hindlimb Flashcards
gluteal region
around hip
thigh
hip -> stifle
popliteal region
around condyles at distal aspect femur
crus
stifle -> tarsus/hock
= crural region
pes
metatarsals + digits
sacrum
end bone of vertebral column - forms sacro-ileal joint w axial skeleton
directions of flexion/extension HL
cranial angle of hip = flexion
caudal angle of stifle = flexion
rest = same as FL
evolution of HL
toes -> cranially
stifle -> cranially
tibia + fibula remain parallel
structure of pelvic girdle
== pelvis
2 ossa coxae (L + R) fused w cartilagenous joint @ centre, each made up 4 flat bones:
1. ilium
2. ischium
3. pubis
4. acetabulum
flat bones of pelvis
margins = compact bone
no medullary cavity - centre = spongy bone w marrow in air-filled spaces
* BM harvested in wing of ilium
ossa coxae structure
gluteal surface = concave lateral surface
sacropelvic surface = medial
sacro-iliac joint
S1 -> sacropelvic surface of ilium
* fibrous joint == fused
* supported by ligs from lumbar + sacral vertebrae
* transfer forces from HL -> vertebral column for propulsion
hip joint = pivotal point of HL
dog sacrum = 3 fused sacral vertebrae
prepubic tendon
fills pecten concavity @ cranioventral pubis
ischiatic arch
muscle attachment for repro organs
sacrotuberous ligament
v strong band collagenous tiss sacrum (S3 + Cd1) -> ischiatic tuberosity
* anchorage for sutures during musc repair
1 each side
pelvic symphysis
cartilage joint bet ossa coxae = small movement poss
* can ossify, esp in large animals
obturator foramen
- bvs + nerves pass thru, esp obturator nerve
- covered by internal + external obturator muscs
acetabulum
@ boundary ilium, pubis + ischium -> articulate w head of femur ==> hip joint
* extended by cartilage labrum
centres of ossification pelvis
each bone has 1 main
* acetabular bone fuses b4 birth
* pelvic symphysis fuses last
secondary centres:
1. dorsal iliac crests
2. tuber ischium (ischiatic tuberosity)
3. ischiatic arch
positioning pelvic girdle for radiography
obturator foramen symmetrical means straight
diffs cat hip joint
- wings of ilium + ischium parallel as opposed diverge in dog
- larger obturator foramen
- smaller greater trochanter
- larger lesser trochanter (still smaller than greater)
femur general
- long bone = has medullary cavity
- straight (humerus S-shaped)
proximal femur structures
distal femur structures
condyles = smooth + covered cartilage -> tibia (stifle)
intercondylar fossa = rough for attachment cruciate ligs
centres ossification femur
- head
- greater trochanter
- body
- distal epiphysis => condylar region prone fractures
patella
pyramid shaped sesamoid in trochlear groove
* smooth articular h cart covered durface
* glides proximally + distally
* embedded in tendon of insertion of quads musc (-> tibial tuberosity)
* patellar lig runs patella -> tibial tuberosity
fabellae sesamoids
x2 on top condyles femur @ caudal aspect in popliteal fossa
* embedded in gastrocnemius musc, 1 in each tendon of origin
popliteal sesamoid
embedded popliteus musc, up to x4, stabilise stifle joint
sesamoids of cat
- always have patella
- medial fabella often no ossified = no visible radiographs
- lateral fabella + popliteus usually present, not always
nerve supply HL
spinal nerves L5, L6, L7, S1, S2
* dorsal branches -> dorsal structures
* ventral branches -> lumbosacral plexus
peripheral nerves to HL muscs
- gluteal (cr + cd branches)
- obturator
- femoral
- sciatic -> tibial (deeper cd) + fibular/peroneal (cr)
hip joint
== coxo-femoral joint
== femur head -> pelvis acetabulum lunate surface
typical synovial w joint capsule around labrum + femur neck
* NO COLLATERAL LIGS
* lig of head of femur (= teres lig/round lig/ligamentum fovea) = fovea -> acet fossa
* also supported surrounding muscs
palpation pelvis/femur
- dorsal iliac crest (wing of ilium)
- tuber sacrale
hip joint:
* tuber coxae
* tuber ischium
* greater trochanter
triangle, shld be bilaterally symmetrical
HL extrinsic muscs
move limb relative to trunk but sacro-iliac joint immovable so pivotal pt hip joint + pelvis functions as part axial skeleton
* so HL extrinsic originate axial sk + pelvis
* protraction = hip flexion
* retraction = hip extension
location muscs add/abduction hip
abduction = lateral thigh
adduction = medial thigh
gluteal musc
extend + abduct hip, middle + deep rotate pelvic limb medially
3 heads:
1. superficial: lateral sacrum + Cd1 via sacrotuberous lig + dorsal iliac crest via gluteal fascia -> 3rd trochanter; caudal gluteal nerve
2. middle: gluteal surface ilium -> greater trochanter; cranial gluteal n.
3. deep: ilium + ischiatic spine -> greater trochanter; cr gluteal n.
adductors of HL
- gracilis
- adductor
- pactineus
- external obturator
== ventral to hip joint, obturator n.
gracilis musc
pelvic symphysis via symphysial tendon -> cranial tibia border + tuber calcanei (w semitendinosus
== adduct HL, flex stifle, extend hip + hock
innerv: obturator
adductor musc
pubis -> medial caudal distal femur
== adduct HL + extend hip
innerv: obturator
lies deep to gracilis, 2 bellies
pectineus musc
iliopubic eminence via prepubic tendon -> distal caudal medial femur
== adduct thigh
innerv: obturator
hip flexor muscs
== limb protraction
* tensor fascia latae
* iliopsoas
* sartorius
* rectus femoris head of quads
innerv = femoral
tensor fascia latae
tuber coxae + adjacent ilium, aponeurosis of middle gluteal -> lateral femoral fascia over biceps + quads
== tenses lat fem fascia, flex hip, extend stifle
innerv: cranial gluteal
2 heads
sartorius
cr part O: ilium crest + thoracolumbar fascia I: patella w rectus femoris
cd part O: cr ventr iliac spine + adjacent ventral border ilium
I tibial tuberosity w gracilis
== flex hip, cr extends stifle, cd flexes stifle
innerv: femoral
iliopsoas
psoas major musc (by lumbar vertebrae) fusion w iliacus on cranioventral ilium -> lesser trochanter
== flex hip
innerv: ventral branches spinal ns., femoral
quadriceps femoris as hip flexor
most cr head from ilium -> tibial tuberosity
== flex hip + extend stifle
innerv: femoral
hip extensors
== limb retractors
* biceps femoris
* semitendinosus
* semmimembranosus
innerv = sciatic n.
biceps femoris
sacrotuberous lig + ischiatic tuberosity ->
1. cranial border of tibia via crural fascia
2. tuber calcanei via fascia lata + patella via crural fascia
== extend hip, stifle + hock
* cd part flexes stifle
innerv: sciatic
2 heads
sacrotuberous ligament
== broad ligament
stabilise + protect sacroiliac joint
* dorsal sacrum -> ischial tuberosity
* fan-shaped, 1 each side
* forms lateral wall pelvic cavity
* dorsal (DSL) + ventral/lateral (VSL)
relaxes at parturition, absent in cat
ischiatic foramens
greater = passage gluteal nerve
lesser = sciatic nerve
–> lower limb
semitendinosus musc
ischiatic tuberosity -> distocranial border of tibia, medial tibia bod + tuber calcanei via crural fascia (= calcaneal tendon)
== extend hip, flex stifle, extend hock
innerv: sciatic
semimembranosus
ischiatic tuberosity -> distal medial lip of caudal femur + tibia medial condyle
== extend hip, cd part flexes stifle
innerv: sciatic
lies deep to semitendinosus
femoral triangle
caudal boundary pectineus + adductor
cranial boundary = sartorius
* femoral neurovascular bundle (VAN) in it
* palpable pulses @ medial aspect triangle
structure proximal end tibia
short axis = triangular = tibial plateau/plate = smooth -> articulate w medial + lateral condyles of femur
flat side = medial, fibula attaches on lateral
intercondylar eminence/ridge = non-articular rough surface for attachment cruciate ligs bet condyles, caudally (only proximal)
distal end tibia structure
medial/lateral malleolus = attachment medial/lateral collateral lig of hock
palpation tibia/fibula
- tibial crest (tuberosity)
- medial malleolus of tibia
- lateral malleolus of fibula
structure of fibula
flatter end = proximal end, chunkier = distal
at proximal:
* skinnier side = caudal
* fatter = cranial
* can deduct which is medial/lateral
centres of ossification tibia
- proximal end
- tibial tuberosity
- body
- distal end
centres of ossification fibula
- proximal end
- body
- distal end (lat malleolus)
stifle joint
femur + tibia + patella
* femoral condyles + tibial condyles laterally + medially
* bone articulation not stable so needs lots support
what provides stability to stifle joint
- menisci w meniscal ligaments
- collateral ligs
- cruciate ligs
- patellar lig
menisci
lateral + medial C-shaped cartilage attached tibial condyles
* wedge = thicker abaxial
* stabilise joint + provide cushioning
* involved proprioception bc cont nerve endings
meniscal ligs
- menisco-tibial ligs (MTL) = meniscus -> intercondylar eminence so held on tibia
- transverse lig (TL) bet cranial aspects menisci to hold together
- menisco-femoral lig (MFL) = lat meniscus -> intercondylar fossa so held on femur
movement occurs bet femur + menisci
collateral ligs of stifle
hold bones together, resist rotation + limit movement to flexion/extension
medial epicondyle femur -> tibia
lat epicond femur -> fibula + tibia
attach abaxial aspects of menisci
cruciate ligs stifle
- cranial = intercondylar eminence -> medial aspect lat condyle
- caudal = intercondylar eminence -> intercondylar fossa
cr split craniomedial + caudolateral bands
maintain femur on menisci + resist rotation
named for attachment to tibia
femoro-patellar components
patella in trochlear groove supported by med + lat trochlear ridges
patellar lig = patellar tendon from quads -> tibial tuberosity/fabella w patella embedded
* lat + med ones
then convered retinaculum (fascia) for more support + protection whole joint
movement patella
patella proximally prods extension
patella distally allows flexion
no lateral movement
synovial joint compartments stifle
- femoro-patellar
- medial femoro-tibial (incorps fabella)
- lateral femoro-tibia (incorps fabella + tendon of origin long digital extensor)
in dog all compartments comms
cat stifle joint
- pointed patella
- medial fabella often not mineralised
- lat fabella + popliteal sesamoid usually visible radiograph
palpating stifle
- patella
- patellar lig
- tibial crest
- joint space
stifle extensors
- sartorius (2 heads)
- quadriceps
–> tibial tuberosity via patella + patellar lig
innerv: femoral
quadriceps musc
4 heads, fused distally
1. rectus femoris from ilium
2. vastus lateralis from greater trochanter
3. vastus intermedius from proximal craniolateral femur (deep to lat)
4.* vastus medialis *from intertrochanteric crest
–> tibial tuberosity, extend stifle
(rect fem fexes hip asw)
innerv: femoral
stifle flexors
caudal to stifle joint
* biceps femoris
* semitendinosus
* semimembranosus
* gastrocnemius
gastrocnemius musc
2 heads from med + lat epicondyles of femur -> tuber calcanei
* tendons of origin cont fabellae sesamoids
== extend tarsus + flex stifle
innerv: tibial (branch of sciatic)