Bones of the Lower Limb Quiz

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Questions and Answers

What is the largest sesamoid bone in the human body?

  • Patella (correct)
  • Calcaneus
  • Tibia
  • Fibula

Where is the largest sesamoid bone situated?

  • In the calf muscle
  • Within the Achilles tendon
  • Inside the Quadriceps tendon (correct)
  • At the wrist joint

What distinguishes the anterior surface of the largest sesamoid bone?

  • Flat and thin
  • Smooth and covered with cartilage
  • Rough and subcutaneous (correct)
  • Thick and padded

Which joint is associated with the largest sesamoid bone?

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

Which of the following statements about the largest sesamoid bone is true?

<p>It enhances the mechanical advantage of the quadriceps muscle. (A)</p> Signup and view all the answers

What characteristic is associated with the anterior border?

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

Which border is mentioned as medial?

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

Which feature is NOT associated with the borders mentioned?

<p>Flexibility of the borders (B)</p> Signup and view all the answers

What type of border is described as 'sharp'?

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

Which border is indicated as having an interosseous aspect?

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

Which bones are included in the structure of the foot?

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

What joint is formed by the articulation of the femur and acetabulum?

<p>Hip joint (B)</p> Signup and view all the answers

Which of the following correctly describes the femur's location?

<p>It is located in the leg and articulates with the hip bone. (A)</p> Signup and view all the answers

What is the function of the bones in the foot?

<p>To support weight and provide balance (D)</p> Signup and view all the answers

Which of the following is NOT a type of bone found in the foot?

<p>Clavicles (B)</p> Signup and view all the answers

What is the general direction of the head of the quadriceps femoris muscles?

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

Which of the following accurately describes the shaft of the quadriceps femoris muscles?

<p>Smooth and Convex Anteriorly (D)</p> Signup and view all the answers

Which statement is true about the quadriceps femoris muscle's attachment?

<p>It gives attachment to the femoris part. (D)</p> Signup and view all the answers

What is a characteristic feature of the quadriceps femoris muscle shaft?

<p>Its anterior surface is convex. (B)</p> Signup and view all the answers

Which option describes the anatomical orientation of the quadriceps femoris' head?

<p>Directed upward and medially (D)</p> Signup and view all the answers

What is the orientation of the medial malleolus?

<p>Directed downward and medially (B)</p> Signup and view all the answers

Which statement correctly describes the relationship between the upper and lower ends?

<p>Upper end is larger than lower end (C)</p> Signup and view all the answers

What anatomical feature is specifically directed downward?

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

In anatomical terms, what does 'medially' refer to?

<p>Towards the midline of the body (C)</p> Signup and view all the answers

Which of the following correctly characterizes the orientation of both malleoli?

<p>One is directed downward and the other is directed medially (B)</p> Signup and view all the answers

What structure at the upper end of the bone articulates with the lateral condyle of the tibia?

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

Which part is NOT located at the upper end of the bone?

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

Which structure helps to provide stability in the joint formed with the lateral condyle of the tibia?

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

What is the role of the neck in relation to the head and lateral condyle of the tibia?

<p>It connects the head to the body of the bone. (C)</p> Signup and view all the answers

Which of the following is primarily associated with the articulation to the lateral condyle of the tibia?

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

Flashcards

Tarsals

The seven bones that make up the ankle and back part of the foot.

Metatarsals

The five long bones that form the middle part of the foot, connecting the tarsals to the toes.

Phalanges

The fourteen bones that make up the toes. Each toe has three phalanges except the big toe, which has two.

Femur

The largest and strongest bone in the human body, located in the thigh.

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Acetabulum

The socket in the hip bone where the femur articulates, forming the hip joint.

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What is the largest sesamoid bone?

The largest sesamoid bone in the human body is the patella, also known as the kneecap.

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Where is the patella located?

The patella is located within the quadriceps tendon, which is the large tendon that connects the quadriceps muscles to the shin bone (tibia).

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What is the function of the patella?

The patella acts as a lever arm, increasing the leverage of the quadriceps muscle during knee extension. This allows for stronger and more efficient knee straightening.

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Describe the anterior surface of the patella.

The anterior surface of the patella is rough and subcutaneous. This means it's the surface that faces forward and is covered by skin, making it easily palpable.

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What is the significance of the patella being subcutaneous?

Being subcutaneous means the anterior surface of the patella is easily accessible for examination and palpation, which is important for diagnosing potential injuries or abnormalities in the knee joint.

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Quadriceps Femoris Attachments

The Quadriceps Femoris muscle group attaches to the patella (kneecap) via the patellar tendon, and then to the tibial tuberosity on the shinbone.

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Quadriceps Femoris Muscle Group

The Quadriceps Femoris is composed of four individual muscles: Rectus Femoris, Vastus Lateralis, Vastus Medialis, and Vastus Intermedius.

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Rectus Femoris Head Direction

The Rectus Femoris muscle has a head that points upward and medially (toward the middle of the body).

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Shaft of the Rectus Femoris

The shaft of the Rectus Femoris muscle is smooth and convex (rounded outward) in the front.

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Quadriceps Femoris Function

The Quadriceps Femoris muscle group is responsible for extending the knee joint, and it also plays a role in hip flexion.

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Anterior Border of Ulna

The front edge of the ulna, characterized by its sharp, subcutaneous nature.

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Medial Border of Ulna

Inner side of the ulna bone, running alongside the radius.

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Lateral Border of Ulna

Outer side of the ulna bone, closest to the radius.

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Interosseous Border of Ulna

This border runs along the length of the ulna, forming a sharp edge for attachment of the interosseous membrane.

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Subcutaneous

Located directly beneath the skin.

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What is the difference between the upper and lower end of the fibula?

The upper end of the fibula is larger than the lower end. This is significant for providing attachment points for muscles and ligaments and contributing to ankle stability.

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How is the medial malleolus oriented?

The medial malleolus, which is the bony prominence on the inner ankle, is directed downward and medially (towards the middle of the body).

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What is the significance of the medial malleolus's orientation?

The medial malleolus's downward and medial orientation helps to stabilize the ankle joint and prevent excessive inward movement or inversion of the foot.

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Where is the lateral malleolus located?

The lateral malleolus is the bony prominence on the outer ankle and it's located at the lower end of the fibula.

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What is the function of the lateral malleolus?

The lateral malleolus acts as an important bony landmark for the ankle joint and contributes to its stability by helping to prevent excessive outward movement or eversion of the foot.

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What does the head of the fibula articulate with?

The head of the fibula articulates with the lateral condyle of the tibia, forming part of the knee joint.

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What is the function of the fibula's styloid process?

The styloid process of the fibula serves as an attachment point for ligaments that help stabilize the ankle joint.

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Describe the location of the fibula's neck.

The neck of the fibula is located just below the head and above the shaft, connecting the two.

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What is the role of the fibula in weight-bearing?

The fibula itself doesn't bear much weight compared to the tibia. It mainly acts as a stabilizer for the ankle joint and provides attachment points for muscles.

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What is the relationship between the fibula and the tibia?

The fibula and tibia are the two bones of the lower leg, forming a strong and functional unit. They articulate at both ends and cooperate to support weight and allow movement.

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Study Notes

Bones of the Lower Limb

  • The lower limb comprises three regions: thigh, leg, and foot
  • Objectives for the lecture include classifying bones, memorising features, and identifying bone sides.

Bones of Thigh (Femur and Patella)

  • Femur:
    • Articulates with hip bone to form hip joint
    • Articulates below with tibia and patella to form knee joint
    • Consists of upper end, shaft, and lower end
  • Patella:
    • Largest sesamoid bone, located within the quadriceps tendon
    • Anterior surface is rough and subcutaneous
    • Posterior surface articulates with the femur condyles
    • Gives attachment to quadriceps femoris muscles

Upper End of Femur

  • Head:
    • Articulates with acetabulum to create hip joint
    • Fovea capitis (depression) for ligament attachment
    • Obturator artery supplies head of the femur
  • Neck:
    • Connects head to the shaft
  • Greater & Lesser Trochanters:
    • Anteriorly connect via intertrochanteric line
    • Posteriorly connected by the intertrochanteric crest, containing the quadrate tubercle

Shaft of Femur

  • Surface:
    • Three surfaces
  • Borders:
    • Three borders
    • Rounded medial and lateral borders
    • Thick posterior border (linea aspera)

Lower End of Femur

  • Condyles:
    • Lateral and medial
    • Separated by intercondylar notch
    • Take part in the knee joint
    • Epicondyles (medial and lateral) above condyles

Patella

  • Largest sesamoid bone within the quadriceps tendon, in front of the knee joint
  • Anterior surface is rough and subcutaneous
  • Posterior surface articulates with the femur condyles to form the knee joint

Position of Femur

  • Head of the femur is directed upward and medially
  • Shaft of the femur is smooth and convex anteriorly but rough and concave posteriorly

Bones of the Leg (Tibia and Fibula)

  • Tibia:
    • Medial bone of the leg
    • Has upper, lower ends, and a shaft
  • Fibula:
    • Lateral bone of the leg
    • Has upper, lower ends, and a shaft

Tibia

  • Upper end:
    • Larger than the lower end
    • Medial malleolus directed downward and medially
    • Shaft with a sharp anterior border
  • Lower end:
    • Articulates with talus to form ankle joint
    • Medial malleolus's medial surface is subcutaneous
    • Fibular notch on the lateral surface forming the distal tibiofibular joint

Fibula

  • Slender lateral bone of the leg
  • Does not participate in knee joint articulation
  • Upper end has head articulating with the tibia's lateral condyle including the styloid process and neck
  • Shaft has three borders, medial interosseous border attaching to interosseous membrane
  • Lower end has lateral malleolus, which is subcutaneous
  • Medial surface is smooth for articulation with the talus to form the ankle joint

Bones of the Foot

  • Tarsal Bones (7):
    • Calcaneum (largest heel bone)
    • Talus (articulates with tibia and fibula)
    • Navicular
    • Cuboid
    • Three cuneiform bones
  • Metatarsal Bones (5):
    • Numbered from medial (big toe) to lateral
    • First one (medial) is large
    • Each has a base, shaft, and head
  • Phalanges (14):
    • Two for big toe (proximal and distal)
    • Three for the other four toes (proximal, middle, and distal)
    • Each has a base, shaft, and head

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