Morphology of lower limb Flashcards
Comparison to upper limb
Lower climb are closer
Extensors are anterior, flexors posterior
- Due to medial rotation during development (6-8)
- Allows better propulsion whilst walking and running.
Pelvis
Anterior superior/Inferior iliac spine (ASIS, AIIS)
Pubis
Ischipubic ramus
Ischial tuberosity
Obturator canal
Greater sciatic foramen
- Greater sciatic notch
- Sacrotuberus ligament
- Sacrospinous ligament
Acetabulum
- Articulates with femur head
Femur
Head and neck
- Neck allows femur to be slightly adducting=stability
Greater and lesser trochanter (posterior)
Gluteal tuberosity- posterolateral
- Gluteus maximus inserts
Linea aspera (posterior) - Insertion for adductor muscles
Lateral and medial epicondyle
Condyles
Adductor tubercle
- Above medial epicondyle
Tibia and fibula
Tibia
- Condyles- articulates with condyles of the femur to form knee
- Tibial tuberosity- quadriceps insertion
- Medial malleolus
Fibula
- Lateral malleolus
Foot skeleton
7 tarsals
5 metatarasals
14 phalanges
Lower limb movements
All movements except opposition
Hip joint
Ball and socket
- Extension/ flexion
- Lat and med rotation
- Add/abduction
- Circumduction
Knee joint
Hinge joint
- Flex and extend
- Small lat and med rotation when flexed at knee
Ankle joint
Dorsiflexion (extension)
Plantarflexion (flexion)
Foot joints
Movements
- Eversion, inversion
- Adduct and abduct
- Flex extend
- Supination and pronation
Gluteus maximus
- Origin and insertion
- Action
- Innervation
Origin
- Ilium
Insertion
- Gluteal tuberosity
- Iliotibial tract (supports and stabilises knee joint whilst standing)
Action
- Extension
- Lateral roation
- Supports knee when extended
Innervation
- Inferior gluteal nerve
Gluteus minimus + medius
- Origin and insertion
- Action
- Innervation
Origin
- Ilium, anterior to maximum
Insertion
- Greater trochanter
Action
- Med. rotate
- Abduction
Innervation
- Superior gluteal nerve
Tensor fasciae latae
Stabilises knee joint by inserting into iliotibial tract
Small muscles of the gluteal region
- Origin and insertion
- Action
- Innervation
Muscles
- Piriformis [sciatic nerve underneath, as well as superior and inferior gluteal nerve)
Origin (piriformis)
- Sacrum
- Ischium/ ischopubic ramus
Insertion
- Greater trochanter (cuffs the hip joint)
Action
- Lat. rotation of extended thigh
Innervation
- Branches of sacral plexus
Quadriceps
- 4 muscles
- Origin and insertion
- Action
- Innervation
4 muscles
- Rectus femoris (from AIIS )
- Vastus lateralis
- Vastus medialis
- Vastus intermedius (being RF)
Origin
- RF from AIIS
- Vasti from femur
Action
- Extension of knee
- RF= Flexion at hip
Insertion
- Tibial tuberosity via quadriceps tendon, carries on as patella ligament
Innervation
- Femoral nerve