Bones of the Lower Limb Anatomy

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Questions and Answers

Which of the following structures is NOT associated with the obturator foramen?

  • Obturator membrane
  • Obturator crest
  • Obturator canal
  • Pubofemoral ligament (correct)

The pelvic inlet, also known as the pelvic brim, is NOT formed by the:

  • Arcuate line of the ilium
  • Pubic pecten
  • Upper margin of the pubic symphysis
  • Ischial tuberosity (correct)

Which structure serves as an attachment point for abdominal muscles?

  • Obturator canal
  • Iliac crest (correct)
  • Pubic tubercle
  • Symphysial surface of the pubis

Which statement best describes a key difference between the male and female pelvis?

<p>The male pelvis is narrower and designed to support a heavier body build (D)</p> Signup and view all the answers

The obturator canal serves as a passageway for which of the following?

<p>Obturator artery, obturator vein and obturator nerve. (C)</p> Signup and view all the answers

What type of tissue primarily constitutes the epiphyseal plate?

<p>Hyaline cartilage (A)</p> Signup and view all the answers

In a growing long bone, where is the epiphyseal plate located?

<p>Metaphysis (D)</p> Signup and view all the answers

What is the process by which the epiphyseal plate transforms into bone?

<p>Ossification (A)</p> Signup and view all the answers

Which of the following bony structures of the foot is located most proximally to the groove for the tendon of the peroneus (fibularis) longus?

<p>Tuberosity of the cuboid bone (B)</p> Signup and view all the answers

Compared to the calcaneus, which of these bones is the closest to the epiphyseal plate shown in the radiograph of the foot?

<p>Cuboid (D)</p> Signup and view all the answers

Which of these articulations is NOT a part of the distal aspects of the cuboid bone?

<p>Joint surface for the talus (C)</p> Signup and view all the answers

What is the primary function of the epiphyseal plate?

<p>To enable longitudinal bone growth (D)</p> Signup and view all the answers

Which of the following structures is commonly palpable on the lateral aspect of the foot?

<p>Tuberosity of the fifth metatarsal bone (D)</p> Signup and view all the answers

What is the term used to describe the inferiorly directed articular surface at the distal end of the tibia?

<p>Tibial plafond (C)</p> Signup and view all the answers

In a radiograph of an ankle with an unstable fracture, what is the likely observation on the medial side?

<p>Rupture of the collateral ligament (C)</p> Signup and view all the answers

Which of the following is NOT a primary function of the lower limb?

<p>Fine motor manipulation (B)</p> Signup and view all the answers

Which bone directly connects the trunk and lower limb?

<p>Hip bone (os coxae) (C)</p> Signup and view all the answers

The patella is located on the __________ surface of the knee.

<p>Anterior (D)</p> Signup and view all the answers

Which of the following describes the correct order of bones from the ankle to the toes?

<p>Tarsals, metatarsals, phalanges (A)</p> Signup and view all the answers

The ilium, ischium, and pubis fuse together to form which bone?

<p>Hip bone (os coxae) (A)</p> Signup and view all the answers

During which period do the bones of the hip fuse completely?

<p>Between 20th and 25th year of age (D)</p> Signup and view all the answers

What is the term used to describe the bones of the leg?

<p>Crus (D)</p> Signup and view all the answers

What is the main role of the pelvic girdle?

<p>To form the bony connection between the trunk and lower limbs. (C)</p> Signup and view all the answers

Which of the following structures is NOT part of the articulation with the talus?

<p>Fibular notch of the tibia (D)</p> Signup and view all the answers

What is the primary function of the fibula's lateral malleolus?

<p>Articulation with the talus (D)</p> Signup and view all the answers

Which structure on the posterior surface of the tibia provides a groove?

<p>Malleolar groove (C)</p> Signup and view all the answers

What type of joint is formed at the distal ends of the tibia and fibula?

<p>Syndesmosis (A)</p> Signup and view all the answers

What is the name of the depression located on the lateral aspect of the tibia?

<p>Fibular notch (A)</p> Signup and view all the answers

Which of the following statements is true regarding the fibula?

<p>It does not articulate directly at the knee joint (D)</p> Signup and view all the answers

Which structure of the tibia articulates directly with the talus?

<p>Medial malleolus (C)</p> Signup and view all the answers

What anatomical feature is located on the inner surface of the fibula's lateral malleolus?

<p>Malleolar fossa (C)</p> Signup and view all the answers

The highest point of the iliac crest is typically located opposite which vertebral level?

<p>L4 (A)</p> Signup and view all the answers

Which of the following best describes a typical symptom of a femoral shaft fracture?

<p>Severe pain and an inability to bear weight on the injured leg (B)</p> Signup and view all the answers

What is the primary function of the fibula?

<p>To act as an attachment site for muscles and provide ankle joint stability (C)</p> Signup and view all the answers

Which anatomical structure is located on the anterior surface of the patella?

<p>Rough surface (D)</p> Signup and view all the answers

The superior articular surface of the tibia articulates with which of the following?

<p>The condyles of the femur (A)</p> Signup and view all the answers

The tibial tuberosity serves as the point of attachment for which structure via the patellar ligament?

<p>Quadriceps femoris muscle (B)</p> Signup and view all the answers

Which of the following is NOT a border of the tibial shaft?

<p>Posterior border (A)</p> Signup and view all the answers

The intercondylar eminence is further divided into what?

<p>A medial and lateral intercondylar tubercle (D)</p> Signup and view all the answers

Where is the facet for the fibular head located on the tibia?

<p>Posterolaterally on the inferior aspect of the lateral condyle (C)</p> Signup and view all the answers

What is the significance of the soleal line on the tibia?

<p>Origin site for the soleus muscle (D)</p> Signup and view all the answers

Flashcards

Lower limb function

The lower limb is a crucial part of the body responsible for supporting weight, enabling movement, and maintaining balance.

Hip bone (os coxae)

The hip bone, also known as the os coxae, connects the trunk to the lower limb and forms the pelvic girdle.

Femur (thigh bone)

The femur is the longest and strongest bone in the human body, located in the thigh.

Patella (kneecap)

The patella, also known as the kneecap, is a small, flat bone that protects the front of the knee joint.

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Tibia and fibula (shin and calf bones)

The tibia and fibula are the two bones making up the leg below the knee. The tibia is larger and stronger, while the fibula is thinner.

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Foot bones

The tarsus is a group of seven bones that connect the ankle to the foot. The metatarsus consists of five long bones that form the arch of the foot. The phalanges are the toe bones.

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Hip bone formation

Hip bone is formed by the fusion of three bones: the ilium, ischium, and pubis. These bones fuse during puberty, but their names are still used in adults.

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Biped vs quadruped bone arrangement

The arrangement of lower limb bones in bipeds is different from that of quadrupeds due to the upright posture.

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Mid-Inguinal Point

A point on the anterior superior iliac spine (ASIS) located halfway between the ASIS and the pubic tubercle.

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Anterior Superior Iliac Spine (ASIS)

The prominent bony projection on the superior part of the ilium.

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Obturator Foramen

The opening in the hipbone formed by the ischium and pubis bones.

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Obturator Crest

The sharp, prominent edge on the superior ramus of the pubis bone.

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Pubic Symphysis

The joint between the two pubic bones.

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What is the location of the iliac crest?

The highest point of the iliac crest, located opposite the body of the fourth lumbar vertebra (L4).

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Where is the posterior superior iliac spine located?

The posterior superior iliac spine is found at the level of the second sacral vertebra (S2).

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What is a femoral shaft fracture?

A break in the femur bone, often caused by a car accident or a fall.

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How are femoral shaft fractures treated?

An intramedullary nail is inserted into the hollow of the femur to stabilize the fracture, while a metal plate is attached to the outer surface of the bone, using screws.

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What is the patella?

The largest sesamoid bone in the human body, located within the tendon of the quadriceps femoris muscle, responsible for extending the knee.

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Describe the anatomy of the patella.

The patella has a pointed apex, a wide base, a rough anterior surface, and an articular surface divided into two facets.

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What is the role of the tibia in the leg?

The tibia articulates with the condyles of the femur at the knee and with the talus at the ankle. It's the main weight-bearing bone in the lower leg.

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What is the function of the fibula in the leg?

The fibula is a long, thin bone that mainly serves as an attachment point for muscles and plays a crucial role in stabilizing the ankle joint.

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How are the tibia and fibula connected?

The interosseous membrane connects the shafts of the tibia and fibula, allowing them to work together as a unit.

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What is the tibial tuberosity?

The tibial tuberosity is a prominent bump on the anterior aspect of the tibia where the quadriceps femoris muscle attaches via the patellar ligament.

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Tuberosity of the cuboid

A bony prominence on the inferior surface of the cuboid bone, located proximal to the groove for the peroneus longus tendon.

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Tuberosity of the fifth metatarsal

A palpable bony structure on the lateral side of the foot, located at the base of the fifth metatarsal bone.

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Tuberosity of the navicular

A prominent bony prominence on the medial side of the foot, located on the navicular bone.

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Tibial plafond

The tibial plafond is a bony prominence on the distal end of the tibia, forming the 'ceiling' of the ankle joint.

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Anteroposterior radiograph of the ankle

A radiographic image of the ankle joint taken from the front, showing the talus, tibia, fibula, and surrounding structures.

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Epiphyseal Plates

Epiphyseal plates are areas of hyaline cartilage located in the metaphysis of long bones. These plates are crucial for longitudinal bone growth and are present in children and adolescents until they fuse with the main bone through ossification.

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Epiphyseal Plate (physis)

The epiphyseal plate is a hyaline cartilage structure located near the end of a long bone. It is responsible for bone growth in length. The epiphyseal plate eventually fuses with the main bone during adolescence, marking the completion of linear growth.

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Ossification of the Epiphyseal Plate

The process of bone growth in length, where the epiphyseal plate (physis) gradually ossifies and fuses with the main bone. Once the epiphyseal plate is fully ossified, growth in length stops.

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Hyaline Cartilage

A type of cartilage that is found in the epiphyseal plates and other structures like the nose and ribs. It is a smooth, translucent cartilage that provides a supportive and flexible structure.

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Metaphysis

The end of a long bone, where the epiphyseal plate is located. It is also known as the 'metaphysis'.

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What is the medial malleolus?

The bony prominence on the medial side of the ankle, articulating with the talus.

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What is the malleolar groove?

A groove on the posterior surface of the tibia, providing a pathway for tendons and vessels.

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What is the inferior articular surface of the tibia?

The lower surface of the tibia that articulates with the talus bone of the foot, forming part of the ankle joint.

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What is the fibular notch?

A wide depression on the lateral side of the tibia that forms a fibrous joint with the fibula.

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What is a syndesmosis?

A strong ligamentous connection between the distal ends of the tibia and fibula, contributing to ankle stability.

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What is the lateral malleolus?

The bony projection on the lateral side of the ankle, articulating with the talus.

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What is the malleolar fossa?

A small depression on the inner surface of the lateral malleolus, providing attachment for ankle ligaments.

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What is the fibula?

The slender bone located on the lateral side of the leg, which doesn't contribute to weight transmission but provides muscle attachments.

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Study Notes

Bones of the Lower Limb

  • The lower limb (extremity) is specialized for supporting body weight, locomotion (moving from one place to another), and maintaining balance.

  • Bones of the lower limb include those of the hip bone (os coxae), forming the pelvic girdle, which also comprises the skeleton of the trunk.

  • The hip bone is formed by the fusion of three primary bones: ilium, ischium, and pubis. This fusion occurs between ages 20 and 25.

  • Bones of the free lower limb include the femur (thigh bone), patella (knee cap), tibia (shin bone), and fibula (calf bone).

  • The foot includes the tarsus (connecting the ankle and foot), metatarsus, and phalanges (toe bones).

  • The acetabulum is a cup-like cavity on the hip bone's lateral aspect, articulating with the femur's head.

  • The acetabular notch is crossed by a transverse acetabular ligament, contributing to joint stability and forming a part of the load-bearing surface for the femoral head.

  • The obturator foramen is a bony opening bordered by the ischium and pubis. An obturator membrane closes this opening near the superior part of the foramen and provides surface area for muscle attachment.

  • The iliac crest, a superior border of the ala, the hip bone's wing-like portion, serves as a point of attachment for ligaments. The anterior surface of the ilium, called iliac fossa, forms a depression. The gluteal surface, ilium's posterior external surface, directs toward the gluteal region. The sacropelvic surface, which faces the sacrum, has an auricular surface (ear-shaped articular area for sacrum), and an iliac tuberosity (rougher area superior to the auricular surface).

  • The ilium has four iliac spines (anterior superior iliac spine, anterior inferior iliac spine, posterior superior iliac spine, and posterior inferior iliac spine) for ligament and tendon attachments.

  • The ischium forms the lower and posterior part of the hip bone. It includes a body(corpus), a ramus, and the ischial spine and tuberosity (tuber).

  • The pubis forms the anterior portion of the hip bone. It includes a body, superior ramus, inferior ramus, pubic tubercle, and pubic crest.

  • The obturator foramen is enclosed by the superior ramus and inferior ramus of the pubis and the inferior ramus of the ischium.

  • Bones within the lower leg include the tibia and fibula. The tibia is positioned in the anteromedial region of the leg, while the fibula lies laterally. The shafts of the tibia and fibula are joined by the interosseous membrane.

  • The talus articulates with the tibia and fibula of the ankle (superior surface), the calcaneus and navicular (inferior surface), and the cuneiforms. The calcaneus is the largest tarsal bone, which supports the talus and forms the heel. It possesses sustentaculum tali for talus support. There is a calcaneal sulcus on the inferior surface of the talus.

  • The parts of the foot including cuneiform bones, cuboid, metatarsals, and phalanges.

  • The metatarsals have a tuberosity on the first and fifth.

  • The bones are firmly connected in the syndesmosis.

Additional Information

  • Terminology like "AP radiograph", "lateral radiograph," "mortise," and "growth plates" are mentioned in the context of imaging analysis and anatomical features.
  • Descriptions of fractures and their classifications (e.g., Garden classification) in relation to surgical treatments (e.g., osteosynthesis) are noted.

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