14. Morphological plan of the lower limb Flashcards

1
Q

Lower limb

A

Similar to upper limb

Some modifications

Bipedal

  • Locomotion
  • Weight bearing
  • High stresses
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2
Q

Comparison with lower limb

A

Lower limbs closer together

Extensors are anterior

Flexors are posterior

  • Medial rotation in development (week 6-8)
  • Brings posterior compartment anterior
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3
Q

Skeleton

A
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4
Q

Pelvis

A
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5
Q

Femur

A
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6
Q

Tibia, fibula and foot

A
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7
Q

Limb movements

A
  • Flexion/Extension
  • Abduction/Adduction
  • Lateral/medial rotation
  • Pronation/supination
  • Circumduction
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8
Q

Joints and movements

A
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9
Q

Functional compartments

A
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10
Q

Gluteal muscles

A
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11
Q

Gluteus maximus

A
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12
Q

Gluteus medius and minimus

A
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13
Q

Small muscles of the gluteal region

A
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14
Q

Anterior compartment of thigh

A
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15
Q

Quadraceps

A
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16
Q

Posterior compartment of the thigh

A
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17
Q

Movements of hamstring

A
  • Flex knee
  • Extend hip
  • Medial rotation
  • Lateral rotation
18
Q

Medial compartment of thigh

A
19
Q

Movements of muscles in medial compartment of thigh

A

Adduction

  • Medial rotation

(- Extension)

20
Q

Movements of thigh

A
21
Q

flexion muscles

A

Rectus femoris

Sartorius

Iliopsoas (Iliacus and psoas major)

Insert: lesser trochanter

22
Q

extension muscles

A

Gluteus maximus

Hamstrings

Hamstring part of adductor magnus

23
Q

abduction muscles

A

Gluteus medius

Gluteus minimus

24
Q

adduction muscles

A

Adductor longus

Adductor brevis

Adductor part of adductor magnus

Pectineus

Gracilis

25
Q

medial and lateral rotation of thigh

A

Gluteal muscles, hamstrings, adductors and short rotators

26
Q

Nerve supply

A
27
Q

Femoral nerve

A

runs over top of iliacus

under inguinal ligament

28
Q

Obturator nerve

A
29
Q

Sciatic nerve

A
30
Q

Blood supply

A
31
Q

Femoral triangle

A
32
Q

Clinical significance of femoral triangle

A

– femoral hernia (femoral canal), angioplasty, femoral nerve block, venepuncture

33
Q

Femoral artery

A
34
Q

Popliteal vessels

A
35
Q

tibial arteries

A
36
Q

Venous drainage

A

Deep veins follow arteries

Two major superficial veins:

  • Great or long saphenous vein
  • Small or short saphenous vein
  • Drain dorsal venous arch of foot
37
Q

Clincial significance of venous drainage

A

Clinical – Varicose veins (damage to valves in perforating veins leads to pooling of blood in superficial veins - varicosities)

38
Q

Great saphenous vein

A

Longest vein in body

Drains medial side of arch

Medial side of limb

Drains into femoral vein in femoral triangle

39
Q

Small saphenous vein

A

Drains lateral side of arch

Pierces deep politeal fascia

Drains into popliteal vein

40
Q

lymphatic drainage

A

®Follows general pattern of superficial and deep veins

  • Superficial inguinal nodes

Drain skin and superficial fascia of lower limb

  • Deep inguinal node

Beside femoral vein

41
Q

Dermatomes

A