Lower Limb Flashcards
What is the thigh bone that articulates with the acetabulum of hip proximally and the tibia and patella distally?
Femur
What bone is not really equivalent to anything in the upper bone? It sits in tendon of the quadriceps muscles in anterior thigh?
Patella
What is the sesmoid bone in the lower extremity?
Patella
What joint articulates with the acetabulum of the pelvic bone?
hip joint
What is an acetabulum?
cup formed by all the bones of the pelvis
Can the hip joint do the same movements as the shoulder?
Yes! But hip is not as mobile as shoulder
What’s the fovea?
fovea capitis for the the ligament of the head of the femur/ligamentum teres femoris. Also has an artery traveling through it
On the proximal end of the femur what is found that help with muscle attachments?
Greater and Lesser trochanters for muscle attachment e.g. muscles of the posterior abdominal wall etc. (similar to tubercles on the humerus)
In the proximal femur, distal to trochanters is what?
Shaft of the femur
The Distal femur contains what condyles and what do they articulate with? What do we find lateral to the condyles for muscle attachment?
medial and lateral condyles (articulate with tibia)
medial and lateral epicondyles for muscle attachment
Is patella firmly attached to femur and tibia?
NO! that’s why its very mobile
What’s the space between the condyles called?
intercondylar fossa
Do the tibia and fibula have pivoting action (like we saw in the forearm?)
NO!
Is there a direct connection between femur and fibula?
No! Not part of the knee joint. it sits on the side of tibia but it does have a connection to the ankle
Do both the tibia and fibula participate in moving the ankle?
Yes
What are the malleoli of the tibia and fibula?
bump outs that you can feel! (so palpation points!)
How are the tarsals in the foot arranged?
Proximal group: calcaneous, talus
Distal group: cuboid, cuneiforms
What’s the only bone that forms a connection with tibia and fibula at the ankle?
Talus
What tendon attaches to the calcaneus?
Calcaneus tendon aka “Achilles tendon”
Are there 3 phalanges in toes 2-5?
Yes!
Are there are only 2 phalanges in the big toe?
Yes!
Does your big toe have more mobility than your other toes?
Yes!
What is the knee joint made of?
mainly articulation between femur and tibia and also interaction between the patella and femur (so fibula does NOT directly participate in knee joint)
Is the knee a modified hinge joint? What action does it?
Yes, main actions are = flexion, extension
In the flexed knee position, can you pivot your leg on your femur without moving your hip?
Yes (but less stable than extended knee position)
Is the knee joint a large weight bearing join in our body? What extra cartilage do we need that protects the joint?
C-shaped MEDIAL and LATERAL MENISCI = fibrocartilage helps to protect, stabilize joint
Ligaments inside joint are cruciate and collateral ligaments
What tendon is above the patella that wraps around it?
quadriceps femoris tendon
When physician taps below you knee, what ligament is he/she tapping?
Patellar ligament? help with extending the knee
What ligaments prevent side to side displacement of tibia on the femur?
- Fibular (lateral) collateral ligament prevents medial movement
- Tibial (medial) collateral ligament prevents lateral movement
What is the test for cruciate ligaments when person has knee flexed = push it forward and back = and it shouldn’t move? If tibia slides past the femur, does this mean that your ACL may be compromised?
DRAWER TEST
YES!
What is “blown knee”?
When you take out ALL 3 LIGAMENTS that are attached together = ACL, Medial meniscus, tibial collateral ligament
What is the deep fascia of the thigh? Is it underneath the fatty tissue (superficial fascia) and continuous with the leg?
Fascia lata
Yes!
On lateral side fascia lata, there’s a thickening of the band, what is this called?
Illiotibial (IT) tract (It provides support for the thigh on the lateral side = equivalent of what’s provided by 3 muscles on the medial side)
Are thigh muscles arranged into 3 compartments? If so, what are they?
Yes! Anterior, medial and posterior compartments
What nerve innervates the anterior (extension) compartment thigh muscles?
Femoral nerve (MOTOR)
What is the nerve innervating the medial (adduction) compartment of the thigh muscles?
Obturator Nerve