Joints of the Lower Limb
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Questions and Answers

Which of the following structures is located posteromedially to the lateral malleolus?

  • Peroneus longus and brevis tendons
  • Plantaris tendon
  • Tibialis posterior and flexor digitorum longus tendons (correct)
  • Achillis tendon
  • What type of joint is the subtalar joint?

  • Plane synovial joint (correct)
  • Pivot joint
  • Ball-and-socket joint
  • Hinge joint
  • Which of the following ligaments connects the calcaneum and cuboid?

  • Talocalcaneal ligament
  • Bifurcated ligament (correct)
  • Long plantar ligament
  • Short plantar ligament
  • What is the movement of the talocalcaneonavicular joint?

    <p>Gliding and rotatory movement</p> Signup and view all the answers

    Which of the following tendons is involved in eversion?

    <p>Peroneus longus</p> Signup and view all the answers

    What type of joint is the cuneonavicular joint?

    <p>Plane synovial joint</p> Signup and view all the answers

    Which of the following joints has a separate joint cavity?

    <p>Tarsometatarsal joint of the big toe</p> Signup and view all the answers

    What type of ligaments connect the metatarsophalangeal joints?

    <p>Deep transverse ligaments</p> Signup and view all the answers

    Which of the following structures is located posteriorly to the lateral malleolus?

    <p>Achillis tendon and plantaris</p> Signup and view all the answers

    What is the movement of the subtalar joint?

    <p>Gliding movement only</p> Signup and view all the answers

    Study Notes

    Joints of the Lower Limb

    • A joint is a point of connection between two bones, where strands of connective tissue (ligaments) hold the bones together and ensure stability.

    Classification of Joints

    • According to structure:
      • Fibrous joints: bones united by fibrous connective tissue, no joint cavity, little or no movement.
      • Cartilaginous joints: connected by hyaline or fibrocartilage, some movement.
      • Synovial joints: joined by fluid, freely movable, articular surfaces covered by hyaline cartilage.
    • According to motion capability:
      • Synarthroses: immovable joints.
      • Amphiarthroses: little movement.
      • Diarthroses: great amount of motion.

    Fibrous Joints

    • Types:
      • Sutures: bones interlocking, e.g., skull bones.
      • Syndesmosis: bones connected by ligaments, some movement, e.g., radioulnar syndesmosis.
      • Gomphoses: teeth and sockets of alveoli.

    Cartilaginous Joints

    • Types:
      • Synchondrosis: connected by hyaline cartilage, mostly temporary, e.g., epiphyseal plates.
      • Symphysis: connected by fibrocartilage, e.g., manubrium and body of sternum, symphysis pubis.

    Synovial Joints

    • Characteristics:
      • Joint cavity filled with synovial fluid.
      • Articular surfaces covered by hyaline cartilage.
      • Some have articular discs.
      • Joint capsule surrounds the ends of bones and forms the cavity.
      • Joint capsule has two layers: fibrous capsule and synovial membrane.
      • Synovial fluid lubricates the joint.
    • Classifications:
      • Plane or gliding joints: uniaxial, e.g., intercarpal joints.
      • Pivot joints: uniaxial, e.g., head of radius and ulna.
      • Hinge joints: uniaxial, e.g., elbow and knee joints.
      • Ball and socket joints: multiaxial, e.g., hip and shoulder joints.
      • Ellipsoid joints: biaxial, e.g., atlantoccipital and radiocarpal joints.
      • Saddle joints: biaxial, e.g., first carpometacarpal joint.

    Types of Movement

    • Gliding: between carpal bones.
    • Angular: flexion, extension, abduction, and adduction.
    • Circular: rotation, supination, and pronation, circumduction.
    • Special movements: elevation, depression, inversion, eversion, opposition, and reposition.

    Hip Joint

    • Type: ball and socket synovial joint.
    • Articulation: hemispherical head of femur and cup-shaped acetabulum.
    • Acetabular notch: deficient lower part of acetabulum.
    • Acetabular labrum: fibrocartilaginous rim deepening the joint cavity.
    • Transverse acetabular ligament: labral bridge crossing the notch.
    • Joint capsule and ligaments:
      • Capsule encloses the joint.
      • Ligaments: iliofemoral, pubofemoral, ischiofemoral, and ligament of the head of femur.
    • Nerve supply: femoral, obturator, sciatic, and nerve to the quadratus femoris.
    • Movements:
      • Flexion: iliopsoas, rectus femoris, and sartorius.
      • Extension: gluteus maximus, hamstrings, and iliopsoas.
      • Abduction: gluteus medius, minimus, sartorius, and tensor fasciae latae.
      • Adduction: adductors, gracilis, and pectineus.
      • Lateral rotation: short lateral rotators, gluteus maximus, and iliopsoas.
      • Medial rotation: anterior fibers of gluteus medius and minimus, and tensor fasciae latae.

    Knee Joint

    • Type: condyloid joint.
    • Articulation: tibia and femoral condyles.
    • Patellofemoral joint: plane gliding joint.
    • Articular surfaces covered by hyaline cartilage.
    • Capsule: surrounds the sides and posterior aspect of the joint.
    • Ligaments:
      • Extracapsular ligaments: ligamentum patellae, lateral collateral, medial collateral, and oblique popliteal ligaments.
      • Intracapsular ligaments: anterior and posterior cruciate ligaments, and menisci.
    • Menisci: C-shaped fibrocartilage, attached to the joint capsule.

    Tarsal Joints

    • Types:
      • Subtalar joint: plane synovial joint, between talus and calcaneum.
      • Talocalcaneonavicular joint: plane synovial joint, between head of talus, sustentaculum tali, and posterior surface of navicula.
      • Calcaneocuboid joint: plane synovial joint, between calcaneum and cuboid.
      • Cuneonavicular joint: between navicula and three cuneiforms.
      • Cuboideonavicular joint: fibrous joint, connected by dorsal and plantar interosseous ligaments.
    • Movements:
      • Inversion: tibialis anterior, extensor hallucis longus, and medial tendons of extensor digitorum longus.
      • Eversion: peroneus longus, peroneus brevis, and lateral tendons of extensor digitorum longus.

    Metatarsophalangeal and Interphalangeal Joints

    • Types:
      • Plane synovial joints.
      • The tarsometatarsal joint of the big toe has a separate joint cavity.
    • Deep transverse ligaments connect the joints.

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    Description

    This quiz covers the basics of joints in the lower limb, including their definition, structure, and classification. Learn about the different types of joints and their functions.

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