Lower Extremity Anatomy Flashcards
Anatomy of the Foot (Pes)
The foot consists of 26 bones divided into three parts:
Phalanges: There are 14 phalanges in the foot.
5 Proximal Phalanges (1-5)
4 Middle Phalanges (2-5) (The great toe (hallux) does not have a middle phalanx)
5 Distal Phalanges (1-5)
Ankle (Tarsus):
7 Tarsals
The Metatarsus (Instep) - Contains the metatarsals:
5 Metatarsals (1-5)
The Sustentaculum Tali
A small shelf of bone that projects medially from the medial surface of the calcaneus, right below the talus.
Sinus Tarsi
A small canal below the talus between the talus and calcaneus. Between the calcaneal sulcus and a similar groove on the inferior surface of the talus.
Calcaneal Sulcus
A groove on the calcaneus between the medial and posterior facets.
Calcaneus
Is the largest tarsal bone. It is usually examined separate from the foot, if injured.
Talus
Occupies the highest position and is second largest tarsal bone. The talus articulates with the calcaneus at the “subtalar” joint. It also articulates with the tibia.
Cuboid
Is on the lateral side between the calcaneus and the fourth and fifth metatarsals.
Navicular
Is on the medial side between the calcaneus and the cuneiforms.
Cuneiforms
These occupy the central and medial aspect of the foot between the navicular and the first, second and third metatarsals. The medial cuneiform is the largest. The intermediate is the smallest.
Sesamoid Bones
Sesamoid bones are small detached bones found in the foot. They usually form in points of stress near a joint and found on the posterior (plantar) surface of first MTP joint.
It is possible to fracture one or both because of the plantar location and it is very painful when one is fractured.
The Longitudinal Arch
Is visible when the foot is viewed on the medial border. The arch is formed by the tarsal and metatarsal bones. The arch is maintained by strong ligaments that bind the adjacent bones together.
The Transverse Arch
Is a curve from the medial side of the plantar surface to the lateral margin of the foot.
Anatomy of the Leg (Crus)
Each leg has to bones, a tibia (shin bone) and a fibula. The tibia and fibula extend from the knee to the ankle. The bones lie parallel to each other with the fibula on the lateral side and the tibia on the medial side.
Tibia
The tibia is a large sturdy bone that lies medial to the fibula. It has a proximal extremity, a body and a distal extremity. The tibia is the second largest bone in body.
The Medial Condyle (Tibia)
The medial part of the upper expanded end of the tibia. Its smooth, slightly concave proximal surface articulates with the medial condyle of the femur at the knee joint.
The Lateral Condyle (Tibia)
The lateral part of the upper expanded end of the tibia. Its smooth superior surface articulates with the lateral femoral condyle at the knee joint.
The Intercondylar Eminence (Tibia)
A small, double pointed process on the proximal end of the tibia located between the articular surfaces of the medial and lateral condyles, slightly posterior to its midpoint.The process extends into the intercondylar fossa of the femur.
The Tibial Tuberosity (Tibia)
A rounded prominence on the anterior surface of the tibia below the condyles. The patellar ligament is inserted into it.
The Fibular or Articular Surface (Fibular Facet) (Tibia)
A small smooth rounded area on the posterior lateral border of the lateral tibial condyle. It articulates with the head of the fibula.
The Proximal Extremity Has: (Tibia)
The medial condyle
The lateral condyle
The intercondylar Eminence
The tibial tuberosity
The Body (Tibia)
The long sturdy part becomes flattened as it approaches the ankle.
The Anterior Crest (Tibia)
A sharp ridge on the anterior surface (shin).
The Distal Extremity Has: (Tibia)
The Inferior Articular Surface
The Medial Malleolus
The Fibular Notch
The Inferior Articular Surface (Tibia)
A four sided smooth surface on the distal end of the tibia that articulates with the talus, forming the ankle joint.
The Medial Malleolus (Tibia)
Projects down from the medial margin of the distal end of the tibia. It reaches about 1/2 inch below the level of the ankle joint. It forms a large prominence on the medial border of ankle that is visible and palpable.
The Fibular Notch (Tibia)
A concave depression on the lateral surface of the tibia just above the ankle joint. It articulates with the medial border of the lower fibula to form the distal tibiofibular joint.
Fibula
The fibula is a long slender bone lying on the lateral side of the tibia and parallel to it. It does not form any part of the knee joint but helps form the ankle joint. It has a head, body and lateral malleolus.
The Head (Fibula)
Its upper expanded end that articulates with the fibular articular surface of the tibia, forming the proximal tibiofibular joint.
The Styloid Process (Apex) (Fibula)
The pointed upper end of the head.
The Body (Fibula)
Long and very slender.
The Lateral Malleolus (Fibula)
The distal expanded end of the fibula. It extends down on the lateral margin of the ankle joint for about three-quarters of an inch. Its tip is at a lower level than that of the medial malleolus. Along with the medial malleolus forms the ankle mortise. Above the ankle joint it articulates with the fibular notch of the tibia forming the distal tibiofibular joint.
Ankle Joint (Talocrural Joint)- Formed by:
- The inferior articular surface of the tibia articulating with the trochlea of the talus
- The medial malleolus of the tibia with the medial surface of the talus
- The lateral malleolus of the fibula with the lateral surface of the talus
Intertarsals
Joints between adjacent tarsal bones.
Tarsometatarsals
Joints between tarsals and the bases of the adjacent metatarsal bones.
Intermetatarsals
Joints between the bases of adjacent metatarsals.
Metatarsophalangeal (MT or MTP)
Joint between the distal end (head) of a metatarsal and the base of the proximal phalanx of a toe.
Interphalangeal (IP)
Joint between the phalanges of a toe (there is only one interphalangeal joint in the great toe).
Proximal Interphalangeal (PIP)
Joint between the head of the proximal phalanx and the base of the middle phalanx of a toe .
Distal Interphalangeal (DIP)
Joint between the head of the middle phalanx and the base of the distal phalanx of a toe.
Distal Tibiofibular Joint
Formed by the medial surface of the lower part of the fibula articulating with the fibular notch of the tibia on its lateral side.
Proximal Tibiofibular Joint
Formed by a fibular articular surface on the upper posterior margin of the lateral tibial condyle articulating with the articular surface on the medial margin of the head of the fibula.
The Patella (Knee Cap)
The largest, most constant sesamoid bone lying within the tendon of the quadriceps muscle tendon. It develops in quadriceps femoris tendon between 3 and 5 years of age.
It is a flat rounded bone that lies anterior to the knee joint on the distal, anterior femur. It is palpable, and it has an apex and the base.
The Base (Patella)
A proximal slightly rounded upper border
The Apex (Patella)
The lower pointed end. The patellar ligament lies between it and the tibial tuberosity.