Il tendine retto femorale

Il tendine del muscolo retto del femore ha due origini: il fascio diretto, che origina dalla spina iliaca antero-inferiore(AIIS), il fascio indiretto o riflesso, che origina dalla cresta actabolare superiore  e dalla capsula postero-laterale. I due capi formano il tendine congiunto 2 cm distalmente alla propria origine; comunque ciascun tendine conserva una propria identità.

visione laterale dell’origine del tendine retto femorale. La testa del fascio diretto (DH) del retto femorale origina dalla spina iliaca antero-inferiore ;  il fascio riflesso (chiamato anche indiretto, nello schema IH) origina dal bordo sopraacetabolare per poi congiungersi al tendine.
 

Coronale artro-RM- immagini T1 pesate, da dietro in avanti (nelle immagini, da sopra a sotto) mostra l’origine del fascio riflesso (frecce corte) dall’acetabolo e della capsula (immagine superiore e centrale). anteriormente (immagine inferiore)il fascio riflesso ( freccia corta) e il fascio diretto (freccia lunga), che origina dalla spina iliaca antero-inferiore, convergono  (punta di freccia).
 

La porzione prossimale del tendine diretto forma la superficie anteriore che copre il terzo prossimale del muscolo. La porzione prossimale riflessa del tendine è profonda, centrale, intramuscolare. Superiormente il tendine è arrotondato e localizzato nel contesto della porzione mediale del muscolo. Attraversando il restante muscolo diventa nastriforme con il suo asse più lungo parallelo al piano sagittale e localizzato nella porzione antero-mediale.

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