lower limb

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Questions and Answers

What is the primary action of the Fibularis Longus muscle?

  • Flexion of the toes
  • Inversion of the foot
  • Dorsiflexion of the foot
  • Plantarflexion and eversion of the foot (correct)

Which muscle attaches to the tuberosity on the 5th metatarsal?

  • Fibularis Brevis (correct)
  • Extensor Digitorum Longus
  • Tibialis Anterior
  • Fibularis Longus

Which nerve supplies the Fibularis Brevis muscle?

  • Femoral nerve
  • Superficial fibular nerve (correct)
  • Tibial nerve
  • Deep fibular nerve

What is the proximal attachment site of the Fibularis Longus muscle?

<p>Head of the fibula and lateral tibial condyle (A)</p> Signup and view all the answers

Which muscle is primarily responsible for dorsiflexion of the foot?

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

Which muscle is responsible for dorsiflexion and inversion of the foot?

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

What is the nerve supply for the Extensor Digitorum Longus?

<p>Deep fibular nerve (B)</p> Signup and view all the answers

Which of the following actions is NOT performed by the Extensor Hallucis Longus?

<p>Flexion of the big toe (B)</p> Signup and view all the answers

What is the blood supply to the Tibialis Anterior muscle?

<p>Anterior tibial artery (A)</p> Signup and view all the answers

Which muscle has a distal attachment at the base of the distal phalanx of the great toe?

<p>Extensor Hallucis Longus (B)</p> Signup and view all the answers

Which muscle is responsible for flexion, abduction, and lateral rotation at the hip joint?

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

Which artery supplies blood to the Vastus Lateralis muscle?

<p>Lateral circumflex femoral artery (B)</p> Signup and view all the answers

What is the proximal attachment of the Adductor Longus?

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

Which nerve supplies the Vastus Intermedius muscle?

<p>Femoral nerve (C)</p> Signup and view all the answers

Which action is performed by the Rectus Femoris?

<p>Extension of leg at knee (C)</p> Signup and view all the answers

What is the distal attachment of the Sartorius muscle?

<p>Medial surface of the tibia (B)</p> Signup and view all the answers

Which muscle acts as a strong adductor of the thigh?

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

Which of the following muscles has its origin at the anterior superior iliac spine?

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

Which muscle is located laterally, forming part of the femoral triangle?

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

What is the main action of the Vastus Medialis muscle?

<p>Extension of leg at knee (D)</p> Signup and view all the answers

What is the primary action of the gastrocnemius muscle?

<p>Plantarflexes at the ankle joint and flexes the knee (D)</p> Signup and view all the answers

Which nerve supplies the soleus muscle?

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

Where does the plantaris muscle primarily attach distally?

<p>Calcaneal tendon (C)</p> Signup and view all the answers

Which artery supplies the gastrocnemius muscle?

<p>Sural artery and posterior tibial artery (B)</p> Signup and view all the answers

What is the role of the popliteus muscle?

<p>Laterally rotates the femur on the tibia (A)</p> Signup and view all the answers

What is the correct distal attachment for the tibialis posterior muscle?

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

Which of the following muscles operates primarily to plantarflex the foot at the ankle joint?

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

What is the common feature in the blood supply for both the gastrocnemius and soleus muscles?

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

Which structure primarily provides support to the knee joint by absorbing shock and stabilizing the joint?

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

Which muscle originates from the tendons of the flexor digitorum longus?

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

What is the main function of the flexor hallucis brevis?

<p>Flexion of the metatarsophalangeal joint of the big toe (D)</p> Signup and view all the answers

Which ligaments are responsible for providing lateral support to the ankle joint?

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

Which pair of muscles is primarily involved in plantarflexion at the ankle joint?

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

What is the primary action of the Flexor Digitorum Longus?

<p>Flexes the lateral four toes (C)</p> Signup and view all the answers

Which artery supplies blood to the Flexor Hallucis Longus?

<p>Lateral plantar artery (B), Post tibial artery (C)</p> Signup and view all the answers

What is the nerve supply for the Abductor Hallucis?

<p>Medial plantar nerve (B)</p> Signup and view all the answers

Which muscle acts to flex the 2nd to 5th toes?

<p>Flexor Digitorum Brevis (C)</p> Signup and view all the answers

The Flexor Hallucis Longus attaches to which part of the great toe?

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

What action does the Abductor Digiti Minimi perform?

<p>Abducts and flexes the small toe (B)</p> Signup and view all the answers

Which of the following muscles is primarily involved in maintaining the medial arch of the foot?

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

Which muscle originates from the calcaneus tuberosity and plantar aponeurosis?

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

Flashcards

Femoral Triangle Boundaries

The femoral triangle is bordered superiorly by the inguinal ligament, medially by the adductor longus muscle, and laterally by the sartorius muscle.

Femoral Triangle Contents

The femoral triangle houses the femoral vein, femoral artery, and femoral nerve.

Sartorius Muscle Proximal Attachment

The sartorius muscle originates from the anterior superior iliac spine and superior aspect of iliac spine and medial surface of the tibia..

Sartorius Muscle Distal Attachment

The sartorius muscle inserts into the superior, medial surface of the tibia.

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Sartorius Muscle Action

The sartorius flexes, abducts, and laterally rotates the thigh at the hip joint, and flexes and medially rotates the leg at the knee joint.

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Vastus Lateralis Proximal Attachment

The vastus lateralis originates from the greater trochanter and the lateral part of linea aspera.

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Vastus Lateralis Distal Attachment

The vastus lateralis inserts into the common tendon of the quadriceps femoris towards the tibial tuberosity.

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Vastus Lateralis Action

The vastus lateralis extends the leg at the knee joint and flexes the hip joint.

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Adductor Longus Proximal Attachment

The adductor longus muscle originates from the pubis.

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Adductor Longus Distal Attachment

The adductor longus inserts into the middle one-third of the linea aspera.

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Adductor Longus Action

The adductor longus is a strong adductor of the thigh and performs medial rotation of the thigh.

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Tibialis Anterior: Proximal Attachment

Lateral surface of the tibia & lateral tibial condyle

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Tibialis Anterior: Distal Attachment

Medial cuneiform and the base of 1st metatarsal

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Tibialis Anterior: Nerve Supply

Deep fibular nerve

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Tibialis Anterior: Blood Supply

Anterior tibial artery

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Tibialis Anterior: Action

Dorsiflexion and inversion of foot

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Extensor Digitorum Longus: Proximal Attachment

Upper tibia and fibula, interosseous membrane

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Extensor Digitorum Longus: Distal Attachment

Bases of distal phalanges of toes 2-5

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Extensor Digitorum Longus: Action

Extends digits 2-5 and dorsiflexion

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Extensor Hallucis Longus: Proximal Attachment

Middle shaft of the fibula and interosseous membrane

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Extensor Hallucis Longus: Distal Attachment

Base of distal phalanx of the great toe

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Extensor Hallucis Longus: Action

Extension of great toe and dorsiflexion and inversion of foot

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Fibularis Tertius: Action

Dorsiflexion and eversion

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Fibularis Longus

Muscle of the leg that plantarflexes and everts the foot, attaching from the fibula to the medial cuneiform and base of 1st metatarsal.

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Fibularis Brevis

Muscle of the leg that plantarflexes and everts the foot, attaching to the distal fibula and base of 5th metatarsal.

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Dorsiflexion and Eversion

Movement of the foot upward toward the shin, and outward away from the midline of the body.

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Plantarflexion

Movement of the foot downward, pointing the toes.

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Gastrocnemius

A superficial muscle of the posterior lower leg. It is a major plantar flexor of the foot

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Gastrocnemius Muscle Action

Plantarflexes the ankle joint and flexes the knee.

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Soleus

A muscle located deep to the gastrocnemius; another major plantar flexor.

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Plantaris Muscle Action

Plantarflexes the ankle joint.

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Soleus Muscle Action

Plantarflexes the ankle joint.

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Tibialis Anterior

Muscle located on the anterior side of the leg that dorsiflexes the foot

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Extensor Digitorum Longus

Muscle of the anterior leg involved in extending the toes

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Popliteus Muscle Action

Laterally rotates the femur on the tibia.

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Flexor Digitorum Longus

Muscle involved in flexing the toes.

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Tibialis Posterior Muscle Attachment

Proximal attachment on the interosseous membrane of the tibia and fibula and distal attachment: navicular.

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Tibialis Posterior

Muscle in the posterior leg that plantarflexes and inverts the foot

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Gastrocnemius Proximal Attachment

Lateral and medial femoral condyles.

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Soleus Proximal Attachment

Soleal line of the tibia, proximal fibular area.

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Tibial Artery

Artery located between tibia and fibula, posterior surfaces.

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Flexor Digitorum Longus

Muscle bending middle toes, on medial tibia surface.

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Flexor Hallucis Longus

Muscle bending big toe, on fibula's posterior.

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Abductor Hallucis

Muscle moving big toe away from others, near calcaneus.

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Abductor Digiti Minimi

Muscle moving little toe away from others, near calcaneus.

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Flexor Digitorum Brevis

Muscle bending toes 2-5, near calcaneal tubercle.

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Plantar Aponeurosis

A thick, fibrous tissue on the sole of the foot that supports the arch.

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Lumbricals (foot)

Small muscles in the foot that flex the metatarsophalangeal joints of the toes.

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Flexor Digitorum Longus

Muscle that flexes the toes.

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Ankle Joint Medial Ligament

Connective tissue that reinforces the inner side of the ankle joint.

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Ankle Joint Lateral Ligament

Structure on the outside of the ankle joint that provides support.

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Gastrocnemius

Muscle responsible for plantar flexion of the ankle.

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Tibialis Anterior

Muscle responsible for dorsiflexion of the ankle.

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Cruciate Ligaments (Knee)

Ligaments in the knee that stabilize the joint, preventing excessive movement.

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Menisci (Knee)

C-shaped cartilages within the knee joint which cushion and provide stability.

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Tibial Collateral Ligament (Knee)

Ligament on the inner side of the knee that helps to prevent knee from moving too far laterally.

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Study Notes

MSK, Lower Limbs - 1 & 2

  • The lecture will cover anatomical movements, bony skeleton of lower limbs, muscles (gluteal, thigh, leg & foot), joints (hip, knee, and ankle), and blood supply and nerves.

Anatomical Movements

  • Flexion vs Extension: Movement along the sagittal plane
  • Abduction vs Adduction: Movement in the coronal plane away from or towards the midline
  • Lateral rotation vs Medial rotation: Movement of the anterior surface of the thigh away from or towards the midline

Bones of the Lower Limbs

  • Diagram showing the overall view of the lower limb skeletal system:
    • Bones and joints of the lower limb: Hip, Hip joint, Thigh, Knee, Leg, Ankle, Foot
    • Detailed hip bone views (lateral and medial)
    • Detailed femur anatomy (with specific landmarks)
    • Detailed tibia and fibula anatomy -Detailed foot anatomy (superior, lateral, and medial views)

Muscles of the Hip Region & Thigh

  • Diagram showing muscles of the hip region and thigh:
  • specific muscles, including: Psoas major, Psoas minor, Iliacus, Tensor Fascia Latae, Pectineus.
  • Table with information on muscles:
    • Proximal attachment
    • Distal attachment
    • Nerve supply
    • Blood supply
    • Action of each muscle

Gluteal Region Muscles

  • Diagram with muscles included: Gluteus maximus, Gluteus medius, Gluteus minimus, Piriformis, Superior Gemelli, Obturator Internus, Inferior Gemelli, Quadratus Femoris
  • Table with information on muscles:
    • Proximal attachment
    • Distal attachment
    • Nerve supply
    • Blood supply
    • Muscle actions

Thigh Anterior Compartment Muscles

  • Diagram with muscles included: Sartorius, Rectus Femoris, Vastus Lateralis, Vastus Intermedius, and Vastus Medialis.
  • Detailed information in Table format covering:
    • Proximal attachment
    • Distal attachment
    • Nerve supply
    • Blood supply
    • Muscle actions

Thigh Medial Compartment Muscles

  • Diagram with muscles included: Adductor Brevis, Adductor Longus, Adductor Magnus, Gracilis.
  • Detailed information in Table format covering:
    • Proximal attachment
    • Distal attachment
    • Nerve supply
    • Blood supply
    • Muscle actions

Thigh Posterior Compartment Muscles

  • Diagram with muscles included: Vastus Lateralis, Biceps Femoris, Semitendinosus, and Semimembranosus, Gracilis, and Adductor Magnus
  • Detailed information in Table format covering:
    • Proximal attachment
    • Distal attachment
    • Nerve supply
    • Blood supply
    • Muscle actions

Leg Anterior Compartment Muscles

  • Diagram with muscles included: Tibialis Anterior, Fibularis Longus, Fibularis Tertius,Extensor Retinaculum, Gastrocnemius, Extensor Digitorum Longus, Extensor Hallucis Longus
  • Detailed information in Table format covering:
    • Proximal attachment
    • Distal attachment
    • Nerve supply
    • Blood supply
    • Muscle actions

Leg Posterior Compartment (superficial) Muscles

  • Diagram with muscles included: Gastrocnemius, Soleus, Plantaris
  • Detailed information in Table format covering:
    • Proximal attachment
    • Distal attachment
    • Nerve supply
    • Blood supply
    • Muscle actions

Leg Posterior Compartment (deep) Muscles

  • Diagram with muscles included: Popliteus, Tibialis posterior, Flexor Digitorum Longus, Flexor Hallucis Longus(detailed diagram and table format)
  • Detailed information in Table format covering:
    • Proximal attachment
    • Distal attachment
    • Nerve supply
    • Blood supply
    • Muscle actions

Ankle Joint

  • Images and information on the ankle joint's medial and lateral ligaments

Subtalar Joint Movements

  • Information and images on the inversion and eversion movements of the subtalar joint

Toe Movements

  • Images and information on toe flexion and extension

Arches of the Foot

  • Description of the transverse and longitudinal arches

Footprints: Normal, Flatfoot, and High Arch

  • Illustrations and descriptions of different foot types

Arterial Blood Supply

  • Detailed diagrams and information covering blood vessels (e.g., common iliac, femoral, popliteal, anterior tibial, posterior tibial, and fibular arteries)

Venous Drainage

  • Detailed diagrams and information covering venous drainage (e.g., superficial veins, deep veins)

Nerves of the Lower Limb

  • Diagrams and descriptions of nerve pathways in the hip region, gluteal region, popliteal fossa, and leg

Radiographic Images (X-rays and CT scans)

  • Images of a femoral head fracture.
  • Lateral view X-ray of the knee.
  • Sagittal view CT scan of the knee
  • Lateral view of an ankle X-ray
  • Anteroposterior view of an x-ray of the hip

References

  • Atlas of Clinical Gross Anatomy 2nd Ed
  • Functional Anatomy Musculoskeletal Anatomy, Kinesiology, and Palpation for Manual Therapists
  • Fundamentals of Anatomy & Physiology-Pearson
  • Human Anatomy Atlas – Visible Body

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