. [ 6 ]