Hind Limb Locomotion Flashcards

1
Q

K-9 Breeds’ Postures

A

In lean breeds, skin of croup indicates the form of underlying muscles

Back and croup sloping down towards tail
Hip, stifle, and (tarsal) hock joints markedly flexed.

Stiffer Upright posture:
Major joints extended, and Tarsus ‘hock’ straight.
Predispose stifle joint to several disorders.

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2
Q

Skeletal Landmarks cb

A

Bone marrow biopsy at the iliac crest
Palpable structures

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3
Q

Joints of the Hind Limb

A

Sacroiliac
Hip
Stifle
Tarsal
Digital

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4
Q

Hind Limb Myology:

A

Major muscles of the Hip (propulsion group):
Retraction (hind extended)
Gluteal
hip extenders (move caudally)
Protraction (acute/flexed in rear)
Iliopsoas,
hip flexors

Reciprocal mechanism:
Movements of the stifle and (hock) tarsal joints move in unison.

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5
Q

Muscle Acting On Hip Joint

A

Propulsion Group
Retraction (hind limb extended)
Gluteal Group
Tensor fascia latae
Protraction (hind limb flexed)
Iliopsoas
Medial group –
Gracilis,
Adductor
Deep group
Internal, external obturator
Caudal group (hamstring)
Semitendinosus
Semimembranosus

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6
Q

Major Muscles Of Hip
The Gluteal group:

A

Superficial gluteal:
Extensor of hip (retractor of limb)
Origin?
Insert?
Middle gluteal:
Powerful Extensor of Hip
Major player!!
Origin
Insert?
Accessory & Piriformis lay under

Deep gluteal (profundus):
Can’t extend hip
Origin?
Insert?.
Abduction of limb
Tensor fasciae latae:
From tuber coxae  Cross hip joint
Insert fascia latae
(tendon of bicep femoris)
Flexor of hip
Synergist to iliopsoas, and:
Rectus femoris
And cranial part of Sartorius

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7
Q

Major Muscles Of Hip
Propulsion group

A

Protraction (hind limb flexed)
Iliopsoas
Origin: Cranial aspect of the pubic bone.
Insert: lesser trochanter
Sublumbar muscle combination
Psoas major (proximal),
from lumbar vertebre
Iliacus (distal)
From ilium
Powerful Flexor of hip and vertebral column
Tender loin - allow * to slide along . No action

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8
Q

Major Muscles Of Hip
The Medial Group

A

Adductors of hind limb:
Gracilis
Origin: Symphyseal tendon connective tissue that joint the pelvis
Insert: cranial border of tibia and tuber calcanei
Pectineus*
Origin: Prepubic tendon
Insert: Midway of femur
Hip Dysplasia [Pectineal tenotomy]

Adductors of hind limb:
Adductor
Prevent unwanted abduction
Covered by the gracilis, Semimembranosus
Ext. Obturator (covers obturator foremen)
Sartorius
Arise from iliac crest
2 insertions
Synergist of stifle joint extensors and weight bearing – Quadriceps femoris
In thoracic limb  Triceps
Flexion of Hip

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9
Q

External Obturator

A

Major Muscle Of Hip
medial group

Outward rotator of limb
Close to head of femur – can be palpated
On right tuber ischeii
Follow up ischiatic spine

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10
Q

Clinical Consideration
Femoral Triangle:

A

Pyramidal space - base lies against the vascular lacuna, & closed distally by sartorius and pectineus muscles (cranial & caudal walls).
Draw blood from vein and inject drug into vein.
Hindlimb – femoral triangle
femoral artery
Vascular lacuna –vessel and nerve found here. From abdomen to the hind limb.

Femoral artery is the first choice for evaluation of the circulation.
Femoral vein is convenient for I/V injections
Nerve endings
Must be under aesthesia
Boarders of triangle:
Pectineus- caudal border,
Sartorius (caudal part) - cranial border
Iliopsoas - craniodorsal border

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11
Q

Major Muscles Of Hip
Deep Group:

A

Rotate limb laterally
What muscle(s) rotate limb medially??
Internal Obturator (dorsally)
Lateral rotation of thigh
Internal obturator tendon, which crossed gemelli
Bursa (between tendon & lesser ischiatic arch)
Gemelli
lateral rotator of thigh
Quadratus femoris
Articularis coxae
Hip Joint Cavity

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12
Q

Major Muscles Of Hip
The Caudal “hamstring” group:

come back

A

The caudal part of the thigh. Extend from ischial tuber to both proximal and distal to stifle.
Hamstring group flesh the caudal part of the thigh.
Biceps femoris
Common Calcanean Tendon (CCT)
Action: extend hip, stifle and tarsal
I/M injection (sciatic n) If hit cause temporary paralysis. Give on back muscle instead)
Extend from ischial tuber to both proximal and distal to stifle.

Semitendinosus
I/M injection (sciatic n.??)
Insertion of biceps & semitendinosus are the “String of the ham” (to display meat at butcher-shop)
Popliteal fossa & Lymph node (in the gap)
Semimembranosus
Distal end of the femur
All are to extend joint – Retraction
Most propulsion to animal

Function: Forceful extension of hip
Action on Stifle:
Cranial division (inserting proximal to joint axis)
extends stifle, when foot is planted on the ground.
Caudal division; (inserting distal to joint axis)
same as above, but also flexes the joint when foot is free to move

Common Calcanean tendon attachment:

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13
Q

Common Calcanean Tendon

A

Part of the Caudal “ hamstring” group

Main function is to extend the calcaneal joint

Common Calcanean tendon attachment:
- Biceps femoris,
- Semitendinosus,
- Gastrocnemius,
- Gracilis,
- SDF (superficial digital flexor)
Soleus muscle (cat): well developed, & major contributors to CCT
- Extends the tarsal joint !!
- Deep digital flexor goes through to the distal phalanges, not to the CCT

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14
Q

Hip Joint

A

Normal Hip Joint:
Possesses greater range of movement!! Why?
Abduction (dogs cock their legs) when urinating.

Reach most parts of head, neck, and thorax when scratching

Femoral head:
Central fovea for the Intra-capsular ‘ligament of the femoral head’
Transverse Acetabular ligament
- Acetabulum formed by the three bones: ilium, ischium, pubis
1) Ligament of the femoral head, have intra-capsular ligament, attach head of femur, other end to fovea capitis
2) Transverse Acetabular ligament – deep socket, but if shallow or flat, have hip problems

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15
Q

Normal Hip Joint

A
  • Dorsal spine of ilium
  • Greater trochanter
    Ischial tuber
    Femoral head (hip joint)
    Attention should be paid to the spacing of these features
    Verify symmetry of pelvic girdle (clinical exam.), hip dysplasia
    Triangular spacing, needs to be maintained for normal hip movement (configuration)
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16
Q

Canine Hip Dysplasia

A

Very common in larger breeds of dogs

Shallow acetabulum &/or flattened femoral head

Surgical approach*:
Craniolateral direction - between Tensor fascia & biceps femoris;
Exposes proximal Vastus lateralis - Articularis coxae,
Enter joint cavity
Endangered structures:
Sciatic n. & caudal gluteal vessels.(normally caudal from incision)

17
Q

Total Hip replacement.

A

Note the cement mantel surrounding the femoral and acetabular Prosthesis.

18
Q

Major Muscles Of The Stifle

A

Extensors and flexors
Extensors of Stifle Cranial thigh group:
Quadriceps femoris:
Principal extensor of the stifle
Prime weight support group
(Proximal aspect of femur)
Site for I/M injection
Analogy to triceps brachii

Infraspinatus for I/M injection

Quadriceps femoris muscle
Rectus femoris
Flexor of Hip!
Vastus
lateralis,
Intermedius,
Medialis)

Insertion??
Patella is insertion.
If not there, would insert on tibia
Patella to tibia is ligament

Flexor of Stifle:
Popliteus
Very little function
Tendon of origin contains a sesamoid”

Bursa under popliteus?