Upload
rezkadeha
View
29
Download
1
Embed Size (px)
DESCRIPTION
DMS
Citation preview
EXTREMITAS INFERIOR
SufitniMega Sari Sitorus
Tulang-Tulang Yang Membentuk
Ekstremitas Inferior
Os Coxae Os Femur Os Patella Os Tibia – Fibula Os Tarsalia Os Metatarsal Os Phalanges
OS Coxae
Pada bagian anterolateral terdapat
mangkuk sendi = fossa acetabuli,
bersendi dgn caput femoris
Pada pinggir fosssa acetabuli terdapat penebalan yang dilapisi oleh tulang
rawan
Facies Lunata
FEMUR
Pada bgn atas terdapat caput femoris
Dibagian atas caput ini terdapat
fovea capitis yg merupakan tempat melekat ligamentum teres femoris
Bagian – Bagian Femur , antara lain :• Trochanter major , minor• Fossa trochanterica : tempat insersi otot bokong• Linea aspera
- labium interna : tpt origo otot –otot adductor
- labium eksterna ; origo m.biceps femoris -
caput brevis
Tulang-Tulang Yang Membentuk-
Pergelangan Kaki ( ossa tarsalia)
- os calcaneus
- os tallus
- os naviculare pedis
- os cuneiforme I, II, III
- os cuboideum
Perdarahan Pada Ekstremitas Inferior• A. Femoralis• A. Poplitea• A. Tibialis Anterior• A. Tibialis Posterior• A. Peronea
• V. Femoralis• V. Saphena magna• V. Saphena parva
Frolich, Human Anatomy, Lower LImb
Posterior Thigh
• Gluts (gluteal nn.)• Maximus—extensor of thigh• Medius--pelvic tilt
• Lateral rotators (spinal nn.)• Piriformis syndrome
• Hamstrings (sciatic n.)• Biceps femoris• Semimembranous• Semitendinous
Frolich, Human Anatomy, Lower LImb
Anterior thigh (femoral n.)
• Sartorius (Tailor’s muscle)
• Quads (four)• Rectus femoris
(crosses hip)• 3 vastus mm.
(vast--big)
Frolich, Human Anatomy, Lower LImb
Medial compartment (obturator n.)
• Adductor muscles• Gracilis• Adductor
• Magnus• Longus• brevis
Frolich, Human Anatomy, Lower LImb
Anterior Leg (deep fibular n.)
• Fibularis (peroneus) longus
• Extensor digitorum longus
• Extensor hallicus longus
• Tibialis anteriorus
Frolich, Human Anatomy, Lower LImb
Lateral Leg (superficial fibular n.)
• Fibularis brevis/longus
Frolich, Human Anatomy, Lower LImb
Posterior Leg (tibial n.)
• Gastrocs and soleus• Flexor digitorum
longus• Flexor hallucus
longus
Frolich, Human Anatomy, Lower LImb
Intrinsics of foot
Frolich, Human Anatomy, Lower LImb
Blood supply to lower limb
Internal Iliac Cranial + Caudal Gluteals= gluteals Internal Pudendal = perineum, external
genitalia Obturator = adductor muscles
External Iliac Femoral = 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
• Lumbar plexus (femoral nerve)
• Sacral plexus (sciatic nerve)
With leg out to side like quadruped, lumbar-anterior, sacral-posterior makes sense