Morphological Plan of the Pelvis and Lower Limb Flashcards
The femur can be separated into 3 major parts, the proximal, shaft and distal. Using the labels below, label the proximal aspect (and one part of the shaft) of the humerus:
Head Fovea Neck Pectineal line (spiral) Lesser trochanter Greater trochanter Intertrochanteric crest & line Trochanteric fossa Gluteal tuberosity
1 - Neck 2 - Trochanteric fossa 3 - Greater trochanter (laterally) 4 - Head 5 - Intertrochanteric crest & line 6 - Lesser trochanter (medially) 7 - Fovea 8 - Pectineal line (spiral) 9 - Gluteal tuberosity
The femur can be separated into 3 major parts, the proximal, shaft and distal. Using the labels below, label the distal aspect (and one part of the shaft) of the humerus:
Linea aspera Medial epicondyle Lateral epicondyle Medial condyle Adductor tubercle Intercondylar fossa Lateral condyle
1 - Linea aspera 2 - Adductor tubercle 3 - Medial epicondyle 4 - Lateral epicondyle 5 - Lateral condyle 6 - Intercondylar fossa 7 - Medial condyle
When we look at the greater and lesser trochanters, which is a trochanter of the femur for an attachment site, which is lateral and which is medial?
- greater = superior and laterally
- lesser = inferior and medially
Condyle which comes from ancient greek meaning knuckle are parts of bones, that generally come in pairs. What is the purpose of condyles on bones?
1 - act as a articulation site for bone to bone
2 - acts as attachments site for ligaments
3 - acts as attachment site for muscle
4 - acts as attachment site for fibrocartilaginous structures
1 - act as a articulation site for bone to bone
The femur has a medial and lateral pair of condyles and epicondyles. What is the difference between the 2?
- epi = above
- condyles = act as articulation sites and part of joint
- epicondyles = non-articulating sites and ligament and muscle attachment sites
Label the proximal tibia using the labels below:
Intercondylar eminence & tubercles Medial condyles Lateral condyles Articular surfaces (menisci) Tibial tuberosity Gerdy’s tubercle Soleal line Tibia shaft Medial malleus
1 - Intercondylar eminence & tubercles 2 - Lateral condyles 3 - Gerdy’s tubercle 4 - Tibial tuberosity 5 - Medial condyles 6 - Tibia shaft 7 - Articular surfaces (menisci) 8 - Soleal line 9 - Medial malleus (formed by the fibula)
Label the fibula using the labels below:
Lateral malleolus Apex Groove Fibularis longus & brevis tendons Neck Fibula shaft Head
Label the fibula using the labels below:
1 - Apex 2 - Head 3 - Neck 4 - Fibula shaft 5 - Lateral malleolus 6 - Groove Fibularis longus & brevis tendons
The neck of the fibula has important clinical relevance if it is fractured. Why is this important?
1 - strongest weight bearing bone in lower limb
2 - common fibula nerve runs around the fibula neck
3 - sciatic nerve runs around the neck
4 - common fibula artery runs around the neck
- common fibula nerve runs around the fibula neck
- common fibula nerve can be damaged causing foot drop
Label the proximal and intermediate bones and bony features of the foot, also referred to as the tarsus using the labels below:
Talus Calcaneus Talar shelf (sustentaculum tali) Medial, Intermediate, Lateral cuneiform bones Medial tubercle Lateral tubercle Fibular trochlea Navicular Cuboid Cuneiform bones:
Label the proximal and intermediate bones and bony features of the foot, also referred to as the tarsus using the labels below:
1 - Talus 2 - Navicular 3 - Medial, Intermediate, Lateral cuneiform bones 4 - Cuneiform 5 - Cuboid 6 - Lateral tubercle 7 - Medial tubercle 8 - Calcaneus 9 - Fibular trochlea 10 - Talar shelf (sustentaculum tali)
Label the distal bones of the foot using the labels below:
Metatarsals
Phalanges
Parts of phalanges Proximal, Middle and Distal
1 - Parts of phalanges Proximal, Middle and Distal
2 - Phalanges
3 - Metatarsals
The lower limbs can be divided into 3 regions. What are the 3 regions of the lower limbs?
1 - gluteal
2 - thigh
3 - leg
Each of the lower limbs can be divided into 3 regions (gluteal, thigh and leg). Each region can then be further subdivided into compartments by what?
1 - bones
2 - tendons
3 - ligaments
4 - deep fascia called septa
4 - deep fascia called septa
- septa just means a wall dividing compartments
- separates groups of muscles
There are specific locations in the lower limb where blood vessels and neurovascular are able to pass through, which are called channels or conduits. There are 3 in the lower limbs. label them in the image below using the labels:
popliteal fossa
tarsal tunnel
femoral triangle
1 - femoral triangle
2 - popliteal fossa
3 - tarsal tunnel
Each of the lower limbs can be divided into 3 regions (gluteal, thigh and leg). All regions posses 2 layers of fascia. What are these 2 layers called?
1 - superficial fascia
2 - deep fascia
The gluteal region of the lower limbs possess a superficial and deep compartment. Gluteus muscles are contained within this compartment and there are 3 gluteal muscles. What are they called?
1 - Gluteus Maximus (most superficial)
2 - Gluteus Medius
3 - Gluteus Minimus (deepest)
The gluteal region of the lower limbs possess a superficial and deep compartment. gluteus muscles are contained within this compartment and there are 3 gluteal muscles:
1 - Gluteus Maximus (most superficial)
2 - Gluteus Medius
3 - Gluteus Minimus (deepest)
In addition to the 3 gluteal muscles, there is an additional smaller muscle that is included in this region. What is this muscle called?
1 - iliotibial band
2 - pectineus
3 - tensor fascia lata
4 - adductor longus
3 - tensor fascia lata
The gluteal region of the lower limbs possess a superficial and deep compartment. Within the superficial compartment is the gluteal muscles and the tensor fascia lata. What 3 actions do the these muscles facilitate?
1 - extension of the thigh at hip joint, medial rotation, thigh abduction
2 - flexion of the thigh at hip joint, lateral rotation, thigh abduction
3 - extension of the thigh at hip joint, lateral rotation, thigh abduction
4 - flexion of the thigh at hip joint, lateral rotation, thigh abduction
1 - extension of the thigh at hip joint, medial rotation, thigh abduction
- extension of the thigh at hip joint
- medial rotation of hip (femur moves outwards)
- thigh abduction
What is the origin and insertion of the gluteal maximus muscle?
- origin = Iium, sacrum and coccyx, slopping across the buttock at a 45 degree angle
- insertion = iliotibial tract and the gluteal tuberosity of the femur
What 3 movements does the gluteus maximus perform?
1 - extension of the thigh at hip joint, internal rotation, thigh abduction
2 - flexion of the thigh at hip joint, lateral rotation, thigh abduction
3 - extension of the thigh at hip joint, lateral rotation, thigh abduction
4 - flexion of the thigh at hip joint, lateral rotation, thigh abduction
3 - extension of the thigh at hip joint, lateral rotation, thigh abduction
- humeral head moves laterally
What nerve innervates the gluteus maximus and what 3 nerve roots does the nerve come from?
- inferior gluteal nerve
- L5, S1 and S2
What is the origin and insertion of the gluteal medius muscle?
- origin = gluteal surface of the ilium
- insertion lateral surface of the greater trochanter
What 2 movements does the gluteus medius perform?
1 - abducts the hip
2 - medially rotates the hip (head of femur turns inwards)
What is the origin and insertion of the gluteal minimus muscle?
- origin = lower gluteal ilium
- insertion = anterior side of the greater trochanter
What 2 movements does the gluteus minimus perform?
1 - abduction of hip
2 - medially rotates the thigh (head of femur turns inwards)
What is the origin and insertion of the tensor fasciae lata muscle?
- origin = anterior iliac crest, attaching to the anterior superior iliac spine (ASIS)
- insertion = iliotibial tract, which itself attaches to the lateral condyle of the tibia
What 3 movements does the tensor fasciae lata muscle perform?
- thigh abduction
- medially rotates the thigh (head of femur turns inwards)
- weak hip flexion
The same nerve and nerve roots innervate the gluteus medius minimus and tensor fascia lata. What nerve is this and what 3 nerve roots does the nerve come from?
- superior gluteal nerve
- L4, L5 andS1
The gluteus maximus blood supply and nerve innervation share the same name. What are the names of the nerve and artery?
- inferior gluteal artery
- inferior gluteal nerve
The gluteus minimus, medium and tensor fascia lata all share the same blood supply and nerve innervation share the same name. What are the names of the nerve and artery?
- superior gluteal artery
- superior gluteal nerve
The gluteal region of the lower limbs possess a superficial and deep compartment. There are 5 muscles that are included in the deep section. Label them using the label below:
Superior Gemellus Obturator Internus Inferior Gemellus Piriformis Quadratus Femoris
1 - Piriformis 2 - Superior Gemellus 3 - Inferior Gemellus 4 - Obturator Internus 5 - Quadratus Femoris
The gluteal region of the lower limbs possess a superficial and deep compartment. There are 5 muscles that are included in the deep section, below:
Superior Gemellus Obturator Internus Inferior Gemellus Piriformis Quadratus Femoris
What are the 2 major movements this group of muscles performs?
- abduction of the flexed thigh
- laterally rotate the extended thigh
The gluteal region of the lower limbs possess a superficial and deep compartment. The Piriformis is one of the muscles of the deep layer. What are the origin and insertion points?
- origin = surface of the sacrum
- insertion = greater trochanter (lateral) of the femur
The gluteal region of the lower limbs possess a superficial and deep compartment. The Piriformis is one of the muscles of the deep layer. What is the nerve innervation and what nerve roots does it begin at?
1 - superior gluteal nerve L4, L5,S1
2 - inferior gluteal nerve L5, S1,S2
3 - nerve to piriformis, S1-S2
4 - obturator internus nerve L5, S1
3 - nerve to piriformis, S1-S2
The gluteal region of the lower limbs possess a superficial and deep compartment. The Gemellus Inferior is one of the muscles of the deep layer. What are the origin and insertion points of this muscle?
- origin - ischial tuberosity
- insertion = greater trochanter of the femur
The gluteal region of the lower limbs possess a superficial and deep compartment. The gemellus superior is one of the muscles of the deep layer. What are the origin and insertion points?
- originates from the ischial spine
- insertion = greater trochanter of the femur
The gluteal region of the lower limbs possess a superficial and deep compartment. The obturator internus is one of the muscles of the deep layer. What are the origin and insertion points?
- origin = deep surface of obturator membrane
- insertion = greater trochanter of the femur
The gluteal region of the lower limbs possess a superficial and deep compartment. The quadratus femoris is one of the muscles of the deep layer. What are the origin and insertion points?
- origin = lateral side of the ischial tuberosity
- insertion = intertrochanteric crest
The superior gemellus, inferior gemellus, obturator internus and quadratus femoris are all deep muscles of the gluteal region. All 4 of these muscles share the same nerve innervation. What is the nerve and what nerve routes to they originate from?
1 - obturator internus nerve, L5 and S1
2 - obturator externus nerve, L5 and S1
3 - inferior gluteal nerve, L5 and S2
4 - superior gluteal nerve, L4 and S1
1 - obturator internus nerve, L5 and S1
The superior gemellus, inferior gemellus, obturator internus and quadratus femoris are all deep muscles of the gluteal region. All 4 of these muscles share the same nerve innervation, the obturator internus nerve, L5 and S1. All 4 of these muscles perform the same action. What action is this?
1 - medially rotates the hip
2 - laterally rotates the hip
3 - hip extension
4 - hip flexion
2 - laterally rotates the hip
- head of femur moves laterally
The gluteal region of the lower limbs possess a superficial and deep compartment. There are 5 muscles that are included in the deep section, below:
Superior Gemellus Obturator Internus Inferior Gemellus Piriformis Quadratus Femoris
Which artery provides a blood supply for all of these muscles?
1 - inferior gluteal artery
2 - superior gluteal artery
3 - obturator artery
4 - femoral artery
1 - inferior gluteal artery
What is the largest and most superficial muscle of the gluteal compartment that overlies the other muscles?
- gluteus maximus
What is the Trendelenburg test?
- physical assessment for hip dysfunction
- assesses hip abduction
https://www.youtube.com/watch?v=DkSTr7K-eAo