Lecture 5- Anatomy of Thigh and Stifle Flashcards
What two structures does the thigh lie between
Pelvic girdle and stifle
What joints comprise the stifle
Femoro-tibial joint
Femoro-patellar joint
Proximal tibia-fibular joint
What are the extra bones in the dog stifle
Sesamoid
What is the additional joint in the dog
Femoral-fabellar joint
What are fabellae
Sesamoid bone in proximal heads of gastrocnemius
What muscle is the connection between the tibia and the Sesamoid bones
Popliteus
What kind of joint is the stifle
Complex synovial joint
What are the medial and lateral menisci made of
Fibrocartilage discs
What is the function of the medial and lateral menisci
Stabilize the movement of the round femoral condyles on the flat tibial condyles
What ligaments make up the stifle
Patellar ligament, medial collateral ligament, lateral collateral ligament, caudal cruciate ligament, cranial cruciate ligament, meniscofemoral ligament
What do the cruciate ligaments prevent
Cranial or caudal slip of tibia
What are the main movements of the stifle
Flexion and extension
What additional movements do dogs and cats have in the stifle
Translational mobility- cranial and caudal, rotation along long axis of tibia
When the stifle is flexed what happens to the lateral collateral ligament and the cruciate ligaments
The lateral collateral ligaments loosen- allowing internal rotation of the tibia on the femur
Cruciate ligaments twist on each other to limit this internal rotation
What happens to the lateral collateral ligament and cruciate ligaments when the stifle is extended
The lateral collateral ligament tightens, tibia rotates externally
Cruciate ligaments untwist having no effect on limiting external rotation
What is the common cause of cruciate ligament tear
Result of sudden rotation of the flexed stifle
What muscles make up the medial compartment of the stifle
Sartorius, gracilis, Pectineus, adductor
Sartorius OINA
O: ilium
I: tibia
N: femoral nerve
A: cranial part- extends stifle, caudal part- flexes stifle, also flexes hip
Gracilis OINA
O:pelvis
I: tibia
N: Obturator nerve
A: flex stifle, also adduct hip
Adductor OINA
O: pelvis
I: femur
N: Obturator nerve
A: adduct and extend hip
Pectineus OINA
O: pelvis
I: femur
N: Obturator nerve
A: adduct hip
What is the artery that supplies the medial compartment of the stifle
Obturator artery
What nerves supply the medial compartment of the stifle
Femoral and Obturator
What is the main action of the medial compartment of the stifle
Flex stifle
What muscles make up the lateral compartment of the stifle
Bicep femoris
Semitendinosus
Semimembranous
Bicep femoris OINA
O: ischial tuberosity
I: tibia
N: cranial- caudal gluteal nerve, sciatic
A: extend stifle, caudal part flexes stifle
Semitendinosus OINA
O: ischial tuberosity
I: tibia
N: sciatic
A: flex stifle
Semimembranous
O: ischial tuberosity
I: gastrocnemius
N: sciatic
A: femur attachment- extends stifle, tibial attachment flexes or extends stifle
What is the artery that supplies the lateral compartment of the stifle
Deep femoral artery
What nerve supplies the lateral compartment of the stifle
Sciatic
What is the main function of the lateral compartment of the stifle
Flex or extend stifle
What muscles make up the cranial compartment of the stifle
Quadricep femoris (rectus femoris, vastus lateralis, vastus medius, vastus intermedius) and iliopsoas
OINA for quadricep femoris
O: ilium
I: tibial tuberosity
N: femoral nerve
A: extend stifle
Iliopsoas OINA
O: lumbosacral vertebrae
I: pelvis or lesser trochanter
N: lumbosacral plexus and femoral nerve
A: flex hip
What is the artery that supplies the cranial compartment of the stifle
Femoral artery
What nerve supplies the cranial compartment of the stifle
Femoral
What is the main function of the cranial compartment of the stifle
Extend stifle
Rectus femoris OINA
O: ilium
I: tibial tuberosity via patellar ligaments
N: femoral
A: extension of stifle, flex hip
Vastus medialis, lateralis and intermedius OINA
O: proximal femur
I: tibial tuberosity
N: femoral
A: extend stifle
What are the equine specializations of the stifle
Enlarged medial epicondylar ridge on distal femur, prolonged proximal protuberance
What are the two surfaces on the trochlea for equine stifle
Gliding surface and resting surface
What does the caudal facing surface of equine patella engage
Gliding surface of trochlea
What does distally directed surface of equine patella engage
Resting surface of trochlea when in full extension
What are the three extra patellar ligaments present in horse stifle
Intermediate patellar ligament, lateral patellar ligament and medial patellar ligament
Describe the locking mechanism of equine stifle
Medial ligament runs even with the edge of the corresponding ridge of the trochlea. Positioned is maintained without assistance of main extensor muscle
Patella slides up onto resting surface of femur when in full extension
What nerves innervate the stifle
Sciatic, Obturator, cranial and caudal gluteal nerve and femoral
What muscles does the femoral nerve innervate
Iliopsoas, sartorius, quadricep femoris
Why are femoral nerve lesions catastrophic
Paralyzes the quadriceps resulting in collapse of the stifle disabling the entire limb. Skin of medial surface is deprived of sensation