Download as ppt, pdf, or txt
Download as ppt, pdf, or txt
You are on page 1of 25

Lower Limb

Skeleton (homologous with upper limb)


Muscles--anterior, posterior
compartments
Nerves--sciatic, femoral
Surface anatomy

Frolich,HumanAnatomy,

Upper-Lower Limb Comparison

See Table M&M, Table 8.1

Frolich,HumanAnatomy,

Frolich,HumanAnatomy,

Tibia/fibula

Tibia--big toe side


Fibula--little toe side
(no pronation/supination)

Frolich,HumanAnatomy,

Ankle

Tarsus--forms ankle
joint
Calcaneus--forms
heel

Frolich,HumanAnatomy,

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

Phalanges

Frolich,HumanAnatomy,

Homologous to metacarpals
Smaller, less nimble

Joints of Lower Limb

Hip (femur +
acetabulum)

Knee (femur + patella)

Plane
Gliding of patella
Synovial

Knee (femur + tibia)

Frolich,HumanAnatomy,

Ball + socket
Multiaxial
Synovial

Hinge
Biaxial
Synovial

Joints of Lower Limb

Proximal Tibia + Fibula

Distal Tibia + Fibula

Slight give
Fibrous

Ankle (Tibia/Fibula + Talus)

pg Frolich,HumanAnatomy,
218

Plane
Gliding
Synovial

Hinge
Uniaxial
Synovial

Lower Limb Movements

Hip

Bending on posterior
side is flexion (except
hip)
Bending on anterior
sided is extension
(except hip)

Knee

Dorsiflexion/plantarflexion
Inversion/eversion

Toes

Frolich,HumanAnatomy,

Flexion/extension

Ankle

Flexion/extension
Abduction/adduction
Lateral/medial rotation

Flexion/extension

Anterior/Posterior compartments
ANTERIOR
POSTERIOR
COMPARTMENT COMPARTMENT
MOVEMENT

Extension

Flexion

MUSCLES

Quads

Hamstrings

Shin

Gastrocs

Femoral n.

Sciatic n.

(lumbar plexus)

(sacral plexus)

NERVES

Frolich,HumanAnatomy,

Thigh movements by
compartment

Frolich,HumanAnatomy,

Posterior Thigh

Gluts (gluteal nn.)

Lateral rotators (spinal nn.)

Piriformis syndrome

Hamstrings (sciatic n.)

Frolich,HumanAnatomy,

Maximusextensor of thigh
Medius--pelvic tilt

Biceps femoris
Semimembranous
Semitendinous

Anterior thigh (femoral n.)

Sartorius (Tailors
muscle)
Quads (four)

Rectus femoris
(crosses hip)
3 vastus mm.
(vast--big)

Frolich,HumanAnatomy,

Medial compartment (obturator n.)

Adductor muscles

Gracilis
Adductor
Magnus
Longus
brevis

Frolich,HumanAnatomy,

Leg movements by
compartment (in leg all nn are branches of sciatic)

Frolich,HumanAnatomy,

Anterior Leg (deep fibular n.)

Fibularis (peroneus)
longus

Extensor digitorum
longus

Extensor hallicus
longus

Tibialis anteriorus

Frolich,HumanAnatomy,

Lateral Leg (superficial fibular n.)

Frolich,HumanAnatomy,

Fibularis
brevis/longus

Posterior Leg (tibial n.)

Frolich,HumanAnatomy,

Gastrocs and soleus

Flexor digitorum longus

Flexor hallucus longus

Intrinsics of foot
Frolich,HumanAnatomy,

Withlegoutto
sidelike
quadruped,
lumbaranterior,
sacralposterior
makessense

Lumbar plexus
(femoral nerve)
Frolich,HumanAnatomy,

Sacral plexus
(sciatic nerve)

Dermatomes show twisting of


leg in development

Frolich,HumanAnatomy,

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,


Frolich,HumanAnatomy,

Surface Anatomy:
Pelvis
IliacPosterior
crest
Gluteus maximus = cheeks
Natal/gluteal cleft = crack
Gluteal folds = bottom of cheek

Frolich,HumanAnatomy,

pg 789

pg 792

Surface Anatomy:
Anterior Thigh + Leg

Palpate

Femoral Triangle

pg 785
Frolich,HumanAnatomy,

Patella
Condyles of femur
Sartorius (lateral)
Adductor longus (medial)
Inguinal ligament
(superior)
Femoral a + v, lymph
nodes

Surface Anatomy: Posterior Leg

Popliteal fossa

Boundaries

pg
Frolich,HumanAnatomy,
793

Biceps femoris (sup-lat)


Semitendinosis +
semimembranosis (supmed)
Gastrocnemius heads (inf)

Contents

Diamond-shape fossa
behind knee

Popliteal a + v

Calcaneal (Achilles)
tendon

You might also like