Lower Extremity, Snell Flashcards
Pelvic girdle: # of bones
4
Pelvic girdle: Bones
1) 2 hip bones
2) Sacrum
3) Coccyx
Hip bone: Articulates with the head of the femur
Acetabulum
Hip bone: Articular vs non articular: Acetabular fossa
Non articular
Hip bone: Runs between asis and psis
Iliac crest
Hip bone: Articulates with the opposite hip bone
Pubic bone at the pubic crest and tubercle
Hip bone: Obturator foramen is bound by
1) Ischium
2) Pubis
Femur: Fits into the acetabulum
Head
Femur: Small depression at the center of the head
Fovea capitis
Femur: Fovea capitis is for the attachment of
Ligament of the head
Femur: Vessel conveyed along the ligament of the head to enter the bone at the fovea
Obturator artery
Femur: Junction of neck and shaft
1) Trochanters
2) Intertrochanteric line
Femur: Attached to the intertrochanteric line
Iliofemoral ligament; pubofemoral at lower end
Femur: Ridge on the posterior portion of shaft
Linea aspera
Femur: Medial margin of linea aspera continues below as
Medial supracondylar ridge
Femur: Lateral margin of linea aspera continues below as
Lateral supracondylar ridge
Femur: Medial supracondylar ridge ends as the
Adductor tubercle
Femur: On the posterior surface of the shaft below the greater trochanter
Gluteal tuberosity for gluteus maximus
Femur: Flat triangular area on the posterior surface of the lower end
Popliteal surface
Femur: Lateral and medial condyles are separated posteriorly by
Intercondylar notch
Femur: Lateral and medial condyles are separated anteriorly by
Articular surface for patella
Femur: Superior to the condyles
Medial and lateral epicondyles
Femur: Adductor tubercle is continuous with
Medial epicondyle
Femur: Main blood supply to the head
Medial femoral circumflex
Femur: Common complication of femoral neck fractures due to interruption of the main blood supply to the head
Avascular necrosis of head
Sesamoid bone
A bone that develops within a tendon
Largest sesamoid bone in the body
Patella
Patella: Lies within the tendon of the
Quadriceps femoris
Patella: Shape
Triangular
Patella, apex: Superior vs inferior
Inferior
Patella, apex: Connected to what bone
Tuberosity of tibia
Patella, apex: Connected to the tuberosity of the tibia by the
Ligamentum patellae
Patella: Posterior surface articulates with
Condyles of femur
Tibia: Medial vs lateral
Medial
Tibia: Articulate with the lateral and medial condyles of femur
Lateral and medial condyles
Tibia: Lateral aspect of the lateral condyle
Oval articular facet for the head of fibula
Tibia: Anterior border is prolonged downward to form
Medial malleolus
Tibia: Provides attachment for interosseous membrane
Lateral border of tibia
Tibia: Lower end shows a wide, rough depression on its lateral surface for articulation with
Fibula
Fibula: T/F Takes part in articulation at the knee joint
F
Fibula: T/F Forms part in the ankle joint
T
Fibula: Forms the upper end (2)
1) Head
2) Articular surface for lateral condyle of tibia
Fibula: Distal end
1) Styloid process
2) Lateral malleolus
Fibula: Shaft attached to tibia by
Interosseous membrane
Fibula: Winds around neck
Common peroneal nerve
Tarsal Bones
The Circus Needs More Interesting Little Clowns
1) Talus
2) Calcaneum
3) Navicular
4) Medial cuneiform
5) Intermediate cuneiform
6) Lateral cuneiform
7) Cuboid
Tarsal Bones: Largest bone of the foot
Calcaneum
Tarsal Bones, calcaneum: Articulations
1) Superiorly with the talus
2) Anteriorly with the cuboid
Tarsal Bones, calcaneum: Shelflike ridge on medial surface
Sustentaculum tali
Tarsal Bones, calcaneum: Function of sustentaculum tali
Supports talus
Talus: Articulations
1) Superiorly with the tibia and fibula
2) Inferiorly with the calcaneum
3) Anteriorly with the navicular bone
Talus: Muscles attached
None
Navicular: Attached to its tuberosity
Tibialis posterior tendon
Cuboid: Deep groove on inferior aspect is attached to
Peroneus longus tendon
Cuneiform: Wedge shape maintains
Transverse arch of foot
Metatarsals: Attached to the prominent tubercle on the base of 5th metatarsal
Peroneus brevis tendon
Hip joint: Bridges the acetabular notch
Transverse acetabular ligament
Hip joint: Ligaments
1) Iliofemoral
2) Ischiofemoral
3) Pubofemoral
Hip joint: Strongest and most important ligament
Iliofemoral ligament of Bigelow
Iliofemoral ligament: Shape
Inverted Y
Iliofemoral ligament: Base attached to
ASIS
Iliofemoral ligament: 2 limbs attached to
Intertrochanteric line
Iliofemoral ligament: Resists
Hyperextension and lateral rotation
Pubofemoral ligament: Shape
Triangular
Pubofemoral ligament: Base
Superior ramus of pubis
Pubofemoral ligament: Apex
Lower end of intertrochanteric line
Pubofemoral ligament: Resists
Abduction and lateral rotation
Ischiofemoral ligament: Shape
Spiral
Ischiofemoral ligament: Attachments
1) Body of ischium
2) Greater trochanter
Ischiofemoral ligament: Limits
Medial rotation
Ligament of head of femur: Shape
Flat and triangular
Ligament of head of femur: Apex
Fovea capitis
Ligament of head of femur: Base
1) Transverse acetabular ligament
2) Margins of acetabular notch
Ligament of head of femur: Resists
Adduction, slightly
Hip joint: Nerve supply (3)
1) Femoral
2) Obturator
3) Sciatic
Hip joint: Flexion (4)
RAISe
1) Rectus femoris
2) Adductors
3) Iliopsoas
4) Sartorius
Hip joint: Extension (2)
1) Gluteus maximus
2) Hamstrings
Hip joint: Abduction (5)
1) Gluteus medius
2) Gluteus minimus
3) Sartorius
4) Tensor fascia lata
5) Piriformis
Hip joint: Adduction (5)
Shorten the GAAAP
1) Gracilis
2) Adductor longus
3) Adductor brevis
4) Adductor magnus
5) Pectineus
Hip joint: Lateral rotation (7)
GQ POG
1) Gluteus maximus
2) Quadratus femoris
3) Piriformis
4) Obturator internus and externus
5) Superior and inferior gemelli
Hip joint: Medial rotation (3)
1) Anterior fibers of gluteus medius
2) Anterior fibers of gluteus minimus
3) Tensor fascia lata
Hip joint: Combination of all movements
Circumduction
Hip joint: Anterior
Femoral vessels and nerves
Hip joint: Posterior
Sciatic nerve
Hip joint: Stability depends on
1) Gluteus medius and minimus
2) Head of femur
3) Neck of femur
Hip joint: Hip sinks on opposite unsupported side
Trendelenburg sign
Knee joint: Articulations
1) Condyles of femur superiorly
2) Condyles of tibia and their menisci inferiorly
3) Lower end of femur and patella anteriorly
Knee joint: Type between tibia and femur
Synovial hinge
Knee joint: Type between patella and femur
Synovial gliding
Knee joint: Capsule is deficient
Anteriorly where it pouches superiorly beneath the quadriceps tendon forming the suprapatellar bursa
Knee joint: Extracapsular ligaments
1) Ligamentum patellae
2) Lateral collateral ligament
3) Medial collateral ligament
4) Oblique popliteal ligament
Knee joint: Ligamentum patellae is a continuation of
Quadriceps femoris tendon
Knee joint: Lateral collateral ligament is attached to
1) Lateral condyle of the femur superiorly
2) Head of fibula inferiorly
Knee joint: Lateral collateral ligament is separated from the lateral meniscus by the
Popliteus
Knee joint: Medial collateral ligament is attached to
1) Medial condyle of femur superiorly
2) Medial surface of shaft of tibia
Knee joint: Medial collateral ligament is strongly attached to
Medial meniscus
Knee joint: Strengthens the back of capsule
Oblique popliteal ligament
Knee joint: Oblique popliteal ligament is an expansion of
Semimembranosus
Knee joint: Intracapsular ligaments
Cruciate ligaments
Knee joint: Cruciate ligaments are termed anterior and posterior according to
Tibial attachments
Anterior cruciate ligament: Attachments
1) Anterior intercondylar area of tibia inferiorly
2) Upward, backward, and laterally to the lateral femoral condyle
Posterior cruciate ligament: Attachments
1) Posterior intercondylar area of tibia inferiorly
2) Upward, forward, and medially to the medial femoral condyle
Knee joint: Upper surface of menisci are in contact with
Femoral condyles
Knee joint: Lower surface of menisci are in contact with
Tibial condyles
Knee joint: Each meniscus is attached to the tibia by
Anterior and posterior horns
Knee joint: Function of menisci
Deepen the articular surfaces of tibial condyles