LAB 13          THE LOWER EXTREMITY

 

I.         Histology - None

 

II.        Skeletal Material

                        Femur - Locate the following:

                                    head

                                    neck

                                    greater trochanter

                                    lesser trochanters

                                    intertrochanteric crest

                                    quadrate tubercle

                                    medial and lateral epicondyles

                                    medial and lateral condyles

                                    patellar surface

                                    intercondylar fossa

                        Fibula

                                    head

                                    lateral malleolus

                        Tibia

                                    medial and lateral condyles

                                    tibial tuberosity

                                    anterior tibial crest

                                    intercondylar eminence

                                    medial malleolus

                        Foot

                                    talus

                                    calcaneus

                                    navicular

                                    cuboid

                                    1st, 2nd and 3rd cuneforms

                                    metarsals (5)Ð first through fifth

                                    phalanges (14)- proximal, middle, and distal

 

III.      Models

            A.        Knee joint

                        patella

                        femur

                        tibia

                        fibula

                        lateral and medial collateral ligaments

                        anterior and posterior cruciate ligaments

                        medial and lateral menisci

                        medial and lateral condyles

                        quadriceps tendon

                        patellar ligament

           

 

            B.        Lower Extremity

                a.     Muscles

                        1.         Psoas major muscle

                        2.         Iliacus muscle

                        3.         Gluteus maximus muscle

                        4.         Gluteus medius muscle

                        5.         Piriformis muscle

                        6.         Obturator internus muscle

                        7.         a.         Superior gemellus muscle

                                    b.         Inferior gemellus muscle

                        8.         Quadratus femoris muscle

                        9.         Tensor fasciae latae muscle

                      10.         Sartorius muscle

                      11.         Quadriceps femoris muscle

                                    a.         rectus femoris muscle

                                    b.         vastus medialis muscle

                                    c.         vastus lateralis muscle

                                    d.         vastus intermedius muscle

                                    e.         quadriceps tendon

                     12.          Pectineus muscle

                     13.          Adductor longus muscle

                     14.          Adductor magnus muscle

                     15.          Gracilis muscle

                     16.          Semitendinosus muscle

                     17.          Semimembranosus muscle

                     18.          Biceps femoris

                                    a.         long head

                                    b.         short head

                     19.          Tibialis anterior muscle

                     20.          Extensor hallicus longus muscle

                     21.          Extensor digitorum longus muscle

                     22.          Peroneus longus muscle

                     23.          Peroneus brevis muscle

                     24.          Triceps surae muscle

                                    a. and   b.   Gastrocnemius muscle

                                    c.  Soleus muscle

                                    d.  Achilles tendon

                     25.          Plantaris muscle

                     26.          Popliteus muscle

                     27.          Flexor digitorum longus

                     28.          Tibialis posterior muscle

                     29.          Flexor hallucis longus

                     30.          Extensor digitorum brevis muscle

                     32.          Abductor hallucis muscle

                     33.          Flexor hallucis brevis

                     34.          Abductor digiti minimi

                     35.          Flexor digiti minimi brevis

                     36.          Flexor digitorum brevis

                     37.          Lumbrical muscles

                     38.          Dorsal interosseus muscles of the foot

                 b.    Vessels

                     39.          External iliac artery

                     39a.        External iliac vein

                     40.          Internal iliac artery

                     41.          Obturator artery

                     42.          Superior gluteal artery

                     43.          Inferior gluteal artery

                     44.          Internal pudendal artery

                     45.          Femoral artery

                     46.          Profunda femoris artery

                     47.          Descending branch of the lateral circumflex artery

                     48.          Ascending branch of the lateral circumflex artery

                     49.          Ascending circumflexa femoris medialis ramus profundus

                     50.          Perforating arteries

                     51.          Popliteal artery

                     52.          Lateral superior genicular artery

                     53.          Medial superior genicular artery

                     54.          Lateral inferior genicular artery

                     55.          Medial inferior genicular artery

                     56.          Posterior tibial artery

                     57.          Anterior tibial artery

                     58.          Peroneal artery

                c.     Nerves

                     59.          Femoral nerve

                     60.          Saphenous nerve

                     61.          Obturator nerve

                     62.          Plenus sacralis

                     63.          Sciatic nerve

                     64.          Medial popliteal nerve and posterior tibial nerve

                     65.          Common peroneal nerve

                     66.          Deep peroneal nerve

                     67.          Superficial peroneal nerve

                d.     Bones

                     68.          Fifth lumbar vertebra

                     69.          Sacrum

                     70.          Coccyx

                     71.          Iliac crest

                     72.          Anterior Superior Iliac Spine

                     73.          Pubic bone

                     74.          Pubic symphysis

                     75.          Ischial spine

                     76.          Ischial tuberosity

                     77.          Greater trochanter

                     78.          Lesser trochanter

                     79.          Femur

                     80.          Medial epicondyle of the femur

                     81.          Lateral epicondyle of the femur

                     82.          Patella

                     83.          Tibia

                     84.          Medial malleolus

                     85.          Head of the fibula

                     86.          Fibula

                     87.          Lateral malleolus

                     88.          Calcaneus

                     89.          Navicular

                     90.          1st Metarsal bone

                     91.          5th Metarsal bone

 

IV.      Dissection

 

            A.        Gluteal Region

                     466.        Gluteus Maximus

                     467.        Gluteus Medius

                     468.        Gluteus Minimus

                     469.        Sacrospinous ligament

                     470.        Sacrotuberous Ligament            

                     471.        Piriformis

                     472.        Sciatic N.

                     473.        Pudendal N.

                     474.        Superior gemellus

                     475.        Obturator Internis

                     476.        Inferior gemellus              

                     477.        Quadratus Femoris

 

            B.        Posterior and Lateral Thigh

                    478.         Tensor Fascia Lata

                    479.         Iliotibial Tract

                    480.         Biceps Femoris

                    481.         Semitendinosus

                    482.         Semimembranosus

                    483.         Adductor magnus

           

            C.        Posterior Leg

                    484.         Gastrocnemius

                    485.         Sural N.

                    486.         Popliteal A.

                    487.         Popliteal V.

                    488.         Common Peroneal N.

                    489.         Plantaris

                    490.         Popliteus

                    491.         Soleus

                    492.         Peroneus Longus

                    493.         Peroneus Brevis

                    494.         Flexor Hallucis Longus

                    495.         Tibialis Posterior

                    496.         Flexor Digitorum Longus

                    497.         Tibial N.

                    498.         Achilles Tendon

 

 

            D.        Anterior and Medial Thigh

                    499.         Psoas Major

                    500.         Iliacus

                    501.         Iliopsoas

                    502.         External Iliac A.       

                    503.         External Iliac V.

                    504.         Sartorius

                    505.         Femoral N.

                    506.         Femoral A.

                    507.         Femoral V.

                    508.         Greater Saphenous V.

                    509.         Inguinal Lig.

                    510.         Pectineus

                    511.         Obturator Externis

                    512.         Adductor Brevis

                    513.         Adductor Longus

                    514.         Gracilis

                    5l5.          Rectus Femoris

                    516.         Vastus Lateralis

                    517.         Vastus Medialis

                    518.         Vastus Intermedius

 

            E.         Anterior and Lateral Leg

                    519.         Tibialis Anterior

                    520.         Extensor Digitorum Longus

                    521.         Extensor Hallucis Longus

                    522.         Peroneus Longus

                    523.         Peroneus Brevis

 

V.        Audio-Visual

            Cross sections of thigh and leg