The lower limb Flashcards
What is the sacral promontory?
Where L5 meets S1
Where does the head of the femur go into?
Acetabulum
Why is extension of the leg limited?
Because of the ligaments and their fibers direction
What happens to the ischiofemoral ligament during flexion?
They are completely relaxed
What can be used to distinguish left and right femur?
The head as it looks medial
What is the area on the back of the knees called?
The popliteal region
Are the condyles at the end of the femur large or small?
Large
Why are the condyles of the femur more developed/rounded on the posterior side?
Flexion of the knee is much more extended than extension so there is need for more surface of the condyle of the posterior
What can vary a lot from person to person in the femur?
The angle of the head
What is the normal range for the angle of the head of the femur?
135-120c
What is it called when a person has a larger angle of the femur head?
Coax valga
What is it called when a person has a smaller angle of the femur head?
Coxa vara
Latin name for hip
Coxa
What effect does the angle of the head of the femur have?
Postural alignment of the femur with the tibia at the level of the knee
What consequences does the angle of the femur head being out of the norm have?
Walking
Alignment
Cartilage (inflammation and uneven usage)
Chronic inflammation of the joint
2 internal muscles of the hip
Ileo-psoas
Psoas minor
How many layers of external muscles of the hip?
3 (superficial, intermediate and deep)
Which is the main extensor of the hip?
Gluteus maximus
Which muscles in the superficial layer of the hip?
Tensor fasciae latae
Gleutus maximus
Which muscle makes up the intermediate muscle layer of the hip?
Gluten medius
Which muscle layers provides the stability and rotation of the hip?
The deep and intermedial layer
How are most of our movement driven?
Automatically
What kind of muscles are the muscles of the hip?
Voluntary, striated, skeletory muscles
3 groups of muscles of the thighs
Anterior
Posterior
Medial
What do the anterior muscles of the thigh do to the hip and knee?
Extensor of the knee
Flexor of the hip
What do the posterior muscles of the thigh do to the hip and knee?
Extensor of the hip
Flexor of the knee
Origin and insertion of the different heads of the quadricep
The origin is different but the insertion is the same in one tendon which attached to the tibia below the patella (which it makes an envelope around)
Where In the legs are the adductors located?
In the thigh
What is the hole created by the adductor tendons above the knee called?
Adductor hiatus
Where does the femoral artery enter in the thigh?
The adductor canal
Where does the femoral artery for from being superficial anterior to posterior?
After passing through the adductor canal
What is the femoral artery called after it goes through the adductor canal
Popletral artery
Which muscle of the lower limb is the equivalent to the deltoid in the shoulder?
Gluteus maximus
What are the gluteus medius and minimus?
Abductors
Which does the lateral stabilisation of the leg?
Ilotibial tract
Most powerful extensor of the knee?
Quadricep
What is the hamstring?
Collective name for the posterior leg muscles
Does the fibula participate in the knee?
No
What makes up the knee?
Femurtibial joint and the patella
What is the lateral malleolus?
Are there knee ligaments that attach to the fibula?
Yes
What is the patella ligament?
Ligament of quadriceps
Where are the cruciate ligament found?
Inside the knee joint
What is the crossing of the cruciate ligaments?
Atero-posterior (saggital)
Which is the anterior cruciate ligament?
The one that attaches anteriorly on the tibia
Which surface is longest in the knee joint?
The femoral articular surface
What keeps the tibia steady and in place?
The cruciate ligaments
Where are the menisi thinner?
Medially
3 types of bones in the foot
Antetarsus (phalanges)
Metatarsus (metatarsal bones
Tarsus (tarsal bones)
3 sections of the foot
Forefoot
Midfoot
Hindfoot
Which is the most powerful tendon?
Archilles tendon
Where does the Achilles tendon attach?
Posterior part of the calcaneus
4 parts of the lower limg
Hip
Thigh
Leg
Foot
What makes up the skeleton of the thigh?
The femur
What makes up the skeleton of the legs?
Tibia
Fibula
Patella
3 groups of bones in the foot?
Tarsus
Metatarsus
Phalanges
3 primordial of the hip bone
Ilium
Ischium
Pubis
Name of the cavity that receives the femur and welding point of the 3 bones of the hip
Acetabulum
What is the acetabulum notch the fusion point of?
The pubis and ischium
Name of the large foramen below the acetabulum
Oburator foramen
Shape of oburator foramen in males and females
Males: oval
Females: triangular
What fills out most of the oburator?
The oburator membrane
What passes through the oburator canal?
The oburator neurovascular bundle
Largest part of the hipbones?
Ilium
What are the 4 parts if the iliac crest?
The inner lip
Intermediate zone
Outer lip
Tuberculum of iliac crest
What part of the hip can easily be felt from the outside?
Anterior superior iliac spine
Different name for wing of the ilium
Ala
Different name for hipbone
Coxal bone
How many lines on the gluteal surface and their names?
Anterior gluteal line
Inferior gluteal line
Posterior gluteal line
Name of the internal surface of the iliac
Iliac fossa
Which is the inferior posterior part of the hip bone?
The ischium
2 parts of the ischium
Body
Ramus
Which parts of the hip bone make up the oburator foramen?
Ischium
Pubis
What forms the deep notch (greater sciatic notch) of the hip bone?
Ischium (above the ischial spine)
Ilium (body)
Where is the lesser sciatic notch found?
Below the ischial spine
What transforms the greater and lesser sciatic notches into foramen?
Sacrospinous and sacrotuberous ligaments
What represents the ventral portion of the hip bone?
The pubis
What does the spermatic cord cross superiorly?
The pubic tubercle
What makes up the pelvis?
Hipbone
Pubic symphysis
Sacrum
Coccyx
Which is the true pelvis?
The lesser pelvis
2 parts of pelvis
Greater pelvis
Lesser pelvis
In which part of the pelvis is the iliac fossa?
The greater pelvis
What are the borders of the lesser pelvis?
Superiorly: the pelvic inlet
Inferiorly: the pelvic outlet
What is the name of the big hole of the pelvis when seen from above?
The pelvic inlet
What is the name of the big hole of the pelvis when seen from below?
The pelvic outlet
What is pelvimetry?
The measurement of the size and capacity of the pelvis
Which is the most voluminous long bone in the body?
Femur
What are the 3 surfaces of the femur called?
Anterior
Posterolateral
Posteromedial
Which border of the femur is rough?
The posterior
Name of the posterior border of the femur
Aspera
What 4 things does the proximal end of the femur consist of?
Head
Neck
Lesser trochanter
Greater trochanter
Name of the two condyles on the distal end of the femur
Lateral
Medial
Name of the fossa on the distal end of the femur
Intercondylar fossa
Which is the largest sesamoid bone?
The patella
Which surface of the patella is convex?
The anterior
Which way does the base of the patella face?
Upward
Which is bigger, the tibia or the fibula?
The tibia
Which bone of the leg is located medially?
The Tibia
Which part of the shaft of the tibia is more voluminous?
The top
Which extremity of the tibia is the smaller one?
The distal
Does the fibula participate directly in supporting the weight of the body?
No
Where does the tendon for the gluteal Maximus attach?
Gluteal tuberosity
How many muscles attach to the line aspera of the femur?
4
Which is the bone that transmits the body weight onto the foot?
The talus
What kind of bone is the talus?
Short bone
What does the sacroiliac joint connect?
The two hip bones with the sacrum
What is the head of the femur covered by?
Hayline cartilage
Does the entire cavity of the acetabulum articulate with the head of the femur?
No
What kind of movement does the sacroiliac joint allow for?
Sliding movement
Is the hip joint stable?
Yes
Which movements are allowed by the hip joint?
Flexion
Extension
Abduction
Adduction
Rotation
Circumduction
Which is the largest and most complex joint in the body?
Knee
Name of the joint between the patellar surface of the femur and the articular surface of the patella
Patellofemoral joint
Name of the joint between the condyles of the femur and the superior articular surface of the tibia
Tibiofemoral joint
What kind of joint is the tibiofemoral joint?
Hinge or trochlea joint
What attaches the patella to the tibia?
The patellar ligament
Name of the two menisci
Lateral
Medial
What shape do the menisci have?
Semilunar
Which menisci is wider?
The medial
Which menisci moves the most?
The lateral
What joins the anterior ends of the 2 menisci?
Transverse ligament of the knee
Which 3 bones make up the knee joint?
Femur
Patella
Tibia
What tendon overlies the patella bone?
The quadriceps tendon
What does the patella ligament and quadriceps tendon attach to?
The tibial tuberosity
Where is the supra patella bursa found?
Above the patella
Where is the pre patella bursa found?
On top of the patella bone, below the tendons
Where are the deep and superficial infra patella bursa found?
Below the patella
Which ligament prevents the tibia from sliding out in front of the femur?
The ACL (anterior cruciate ligament)
Where does the ACL attach?
Back of the femur and front of tibia
Where does the PCL (posterior cruciate ligament) attach?
Femur to back of the tibia
What prevents the knee from hyper extending (the tibia going behind the femur)?
The PCL
Which direction does the ACL move (LAMP)?
Medially
Which way does the PCL move (LAMP)?
Laterally
4 functions of the meniscus
Shock absorber
Allows for congruency between joint surfaces
Enhances joint stability
Aids in distribution of synovial fluids
What movements does the knee joint allow for?
Flexion and extension
Internal and external rotation
What kind of joint is the proximal tibiofibular joint?
Plane joint
What is the distal tibiofibular joint typically considered?
A syndesmosis
What kind of joint is the angle joint?
Hinge joint
What are the 3 groups of bones in the foot?
Tarsals
Metatarsals
Phalanges
Which way does the head of the femur look?
Medial
Where on the femur does the tendon for glutes Maximus attach?
Gluteal tuberosity
Is the round surface of the femur more developed on the anterior or posterior part?
Posterior part
What part of the acetabulum is the weight when standing?
The roof
Where do most of the muscles of the hip originate and insert?
Originate: vertebral column and pelvis
Insert: femur
4 heads of quadriceps femoris
Rectus femoris (superior medial)
Vastus lateralis (inferior lateral)
Vastus medialis (inferior medial)
Vastus intermedius (deep)
Names of the 4 adductor muscles
Adductor longs
Adductor brevis
Adductor magnus
Adductor minimus
Where do all 3 glute muscle originate and insert?
Originate: back of the illium
Insert: femur
Which is the longest muscle in the body?
Satorius
Which part of the quadriceps does not originate on the femur?
The rectus femoris which originates from the anterior inferior iliac spine
Which is the most lateral hamstring muscle?
Biceps femrois