Adductor magnus, proximal end of the ischiocondylar portion

Adductor magnus, proximal end of the ischiocondylar portion

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Posteriorly, in the proximal third of the thigh, the adductor magnus is covered by the gluteus maximus, biceps femoris, semitendinosus, and semimembranosus; the ischiocondylar portion itself is covered by the gracilis over most of its length. Its most medial part is sought with a pincer grip, reaching around the gracilis; elsewhere, the palpation stays deep.

The band is sought in the most proximal end of the ischiocondylar portion, medial or deep to the gluteus maximus, which covers it in the proximal third of the thigh. The gracilis muscle covers this portion over most of its length; in its most medial part it is best taken in a pincer grip, reaching around and deep to the gracilis — and in some patients only flat palpation, passed behind the gracilis, reaches it.

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The pain gathers deep inside the pelvis, in a generalized way.

It may be identified more precisely at the pubic bone, the vagina, or the rectum, and less often the bladder; some patients describe it only as something deep inside, with no further detail.

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Invasive technique not publishable: the structured contract is incomplete.

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puncture:trigger-adductor-magnus-proximal-ischiocondylien-travell:mc · risk:trigger-adductor-magnus-nerf-sciatique:mc

For this proximal end, the source gives no distance to any structure. In the deep portions — middle and ischiocondylar — it makes the sciatic nerve the critical structure, without a figure; as for the femoral vessels, the adductor longus lies in between and injection of these regions rarely meets them.

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