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What does “hip” refer to
The Os Coxae - Knee
What does “leg” refer to
Knee-Foot
What makes up the pectoral girdle?
Scapula and clavicle
What makes up the pelvic girdle?
The Os Coxae + Sacrum
The radius is — to the ulna
lateral
T/F the radius attached on the thumb side of the hand
True
T/F the tibia is larger and medial to the fibula
True
What do ball & socket joints allow and what are 2 examples?
Flexion, extension, rotation, circumduction
Shoulders and hip joints
What do hinge joints allow and what are 2 examples?
Flexion and extension
Elbows and knees
T/F different types of limb joints allow different types of muscle actions?
True
What do all limb muscles develop from?
somites (bc skeletal muscle)
Are limb muscles hypaxial?
Yes
Innervation of limb muscles:
ventral rami of spinal nerves
3 Rules of thumb for muscles in the same group:
Often:
have the same motor innervation
share similar muscle attachments
share similar muscle actions
How to tell a cross section of the leg versus the thigh?
The leg has both the tibia and fibula showing versus the thigh which only shows the femur
Compartments of the thigh:
Anterior (extensor)
Medial (adductor)
Posterior (flexor) - hamstrings
Compartments of the leg:
Anterior (extensor)
Lateral - (inversion/eversion) - fibular
Posterior (flexor, superficial)
Posterior (flexor, deep)
What attaches to the pelvic girdle?
Hip Flexors attach and cross hip
T/F the head of the femur is medial and articulates with the acetabulum?
True
What do the medial condyles of the femur articulate with?
The tibia
What does the head of the fibula articulate with?
Tibia
What is the interosseous membrane?
fibrous joint
stabilizes interaction between tibia and fibula
separates anterior and posterior compartments
Sacroiliac joint is a:
Gliding joint (synovial)
little motion
Ligaments (syndesmoses):
anterior/posterior sacroiliac ligaments
sacrospinous lig
sacrotuberous lig
What type of joint is a ball & socket joint?
Synovial: surrounded by capsule, articular cartilage, ligaments for support
Ex: coxal joint (hip)
What ligament attaches the head of the femur to the acetabulum via the fovea capitis?
Round ligament
What is the labrum?
articular cartilage that covers the acetabulum
What ligament keeps the head of the femur in its socket?
Transverse acetabular ligament
The two intracapsule ligaments of the coxal joint:
Round ligament
Transverse acetabular ligament
3 reinforcing ligaments of the coxal joint:
pubofemoral ligament
iliofemoral ligament
ischiofemoral ligament
2 types of joints at the knee and what they allow:
Hinge joint (femur-tibia)
Gliding joint (patella-femur
Flexion/extension, some rotation
What are the medial/lateral menisci between, what are they, function?
Between the lateral and medial menisci
What: Fibrocartilage discs
Function: match articular surfaces, absorb shock, joint stability
Extracapsular ligaments of the knee (3):
Patellar tendon
medial collateral ligament (MCL), lateral collateral ligament (LCL) - allow for side to side movements, prevent dislocation
Intracapsular ligaments of the knee (2):
Anterior Cruciate Lig. (ACL) - Weaker, more injuries, Prevents hyperextension, Prevents anterior displacement (tibial)
Posterior Cruciate Lig. (PCL) - stronger, prevents hyperflexion, prevents posterior displacement (tibial)
*Connect tibia to femur
Anterior thigh compartment muscle actions:
Flexion at hip - cross hip joint anteriorly
Extension at knee - cross knee anteriorly
Abduction/adduction
Innervation of anterior thigh compartment:
Femoral nerve
Anterior compartment: iliopsoas group commonalities:
Insert on the lesser trochanter
Flex thigh (coxal joint) - aka as hip flexor muscles
Bc they cross the hip anteriorly
Origin superior to insertion
Name the two muscles in the iliopsoas group (anterior) and what joint they cross
Psoas major
Iliacus
Cross the coxal joint and pass under the ignuinal lig
Anterior compartment muscles (quadriceps) commonalities:
Insert on tibial tuberosity (all but
Extend knee (all but
Innervated by the femoral nerve
What joints are cross by the quadricep group?
Coxal joint - rectus femoris and sartorius
Knee joint - all
Common insertion of rectus femoris, vastus intermedius, vastus medialis, vastus lateralis
Tibial tuberosity via the patella tendon
rectus femoris, vastus intermedius, vastus medialis, vastus lateralis cross the knee anteriorly and cause:
extension of knee
Origin and insertion of sartorius:
O- anterior superior iliac spine
I - insert medial condyle
Sartorius action at coxal joint and knee joint:
CJ - Flexion at hip
KJ - Flexion at knee
also causes lateral rotation of thigh
What is the function of the gluteal compartment?
Laterally rotates thigh
Commonality of the gluteal compartment:
Pelvic origin (5)
Femoral insertion on the greater trochanter (except gluteus maximus)
Carries out extension, abduction, lateral rotation
Muscles in the gluteal compartment:
Gluteus maximus
Gluteus medius
Gluteus minimus
Piriformis
Tensor Fasciae Latae
What innervates the glutues maximus?
Inferior gluteal nerve
What innervates the glutues medius, minimus, and tensor facia latae?
Superior gluteal nerve
What innervates the pifiormis?
S1-S2 ventral rami
What joint do the gluteus maximus, medius, and minimus cross and what action does it cause?
Coxal joint, lateral rotation
Action(s) of the gluteus maxmimus, medius, minimus
Gluteus
Maximus: extension, lateral rotation
Medius: abduction, extension (p), lateral rotation (p), flexion (a), medial rotation (a)
Minimus: abduction, flexion, medial rotation
What joint does the piriformis muscle cross and what action does it engage?
Coxal joint, lateral rotation
What joint does the tensor fasciae latae cross, what does it connect to, what is its action?
coxal joint
inserts on iliotibial tract (IT band)
Flexion
Commonalities of the medial compartment
-Cross inferiorly to hip joint
-origin from pubis and ischium
-insert on linea aspera
-Adduction of hip, flexion of thigh
-Inn by obturator nerve
Muscles of medial compartment (5):
Superficial:
-Pectineus
-adductor longus
-gracilis - (also flexes leg)
Deep:
-adductor brevis
-adductor magnus - (also extends thigh)
T/F the gracilis muscle also cross the knee joint?
True
The medial thigh muscles all affect what joint?
Coxal joint
Which muscle has the feature of the “adductor hiatus”
adductor magnus
The adductor portion of the adductor magnus is innervated by the:
Obturator nerve
The hamstring portion of the adductor magnus is innervated by the
Tibial nerve
Commonalities of the posterior compartment (hamstring group)
origin from the ischial tuberosity
cross the knee and hip to cause flexion of knee/leg and extension of the hip/thigh
Inn tibial nerve
Hamstring group muscles - posterior
Lateral:
-Biceps Femories
Medial:
-Semitendinosus
-Semimanbranosus
Origin and insertion of biceps femoris long head versus short head:
Biceps femoris
Long head: origin - ischial tuberosity
Short head: origin - linea aspera
*Both insert on the head of the fibula
T/F the biceps femoris short head only crosses the knee joint
true
T/F the femoral nerve moves under the inguinal ligament
True
The piriformis runs between:
sacrum and greater trochanter
What innervates the piriformis?
S1-S2 (turns into sciatic nerve)
The sciatic nerve divides into:
tibial and
common fibular (inn short head of biceps femoris)
What does the talus articulate with?
Lateral malleolus and fibula (creating a hinge joint)
What is the calcaneus also known as?
the heel
T/F the hallux (big toe) only has a distal and proximal phalanx
True
What is dorsiflexion?
Superior side of foot moves towards shin
What is plantarflexion?
toes point downward
Another name for the ankle joint, its function, articulation, what type of joint?
talocrural joint
function: dorsiflexion and plantarflexion
articulation: tibia+fibula/talus
Hinge
Intertarsal joints and actions they allow:
Subtalar joint = talus and calcaneus
Transverse taler joint = talus/calcaneus and navicular/cuboid
**Gliding joints (permit inversion and eversion)
2 ligaments of the ankle:
Lateral collateral ligaments: lateral malleolus - talus/calcaneus
Deltoid ligaments: medial mallelous - talus/calcaneus
**Stabilize talocrural joint
What do the arches of the foot allow?
allows body to cushion weight and maintain structure in foot
What are the three arches of the foot?
medial, lateral, transverse
Commonalities of the anterior tibial group:
Insertion on dorsal foot
Dosiflex foot
extend toes (both extensors)
deep fibular nerve
What does the interosseous membrane do?
Connects the tibia and fibula and separates the anterior and deep posterior compartments
What digits do the extensor digitorum longus reach?
Digits 2-5 to extend them
What type of joints are the digital joints?
ellipsoid and hinge
Superficial leg anterior compartment muscles (2)
Tibialis anterior and extensor digitorum longus
Deep leg anterior compartment muscles
Extensor hallucis longus and fibularis tertius
What different actions do the tibialis anterior and the fibulais tertius provide?
Tibialis anterior - inversion
Fibularis tertius - eversion
Lateral compartment fibularis group commonalities:
origin on lateral surface of fibula pass posterior to the lateral malleolus
plantarflex foot
evert food
inn by superficial fibular nerve
Fibularis longus tendon functions (4):
plantarflex ankle
evert foot
support arches of foot
stabilize ankle
Posterior compartment leg commonalities
superficial layer (3) - insert on calcaneus via achilles tendon
deep layer (3)
insert on plantar food (bottom)
plantarflex food
inn by tibial nerve
3 superficial leg posterior compartment muscles and actions:
Gastrocnemius (calve)
Plantaris
Soleus - only crosses ankle
All plantarflex foot, (gastrocnemius and plantaris flex leg)
Deep posterior leg compartment muscles (3)
Tibialis posterior
Flexor digitorum longus
Flexor hallucis longus
All cross behind medial malleolus
Actions of deep posterior leg compartment muscles (
All cross ankle joint posteriorly which causes plantarflexion
All invert the foot
Flexor hallucis longus also flexes the hallux (big toe)
Flexor digitorum longus also flexes digits 2-5
Function of the flexor retinaculum?
keeps tendon flushed to ankle
Lumbosacral plexus origins:
Ventral rami of T12-S5 spinal nerve
Hypaxial mm inn
Focus on named nerves and compartments
The obturator nerve enters the:
Medial compartment
The femoral nerve enters the:
Anterior compartment
The obturator nerve comes behind:
the adductor longus
The superior and inferior gluteal nerve inn:
Gluteal compartment
Sup. inn lateral gluteal mm
Inf. inn gluteus maximus
What does the sciatic nerve inn:
Thigh, leg
-exits out the greater sciatic foramen
Where does the sciatic nerve divide?
The popliteal fossa