Osteology Of Lower Limbs Flashcards
Avulsion fracture of the greater trochanter can occur as a result of?
Forceful contraction of the gluteus medius
Greater trochanter is the most medial of the two trochanters? T/F
F
Lateral palpable projection
What notable structures are on the greater trochanter?
Site of attachment for the gluteus medius, gluteus minimus, piriformis.
Vastus lateralis originates from it too.
Intertrochanteric line is a ridge of bone connecting the two trochanters anteriorly? T/F
T
The intertrochanteric line runs superiolaterally on the anterior surface of the femur? T/F
F.
Runs inferiomedially on the anterior surface of the femur.
What forms the pectineal line?
The intertrochanteric line passing the lesser trochanter on the posterior surface
At what point does the intertrochanteric line become pectineal line?
After it passed the lesser trochanter on the posterior surface
What is the strongest ligament of the hip joint?
Iliofemoral ligament
Site if attachment for the iliofemoral ligament?
Intertrochanteric line
What notable structures are on the lesser trochanter?
- The iliopsoas muscles (iliacus + psoas major muscles) attach to the lesser trochanter.
What notable structures are on the intertrochanteric line?
- Site of attachment of the iliofemoral ligament
- Anterior attachment of the hip joint capsule
What is the intertrochanteric crest?
It is a ridge of bone connecting the two trochanters. It is on the posterior surface of the femur.
What is the quadrate tubercle
A tubercle on the superior half of the intertrochanteric crest where the quadratus femoris attaches.
What notable structures are on the intertrochanteric crest?
- Superior half has a tubercle called quadrate tubercle for the attachment of quadratus femoris.
- Obturator externus muscle attaches to intertrochanteric crest (I think)
Shaft of the femur descends in a slight lateral direction? T/F
F.
Slight medial direction
What type of cartilage covers the head of femur?
Hyaline cartilage and only in the living
What type of joints are in the hip bone?
- Synovial ball and socket joint between the acetabulum and the head of femur (hip joint)
- Plane synovial joint between the auricular surface of the ilium and the sacrum (sacroiliac joint)
- 2ry cartilagenous joint between the symphyseal surface of pubis and its fellow of the opposite side (symphysis pubis)
Blood supply of femur
- From a small artery in the ligamentum teres
- From the blood vessels in the capsule of the hip joint (retinucular vessels) which reflect to the neck (main supply)
- From ascending branch of the nutrient artery in the shaft
The shaft of the femur is convex anteriorly? T/F
T
Posteriorly, the two condyles of the femur fuse together to form an articular surface? T/F?
F.
Posteriorly, the two condyles are separated by intercondylar notch which is also separated from the popliteal surface by intercondylar line.
The patella surface is formed by the fusion of the two condyles of the femur anteriorly? T/F
T
How can you tell the difference between the medial epicondyle of the femur and the abductor tubercle?
The abductor tubercle continues with the medial supracondylar line above it. The medial epicondyle of the femur is a projection on the medial surface of the medial condyle below the abductor tubercle.
Which of the condyles of the femur is the largest?
The medial condyle
Which of the condyles of the femur is mainly concerned with body weight transmission?
The lateral condyle
Which of the condyles of the femur projects more forward?
The lateral condyle
What is the main function of the ligamentum teres?
To carry blood supply to the head of the femur
How many muscles insert on the greater trochanter?
5
What muscles insert on the greater trochanter?
- Piriformis inserts on the upper boarder anteriorly
- Gluteus minimus inserts on the anterior surface of the greater trochanter
- Obturator internus (and superior and inferior gemellus muscles) insert into its medial surface
- Gluteus medius inserts on the ridge of its lateral-posterior surface
- Obturator externus inserts into the trochanteric fossa