Jan McElroy PT, MS, PCS 2009 Do not copy without permission The knee joint connects: the femur superiorly Patella (or knee cap) • Femur to the Tibia and fibula inferiorly • Fibula Tibia •Knee movements are primarily in the sagittal plane: flexion & extension Anterior view Right knee Left FemurPosterior view • Medial condyle • Lateral condyle • Intercondylar fossa • Medial epicondyle • Lateral epicondyle • Patellar surface Left FemurAnterior view TIBIA • Medial condyle • Lateral condyle • Tuberosity • Tibial plateau FIBULA • Right knee Anterior view Head of the fibula Right knee Posterior view Quadriceps (rectus femoris, vastus medialis, vastus lateralis, vastus intermedialis Note: The rectus femoris is the only muscle of the quadriceps group that crossed both the hip and the knee. Referred to as a “2 joint muscle”. From: Novartis Interactive Atlas, Frank Netter artist Anterior view right thigh Hamstrings › Biceps femoris › Semitendinosus › semimembranosus Note: All of the hamstrings cross both the hip joint and the knee joint. They are all referred to as “2 joint muscles”. Posterior view right thigh Gastrocnemius › Lateral head › Medial head Note: The gastrocnemius crosses both the knee and the ankle making it a “2 joint muscle”. Posterior view right thigh The distal end of the fibula forms the lateral malleolus The distal end of the tibia forms the medial malleolus Anterior view Right foot & ankle The foot is divided into 3 general regions: Tibia Fibula Midfoot Forefoot Hindfoot Lateral view Right foot & ankle The Hindfoot consist of 2 bones: Calcaneus (heel bone) & Talus Tibia Fibula Hindfoot Lateral view Right foot & ankle The midfoot consists of 5 small bones: • Navicular Cuboid & • 3 Cuneiforms • These 5 bones of the midfoot are called Tarsals Superior view Left foot The forefoot consists of: 5 Metatarsals (first thru 5th) • & 5 proximal phalanges • & 4 middle phalanges • (the “big toe” only has a proximal and a distal…no middle phalange) & • 5 distal phalanges Talocrural joint Subtalar joint Midtarsal joint (ankle joint) tibia, fibula, talus talus, calcaneus calcaneocuboid, talonavicular Tarsometatarsal joints Metatarsophalangeal joints Tibialis Anterior (commonly called the anterior tib) • • Peroneus longus • Extensor digitorum longus (digitorum refers to the digits or “toes”) Anterior view Right leg From: Novartis Interactive Atlas, Frank Netter artist • Gastrocnemius (often called the “gastroc”) • Achilles tendon (also called the “heel cord”) • Soleus Note: though the gastroc and soleus both insert into the achilles tendon, the soleus only crosses the ankle joint…while the gastroc is a 2 joint muscle crossing both the knee and the ankle. Posterior view Right leg From: Novartis Interactive Atlas, Frank Netter artist 1. Atlas of Human Anatomy, Frank Netter 2. McMinn’s Color Atlas of Human Anatomy, Abrahams, Hutchings, & Marks 3. Kinesiology of the Musculoskeletal System, Donald Neumann 4. Anatomy Coloring Book, Kapit & Elson