Chapter 8 Lower Limb Flashcards

1
Q

How many bones in the Axial and Appendicular Skeleton?

A

80 - axial
126 - appendicular
206 - total

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2
Q

Skeleton of the Lower LImb

A

Consists of two separate regions

  • A single pelvic girdle (2 bones)
  • The free part (30 bones)
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3
Q

Skeleton of Free Lower Limb (Femur)

A
  • Head
  • Fovea capitis
  • Greater and Lesser trochanters
  • Intertrochanteric crest
  • Gluteal tuberosity
  • Medial and Lateral condyles
  • Medial and lateral epicondyles
  • Intercondylar fossa
    USE WILEYPLUS TO STUDY DIAGRAM
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4
Q

Patella Surface Features

A
  • Base (top)
  • Articular facets
  • Forms the patellofemoral
    Wileyplus for labelling
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5
Q

Tibia Surface Features

A
  • Lateral and medial condyles
  • Tibial tuberosity
  • Medial malleolus
  • Distal tibiofibular joint
    Wileyplus for labelling
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6
Q

Fibula Surface Featurs

A
  • Proximal tibiofibular joint
  • Lateral malleolus
    Wileyplus for labelling
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7
Q

Foot Bone 3 Categories

A
  1. Tarsus (7)
  2. Metatarsals (5)
  3. Phalanges (14)
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8
Q

Foot Bones Details

A
  • 7 tarsal bones
    • Talus articulates with tibia and fibula
    • Calcaneus: the largest and strongest heel bone
    • Other bones are navicular, cuboid, and 3 cuneiforms
  • 5 metatarsals (I-V): base, shaft, head
  • 14 phalanges
  • Big toe is hallux
  • Tarsus = ankle
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9
Q

Mnemonic for Tarsals

A

Tall Centres Never Take Shots From Corners

Talus, Calcaneus, Navicular, Third Cuneiform, Second Cuneiform, First Cuneiform, Cuboid

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10
Q

Arches of the Foot (Names)

A

3 arches, 2 support the weight of the body

  • Medial longitudinal arch: extends from the heel to the big toe
  • Lateral longitudinal arch: lower than medial LA
  • Transverse arch: runs perpendicular to the LA’s.
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11
Q

Arches of the Foot (Functions)

A
  1. Provide spring and leverage to the foot when walking
  2. The arches flex when the body weight is applied
  3. Flatfoot: when the arches decrease or “fall”
  4. Clawfoot: too much arch occurs due to various pathologies.
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12
Q

Thigh Muscles that Move the Knee Joint / Leg

A
  1. Anterior Extensor Muscles (Quadriceps Femoris group)
  2. Posterior Flexor Muscles
    (Hamstrings Femoris group)
  3. Medial Femoris Muscles
    (Gracilis)
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13
Q

Rectus Femoris

A

Anterior Extensor Muscles (Quadriceps Femoris group)
O: Anterior inferior iliac spine
I: Tibial Tuberosity
F: Extends leg at knee joint and flexes thigh at hip

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14
Q

Vastus Lateralis

A

Anterior Extensor Muscles (Quadriceps Femoris group)
O: Greater trochanter and line aspera of the femur
I: Tibial Tuberosity
F: Extends leg at knee joint and flexes thigh at hip

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15
Q

Vastus Medialis

A

Anterior Extensor Muscles (Quadriceps Femoris group)
O: Linea aspera of femur
I: Tibial Tuberosity
F: Extends leg at knee joint and flexes thigh at hip

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16
Q

Vastus Intermedius

A

Anterior Extensor Muscles (Quadriceps Femoris group)
O: Anterior and lateral surface of the body of the femur
I: Tibial Tuberosity
F: Extends leg at knee joint and flexes thigh at hip

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17
Q

Biceps Femoris

A

Posterior Flexor Muscles
(Hamstrings Femoris group)
O: Long head from ischial tuberosity and short head from line aspera of the femur
I: Head and lateral condyle of fibula
F: Flexes the leg at the knee joint and extend the thigh at the hip

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18
Q

Semimembranosus

A
Posterior Flexor Muscles
(Hamstrings Femoris group)
O: Ischial tuberosity
I: Medial condyle of tibia
F: Flexes the leg at the knee joint and extend the thigh at the hip
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19
Q

Semiteninosus

A
Posterior Flexor Muscles
(Hamstrings Femoris group)
O: Ischial tuberosity
I: Shaft of tibia
F: Flexes the leg at the knee joint and extend the thigh at the
20
Q

Gracilis

A

Medial Femoris Muscle
O: The body and inferior ramus of the pubis
I: Medial surface of the tibia ‘s body
F: Adducts thigh at hip joint, rotates thigh medially, and flexes leg at knee joint

21
Q

Leg Muscles 3 Compartments

A
  1. Anterior Compartment (3)
  2. Lateral Compartment (1)
  3. Posterior Compartment (7)
22
Q

Extensor Halliucis Longus

A

Anterior Compartment

Extends great toe and dorsiflexes foot at ankle

23
Q

Tibialis Anterior

A

Anterior Compartment

Dorsiflexes and inverts foot

24
Q

Extensor Digitorium Longus

A

Anterior Compartment
Extends toes 2-5
Dorsiflexes foot at ankle joint

25
Q

Fibularis Longus and Brevis

A

Lateral Compartment

Both muscles evert the foot and are weak in flexing the plantar

26
Q

Gastrocnemius

A

Superficial Posterior Compartment

Flexes leg at knee, plantar flexes foot at ankle

27
Q

Soleus

A

Superficial Posterior Compartment

Plantar flexes foot at ankle

28
Q

Plantaris

A

Superficial Posterior Compartment

Weak leg flexor, flexes foot at ankle joint

29
Q

Flexor digitorium longus

A

Deep Posterior Compartment

Plantar flexes foot at the ankle joint

30
Q

Flexor hallicus longus

A

Deep Posterior Compartment

Plantar flexes foot at the ankle joint

31
Q

Tibialis posterior

A

Deep Posterior Compartment

Plantar flexes and and inverts the foot

32
Q

Popiteus

A

Deep Posterior Compartment

Flexes leg, medially rotates tibia to unlock the knee

33
Q

Intrinsic Muscles of the Foot

A

They insert within the foot

Function: support and locomotion

34
Q

Flexor digitorum brevis

A

First Layer

Attaches to middle phalanges of toes, and flexes toes 2-5 at IP and metatarsophalangeal joint

35
Q

Abductor hallucis

A

First Layer

Abducts and flexes the great toe

36
Q

Abductor digiti minimi

A

First Layer

Abducts and flexes the little toe

37
Q

Quadratus plantae

A

Second Layer

Attaches to the tendons of the digitorium longus to flex toes 2-5

38
Q

Lumbricales muscles

A

Second Layer
Attaches to tendons of the flexor digitorium longus. Serves to flex the MP joints, extends toes 2-5 at the interphalangeal joint

39
Q

Adductor hallucis

A

Third Layer

Adducts and flexes great toe

40
Q

Flexor hallucis brevis

A

Third Layer

Flexes great toe and MTP joint

41
Q

Flexor digiti minimi brevis

A

Third Layer

Flexes little toes at MTP joint

42
Q

Dorsal interossei

A

Fourth Layer

Adducts and flexes toes 2-5 and MTP and extends toes at IP

43
Q

Plantar interossei

A

Fourth Layer

Adducts and flexes proximal MTP and extends toe at IP joint

44
Q

Sacral Plexus

A
L4, L5, S1-S4
Innervates:
- lower back
- pelvis
- perineum
- posterior surface of the high and leg
- dorsum and plantar of the foot`
45
Q

Common Fibular Nerve

A

Innervates anterior, lateral leg and dorsum of the foot

  1. Superficial gluteal nerve
  2. Inferior gluteal nerve
  3. Nerve to piriformis
  4. Pudendal (S2-S4)
46
Q

Arteries to the lower limb

A
Abdominal aorta
Internal iliac artery
External iliac artery
Femoral artery 
Popliteal artery
Anterior and posterior tibial artery
Fibular/perineal artery
- doralis pedis
     - digitial arteries (dorsal and plantar)
- plantar arch
47
Q

Veins to the lower limb

A
Anterior and posterior tibial
Popliteal vein
Deep femoral vein
Great and small saphenous veins
Femoral vein
External Iliac (sacroiliac joint)
Internal Iliac vein
Common Iliac vein
Inferior vena cava