MSK Anatomy 2 --> Lower Limb Flashcards
Hip Joint: Type of joint
Synovial
Hip Joint: Stabilised by
- Deep acetabulum
- Ligaments of the hip capsule ( iliofemoral, pubofemoral and ischiofemoral)
- Overlying muscles
Identify the ligaments of the hip Capsule:
- Iliofemoral
- Pubofemoral
- Ischiofemoral
Psoas major
Actions
Innervation
Flexion Lumbar Nerve
Iliacus
Actions
Innervation
Flexion
Femoral nerve
Rectus femoris
Actions
Innervation
Flexion Femoral Nerve
Sartorius
Actions
Innervation
Flexion Femoral Nerve
Gluteus maximus
Actions
Innervation
Extension
Inferior gluteal nerve
Hamstrings
Actions
Innervation
Extension Sciatic Nerve
Gluteus Medius
Actions
Innervation
Abductors and medial rotators Superior Gluteal Nerve
Gluteus Minimus
Actions
Innervation
Abductors and medial rotators Superior Gluteal Nerve
Tensor fascia lata
Actions
Innervation
Abductors and medial rotators Superior Gluteal Nerve
Pectineus
Actions
Innervation
Adductors Femoral Nerve
Adductors longus
Actions
Innervation
Adductors Obturator Nerve
Brevis
Actions
Innervation
Adductors Obturator Nerve
Magnus
Actions
Innervation
Adductors Obturator Nerve and Sciatic Nerve
Muscles acting on the hip joint → flexors
Psoas major
Iliacus
Rectus femoris
Sartorius
Muscles acting on the hip joint → Extensors:
Gluteus maximus
Hamstrings
Abductors and medial rotators: acting on the hip joint
Gluteus Medius
Gluteus Minimus
Tensor fascia lata
Adductors → of the hip
Pectineus
Adductors longus
Brevis
Magnus
Groin Strain →
Adductors
Posterior hip dislocation sign
in posterior dislocation the lower limb will appear shortened and internally rotated.
- The hip Joint is a very stable joint; if dislocation occurs, it is often with association
fracture of acetabulum
- Injections into the buttock should be given in the outer quadrant because
Sciatic Nerve
Femoral Triangle Borders
Lateral → Sartorius muscle
Medially → Adductor longus muscle
Femoral Triangle Contents
Femoral Vein
Femoral Artery
Femoral Nerve
Knee Joint → type of joint
Synovial
Knee Joint → stabilized by
Anterior and posterior cruciate ligament
Medial and lateral collateral ligaments
Ligaments of the Knee →
- Anterior and Posterior cruciate ligaments
- Medial (tibial) and lateral (fibular) collateral ligaments
- Quadriceps tendon and patellar ligament
Extensors of the knee
Rectus Femoris
Vastus medialis
Vastus Intermedius
Vastus Lateralis
Flexors of the knee
Hamstrings
Semimembranous
Semitendinosus
Biceps Femoris
Hamstrings
Actions
Innervation
Flexes and medially rotates knee at hip
Tibial portion of Sciatic Nerve
Semimembranous
Actions
Innervation
Flexes and medially rotates knee at hip
Tibial portion of Sciatic Nerve
Semitendinosus
Actions
Innervation
Flexes and medially rotates knee at hip
Tibial portion of Sciatic Nerve
Biceps Femoris
Actions
Innervation
Flexes and medially rotates knee at hip
Tibial portion of Sciatic Nerve
Rectus Femoris
Actions
Innervation
Extension of leg at knee Femoral Nerve
Vastus medialis
Actions
Innervation
Extension of leg at knee Femoral Nerve
Vastus Intermedius
Actions
Innervation
Extension of leg at knee Femoral Nerve
Vastus Lateralis
Actions
Innervation
Extension of leg at knee Femoral Nerve
bursitis
- There are many bursae (fluid-filled spaces) around the knee (suprapatellar, infrapatellar, prepatellar); the prepatellar bursa is most commonly affected by inflammation
Genu Varum
Bow legs
Genu valgam
Knock-Kneed
Popliteal fossa →
Superomedial
Semimembranous (and semiteninoud)
Popliteal fossa →
Superolateral
Biceps Femoris
Popliteal fossa →
Inferior
Gastronemius
Popliteal fossa →
Contents
Tibial Nerve Popliteal vein Popliteal Artery Small Saphenous vein Common fibular nerve
Identify and describe the tibiofibular joints Superior
Synovial joint
Identify and describe the tibiofibular joints Inferior
Fibrous
Compartment syndrome
The compartments of the leg are enclosed in Fascia where increased pressure (e.g. following tibial fracture) may cause vascular compromise
Osgood-Schlatter disease
Children in their growth spurts may experience pain in the tibial tuberosity, where the patellar ligament attaches: growth plate strain =
Shin Splints
is exercise-inducedd pain, which may be caused by periostitis around muscle origin
Ankle → Type of Joint
Synovial (between tibia and talus)
Ankle –> stabilised
Bony Morphology
Medially →deltoid ligament
Laterally → lateral ligaments
Muscles acting on the ankle Joint
Plantarflexion:
Gastronemius
Soleus
Long Flexors
Peroneal muscles
Muscles acting on the ankle Joint
Dorsiflexion:
Tibilas anterior
Long toe extensors
Peroneus tertius
Gastronemius
Action
Innervation
Plantarflexion
Tibial Nerve
Soleus
Action
Innervation
Plantarflexion
Tibial Nerve
Long Flexors
Action
Innervation
Plantarflexion
Tibial Nerve
Peroneal muscles
Action
Innervation
Plantarflexion
Superficial peroneal nerve
Tibilas anterior
Action
Innervation
Dorsiflexion
Deep peroneal Nerve
Long toe extensors
Action
Innervation
Dorsiflexion
Deep peroneal Nerve
Peroneus tertius
Action
Innervation
Dorsiflexion
Deep peroneal Nerve
Subtalar and transerverse tarsal Joints → movement
Inversion and eversion
- Forceful inversion and eversion may tear
the collateral ligaments of the ankle (ankle sprains) especially on lateral side; the malleoli may also be fractured in these types of injury
- Fractures of neck of talus may interrupt
blood supply to post. Part of bone causing avascular necrosis
- Achilles tendon rupture tends to occur at
maximum stretch (knee extended, ankle dorsiflexed)
- Calcaneal apophysitis (Sever’s disease) affects the
region of insertion of the Achilles tendon in young adolescents during their growth spurts.