Anatomy Practical II - Osteology Attachments

Iliac Crest:

Muscles:

• Quadratus Lumborum

• Iliacus

• External Oblique

• Internal Oblique

• TFL

• Transversus Abdominis

Ligaments:

• Iliolumbar Ligament

• Long/Short Posterior SI Ligament

ASIS

Muscles:

• Sartorius

• TFL

Ligaments:

• Inguinal Ligament

AIIS

Muscles:

• Rectus Femoris

Ligaments:

• Iliofemoral

PSIS

Ligaments:

• Long/Short Posterior SI Ligaments

Auricular Surface of the Ilium

Ligaments:

• Anterior SI Ligament

Iliac Fossa

Muscles:

• Iliacus

Inferior Gluteal Line

Muscle:

• Gluteus Minimum

Anterior Gluteal Line

Muscles:

• Gluteus Minimus

• Gluteus Medius

Posterior Gluteal Line

Muscles:

• Gluteus Medius

• Gluteus Maximus

Ramus of the Ischium

Muscles:

• Adductor Magnus (Adductor Portion)

Ischial Tuberosity

Muscles:

• Adductor Magnus (Hamstring Portion)

• Semitendinosus

• Semimembranosus

• Biceps Femoris Long Head

Ligaments:

• Sacrotuberous Lignament

Ischial Spine

Ligament:

• Sacrospinous Ligament

Body of the Pubis

Muscles:

• Adductor Longus

• Adductor Brevis

• Gracillis

Superior Ramus of the Pubis

Muscles:

• Pectineus

Ligaments:

• Pubofemoral Ligament

Inferior Ramus of the Pubis

Muscles:

• Adductor Brevis

• Adductor Magnus (Adductor Portion)

• Gracillis

Ligament:

• Inferior Pubic Ligament

Pubic Tubercle

Muscles:

• External Oblique

Ligaments:

• Inguinal Ligament

• Superior Pubic Ligament

Pubic Crest

Muscles:

• Rectus Abdominis

• Transversus Abdominis

• Pyramidalis

Ligaments:

• Superior Pubic Ligament

Pubic Symphysis

Muscles:

• Rectus Abdominis

Obturator Crest

Ligaments:

• Pubofemoral Ligament

Sacral Canal

Houses the distal portion of cauda equina

Medial Crest of the Sacrum

Corresponds to the spinous process

Intermediate Crest of the Sacrum

Corresponds to the lumbar facets

Lateral crest of the Sacrum

Corresponds to the transverse processes

Ala of the Sacrum

Muscles:

• Iliacus

Ligaments:

• Anterior SI Ligament

Fovea of the Femur

Ligaments:

• Ligament of the head of the femur (Ligamentum Teres)

Greater Trochanter

Muscles:

• Vastus Lateralis

• Gluteus Medius

• Gluteus Minimus

• Piriformis

Bursa:

• Trochanteric Bursa (Between glute max and greater trochanter)

Lesser Trochanter

Muscles:

• Psoas Major

• Iliacus

Intertrochanteric Line

Muscles:

• Vastus Medialis

Ligaments:

• Iliofemoral Ligament

• Ischiofemoral Ligament

• Pubofemoral Ligament

• Joint Capsule

Gluteal Tuberosity

Muscles:

• Gluteus Maximus

• Adductor Magnus (Adductor Portion)

Pectineal Line of Femur

Muscles:

• Adductor Brevis

• Pectineus (Superior ramus of pubis)

Linea Aspera (Medial Lip)

Muscles:

• Vastus Medialis

Linea Aspera (Lateral Lip)

Muscles:

• Vastus Lateralis

• Biceps Femoris Short Head

Ligaments:

• Lateral Intermuscular Septa

Linea Aspera (Unspecified)

Muscles:

• Adductor Brevis

• Adductor Longus

• Adductor Magnus

Medial Supracondylar Line

Muscles:

• Adductor Magnus (Adductor Portion)

Lateral Supracondylar Line

Muscles:

• Biceps Femoris Short Head

• Plantaris

Ligaments:

• Lateral Intermuscular Septa

Popliteal Surface

Muscles:

• Gastroc

Patellar Surface

Muscles:

• Vastus Medialis

• Vastus Lateralis

• Vastus Intermedius

• Rectus Femoris

Ligaments:

• Medial Retinaculum

• Lateral Retinaculum

Bursa:

• Prepatellar Bursa

• Subcutaneous Infrapatellar Bursa

• Suprapatellar Bursa (Located superior to patella between femur and quads)

Medial Femoral Condyle

Ligaments:

• PCL

• Meniscofemoral Ligaments

Bursa:

• Gastroc Bursa

Lateral Femoral Condyle

Muscles:

• Gastroc

• Semimembranosus

• Popliteus

Ligaments:

• Oblique Popliteal Ligament

• ACL

• Arcuate Popliteal Ligament

Bursa:

• Gastroc Bursa

Adductor Tubercle

Muscles:

• Adductor Magnus (Hamstring Portion)

Ligaments:

• MCL

• Medial Patellofemoral Ligament

Medial Tibial Condyle

Muscles:

• Semimembranosus

Ligaments:

• MCL

• Coronary Ligaments attach menisci to tibial condyles

Lateral Tibial Condyle

Muscles:

• Tibialis Anterior

• Extensor Digitorum Longus

• TFL via ITB on the lateral tibial condyle

Ligaments:

• Coronary Ligaments attach menisci to tibial condyles

Tibial Tuberosity

Muscles:

• Vastus Medialis

• Vastus Lateralis

• Vastus Intermedius

• Rectus Femoris

Gerdy’s Tubercle

Muscles:

• TFL via the ITB

Superior Medial Tibia (Pes Anserine)

Muscles:

• Sartorius

• Gracillis

• Semitendinosus

Bursa:

• Bursa Anserina

Soleal Line

Muscles:

• Soleus

Medial Malleolus

Ligaments:

• Deltoid Ligament (Anterior Tibiotalar Ligament, Posterior Tibiotalar Ligament, Tibionavicular Ligament, and Tibiocalcaneal Ligament)

3rd Malleolus

Posterolateral distal fibula (Note: not a true anatomic landmark - clinical landmark)

• Clinical application: Tri-malleolar fracture

Head of the Fibula

Muscles:

• Soleus

• Fibularis Longus

• Biceps Femoris Long Head

• Biceps Femoris Short Head

Ligaments:

• LCL

• Anterior Ligament of the Fibular Head

• Posterior Ligament of the Fibular Head

• Arcuate Popliteal Ligament

Lateral Malleolus

Ligaments:

• Anterior Talofibular Ligament

• Posterior Talofibular Ligament

• Calcaneofibular Ligament

Bursa:

• Subcutaneous bursa of the lateral malleolus

General Attachments on Talus

Ligaments:

• Talocalcaneal Ligaments (Medial, lateral, posterior, and interosseous)

• Anterior Talofibular Ligament (Lateral ankle ligament)

• Posterior Talofibular Ligament (Lateral ankle ligament)

• Anterior Tibiotalar Ligament (Deltoid/Medial ankle ligament)

• Posterior Tibiotalar Ligament (Deltoid/Medial ankle ligament)

General Attachments on Calcaneus

Muscles:

• Gastroc (Via calcaneal tendon)

• Soleus (Via calcaneal tendon

• Plantaris (Via calcaneal tendon)

• Quadratus Plantae

• Extensor Digitorum Brevis

Ligaments:

• Calcaneofibular Ligament

• Long and Short Plantar Ligaments (Calcaneocuboid)

• Medial Talocalcaneal Ligament

Attachments specifically on the Medial Tubercle of the Calcaneal Tuberosity

Muscles:

• Abductor Hallicus

• Flexor Digitorum Brevis

• Abductor Digiti Minimi

Ligaments:

• Plantar Aponeurosis

Attachments specifically on the Lateral Tubercle of the Calcaneal Tuberosity

Muscles:

• Abductor Digiti Minimi

Attachments specifically on the Sustentaculum Tali of the Calcaneus

Muscles:

• Tibialis Posterior

Ligaments:

• Spring Ligament (Plantar Calcaneonavicular)

• Tibiocalcaneal Ligament (Deltoid/Medial ankle ligament)

General Attachments on the Cuboid

Muscles:

• Flexor Hallucis Brevis

• Tibialis Posterior

Ligaments:

• Short Plantar Ligament (Calcaneocuboid)

• Long Plantar Ligament (Calcaneocuboid)

• Cuneocuboid Ligament

Navicular Tuberosity

Muscles:

• Posterior Tibialis

General Attachments on the Navicular

Ligaments:

• Spring Ligaments (Plantar Calcaneonavicular)

• Tibionavicular Ligament

Medial Cuneiform

Muscles:

• Fibularis Longus

• Tibialis Anterior

• Tibialis Posterior

Ligaments:

• Intercuneiform Ligaments

Intermediate Cuneiform

Muscles:

• Tibialis Posterior

Ligaments:

• Intercuneiform Ligaments

Lateral Cuneiform

Muscles:

• Tibilais Posterior

Ligaments:

• Cunecuboid Ligaments

• Intercuneiform Ligaments

Base of the Metatarsals

Muscles:

• Tibialis Anterior (1st MT)

• Fibularis Longus (1st MT)

• Tibialis Posterior (2nd-4th MT)

• Fibularis Tertius (5th MT)

Tuberosity of the 5th Metatarsal

Muscles:

• Fibularis Brevis

Attachments on the Phalanges

Muscles:

• Extensor Digitorum Longus (DA): Middle and distal phalanges (2nd - 5th digits)

• Flexor Hallucis Longus (DA): Base of distal phalanx of hallux

• Flexor Digitorum Longus (DA): Base of distal phalanges of 2nd - 5th digits

• Extensor Hallucis Longus (DA): Distal phalanx of hallux (1st digit)