Bones of The Lower Limb Flashcards

1
Q

the bones of the lower limb consist of

A

1. the pelvic girdle connects the lower limb to the trunk, it is formed of 2 hip bones and sacrum
2. bones of the thigh the femur
3. bones of the leg the tibua and fibula
4. bones of the foot the tarsal bones the metatarsals and the phalanges

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2
Q

what is the hip bones formed of

A

3 bones
Iliac bone: Its the upper part of the hip bone
Ischial bone: its the lower posterior part of the hip bone
Pubic bone its the lower anterior part of the hip bone
The acetabulum
The obturator foramen

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3
Q

Borders of the Iliac bone

A

it has 3 borders
1.upper border: called the iliac crest, the outer border of the iliac crest is called tubercle of iliac crest
2. anterior border which presents the anterior superior iliac spine & anterior inferior iliac spine
3. posterior border which presents the posterior superior iliac spine & posterior inferior iliac spine

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4
Q

Surfaces of the iliac bone

A

it has 2 surfaces
outer or gluteal surface which has 3 gluteal lines (posterior, middle and inferior)
onner or pelvic surface which shows iliac fossa, iliac tuberosity and auricular surface (with articulates with sacrum)

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5
Q

parts of the ischial bone

A

1. body
2. ischial tuberosity: for muscle attachment and it is related to bursa to reduce friction during sitting
3. ischial spine: which seperates the greater sciatic notch from the lesser sciatic notches
4. ischial ramus which joins the inferior pubic ramus to form ischiopubic (conjoint) ramus
ischiopubuc rami of both sides form the pubic arch

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6
Q

parts of the pubic bone

A

a. body
the body articulates with the medial surface of the opposite bone to form the symphysis pubis
the upper border is called pubic crest which ends laterally in a tubercle called pubic tubercle

b. superior pubic ramus
it has 3 surfaces:
1. pectineal surface and pectineal line
2. a smooth posterior pelvic surface
3. an inferior obturator surface which shows a groove for the passage of the obturator nerve and vessels

c. inferior pubic ramus
it joins the ischial ramus
it has 2 surfaces (outer and inner pelvic surface)
it has 2 borders (upper border forms part of the obturator foramen and lower border forms the pubic arch

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7
Q

whats the acetabulum

A

its a hollow depression on the lateral surface of the hip bone
a fibrocartilaginous lip called labrum acetabulare, which is attached to the margin of the acetabulum to increase its depth
the acetabulum articulates with the head of the femur to form the hip joint

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8
Q

whats the obturator foramen

A

a large opening below and in frony of the acetabulum
its filled with obturator membrane except superiorly
an obturator groove forms and obturator canal for the passage of obturatot vessels and nerves

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9
Q

Articulation of the hip bone

A
  1. Anterior with hip bone forming symphysis pubis
  2. Posterior with sacrum forming sacroiliac joint
  3. Lateral with femur forming hip joints
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10
Q

Articulating bone of the symphysis pubis and its type

A

Right and left superior pubic rami
Secondary cartilaginous joint

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11
Q

Articulating bones for the sacroiliac joint

A

Auricular surface of the iliac and the sacrum

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12
Q

Sacroiliac joint type and movement

A

Synovial plane
Sliding movement and weight transmission from axial skeleton to

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13
Q

What are the vertebropelvic ligaments

A

1. Iliolumbar ligament:extends from the tip of L5 transverse process to iliac crest
2. Lumbosacral ligament: extends from the inferior aspect of L5 transverse process to the lateral part of the ala of sacrum
3. Sacrotuberus ligament: it extends between posterior iliac spines, lower part of the sacrum and coccyx and ischial tuberosity
4. Sacrospinous ligament: extends from ischial spine to the lateral margins of sacrum and coccyx

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14
Q

Functions of the vertebropelvic ligaments

A
  1. the iliolumber and the lumbersacral ligaments prevent the anteroinferior displacement of L5 vertebra under the effect of body weight
  2. The sacrotuberus and the sacrospinous ligaments convert the greater and lesser sciatic notches into foramina
    They also prevent the upward tilting of the lower part of sacrum under the effect of body weight
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15
Q

Articulating bones of the hip joint

A

The acetabulum articulates with head of femur

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16
Q

Hip joint type and movement

A

Ball and socket
Flexion/extension
Abduction/adduction
Medical and lateral rotation
Circumduction

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17
Q

Ligaments of the hip and their function

A

1. Iliofemoral ligament: it prevents over extension of the hip during standing
2. Pubofemoral ligament: it limits extension and abduction
3. Ischiofemoral: it limits extension
4.ligament of the head of the femur: it’s attached to a fovea on the head of the femur and sides of the acetabular notch
It transmits blood supply for the head

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18
Q

whats the longest and strongest bone in the body

A

the femur bone

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19
Q

parts of the upper end of the femur

A

head (fovea capitius) and neck
greater trochanter its medial surface showstrochanteric fossa
lesser trochanter
intertrochanteric line (anterior) & intertrochanteric crest (posterior) between greater and lesser trochanter
-the intertrochanteric line makes a spiral turn medially, to form the spiral line
-the angle between the neck and the shaft is 125°

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20
Q

parts of the femur shaft

A
  1. anterior surface convex and smooth anteriorly
  2. posterior surface has:
    a. gluteal tuberosity (lateral)
    b. pectineal line (medial)
    c. spiral line (medial)
    d. linea aspera (has medial and lateral lips)
    e. medial and lateral super condolylar ridges
    f. popliteal surface of femur
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21
Q

parts of the lower end of the femur

A

Medial and lateral condyles: the Lateral condyle is more prominent, and shows popliteal groove
the two condyles are fused anteriorly to form a patellar surface and separated posteriorly to form an intercondylar fossa
Medial and lateral epicondyles
Adductor tubercle is prominence present at the lower end of the medial supracondylar line.

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22
Q

what is the tibia

A

its the medial bone of the leg and the only on concerned with body weight transmission (from femur to foot)

23
Q

what are the parts of the upper end of the tibia

A
  • 2 condyles:
    medial: larger than the lateral one and its upper articular surface is oval
    lateral: has upper upper articulad surface circular
    its postero-lateral aspect has an articular facet to articulate with the head of the fibula forming the superior tibiofibar joint
  • The inter condylar area:
    a rough non-articular area between the 2 articular surfaces of the 2 condyles.
    its divided into anyerior and posterior areas by the intercondylar eminence
    -* Tibial tuberosity*: lies anteriorly
24
Q

what are the parts of the shaft

A
  1. 3 surfaces: medial, lateral and posterior (which has a soleal line)
  2. 3 borders: anterior (shin of tibia), lateral (interosseous border) and medial
    - the anterior border & medial surface and subcutaneous so its more liable to compound frcture is common
25
Q

what are the parts of the lower end of the tibia

A

5 surfaces
anterior
posterior
lateral has a (fibular notch to articulate with the lower end of fibula to firm he inferior tibiofibular joint)
medial (which projects downwads as the medial malleolus)
inferior articular surface

26
Q

articulation of the tibia

A

knee joint

27
Q

articular surfaces of the knee joint

A

condyle of the femur, condyles of tibia and the patella

28
Q

ligaments of the knee

A

extracapsular:
1. Tibial collateral ligament
2. fibular collateral ligament
3. ligamentum patellae

intracapsular:
medial and lateral menisci
anterior and posteriir cruciate ligaments

29
Q

attachments of the ligamentum patellae

A

it extends from the apex of the patella to tibial tuberosity

30
Q

attachments of the tibial collateral ligament

A

above to the medial femoral epicondyle
below to medial condyle of the tibia

31
Q

attachments of the fibular collateral ligament

A

above to the lateral femoral epicondyle
below to the head of fibula

32
Q

the medial and lateral menisci function

A

they facilitate rotation of the femur on the tibia
they are shock absorption

33
Q

whats the differnce between the 2 meniscus

A

lateral meniscus
- O shaped
- it is seperated from the fibular collateral ligament by the tendon of popliteus
- it is free to move on the tibia, so that it is less susceptible to injury

medial meniscus
- C shaped
- Its attached to tibial collateral ligament
- its relatively fixed, so that its more susceptible to injury

34
Q

the anterior and posterior cruciate ligaments function

A

they provide antero-posterior stabiloty of the knee joint

35
Q

difference between anterior and posterior cruciate ligaments

A

anterior cruciate ligament: prevents anterior displacement of tibia and it becomes tense near full extension
posterior cruciate ligament prevents posterior displacement of tibia and it becomes tense in full flexion

36
Q

Anterior cruciate ligament attachments

A

Anterior part of the intercondylar area to the lateral femoral condole

37
Q

Posterior cruciate ligament attachments

A

Posterior part of the intercondylar area to the medial femoral condyle

38
Q

What is the unhappy triad

A

The injury of the medial meniscus, tibial (medial) collateral ligament and the anterior cruciate ligament

39
Q

What’s the fibula

A

It is the lateral bone of the leg which does not share the body weight transmissi

40
Q

Upper end of the fibula parts

A

1. Head it has:
- a circular facet on its medial surface (articulates with the lateral condyle of tibia to form the superior tibiofibular join
- a styloid process projecting upwards
2. Neck it is the most common site to be fractured in the fibula

41
Q

Shaft of the fibula parts

A

It has 3 borders (anterior, posterior, medial or Interosseous border) & 3 surfaces ( anterior, posterior & lateral )

42
Q

The lower end of the fibula parts

A

It’s also called the lateral malleolus
-it has 2 surfaces:
1. A lateral subcutaneous surface
2. A medial surface showing smooth area for articulation with talus and malleolar fossa

43
Q

Functions of the fibula

A

1-Gives muscular attachments.
2-Enters in the formation of 3 joints: ankle, superior tibiofibular joint and inferior tibiofibular joint.
IT DOES NOT SHARE IN THE FORMATION OF THE KNEE JOINT.
3-Used commonly as a bone graft in plastic bone surgery.
4-It does not transmit body weight because it does not articulate with the femur in the knee joint.

44
Q

Articulation of the fibula

A
  1. Superior tibiofibular joint
  2. Inferior tibiofibular joint
45
Q

Superior tibiofibular joint type and articulating bones

A

Type: plane synovial
Articulating bones: head of fibula and the fibula facet of the lateral tibial condyl

46
Q

Inferior tibiofibular joint type and articulating bones

A

Type: fibrous (syndesmoses)
Articulating bones: Fibular notch of the tibia and the lower end of the fibular shaft

47
Q

the bones if the foot include

A

tarsal bones: calcaneous talus, navicular, cuboid and 3 cuneiform bones
5 metatarsal bones: the 5th metatarsal bone has a tuberosity
Phalanges: each toe has 3 phalanges except the big toe (has 2 phalanges)

48
Q

ankle joint type

A

hinge synovial joint

49
Q

ankle joint articular surfaces

A

above: lower end of tibia and the medial malleleous, lateral malleleous of fibula
below: the trochlear surface of the body of the talus

50
Q

supporting ligaments of the ankle joint

A

1. medial (deltoid) ligament
2. lateral ligament its has 3 bands: anterior talofibular ligament, poterior talofibular ligament and calcaneofibular ligament

51
Q

ankle joint movement

A

dorsiflexion
plantar flexion

52
Q

joints of the foot

A

subtalar joints (between the talus and the calcaneum)
mid tarsal joints (talocalcaneonavicular and the calcaneicuboid)

53
Q

movement of the foot joints

A

inversion and eversion

54
Q

why is inversion much more free than eversion

A

L. malleleous is lower than the M. malleleous