Analysis of Human Remains Recovered from James Anderson's
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Arthroscopic and Open Anatomy of the Hip 11
CHAPTER Arthroscopic and o'pen Anatomy of the Hip Michael B. Gerhardt, Kartik Logishetty, Morteza lV1eftah, and Anil S. Ranawat INTRODUCTION movements that they induce at the joint: 1) flexors; 2) extensors; 3) abductors; 4) adductors; 5) external rotators; and 6) interI12 I The hip joint is defined by the articulation between the head rotators. Although some muscles have dual roles, their primary of the femur and the aeetahulum of the pelvis. It is covered by functions define their group placem(:)nt, and they all have ullique :l large soft-tissue envelope and a complex array of neurovascu- neurovascular supplies (TIt ble 2-1). lar and musculotendinous structures. The joint's morphology The vascular supply of tbe hip stems from the external and anu orientation are complex, and there are wide anatomi c varia- internal iLiac ancries. An understanding of the course of these tions seen among individuals. The joint's deep location makes vessels is critical fo r ,lVo iding catasu"ophic vascular injury. fn both arthroscopic and open access challenging. To avoid iatro- addition, the blood supply to the fel11()ra l head is vulnerahle to genic injury while establishing functional and efficient access, both traumatic and iatrogenic injury; the disruption of this sup- the hip surgeon should possess a sound ana tomic knowledge of ply can result in avascular necrosis (Figure 2-2). the hip. T he human "hip" can be subdivided into three categories: I) the superficial surface anatomy; 2) the deep femoroacetabu- la r Joint and capsule; and 3) the associated structures, including the muscles, nerves, and vasculature, all of which directly affeet HIP MUSCULATURE its function. -
Entry Point Related Outcome in Antegrade Femoral Nailing Experimental and Clinical Studies
C.M.S. Moein Ansari experimental and clinical studies clinical and experimental Entry Point Related Outcome Outcome Related Point Entry in Antegrade Femoral Nailing Femoral Antegrade in Entry Point Related Outcome in Antegrade Femoral Nailing experimental and clinical studies C.M.S. Ansari Moein Entry Point Related Outcome in Antegrade Femoral Nailing experimental and clinical studies C.M.S. Ansari Moein ENTRY POINT RELATED OUTCOME IN ANTEGRADE FEMORAL NAILING Experimental and clinical studies C.M.S. Ansari Moein The Robert Mathys Foundation, Bettlach, Switzerland and the AO Foundation, Davos, Switzerland financially supported the studies presented in this thesis. Kind contribution for the publication of this thesis by: Erasmus Medical Centre Dept. of Surgery Trauma Research Unit Erasmus MC (TRUE) Parnassia Academy ABN AMRO Bank PsyQ Maatschap Plastische Chirurgie Midden Brabant THP Financial Guidance Post Notariaat Cover illustration by Rob Veen Printing and lay-out by Optima Grafische Communicatie, Rotterdam, The Netherlands ISBN 978-94-6169-867-4 © 2016. Copyright by CMS Ansari Moein Entry Point Related Outcome in Antegrade Femoral Nailing experimental and clinical studies Entreeplaats gerelateerde uitkomst van antegrade mergpen ostheosynthese bij femurfracturen experimentele en klinische studies Proefschrift ter verkrijging van de graad van doctor aan de Erasmus Universiteit Rotterdam op gezag van de rector magnificus Prof. Dr. H.A.P. Pols en volgens besluit van het College voor Promoties De openbare verdediging zal plaatsvinden op vrijdag 20 mei 2016 om 13.30 uur door Chloé Mahsima Ansari Moein geboren te Tehran, Iran Promotiecommissie promotoren: Prof. dr. M.H.J. Verhofstad Prof. dr. H.J. Ten Duis overige leden: Prof. -
Compiled for Lower Limb
Updated: December, 9th, 2020 MSI ANATOMY LAB: STRUCTURE LIST Lower Extremity Lower Extremity Osteology Hip bone Tibia • Greater sciatic notch • Medial condyle • Lesser sciatic notch • Lateral condyle • Obturator foramen • Tibial plateau • Acetabulum o Medial tibial plateau o Lunate surface o Lateral tibial plateau o Acetabular notch o Intercondylar eminence • Ischiopubic ramus o Anterior intercondylar area o Posterior intercondylar area Pubic bone (pubis) • Pectineal line • Tibial tuberosity • Pubic tubercle • Medial malleolus • Body • Superior pubic ramus Patella • Inferior pubic ramus Fibula Ischium • Head • Body • Neck • Ramus • Lateral malleolus • Ischial tuberosity • Ischial spine Foot • Calcaneus Ilium o Calcaneal tuberosity • Iliac fossa o Sustentaculum tali (talar shelf) • Anterior superior iliac spine • Anterior inferior iliac spine • Talus o Head • Posterior superior iliac spine o Neck • Posterior inferior iliac spine • Arcuate line • Navicular • Iliac crest • Cuboid • Body • Cuneiforms: medial, intermediate, and lateral Femur • Metatarsals 1-5 • Greater trochanter • Phalanges 1-5 • Lesser trochanter o Proximal • Head o Middle • Neck o Distal • Linea aspera • L • Lateral condyle • L • Intercondylar fossa (notch) • L • Medial condyle • L • Lateral epicondyle • L • Medial epicondyle • L • Adductor tubercle • L • L • L • L • 1 Updated: December, 9th, 2020 Lab 3: Anterior and Medial Thigh Anterior Thigh Medial thigh General Structures Muscles • Fascia lata • Adductor longus m. • Anterior compartment • Adductor brevis m. • Medial compartment • Adductor magnus m. • Great saphenous vein o Adductor hiatus • Femoral sheath o Compartments and contents • Pectineus m. o Femoral canal and ring • Gracilis m. Muscles & Associated Tendons Nerves • Tensor fasciae lata • Obturator nerve • Iliotibial tract (band) • Femoral triangle: Boundaries Vessels o Inguinal ligament • Obturator artery o Sartorius m. • Femoral artery o Adductor longus m. -
Clinical Anatomy of the Lower Extremity
Государственное бюджетное образовательное учреждение высшего профессионального образования «Иркутский государственный медицинский университет» Министерства здравоохранения Российской Федерации Department of Operative Surgery and Topographic Anatomy Clinical anatomy of the lower extremity Teaching aid Иркутск ИГМУ 2016 УДК [617.58 + 611.728](075.8) ББК 54.578.4я73. К 49 Recommended by faculty methodological council of medical department of SBEI HE ISMU The Ministry of Health of The Russian Federation as a training manual for independent work of foreign students from medical faculty, faculty of pediatrics, faculty of dentistry, protocol № 01.02.2016. Authors: G.I. Songolov - associate professor, Head of Department of Operative Surgery and Topographic Anatomy, PhD, MD SBEI HE ISMU The Ministry of Health of The Russian Federation. O. P.Galeeva - associate professor of Department of Operative Surgery and Topographic Anatomy, MD, PhD SBEI HE ISMU The Ministry of Health of The Russian Federation. A.A. Yudin - assistant of department of Operative Surgery and Topographic Anatomy SBEI HE ISMU The Ministry of Health of The Russian Federation. S. N. Redkov – assistant of department of Operative Surgery and Topographic Anatomy SBEI HE ISMU THE Ministry of Health of The Russian Federation. Reviewers: E.V. Gvildis - head of department of foreign languages with the course of the Latin and Russian as foreign languages of SBEI HE ISMU The Ministry of Health of The Russian Federation, PhD, L.V. Sorokina - associate Professor of Department of Anesthesiology and Reanimation at ISMU, PhD, MD Songolov G.I K49 Clinical anatomy of lower extremity: teaching aid / Songolov G.I, Galeeva O.P, Redkov S.N, Yudin, A.A.; State budget educational institution of higher education of the Ministry of Health and Social Development of the Russian Federation; "Irkutsk State Medical University" of the Ministry of Health and Social Development of the Russian Federation Irkutsk ISMU, 2016, 45 p. -
1 Anatomy – Lower Limb – Bones
Anatomy – Lower limb – Bones Hip (innominate) bone Acetabulum lat, pubic symph ant Ilium, pubis and ischium which fuse in Y-shaped epiphysis involving acetabulum Acetabulum - Articulates with head femur Ilium Iliac crest from ASIS to PSIS Gluteal surface - Three gluteal lines Glut max above superior Glut med between superior-middle Glut min between middle-inferior Pubis Obturator groove lodges obturator nerve/vessels Ischium L-shaped Ischial spine projects medially, divide greater/lesser sciatic notch Lesser sciatic notch forms lesser sciatic foramen due to bridging of sacrotuberous ligament Medial surface Pectineal line, arcuate line Lesser Sciatic Foramen Between lesser sciatic notch ilium and sacrotuberbous/sacrospinous ligaments Contents Tendon obturator internus, Int pudendal artery/vein, pudendal nerve Greater Sciatic Foramen Between greater sciatic notch ilium and sacrotuberbous/sacrospinous ligaments Contents Above Piriformis: sup gluteal vessels/nerve Below Piriformis: inf gluteal/int pudendal vessels; inf gluteal, pudendal, sciatic, post fem cutaneous nerves Femur Linea aspera and intercondylar fossa post Head hyaline cartilage Neck Upwards and medially G trochanter - Glut min ant, med post, Piri sup Obturator externus/internus in troch fossa Quadratus femoris L trochanter - Psoas major/iliacus Shaft Linea aspera middle 1/3 shaft posteriorly Vastus med/lat/int, Add magnus/longus/brevis, Quadratus femoris, Short head biceps, Pectineus Medial and lateral condyles Intercondylar fossa between, Patella surf ant Medial epicondyle - TCL, medial head gastroc Lateral epicondyle - FCL, plantaris, popliteus Articulations: talus, fibula, femur at patellofemoral joint Tibia Med mall lat, sharp ant border 1 Articulations - Femoral condyles, Talus, Fibula – prox/distal Tibial plateau Tubercles of intercondylar eminence Many ant horn med meniscus Amorous ant cruciate Ladies ant horn lat meniscus Like post horn lat meniscus My post horn med meniscus P…. -
Bones of Upper Limb
BONES OF UPPER & LOWER LIMBS Khaleel Alyahya, PhD, MEd King Saud University College of Medicine @khaleelya OBJECTIVES At the end of the lecture, students should be able to: o List the different bones of the the upper and lower limbs. o List the characteristic features of each bone in both. o Differentiate between bones of right and left sides. o List the articulations between the different bones. o Learn some clinical significances associated with the upper and lower limbs. UPPER LIMBS BONES OF UPPER LIMB It consists of the following: o Pectoral Girdle • Clavicle • Scapula o Arm • Humerus o Forearm • Radius & Ulna o Wrist • Carpal bones o Hand • Metacarpals & Phalanges PECTORAL GIRDLE It composed of Two bones: o Clavicle o Scapula It is very light and it allows the upper limb to have exceptionally free movement. CLAVICLE It is considered as a long bone but it has no medullary (bone marrow) cavity. Its medial (Sternal) end is enlarged & triangular. Its lateral (Acromial) end is flattened. The medial 2/3 of the body (shaft) is convex forward. The lateral 1/3 is concave forward. These curves give the clavicle its appearance of an elongated capital (S) It has two surfaces: • Superior: smooth as it lies just deep to the skin. • Inferior: rough because strong ligaments bind it to the 1st rib. Functions: • It serves as a rigid support to keep upper limb suspended away from the trunk. • Transmits forces from the upper limb to the axial skeleton. • Provides attachment for muscles. • Forms a boundary of the cervicoaxillary canal for protection of the neurovascular bundle of the UL. -
Thigh Muscles
Lecture 14 THIGH MUSCLES ANTERIOR and Medial COMPARTMENT BY Dr Farooq Khan Aurakzai PMC Dated: 03.08.2021 INTRODUCTION What are the muscle compartments? The limbs can be divided into segments. If these segments are cut transversely, it is apparent that they are divided into multiple sections. These are called fascial compartments, and are formed by tough connective tissue septa. Compartments are groupings of muscles, nerves, and blood vessels in your arms and legs. INTRODUCTION to the thigh Muscles The musculature of the thigh can be split into three sections by intermuscular septas in to; Anterior compartment Medial compartment and Posterior compartment. Each compartment has a distinct innervation and function. • The Anterior compartment muscle are the flexors of hip and extensors of knee. • The Medial compartment muscle are adductors of thigh. • The Posterior compartment muscle are extensor of hip and flexors of knee. Anterior Muscles of thigh The muscles in the anterior compartment of the thigh are innervated by the femoral nerve (L2-L4), and as a general rule, act to extend the leg at the knee joint. There are three major muscles in the anterior thigh –: • The pectineus, • Sartorius and • Quadriceps femoris. In addition to these, the end of the iliopsoas muscle passes into the anterior compartment. ANTERIOR COMPARTMENT MUSCLE 1. SARTORIUS Is a long strap like and the most superficial muscle of the thigh descends obliquely Is making one of the tendon of Pes anserinus . In the upper 1/3 of the thigh the med margin of it makes the lat margin of Femoral triangle. Origin: Anterior superior iliac spine. -
Hip Joint: Embryology, Anatomy and Biomechanics
ISSN: 2574-1241 Volume 5- Issue 4: 2018 DOI: 10.26717/BJSTR.2018.12.002267 Ahmed Zaghloul. Biomed J Sci & Tech Res Review Article Open Access Hip Joint: Embryology, Anatomy and Biomechanics Ahmed Zaghloul1* and Elalfy M Mohamed2 1Assistant Lecturer, Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Mansoura University, Egypt 2Domenstrator, Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Mansoura University, Egypt Received: : December 11, 2018; Published: : December 20, 2018 *Corresponding author: Ahmed Zaghloul, Assistant Lecturer, Department of Orthopedic Surgery and Traumatology, Faculty of Medicine, Mansoura University, Egypt Abstract Introduction: Hip joint is matchless developmentally, anatomically and physiologically. It avails both mobility and stability. As the structural linkage between the axial skeleton and lower limbs, it plays a pivotal role in transmitting forces from the ground up and carrying forces from the trunk, head, neck and upper limbs down. This Article reviews the embryology, anatomy and biomechanics of the hip to give a hand in diagnosis, evaluation and treatment of hip disorders. Discussion: Exact knowledge about development, anatomy and biomechanics of hip joint has been a topic of interest and debate in literature dating back to at least middle of 18th century, as Hip joint is liable for several number of pediatric and adult disorders. The proper acting of the hip counts on the normal development and congruence of the articular surfaces of the femoral head (ball) and the acetabulum (socket). It withstands enormous loads from muscular, gravitational and joint reaction forces inherent in weight bearing. Conclusion: The clinician must be familiar with the normal embryological, anatomical and biomechanical features of the hip joint. -
Ilium, Pubis, and Ischium. What Kind of Joint Is This?? There Are 2 Pelvic Bones to Make up the Pelvic Girdle
The pelvis is also called the innominate bone—comprised of 3 bones fused together: ilium, pubis, and ischium. What kind of joint is this?? There are 2 pelvic bones to make up the pelvic girdle. Each pelvic bone is also called an os coxae (right and left). The sacrum forms the back of the pelvis. The pubic bones from the 2 innominate bones articulate with each other at the pubic symphysis (which will be addressed in a few slides). 1 *Remember the Ilium is the top part of the pelvic bone and articulates the pelvis with the spinal column through the sacrum.* Iliac crest—rounded top edge Anterior superior iliac spine—rounded anterior point Anterior inferior iliac spine—rounded pt below ASIS Posterior superior iliac spine—rounded posterior point Posterior inferior iliac spine—rounded pt below PSIS Greater sciatic notch—large groove below PIIS Gluteal lines—slash markings that are attachments for the gluteal muscles 2 The ilium is where you put your hands on your hips. 3 *Remember the Ischium is the posterior part of the pelvis bone. The ischial tuberosity is what you sit on. For those of you that have been told that you have a “bony butt” it is because the people you have sat on can feel your ischial tuberosities very well.* Ischial spine—pointy process below greater sciatic notch Lesser sciatic notch—below ischial spine Ischial tuberosity—rounded edge Ramus—before the fissure to the pubis; helps form the bridge 4 Notice the ramus helping form the bridge to the pubic bone. 5 *The pubic bone is the most anterior part of the innominate bone. -
Morphological Variation of the Proximal Femur in Selected Skeletal Remains
MORPHOLOGICAL VARIATION OF THE PROXIMAL FEMUR IN SELECTED SKELETAL REMAINS A Thesis by Jessica Lynn Brown B.S. Michigan State University, 2002 Submitted to the College of Liberal Arts and Sciences and the faculty of the Graduate School of Wichita State University in partial fulfillment of the requirements for the degree of Master of Arts May 2006 MORPHOLOGICAL VARIATION OF THE PROXIMAL FEMUR IN SELECTED SKELETAL REMAINS I have examined the final copy of this thesis for form and content and recommend that it be accepted in partial fulfillment of the requirements for the degree of Master of Arts with a major in Anthropology. __________________________________________ Peer H. Moore-Jansen, Ph.D., Committee Chair We have read this thesis and recommend its acceptance: __________________________________________ Robert Lawless, Ph.D., Committee Member __________________________________________ John Carter, Ph.D., Committee Member ii DEDICATION To My Family and Friends iii ACKNOWLEDGEMENTS Funding for this research came from three generous sources. Dr. Todd Fenton provided me with the opportunity to experience Albania’s past and present in two separate field seasons. The Moore-Jansen Scholarship and the Nancy Berner Fund through the Anthropology Department at Wichita State University provided financial support to study the Hamann-Todd collection in Cleveland. The expense of travel and accommodations during data collection during all of these experiences was greatly appreciated by these considerate awards. I would like to thank all the members of my thesis committee, Dr. Peer Moore-Jansen, Dr. Robert Lawless, and Dr. John Carter for their comments and suggestions. Throughout this process Dr. Peer Moore-Jansen provided invaluable guidance on how to conduct and report meaningful research, which will stay with me always. -
Table 1-12 Major Muscles That Act at the Hip Joint
46 Chapter one ACE’s Essentials of Exercise Science for Fitness Professionals Table 1-12 Major Muscles That Act at the Hip Joint Muscle Origin Insertion Primary Function(s) Selected Exercises Iliopsoas: Iliacus and Transverse processes of T12 Lesser trochanter Flexion and external Straight-leg sit-ups, running with psoas major and and L1 through L5; iliac crest of femur rotation knees lifted up high, leg raises, minor and fossa hanging knee raises Rectus femoris Anterior-inferior spine of ilium Superior aspect of Flexion Running, leg press, squat, and upper lift of acetabulum patella and patellar jumping rope tendon 1 Gluteus maximus Posterior /4 of iliac crest and Gluteal line of femur Extension and Cycling, plyometrics, jumping sacrum and iliotibial band external rotation; Superior rope, squats, stair-climbing fibers: abduction machine Biceps femoris Long head: ischial tuberosity; Lateral condyle of Extension, abduction, and Cycling, hamstring curls with Short head: lower, lateral tibia and head of fibula slight external rotation knee in external rotation linea aspera Semitendinosus Ischial tuberosity Proximal anterior- Extension, adduction, and Same as biceps femoris medial aspect of tibia slight internal rotation Semimembranosus Ischial tuberosity Posterior aspect of Extension, adduction, and Same as biceps femoris medial tibial condyle slight internal rotation Gluteus medius Lateral surface of ilium Greater trochanter Abduction (all fibers); Side-lying leg raises, walking, and minimus of femur Anterior fibers: internal running rotation; -
Macroanatomy of the Bones of Pelvis and Hind Limb of an Asian Elephant (Elephas Maximus)
Int. J. Morphol., 31(4):1473-1478, 2013. Macroanatomy of the Bones of Pelvis and Hind Limb of an Asian Elephant (Elephas maximus) Macroanatomía de los Huesos de la Pelvis y del Miembro Posterior de un Elefante Asiático (Elephas maximus) Subrata Kumar Shil; Md. Abul Quasem; Mohammad Lutfur Rahman; A. S. M. Golam Kibria; Mohi Uddin & A. S. M. Lutful Ahasan SHIL, S. K.; QUASEM, M. A.; RAHMAN, M. L.; KIBRIA, A. S. M. G.; UDDIN, M. & AHASAN, A. S. M. L. Macroanatomy of the bones of pelvis and hind limb of an Asian Elephant (Elephas maximus). Int. J. Morphol., 31(4):1473-1478, 2013. SUMMARY: Recent excavated skeleton of an adult female Asian Elephant (Elephas maximus), died in dystokia in Bangladesh was used for macro anatomical study. Some unique morphological features of bones of hind limb were observed. Pelvic canal was more oval and the wings of ilium were wider. Rump slope was about 36°. Angle between femur and tibia was close to 180°. In Femur, the major trochanter was located at the lower level of head. Minor trochanter, fovea capitis and trochanteric ridge were absent. Supracondyloid fossa was shallow but the intercondyloid fossa was deep. Posterior surface of patella possessed a blunt vertical ridge. The articular surfaces of both tibial condyles were clearly concave. The tibia and the fibula were articulated proximally and distally with keeping a wide interosseous space. Instead of tibial tuberosity, there was an elongated triangular depression in proximal part. There were six tarsal bones arranged in three rows. The comparative size of the distal tarsal bones were III+IV > I > II.