lecture 2 - lower limb bones/joints Flashcards
What are the 4 regions of the lower limb?
Gluteal, thigh, leg, foot
What are the bones of the lower limb?
Sacrum, coccyx, hip bone (ilium, ischium, pubis), femur, patella, tibia, fibula, tarsals, metatarsals, phalanges
What bones make up the pelvis?
Ilium, ischium pubis
What bones are found in the gluteal region?
Sacrum, coccyx, hip (ilium, ischium, pubis)
What bones are found in the thigh region?
Femur, patella
What part of the hip bone does the femur articulate with?
The acetabulum
What covers the obturator foramen?
Obturator membrane
What is the name for the gap in the obturator membrane?
Obturator canal
What is the joint between the pubis of the left and right hip bones?
The pubic symphysis
What type of joint is the sacroiliac joint?
Ventrally synovial, dorsally fibrous
Why is the sacroiliac joint fibrous on the dorsal aspect?
It has the strong interosseous ligament
What are the ligaments of the sacroiliac joints?
Interosseous sacroiliac, posterior sacroiliac, anterior sacroiliac
What is the deep ligament os the sacroiliac joint?
Interosseous sacroiliac ligament
What type of joint is the pubic symphysis?
Fibrocartilaginous
What are the ligaments at the pubic symphysis?
Superior pubic, inferior pubic
What is the space that sits superior to the sacrospinous ligament?
The greater sciatic foramen
What is the space thats sits inferior to the sacrospinous ligament?
Lesser sciatic foramen
What ligament joins the anterior superior iliac spine to the pubic tubercle?
The inguinal ligament
What is the ligament between the sacrum and the ischial spine?
Sacrospinous ligament
What is the ligament between the sacrum and the ischial tuberosity?
Sacrotuberous ligament
What class of joint is the hip joint?
Synovial ball & socket
What are the bony components of the hip joint?
Head of the femur, acetabulum of the pelvic bone
What is the function of the acetabular labrum?
Increases shock absorption and mobility of the hip joint
What movements are possible at the hip joint?
Flexion, extension, abduction, adduction, medial & lateral rotation, circumduction
What is the name for the prominence between the the greater and lesser trochanter on the anterior surface?
Intertrochanteric line
What is the name for the prominence between the the greater and lesser trochanter on the posterior surface?
Intertrochanteric crest
What is the function of the acetabular labrum?
Increases boney congruence (depth of the socket)
What is the name for the indentation on the head of the femur where the ligament attaches>
Fovea
What ligament crosses the acetabulum to stabilise the hip joint?
Transverse acetabular ligament
What ligament attaches the fovea to the acetabulum?
The ligament of the head of the femur
What vessel supplies the ligament of the head of the femur?
The artery of the ligament of the head of the femur
What are the arterial branches of the obturator artery that eventually supply the head of the femur?
Obturator artery -> acetabular branch of the obturator artery -> artery of the ligament of the head of the femur
What structure surrounds the ligament of the head of the femur?
Synovial sleeve
What are the 3 capsular ligaments of the hip joint?
Iliofemoral, ishiofemoral, pubofemoral
Where do the capsular ligaments of the hip attach to the hip bone?
Edges of the acetabulum
Where do the capsular ligaments of the hip attach to the femur?
anteriorly to intertrochanteric line, posteriorly to neck
What movements are stabilised by the iliofemoral ligament?
extension, external rotation, adduction at the hip
What movements are stabilised by the ishiofemoral ligament?
Extension, internal rotation, abduction at the hip
What movements are stabilised by the pubofemoral ligament?
Extension, external rotation, abduction
What are the 3 key blood supplies to the hip joint?
medial & lateral circumflex femoral arteries, artery of head of femur, medullary vessels
Where do the medial & lateral circumflex femoral arteries arise?
Deep femoral artery, which is a branch of the femoral artery
During which stage of development is the femur supplied by medullary vessels?
After the fusion of epiphysis
What are the 2 classes of hip joint fracture in terms of location?
Extracapsular, intracapsular