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Function of The Lower Limbs - Docx Trans
Function of The Lower Limbs - Docx Trans
Function of The Lower Limbs - Docx Trans
A.
B.
C.
A.
Gluteal
Femoral
Knee
Leg
Ankle or Talocrural
Foot
Deep fascia
o Gluteal Fascia/Gluteal Aponeurosis
Subcutaneous fascia
Forms a continuous layer from the
anterolateral abdominal wall to the thigh
o Contains a variable amount of fat, cutaneous
nerves, superficial veins lymphatic vessels,
and lymph nodes.
o It varies in thickness in different parts of the
limb( ex. Thick fascia in the groin)
o
Deep Fascia
Named from its great extent, the fascia lata; it
constitutes an investment for the whole of this
region of the limb
o It varies in thickness in different parts. (ex. it is
thicker in the upper and lateral part of the
thigh)
o
B.
IIliotibial tract
Deep fascia
o Fascia Lata
o
Fig.3 Saphenous opening
C.
Intermuscular Septum
A. Bones
Hip bones
o The two symmetrical hip bones are part of
the pelvic girdle
o Large, at pelvic bone formed by the fusion
of three primary bones (ilium, ischium and
pubis)
Ilium
Largest and widest part of the hip bone
Superior part of the acetabulum
Body of the ilium joins the pubis and
ischium to form the acetabulum
Expands to form the wing (or ala)
Anterior boarder
anterior superior iliac spine
iliac crest serves as a protective
bumper
iliac tubercle prominence on the
external lip of the iliac crest
anterior inferior iliac spine
provides attachment for ligaments and
tendons of lower limb muscle
Posterior boarder
posterior superior iliac spine
posterior inferior iliac spine marks the
superior end of the greater sciatic notch
Medial boarder
iliac fossa is a large, smooth
depression
Ischium
Forms the posteroinferior part of the hip
bone
Posterior body of obturator foramen
Has a body and a ramus
Body of Ischium is the upper thicker
part
Ramus of Ischium is the lower thinner
part
Acetabulum
o A deep cup-shaped hemispherical cavity on
the lateral aspect of the hip bone roughly
about its center
o articulates with the spherical head of the
femur to form the hip joint
o Acetabular notch marks the deficient
inferior margin of the acetabulum
o Acetabular fossa is nonarticular
roughened floor of the acetabulum which
contains fats and is lined by synovial
membrane
1.
2.
Gluteus Medius
Superficial muscles
Gluteus Maximus
CLINICAL SIGNIFICANCE: Weakness or paralysis of this muscle due damage of superior gluteal nerve can lead to trendelenburg
How the body compensate for this:
Gluteus medius gait person raises the pelvis and leans away from the unsupported side
Steppage exit lifting the foot higher as it is brought forward
Swing-out gait lateral swinging of the foot
Deep muscles
o Piriformis
towards the anterior edge of the iliac
pear-shaped piriformis
crest