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Lower Limb
1.
Frolich, Human Anatomy, Lower
LImb Lower Limb Skeleton (homologous with upper limb) Muscles--anterior, posterior compartments Nerves--sciatic, femoral Surface anatomy
2.
Frolich, Human Anatomy, Lower
LImb Upper-Lower Limb Comparison See Table M&M, Table 8.1
3.
Frolich, Human Anatomy, Lower
LImb
4.
Frolich, Human Anatomy, Lower
LImb Tibia/fibula Tibia--big toe side Fibula--little toe side (no pronation/supination)
5.
Frolich, Human Anatomy, Lower
LImb Ankle Tarsus--forms ankle joint Calcaneus--forms heel
6.
Frolich, Human Anatomy, Lower
LImb Foot Function: Support weight Act as lever when walking Tarsals Talus = ankle • Between tibia + fibula • Articulates w/both Calcaneus = heel • Attachment for Calcaneal tendon • Carries talus Metatarsals Homologous to metacarpals Phalanges Smaller, less nimble
7.
Frolich, Human Anatomy, Lower
LImb Joints of Lower Limb Hip (femur + acetabulum) Ball + socket Multiaxial Synovial Knee (femur + patella) Plane Gliding of patella Synovial Knee (femur + tibia) Hinge Biaxial Synovial
8.
Frolich, Human Anatomy, Lower
LImb Joints of Lower Limb Proximal Tibia + Fibula Plane Gliding Synovial Distal Tibia + Fibula Slight “give” Fibrous Ankle (Tibia/Fibula + Talus) Hinge Uniaxial Synovial pg 218
9.
Frolich, Human Anatomy, Lower
LImb Lower Limb Movements Hip Flexion/extension Abduction/adduction Lateral/medial rotation Knee Flexion/extension Ankle Dorsiflexion/plantarflexion Inversion/eversion Toes Flexion/extension Bending on posterior side is flexion (except hip) Bending on anterior sided is extension (except hip)
10.
Frolich, Human Anatomy, Lower
LImb Anterior/Posterior compartments ANTERIOR COMPARTMENT POSTERIOR COMPARTMENT MOVEMENT Extension Flexion MUSCLES Quads Shin Hamstrings Gastrocs NERVES Femoral n. (lumbar plexus) Sciatic n. (sacral plexus)
11.
Frolich, Human Anatomy, Lower
LImb Thigh movements by compartment
12.
Frolich, Human Anatomy, Lower
LImb Posterior Thigh Gluts (gluteal nn.) Maximus—extensor of thigh Medius--pelvic tilt Lateral rotators (spinal nn.) Piriformis syndrome Hamstrings (sciatic n.) Biceps femoris Semimembranous Semitendinous
13.
Frolich, Human Anatomy, Lower
LImb Anterior thigh (femoral n.) Sartorius (Tailor’s muscle) Quads (four) Rectus femoris (crosses hip) 3 vastus mm. (vast--big)
14.
Frolich, Human Anatomy, Lower
LImb Medial compartment (obturator n.) Adductor muscles Gracilis Adductor • Magnus • Longus • brevis
15.
Frolich, Human Anatomy, Lower
LImb Leg movements by compartment (in leg all nn are branches of sciatic)
16.
Frolich, Human Anatomy, Lower
LImb Anterior Leg (deep fibular n.) Fibularis (peroneus) longus Extensor digitorum longus Extensor hallicus longus Tibialis anteriorus
17.
Frolich, Human Anatomy, Lower
LImb Lateral Leg (superficial fibular n.) Fibularis brevis/longus
18.
Frolich, Human Anatomy, Lower
LImb Posterior Leg (tibial n.) Gastrocs and soleus Flexor digitorum longus Flexor hallucus longus
19.
Frolich, Human Anatomy, Lower
LImb Intrinsics of foot
20.
Frolich, Human Anatomy, Lower
LImb Lumbar plexus (femoral nerve) Sacral plexus (sciatic nerve) With leg out to side like quadruped, lumbar-anterior, sacral-posterior makes sense
21.
Frolich, Human Anatomy, Lower
LImb Dermatomes show twisting of leg in development
22.
Frolich, Human Anatomy, Lower
LImb Blood supply to lower limb Internal Iliac Cranial + Caudal Gluteals= gluteals Internal Pudendal = perineum, external genitalia Obturator = adductor muscles External Iliac Femoral = lower limb • Deep femoral = adductors, hamstrings, quadriceps Popliteal (continuation of femoral) • Geniculars = knee • Anterior Tibial = ant. leg muscles, further branches to feet • Posterior Tibial = flexor muscles, plantar arch, branches to toes
23.
Frolich, Human Anatomy, Lower
LImb Surface Anatomy: Posterior Pelvis Iliac crest Gluteus maximus = cheeks Natal/gluteal cleft = crack Gluteal folds = bottom of cheek pg 789
24.
Frolich, Human Anatomy, Lower
LImb Surface Anatomy: Anterior Thigh + Leg Palpate Patella Condyles of femur Femoral Triangle Sartorius (lateral) Adductor longus (medial) Inguinal ligament (superior) Femoral a + v, lymph nodes pg 785 pg 792
25.
Frolich, Human Anatomy, Lower
LImb Surface Anatomy: Posterior Leg Popliteal fossa Diamond-shape fossa behind knee Boundaries Biceps femoris (sup-lat) Semitendinosis + semimembranosis (sup- med) Gastrocnemius heads (inf) Contents Popliteal a + v Calcaneal (Achilles) tendonpg 793
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