Lower Extremity Anatomy Overview

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Questions and Answers

What is the primary function of the Gluteus Medius?

  • Extension of the leg
  • Medial rotation of the knee
  • Abduction of the thigh (correct)
  • Flexion and adduction of the hip

Which muscle is known to sometimes receive nerve supply from the obturator nerve?

  • Pectineus (correct)
  • Gluteus Minimus
  • Gluteus Maximus
  • Quadriceps Femoris

Which statement correctly describes the Quadriceps Femoris?

  • It consists of three muscles that insert into the femur.
  • It acts as a powerful extensor of the knee. (correct)
  • It is involved in hip abduction.
  • It is primarily responsible for hip flexion.

What can happen in the case of lateral lurching during movement?

<p>The hip will droop with the whole foot on the ground. (C)</p> Signup and view all the answers

Which of the following statements about the Gluteus Minimus is true?

<p>It abducts the thigh and is situated deep to the Gluteus Medius. (B)</p> Signup and view all the answers

What is one of the primary functions of the lower extremity?

<p>Supports the weight of the body (C)</p> Signup and view all the answers

Which regions are part of the organization of the lower extremity?

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

What characterizes the muscle compartments in the thigh and leg?

<p>They contain various levels of muscle (D)</p> Signup and view all the answers

What is the role of the deep fascia, or fascia lata, in the thigh?

<p>It encloses the thigh like a trouser (A)</p> Signup and view all the answers

Which statement accurately reflects the attachment of the deep fascia in the lower extremity?

<p>Its upper end is attached to the pelvis (A)</p> Signup and view all the answers

How does the superficial fascia in the buttocks differ from the deep fascia?

<p>It contains a thicker layer of fat (C)</p> Signup and view all the answers

What is the significance of the saphenous opening in the deep fascia?

<p>It is a gap in the deep fascia below the inguinal ligament (C)</p> Signup and view all the answers

What structural aspect differentiates the lower extremity from the upper extremity?

<p>The lower extremity has lesser freedom of movement (C)</p> Signup and view all the answers

What is the main function of the Iliotibial Tract?

<p>Provide attachment for the Tensor Fascia Lata (B)</p> Signup and view all the answers

Where is the Iliotibial Band primarily attached?

<p>To the Lat. Condyle of the Tibia (A)</p> Signup and view all the answers

Which of the following best describes the Iliotibial Tract?

<p>A strong, wide band on the outer surface of the thigh (B)</p> Signup and view all the answers

What is the relationship between the Falciform Margin and the Femoral Vessels?

<p>It lies anterior to the Femoral Vessels and curves laterally (C)</p> Signup and view all the answers

Which structures make up the pelvic bone?

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

What role does the Cribriform Fascia play?

<p>Fills the opening and contains loose connective tissue (D)</p> Signup and view all the answers

What major function does the foot serve?

<p>Supports the body weight (A)</p> Signup and view all the answers

What tissue predominates the Falciform Margin?

<p>Loose connective tissue (C)</p> Signup and view all the answers

What is the primary function of the ACL?

<p>Prevents posterior displacement of the femur on the tibia (D)</p> Signup and view all the answers

Where is the PCL located in relation to the tibia?

<p>Posterior intercondylar area (D)</p> Signup and view all the answers

What does the PCL prevent during knee flexion?

<p>Posterior displacement of the femur (D)</p> Signup and view all the answers

Which bursa is associated with the tendon of the popliteus?

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

In which location does the deep infrapatellar bursa reside?

<p>Between Ligamentum Patellae and the tibia (A)</p> Signup and view all the answers

What anatomical structure limits the anterior movement of the femur on the tibia?

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

Which condition is commonly associated with ACL injuries?

<p>Sudden twisting movements during sports (B)</p> Signup and view all the answers

Which bursa is related to the insertion of the semimembranosus muscle?

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

Which ligament serves to connect and strengthen the shafts of the tibia and fibula?

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

What type of joint is the proximal tibiofibular joint classified as?

<p>Synovial plane joint (D)</p> Signup and view all the answers

What limits plantarflexion at the ankle joint?

<p>Anterior fibers of the medial ligament (D)</p> Signup and view all the answers

Which ligament attaches to the apex of the medial malleolus?

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

Which movement primarily occurs at the talocalcaneonavicular joint?

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

What is the keystone of the medial longitudinal arch?

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

Which muscle is known as the largest muscle in the human body?

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

The main role of the interosseous ligament in the distal tibiofibular joint is to?

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

Which type of joint is the joint between the metatarsals and phalanges?

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

Which ligaments are considered components of the lateral ligament complex of the ankle?

<p>Anterior talofibular, calcaneofibular, posterior talofibular (D)</p> Signup and view all the answers

What is the function of the bifurcate ligament?

<p>Connect the calcaneum to the cuboid (D)</p> Signup and view all the answers

What muscle is primarily responsible for hip flexion?

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

Which muscles are involved in dorsiflexion of the foot?

<p>Tibialis anterior and extensor hallucis longus (D)</p> Signup and view all the answers

What is the primary function of the Tensor Fascia Latae in relation to the knee?

<p>Assist in maintaining knee extension (C)</p> Signup and view all the answers

Which muscle emerges through the greater sciatic foramen and is associated with low back pain?

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

What structures does the Femoral Sheath surround below the inguinal ligament?

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

Which compartment of the thigh is primarily responsible for knee flexion?

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

Which muscle strengthens the lateral side of the knee?

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

Which of the following muscles in the medial compartment is considered a strap-like muscle?

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

What is the main function of the Vastus Medialis?

<p>Prevent lateral pull of the patella (A)</p> Signup and view all the answers

What does the Faemoral Canal primarily contain?

<p>Fatty connective tissue (B)</p> Signup and view all the answers

Which muscle comprises the hamstrings and is superficial to the semimembranosus?

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

Which of the following is the main muscle responsible for hip extension among the hamstrings?

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

Where does the Adductor Canal begin?

<p>At the femoral triangle's apex (B)</p> Signup and view all the answers

Which muscle is responsible for adduction of the thigh?

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

Which structure closes the femoral ring?

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

What type of muscle is the Quadratus Femoris?

<p>Quadrilateral-shaped (B)</p> Signup and view all the answers

Flashcards

Lower Extremity Function

Supports body weight, providing a stable base for standing, walking, and running.

UE vs. LE

Lower extremities (LE) are similar in structure to upper extremities (UE) but have less movement freedom and are attached to the trunk.

LE Organization

Lower extremities are divided into gluteal, thigh, knee, leg, and ankle/foot regions.

Compartmentalization of Thigh and Leg

The thigh and leg regions have several different muscle groups.

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Gluteal Region Boundaries

The gluteal region is bounded superiorly by the iliac crest and inferiorly by the fold of the buttocks.

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Superficial Thigh Fascia

A layer of tissue, primarily fatty, over the thigh, extending from the abdominal wall and attaching to deep fascia.

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Deep Fascia (Fascia Lata)

A tough membrane that encloses the thigh muscles.

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Saphenous Opening

A gap in the deep thigh fascia.

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Iliotibial Tract

A thickened band of fascia on the lateral thigh.

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Iliotibial Band (ITB)

Another name for the Iliotibial Tract.

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Hip Bone

The fused Ilium, Ischium, and Pubis.

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Falciform Margin

Lower boundary of the opening, anterior to the femoral vessels.

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Femoral Artery

An artery in the thigh.

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Greater Saphenous Vein

A major vein in the thigh.

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Cribriform Fascia

Fills the opening of the femoral canal.

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Foot Support

The foot's function in bearing body weight.

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ACL Function

The Anterior Cruciate Ligament (ACL) prevents the tibia from being pulled forward, stopping excessive forward movement of the tibia relative to the femur.

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ACL Injury Risk

The ACL is commonly injured during activities that involve sudden stops, changes in direction, or twisting motions, particularly those involving forces applied to the knee.

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PCL Function

The Posterior Cruciate Ligament (PCL) prevents the tibia from being pulled backward, stopping excessive backward movement of the tibia relative to the femur.

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PCL Injury Risk

The PCL is less commonly injured than the ACL, often occurring in situations where the knee receives a direct blow with the leg bent.

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Prepatellar Bursa Location

The prepatellar bursa is a fluid-filled sac located between the skin and the patellar ligament.

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Superficial Infrapatellar Bursa Location

The superficial infrapatellar bursa lies between the skin and the lower part of the patellar ligament.

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Deep Infrapatellar Bursa Location

The deep infrapatellar bursa exists between the patellar ligament and the tibia.

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Popliteal Bursa Location

The popliteal bursa is a sac situated in association with the tendon of the popliteus muscle, located behind the knee.

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Gluteus Medius Function

The gluteus medius, along with the gluteus minimus, abducts the thigh, which helps with walking and running.

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Gluteus Medius Location

The gluteus medius is a thick, fan-shaped muscle located beneath the gluteus maximus.

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Pectineus Muscle Action

The pectineus muscle flexes and adducts the hip.

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Quadriceps Femoris Function

The quadriceps femoris, composed of four muscles, extends the knee powerfully.

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Lateral Lurching

A lateral lurching motion of the hip can be a sign of weak gluteus medius, which aids in hip abduction.

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Ankle Joint - Articulation

Located between the lower ends of the tibia and fibula, the two malleoli, and the body of the talus.

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Ankle Joint - Type

Synovial hinge joint.

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Ankle Joint - Ligaments

Deltoid, Lateral, and Transverse Tibiofibular ligaments.

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Ankle Joint - Movement

Gliding and Rotatory motions.

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Talocalcaneonavicular Joint - Articulation

Located between the head of the talus, the upper surface of the Sustentaculum tali, and the posterior concave surface of the navicular.

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Talocalcaneonavicular Joint - Type

Synovial Joint.

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Talocalcaneonavicular Joint - Ligament

Plantar Calcaneonavicular Ligament.

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Talocalcaneonavicular Joint - Movement

Gliding and Rotatory motions.

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Calcaneocuboid Joint - Articulation

Located between the anterior calcaneum and the posterior surface of the cuboid.

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Calcaneocuboid Joint - Type

Synovial Plane joint.

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Calcaneocuboid Joint - Ligament

Bifurcate Ligament, Long Plantar Ligament, and Short Plantar Ligament.

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Subtalar Joint - Articulation

Located between the inferior surface of the talus body and the facet on the middle of the upper surface of the calcaneus.

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Subtalar Joint - Type

Synovial Plane Joint.

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Subtalar Joint - Ligament

Medial and Lateral Talocalcaneal Ligaments, and Interosseous Ligament.

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Foot Arches - Keystone

A crucial stone that holds the arch structure together, forming the apex of the arch and ensuring its stability.

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Medial Rotation

A movement that rotates the anatomical structure inward, towards the midline of the body.

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Tensor Fascia Latae Role

Assists the gluteus maximus in extending the knee and maintaining stability; keeps the knee straight.

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Knee Extensors

Muscles that straighten the knee joint.

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Piriformis Muscle

A muscle in the buttock that rotates the hip laterally; important for hip movement and stability.

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Sciatic Nerve

A large nerve that runs down the back of the thigh; it can be compressed by the piriformis muscle.

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Fat Wallet Syndrome

A condition where the piriformis muscle compresses the sciatic nerve, causing pain in the lower back, buttock, and leg.

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Quadriceps Muscles

The four muscles at the front of the thigh: rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius.

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Vastus Medialis Oblique

The lower, horizontal fibers of the vastus medialis muscle; they help stabilize the kneecap.

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Articularis Genus

A small muscle that helps to pull the knee joint capsule during knee extension.

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Femoral Sheath

A fascial sleeve that surrounds the femoral artery, vein, and nerve as they pass into the thigh.

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Femoral Canal

A small space in the medial compartment of the thigh, containing fatty connective tissue and lymph vessels.

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Femoral Ring

The opening at the top of the femoral canal, which can sometimes be the site of a hernia.

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Femoral Hernia

A protrusion of abdominal contents through the femoral ring, into the femoral canal.

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Adductor Muscles

A group of muscles on the inner side of the thigh that help to move the leg toward the midline of the body.

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Hamstring Muscles

Three muscles at the back of the thigh: biceps femoris, semitendinosus, and semimembranosus.

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Study Notes

Lower Extremity Anatomy

  • Supports body weight during standing, walking, and running
  • Similar structure to Upper Extremity (UE) but less mobile
  • Regions: Gluteal, Thigh, Knee, Leg, Ankle, Foot
  • Compartmentalized with different muscle groups within each region

Gluteal Region

  • Bounded by superior iliac crest and inferior fold of buttocks
  • Composed of gluteal muscles and a thick layer of fascia
  • Fascia contributes to prominence of buttocks

Thigh

  • Superficial Fascia: Membraneous layer from abdominal wall, extends to thigh, fatty layer from abdominal wall also extending into the thigh & lower limb.
  • Deep Fascia (Fascia Lata): Encloses the thigh like a trouser, the upper end is attached to the pelvis & the inguinal ligament, shapes the ITB (iliotibial tract).
  • Saphenous Opening: Gap in the deep fascia, found below the inguinal ligament, allows for the passage of the great saphenous vein, branches of the femoral artery, and lymph vessels.

Fascia

  • Buttocks: Primarily characterized by thickness, especially in females, with large fat deposits. Contributes to prominence of buttocks

  • Iliotibial Tract (ITB): Thickened deep fascia on the lateral thigh surface, extending from the iliac crest to the lateral condyle of the tibia.

Bones

  • Pelvic Bone: Ilium, Ischium, and Pubis; meet at the Acetabulum
  • Femur: Articulates with the acetabulum to form the hip joint; articulates with tibia and patella to create the knee joint.
  • Patella: Largest sesamoid bone, triangular in shape, located in the patellar region, connecting to the tibia via ligamentum patellae.
  • Tibia: 2nd largest bone, weight-bearing, located medially in the lower leg. Articulates with the femur, fibula, and talus.
  • Fibula: Slender lateral bone of the leg, supports the tibia, and does not articulate at the knee joint.
  • Foot: Its bones, such as the talus, calcaneus, and tarsals, are involved in support, leverage for walking, and shock absorption.

Joints

  • Hip Joint: Ball and socket, articulation between the head of the femur and acetabulum
  • Knee Joint: Condylar, with gliding between patella and the patellar surface of the femur. Complex joint.
  • Tibiofemoral Joint: Synovial hinge variety, with some rotation.
  • Distal Tibiofibular Joint: Synovial gliding joint, joined by interosseous membrane.
  • Ankle (Talocrural) Joint: Synovial hinge joint, with gliding between talus, tibia, and fibula for plantarflexion and dorsiflexion. Also, intertarsal (intercuneiform, cuneocuboid) joint allowing inversion/eversion.

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