Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human...
-
Upload
truongquynh -
Category
Documents
-
view
275 -
download
5
Transcript of Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human...
![Page 1: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/1.jpg)
Frolich, Human Anatomy, Lower LImb
Lower LimbSkeleton (homologous with upper limb)Muscles--anterior, posterior compartmentsNerves--sciatic, femoralSurface anatomy
![Page 2: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/2.jpg)
Frolich, Human Anatomy, Lower LImb
Upper-Lower Limb ComparisonSee Table M&M, Table 8.1
![Page 3: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/3.jpg)
Frolich, Human Anatomy, Lower LImb
![Page 4: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/4.jpg)
Frolich, Human Anatomy, Lower LImb
Tibia/fibula
Tibia--big toe sideFibula--little toe side
(no pronation/supination)
![Page 5: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/5.jpg)
Frolich, Human Anatomy, Lower LImb
Ankle
Tarsus--forms ankle jointCalcaneus--forms heel
![Page 6: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/6.jpg)
Frolich, Human Anatomy, Lower LImb
Foot Function:Support weightAct as lever when walking
TarsalsTalus = ankle
• Between tibia + fibula• Articulates w/both
Calcaneus = heel• Attachment for Calcaneal
tendon• Carries talus
MetatarsalsHomologous to metacarpals
PhalangesSmaller, less nimble
![Page 7: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/7.jpg)
Frolich, Human Anatomy, Lower LImb
Joints of Lower LimbHip (femur + acetabulum)
Ball + socketMultiaxialSynovial
Knee (femur + patella)Plane Gliding of patellaSynovial
Knee (femur + tibia)HingeBiaxialSynovial
![Page 8: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/8.jpg)
Frolich, Human Anatomy, Lower LImb
Joints of Lower Limb
Proximal Tibia + FibulaPlaneGlidingSynovial
Distal Tibia + FibulaSlight “give”Fibrous
Ankle (Tibia/Fibula + Talus)HingeUniaxialSynovial
pg 218
![Page 9: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/9.jpg)
Frolich, Human Anatomy, Lower LImb
Lower Limb MovementsHip
Flexion/extensionAbduction/adductionLateral/medial rotation
KneeFlexion/extension
AnkleDorsiflexion/plantarflexionInversion/eversion
ToesFlexion/extension
Bending on posterior side is flexion (except hip)Bending on anterior sided is extension (except hip)
![Page 10: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/10.jpg)
Frolich, Human Anatomy, Lower LImb
Anterior/Posterior compartments
Sciatic n.(sacral plexus)
Femoral n.(lumbar plexus)
NERVES
HamstringsGastrocs
QuadsShin
MUSCLES
FlexionExtensionMOVEMENT
POSTERIOR COMPARTMENT
ANTERIOR COMPARTMENT
![Page 11: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/11.jpg)
Frolich, Human Anatomy, Lower LImb
Thigh movements by compartment
![Page 12: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/12.jpg)
Frolich, Human Anatomy, Lower LImb
Posterior Thigh
Gluts (gluteal nn.)Maximus—extensor of thighMedius--pelvic tilt
Lateral rotators (spinal nn.)Piriformis syndrome
Hamstrings (sciatic n.)Biceps femorisSemimembranousSemitendinous
![Page 13: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/13.jpg)
Frolich, Human Anatomy, Lower LImb
Anterior thigh (femoral n.)
Sartorius (Tailor’s muscle)Quads (four)
Rectus femoris(crosses hip)3 vastus mm. (vast--big)
![Page 14: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/14.jpg)
Frolich, Human Anatomy, Lower LImb
Medial compartment (obturator n.)
Adductor musclesGracilisAdductor
• Magnus• Longus• brevis
![Page 15: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/15.jpg)
Frolich, Human Anatomy, Lower LImb
Leg movements by compartment (in leg all nn are branches of sciatic)
![Page 16: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/16.jpg)
Frolich, Human Anatomy, Lower LImb
Anterior Leg (deep fibular n.)
Fibularis (peroneus) longusExtensor digitorumlongusExtensor hallicuslongusTibialis anteriorus
![Page 17: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/17.jpg)
Frolich, Human Anatomy, Lower LImb
Lateral Leg (superficial fibular n.)
Fibularisbrevis/longus
![Page 18: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/18.jpg)
Frolich, Human Anatomy, Lower LImb
Posterior Leg (tibial n.)
Gastrocs and soleusFlexor digitorumlongusFlexor hallucuslongus
![Page 19: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/19.jpg)
Frolich, Human Anatomy, Lower LImb
Intrinsics of foot
![Page 20: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/20.jpg)
Frolich, Human Anatomy, Lower LImb
Lumbar plexus (femoral nerve)
Sacral plexus (sciatic nerve)
With leg out to side like quadruped, lumbar-anterior, sacral-posterior makes sense
![Page 21: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/21.jpg)
Frolich, Human Anatomy, Lower LImb
Dermatomes show twisting of leg in development
![Page 22: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/22.jpg)
Frolich, Human Anatomy, Lower LImb
Blood supply to lower limb
Internal IliacCranial + Caudal Gluteals= glutealsInternal Pudendal = perineum, external genitaliaObturator = adductor muscles
External IliacFemoral = 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, branches to toes
![Page 23: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/23.jpg)
Frolich, Human Anatomy, Lower LImb
Surface Anatomy: Posterior Pelvis
Iliac crestGluteus maximus = cheeksNatal/gluteal cleft = crackGluteal folds = bottom of cheek
pg 789
![Page 24: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/24.jpg)
Frolich, Human Anatomy, Lower LImb
Surface Anatomy: Anterior Thigh + Leg
PalpatePatellaCondyles of femur
Femoral TriangleSartorius (lateral)Adductor longus (medial)Inguinal ligament (superior)Femoral a + v, lymph nodes
pg 785
pg 792
![Page 25: Lower Limb - Fisiokinesiterapia · Frolich, Human Anatomy, Lower LImb ... Table 8.1. Frolich, Human Anatomy, Lower LImb. Frolich, Human Anatomy, Lower LImb ... muscle) Quads (four)](https://reader038.fdocuments.in/reader038/viewer/2022102516/5af7098f7f8b9a92719113fc/html5/thumbnails/25.jpg)
Frolich, Human Anatomy, Lower LImb
Surface Anatomy: Posterior Leg
Popliteal fossaDiamond-shape fossabehind knee
BoundariesBiceps femoris (sup-lat)Semitendinosis + semimembranosis (sup-med)Gastrocnemius heads (inf)
ContentsPopliteal a + v
Calcaneal (Achilles) tendonpg 793