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Anatomy Lecture (Lower Limb)
Topics discussed in Lower Limb Unit of Anatomy
54
Anatomy
Undergraduate 3
09/08/2013

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Cards

Term
Functions of the Nervous System
Definition
Transfer information from internal and external environment to the central nervous system.

CNS receives info - interpret/ analyze - initiate and regulate an appropriate response
Sensory Neurons - Afferent
Motor Neurons - Efferent
Term
Neurons
Definition
Anatomical unit of the nervous system
Term
Reflex Arc
Definition
2 neurons= reflex arc

Functional unit of the nervous system
Term
Classification of the Nervous System
Definition
CNS
Brain - Gives rise to the cranial nerves
Spinal Cord - Gives rise to spinal nn

PNS
Cranial nerves - somatic, autonomic, special sense
Spinal nerves - Somatic and autonomic
Term
Somatic
Definition
Afferent/ Efferent
Body Wall and limbs
Motor skeletal muscles
Consciously controlled
Balance with external environment
Term
Autonomic
Definition
Afferent/Efferent
Primarily with internal organs
motor smooth muscle, cardiac muscle, and gladular tissue
Unconsciously controlled
Balance with internal environment
Term
Special Sense
Definition
Sight, smell, auditory, and taste
Term
Cranial Nerves
Definition
Afferent/ Efferent
Somatic, autonomic, and special sense
Enter/ exit the brainstem
12 bilateral pairs of cranial nerves
Work primarily with structures in the head
Term
Spinal Nerves
Definition
Afferent/ Efferent
Somatic and Autonomic
Enter and exit the spinal cord
31 bilateral pairs
Body wall and limbs
8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 2-3 coccygeal
Term
Nerve Plexus
Definition
Anterior rami of spinal nerves
network together
Innervate - skin and muscles of body wall and limbs
sensory, motor, and autonomic
4 Plexuses
Cervical Plexus (neck)
Brachial Plexus (Upper Limb)
Lumbar Plexus (Lumbosacral plexus)
Sacral Plexus (Lumbosacral plexus)
Term
Lumbosacral Plexus
Definition
Ventral/anterior rami of spinal cord
L1-->S4
Innervate: sensory, motor, and autonomic
Inferior/ posterior abdominal wall
Pelvic viscera= urogenital viscera
Perineum= Between the Legs (The taint)
Gluteal Region
Lower Limb
Term
Femoral Nerve
Definition
Anterior thigh
Hip flexors
Knee extensors
Term
Obturator Nerve
Definition
Medial thigh
Hip adductors
Term
Superior Gluteal Nerve
Definition
Lesser gluteals
Term
Inferior Gluteal Nerve
Definition
Gluteus Maximus
Term
Why Nerve Bundles?
Definition
Multiple nerve sources allow for some damage but still retain function
Paresis - Partial loss of voluntary movement
Paralysis - Total loss of voluntary movement
Term
Sciatic Nerve
Definition
Posterior thigh
Extend Hip
Flex knee
Term
Tibial Nerve
Definition
Posterior leg
Plantar flexors
Term
Common Fibular Nerve
Definition
Superficial and Deep fibular nerves
Anterior and lateral leg
Dorsi flexors
Term
Arterial Blood Flow
Definition
Flows away from the heart
40% of blood
High pressure
Low volume
Term
Venous Blood Flow
Definition
Flows toward the heart
60% of blood
Low pressure
High volume
Term
Collateral Circulation
Definition
Vessels have side vessels (collateral vessels) that flow around joints.
Where they meet is called anastomosis
Collateral vessels and anastomosis detour blood around joints
Term
Arterial Supply to the Lower Limb
(to External Iliac Artery)
Definition
1. Heart
2. Aortic Arch
3. Descending aorta
**Crosses Respiratory Diaphragm**
4. Adbominal aorta
**Crosses L4 to L5 vertebrae**
5. Common Iliac arteries (bilateral)
6. Interanal Iliac Artery (Gluteal and Pelvic Regions) and External Iliac Artery (Lower Limb)
Term
Arterial Supply to the Lower Limb (External Iliac Artery to Tibial Arteries)
Definition

1. External Iliac Artery

**Crosses Inguinal Ligament**

2. Femoral Artery

    >Profunda Femoris Artery (Posterior and Medial Thigh)

    >Muscular Branches

**Crosses through Adductor Hiatus**

3. Popliteal Artery

    Genicualar Arteries (collateral, surround thet knee)

4. Posterior Tibial Artery OR

**Popliteal crosses through Interosseus Membrane**

4. Anterior Tibial Artery

Term

Arterial Supply to the Lower Limb

 

(Posterior Tibial Artery to Digital Arteries)

Definition

1. Posterior Tibial Artery (Posterior leg)

    >Fibular Artery (lateral leg)

**Crosses onto Plantr surface of the foot**

2. Medial and lateral Plantar Arteries

**Lateral Plantar Artery curves**

3. Plantar Arch Artery (can communicate with the Arcuate Artery)

4. Metatarsal Arteries

5. Digital Arteries

Term

Arterial Supply to the Lower Limb

 

(Anterior Tibial Artery to Digital Arteries)

Definition

1. Anterior Tibial Artery (Anterior leg)

** Crosses ankle joint**

2. Dorsal Pedos Artery

**curve**

3. Arcuate Artery (can communicate with the Plantar Arch Artery)

4. Metatarsal Arteries

5. Digital Arteries

Term
Venous Return of the Lower Limb
Definition

Veins have 1 way valves that only allow blood to flow toward the heart, not away.

 

Deep set veins have same name as their accompanying artery (e.g. Femoral Vein and Femoral Artery)

 

Venae Comitantes - Vein pairs that run alongside an artery to take advantage of arterial pressure to push blood up.  Not all arteries have Venae Comitantes

Term
Superficial Veins
Definition
Great Saphenous Vein
Dorsum of the foot-->ascends medial leg and thigh-->dumps into femoral vein

Small Saphenous Vein
Dorsum of foot-->ascends posterior aspect of the leg-->dumps into the popliteal vein
Term
Nonaxial
Definition
Gliding
Term
Gluteal Region
Definition
Region
Posterior - Iliac Crest-->Gluteal Fold
Anterior - Iliac Crest-->Greater Trochanter of the Femur
Bones - Hip Bones (Ilium, Ischium, Pubis)
Term
Thigh
Definition
Region
Posterior - Gluteal Fold-->Knee
Anterior - Inguinal Ligament-->Knee
Bones - Femur
Term
Knee
Definition
Region
Distal Thigh-->Proximal Leg
Bones - Distal end of femur, proximal ends of the Tibia and fibula, patella
Term
Leg
Definition
Region
Knee-->Ankle
Bones - Tibia, Fibula
Term
Ankle
Definition
Region
Distal Tibia and Fibual and Talus-->Foot
Bones - Tarsals
Term
Foot
Definition
Region
Ankle Down
Bones - Metatarsals and Phalanges
Term
Sacroiliac Joint
Definition
Auricular of sacrum with auricular surface of the Ilium
Nonaxial
Saroiliac ligaments
Term
Pubic Symphisis
Definition
Connects the two Pubis bones
Term
Hip Joint
Definition
Head of femur and acetabulum
Synovial Joint
Multiaxial (ball and socket)
Rim of cartilage around the acetabulum - acetabular labrum
Term
Gluteus Maximus
Definition
A: Posterior Ilium/ Sacrum
B:Gluteal Tuberosity
ActionHip extensor, hip abductor, lateral rotator of the hip, limit hip flexion (function during walking)
Inn: Inferior gluteal nerve
Term
Tensor Fascia Latae
Definition
A:Iliac Crest
B: Iliotibial Tract (fascia latae)
Action: Hip flexor, medial rotator, abduction of the hip
Inn: Superior gluteal nerve
Term
Gluteus Medius (Lesser Gluteals)
Definition
A: Superior Lateral Ilium
B:Greater Trochanter
Action: Hip abduction
Inn: Superior Gluteal Nerve

**Limits Hip adduction**
Term
Gluteus Minimus (Lesser Gluteals)
Definition
A: Lateral Superior Ilium
B: Greater Trochanter
Action: Hip abductor
Inn: Superior Gluteal Nerve

*Deepest Gluteal*
**Limits hip adduction**
Term
Hip Intrinsics
Definition
Inferior to Gluteus Minimus
As deep as Gluteus Minimus
Start and end in the hip

Piriformus
Obturator Internus
Superior/Inferior Gemelli
Quadratis Femoris
Term
Piriformus
Definition
A: Anterior Sacrum
B: Greater Trochanter
Action: lateral rotator

**Proprioception - give sensory information on where the hip is in space**
Term
Obturator Internus
Definition
A: Interior of Obturator Foramena
B: Greater Trochanter
Action: Lateral Rotation

**Proprioception - give sensory information on where the hip is in space**
Term
Quadratis Femoris
Definition
A: Ischial Tuberosity
B: Intertrochanteric Crest
Action: Lateral Rotation
Term
Connective Tissue
Definition
Term
Superior and Inferior Gemelli
Definition
A: Ischium
B: Tendon of Obturator Internus
Action: Lateral Rotation
**Proprioception - give sensory information on where the hip is in space**
Term
Movement of Synovial Joints
Definition
Term
Types of Synovial Joints
Definition
Uniaxial - 1 axis of movement
Biaxial - 2 axes of movement
Multiaxial - 3 or more axes of movement
Nonaxial - Gliding
Term
Uniaxial Joints
Definition
Hinge - flexion and extension

Pivot - rotation
Term
Lumbosacral Joint
Definition
L5-->S1
Cartilaginous Joint
Limits movements between L5 and S1
Held together by Iliolumbal Ligaments
Lumbar-->Ilium
Term
Multiaxial
Definition
Ball and Socket - Flexion & Extension, Abduction & Adduction, rotation

Saddle - Opposition
Term
Biaxial
Definition
Condyloid - Flexion & Extension, Abduction & Adduction
Circumduction

Ellipsoid - Flexion & Extension, Abduction & Adduction
Circumduction
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