SKELETON OF THE LOWER EXTREMITY (ossa membri inferioris) SKELETON OF THE LOWER EXTREMITY (ossa membri inferioris) • Organ of support and locomotion • In comparison with the UE– more robust bones • Very limited mobility (joints) Skeleton of pelvic girdle hip bone/pelvic bone– os coxae (os ilium, os ischii, os pubis) Skeleton of free extremity femur– femur knee-cap – patella Shin bone– tibia fibula– fibula Tarsal bones– ossa tarsi Metatarsal bones– ossa metatarsi Phalanges of toes (ossa digitorum pedis – phalanges) Cingulum membri inferioris Os coxae (hip bone) os ilium, os pubis, os ischii • Flat bone- it is formed by the fusion of three originally separate bones at the end of teenage years acetabulum facies lunata fossa acetabuli incisura acetabuli foramen obturatum Iliac bone– os ilium corpus ala • medial surface fossa iliaca facies auricularis tuberositas iliaca linea arcuata crista iliaca spina iliaca anterior superior spina iliaca anterior inferior spina iliaca posterior superior spina iliaca posterior inferior • lateral surface linea glutea posterior linea glutea anterior linea glutea inferior Sciatic bone– os ischii corpus ramus tuber ischiadicum spina ischiadica incisura ischiadica major incisura ischiadica minor Pubic bone– os pubis ramus inferior facies symphysialis crista phallica ramus superior eminentia iliopubica pecten ossis pubis tuberculum pubicum sulcus obturatorius corpus Femur – femur Proximal end: caput femoris fovea capitis femoris collum femoris trochanter major trochanter minor linea intertrochanterica crista intertrochanterica fossa trochanterica corpus femoris linea aspera labium mediale labium laterale (tuberositas glutaea) Distal end: condylus medialis condylus lateralis epicondylus medialis epicondylus lateralis facies patellaris facies poplitea fossa intercondylaris linea intercondylaris Patella – knee-cap basis patellae apex patellae facies articularis patellae- lateral and medial facet facies anterior OSSIFACATION OF PATELLA Tibia – shine bone Proximal end: condylus medialis condylus lateralis facies articularis superior eminentia intercondylaris tuberculum intercondylare mediale tuberculum intercondylare laterale area intercondylaris anterior area intercondylaris posterior facies articularis fibularis corpus tuberositas tibiae linea musculi solei margo medialis margo anterior margo interosseus Distal end: malleolus medialis sulcus malleoli medialis facies articularis malleoli medialis incisura fibularis facies articularis inferior (distalis) Fibula – fibula Proximal end: caput fibulae (facies articularis capitis fibulae) apex capitis fibulae corpus: margo anterior margo medialis margo posterior margo interosseus Distal end: malleolus lateralis facies articularis malleoli lateralis sulcus malleoli lateralis fossa malleoli lateralis ossa pedis– bones of the foot I. Tarsal bones– ossa tarsi II. Metatarsal bones– ossa metatarsi III. Phalanges of toes– ossa digitorum pedis Tarsal bones– ossa tarsi (7) talus calcaneus Navicular bone Cuboideal bone Cuneiform bones (mediale, intermedium et laterale) Talus Proximal part: corpus tali • dorsally: trochlea talifacies superior et maleolaris (lateralis, medialis) • plantar: facies articularis calcanearisposterior, media, anterior sulcus tali- sinus tarsi • processus posterior talituberculum mediale et lateralesulcus tendinis m. flexoris hallucis longi • processus lateralis tali collum tali Distal part • caput tali- facies articularis navicularis Calcaneus •tuber calcanei (processus medialis et lateralis) •sustentaculum tali (sulcus tendinis musculi flexoris hallucis longi) •trochlea peronealis- sulcus tendinis musculi peronei longi •facies articularis cuboidea •facies articularis talaris posterior, media et anterior sulcus calcanei sulcus tali + sulcus calcanei = sinus tarsi Navicular bone •facies articularis talaris- concave •facies articularis cuneiformis- convex- 3 facets •tuberositas ossis navicularis- plantar cuboid • f. articularis calcanearis, 2 facets for 4th anf 5th metatarsal bone • Surface for articulation with os cuneiforme laterale • tuberositas ossis cuboidei • sulcus tendinis musculi peronei longi Cuneiform bones: mediale, intermedium et laterale mediale: the largest, edge of wedge-dorsally intermedium: edge of wedge - plantar laterale: edge of wedge - plantar They participate in the foot vault Metatarsal bones– ossa metatarsi ( I. – V.) basis (tuberositas ossis metatarsi I. et V.) corpus caput Phalanges of toes– ossa digitorum pedis 1st – phalanx proximalis et distalis 2nd – 5th toe – phalanx proximalis, media et distalis basis phalangis corpus phalangis trochlea (distal phalanx– tuberositas phalangis distalis) Ossa sesamoidea • patella • Bellow the head of the 1th metatarsal bone: two bones (lateral and medial) in metatarsophalangeal joint • Sometimes also bellow the head of 2nd and 5th met. bone, within the tendon of m.peroneus longus Calcaneus accesorius Os trigonum Os intermetatarsale Os Vesali Os tibiale exter. ossification Tank you for your attention! Obrázky: Atlas der Anatomie des Menschen/Sobotta. Putz,R., und Pabst,R. 20. Auflage. München:Urban & Schwarzenberg, 1993 Netter: Interactive Atlas of Human Anatomy. Naňka, Elišková: Přehled anatomie. Galén, Praha 2009. Čihák: Anatomie I, II, III. Drake et al: Gray´s Anatomy for Students. 2010