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BONES OF THE LOWER LIMB Krešimir Tućin 2nd year, 2013/14 University of Zagreb Medical School Mentor: A. Žmegač Horvat Function    Carry and support the weight of the entire erect body Points for muscular attachments Locomotion (standing, walking, jumping, running, kicking, etc.) Components  Thigh   Knee   Femur Patella Leg Tibia (medial)  Fibula (lateral)   Foot Tarsals (7)  Metatarsals (5)  Phalanges (14)  Surface anatomy  Bony prominences and margins – palpable  Exception: hip joint, neck, and shaft of the femur  Anatomical landmarks – define the extent of the leg Superior anterior iliac spine, greater trochanter, medial condyle of tibia, and medial malleolus   Anterior thigh   Patella Femur   Anterior leg bones  Tibia      Tibial tuberosity Anterior crest Medial surface Medial malleolus Fibula    Condyles Head Lateral malleolus Posterior side – only tendons palpable Femur     Thigh bone Largest, longest, strongest bone in the body! Receives a lot of stress Courses medially    More in women! Articulates with acetabulum proximally and socket”) joint Articulates with tibia and patella distally  lat. acetabulum = vinegar cup hip (“ball knee joint Knee  Femur, patella, tibia  Patella      Kneecap Triangular sesamoid bone Protects knee joint Improves leverage of thigh muscles acting across the knee Contained within patellar ligament Tibia  Shin bone  Receives weight of body from femur and transmits to foot Second to femur in size and weight   Articulates with fibula proximally and distally  Articulates with femur and patella proximally Fibula     Does NOT bear weight! Muscle attachment Not part of knee joint Stabilizes ankle joint *ankle joint = tibia, fibula, talus Fractures of the tibia and fibula Foot  Function:    Supports the weight of the body Acts as a lever to propel the body forward Parts:    Tarsals Metatarsals Phalanges of the foot Tarsals     Hind part of the foot 7 short bones Similar to the carpals Parts:      Calcaneus Talus Navicular 3 Cuneiforms Cuboid Metatarsals and phalanges of the foot  Metatarsals    Phalanges    Midfoot Similar to metacarpals Forefoot 2 in the big toe, 3 in each of the other toes Both long bones Foot arches  3 arches  Medial Longitudinal  Lateral  Transverse Tendons     Function    Inferior to foot bones Help support arches of foot Support the weight of the body during standing Elastic propulsion during walking Flat foot References      en.wikipedia.org www.innerbody.com www.dartmouth.edu faculty.ccri.edu Elsevier, Drake et al: Gray's anatomy for students