Chapter 8 - Lower Limb & Foot Flashcards
How many bones make up the lower limb?
60 (30 on each side)
Femur
-longest, heaviest, strongest bone in the body
Head of the Femur
-articulates with the hip
Fovea Capitis
-part of the head that is an attachment site for ligaments
Greater and Lesser Trochanters
-attachment site for many muscles
Intertrochanteric Chest
-extends between greater and lesser trochanters
-boundary between neck and shaft
Gluteal Tuberosity (post. view)
-insertion point for some gluteal muscles
Medial and Lateral Condyles
-articulate with tibia and fibula
Medial and Lateral Epicondyles
-attachment sites for ligaments
Intercondylar Fossa
-houses stabilizing ligaments
Shaft
-attachment site for medial group of muscles
Patellar Surface
where patella attaches
Pecteal Line and Lineas Aspera
-on the posterior side
Popliteal Surface
-enclosed by medial and lateral supracondylar lines
-posterior surface
Patella
-a seismoid bone
-the knee cap
-forms the patellofemoral joint
Base of the Patella
Superior Portion
Apex of the Patella
-cone shaped inferior point
Articular Surface
-articulate with femur
-smooth portion on posterior side
Tibia
-shin bone
-weight bearing
Fibula
-skinnier bone
-doesn’t contribute to weight bearing
Which bone is the lateral bone?
fibuLA is LAteral
How many bones are in the foot?
-26 in total
-7 tarsal bones
-5 metatarsals
-14 phalanges
Talus
articulates with tibia and fibula
Calcaneus
-largest and strongest
-heel bone
Other Tarsals
-navicular
-cuboid
-3 cuneiforms
Metatarsals
-I (hallux) through V (little toe)
-have base, shaft, head
Hallux
big toe
Tarsus
ankle
Metatarso-phalangeal Joint
between metatarsal and proximal phalanx
Tarso-metatarsal Joint
Between tarsal bones (cuneiforms and cuboid) and the metatarsals
Intertarsal joints
between the tarsals bones
What articulates with the talus?
medial and lateral malleolus
Function of Foot Arches
-support the weight of the body
-spring and leverage when walking
When are the arches flexed?
when body weight is applied
Flatfoot
-arches decrease or fall
Clawfoot
-too much arch occurs due to various pathologies
Medial Longitudinal Arch
extends from the heel to the great toe
Lateral Longitudinal Arch
-not as high as the medial longitudinal arch
-extends between the heel to the little toe
Transverse Arch
-runs perpendicular to the longitudinal arch
-between navicular and cuneiform bones
Thigh Muscles that move knee joint/leg
-mainly originate from the pelvic girdle and femur
-3 groups
Anterior Extensor Muscles (group I)
-quadriceps femoris group
-all four extend the leg at the knee joint and flex the thigh at the hip
rectus femoris
vastus lateralis
vastus medialis
vastus intermedius
Common insertion point for the group I thigh extensors
Tibial Tuberosity
- Rectus Femoris (group I extensor)
-superficial muscle
O: anterior inferior illiac spine
I: tibial tuberosity
- Vastus Lateralis (group I extensor)
O: greater trochanter and line aspera of femur
I: Tibial Tuberosity
- Vastus Medialis (group I extensor)
O:linea aspera of femur
I: tibial tuberosity
- Vastus Intermedius (group I extensor)
O:Anterior and lateral surface of the body of the femur
I: Tibial tuberosity
Posterior Flexor Muscles (group II)
-hamstrings femoris group
biceps femoris
semimembraneous
semitendinosus
Common Origin of group II posterior flexors
Ischial tuberosity (sitting bone)
Common movement of the posterior group
flexes the leg at the knee joint and extend the thigh at the hip
Medial Femoris Muscles (group III)
gracilis
Gracilis (group III)
-adducts thigh at the hip joint
-rotates the thigh medially
-flexes the leg at the knee joint
O: the body and inferior ramus of the pubis
I: medial surface of the body of the tibia
Leg Muscles - Anterior Compartment
-extensor hallicus longus
-tibialis anterior
-extensor digitorium longus
Leg Muscles - Lateral Compartment
peroneus longus and brevis
Leg Muscles - Posterior Compartment (SUPERFICIAL LAYER)
-gastrocnemius
-soleus
-plantaris
Leg Muscles - Posterior Compartment (DEEP LAYER)
-flexor digitorium
-flexor hallicus longus
-tibialis posterior
-popliteus
- Extensor Hallicus Longus (anterior compartment)
-extends great toe
-dorsiflexes the foot at the ankle joint
- Tibialis Anterior (anterior compartment)
-dorsiflexes and inverts foot
- Extensor Digitorium Longus (anterior compartment)
-extends toes 2-5
-dorsiflexes foot at the ankle joint
Common action of the anterior compartment
-extend great toe
-dorsiflex foot at the ankle joint
- Fibularis Longus and Brevis (lateral compartment)
-evert foot
-weaker in plantar flexing
- Gastrocnemius (Posterior Compartment: Superficial Layer)
-flexes leg at the knee
-plantar flexes foot at the ankle
- Soleus (Posterior Compartment: Superficial Layer)
-plantar flexes foot at the ankle
- Plantaris (Posterior Compartment: Superficial Layer)
-weak leg flexor plantaris flexes foot at the ankle joint
Common action of superficial layer (post.)
flexes leg at the knee and plantar flex the foot at the ankle joint
- Flexor Digitorium Longus (Posterior Compartment: Deep Layer)
-plantar flex foot at the ankle
- Flexor Hallicus Longus (Posterior Compartment: Deep Layer)
-plantar flex foot at the ankle
- Tibialis Posterior (Posterior Compartment: Deep Layer)
-plantar flexes and inverts foot
- Popliteus (Posterior Compartment: Deep Layer)
-flexes leg
-medially rotates tibia to unlock the knee
INTRINSIC FOOT MUSCLES???
Sacral Plexus
-made from the anterior rami of spinal nerves L4-L5 and S1-S4
-largely anterior to the sacrum
What does sacral plexus supply?
nerves to the buttocks, perineum, lower limbs
Sciatic Nerve
-arises from sacral plexus
-longest nerve
-composed of tibial and common fibular divisions wrapped in a common sheath
Coccygeal Plexus
-small
-formed by coccygeal nerves
Sacral Plexus Innervations
-lower back
-pelvis
-perineum
-posterior surface of the thigh and leg
-dorsum and plantar of the foot
Common Fib. Nerve Innervations
-anterior, lateral leg, dorsum of the foot
Superior Gluteal Nerve
-gluteus medius and minimus
-tensor fasciae latae
Inferior Gluteal Nerve
gluteus maximus
Nerve to Prirformis
sex organs
Pudendal (S2-S4)
-genitals
-skin of the scrotum
-clitoris
-labia
vagina
look at textbook for nerve innervations
Blood Flow to the Lower Limbs (Arteries)
-abdominal aorta
-external illiac artery
-femoral artery
-popliteal artery
-anterior tibial artery-> fibular peroneal artery-> dorsalis pedis-> digital arteries
-posterior tibial artery-> plantar arch (medial and lateral)