Chapter 7 Pelvic Girdle and Lower Limbs Pelvic Girdle • Consists of two coxae (hipbones) that articulate with each other anteriorly and with the sacrum posteriorly Pelvic Girdle • Functions: – Supports the trunk of the body (weight is transmitted through the girdle to the lower limbs and then the ground) – Provides attachments for the lower limbs – Protects the bladder, the distal end of the large intestine, and the internal reproductive organs Coxae • Each coxa develops from three parts: ilium, ischium, and pubis • The three parts fuse to form a depression called the acetabulum on the lateral surface of the hipbone – The acetabulum receives the head of the femur that Coxae • Ilium – Largest and most superior of the coxa – Forms the prominence of the hip Coxae • Ilium – Special features: • Iliac crest – Margin of the prominence • Iliac fossa – Smooth, concave surface on the anterior side Coxae • Ilium – Special features: • Sacroiliac joint – Where the iliac joins the sacrum Coxae • Ilium – Special features: • Anterior superior iliac spine – Spine the provides attachments for ligaments and muscles • Posterior superior iliac spine – Spine on the posterior border Coxae • Ilium – Special features: • Greater sciatic notch – Indentation below the posterior superior iliac spine through which nerves and blood vessels pass Coxae • Ischium – Forms the lowest portion of the coxa – L-shaped Coxae • Ischium – Special features • Ischial tuberosity – Angle of the ischium – Points downward and posteriorly – Provides attachments for ligaments and lower limb muscles – Supports the weight of the body during sitting Coxae • Ischium – Special features • Ischial spine – Sharp projection located above the ischial tuberosity, near the junction of the iliam and ischium Coxae • Pubis – Anterior portion of the coxa Coxae • Pubis – Special features: • Symphysis pubis – Joint between the 2 pubic bones • Pubic arch – Formed by the angle of the pubic bones beneath the symphysis pubis • Pubis Coxae – Special features: • Obturator foramen – Largest foramen in the skeleton – Located between the pubis and ischium bones – Covered by an obturator membrane Greater and Lesser Pelves • Greater pelvis (false pelvis) – Upper part of the pelvis – Bounded posteriorly by the lumbar vertebrae, laterally by the flared parts of the iliac, and anteriorly by the abdominal wall – Helps support the abdominal organs Greater and Lesser Pelves • Lesser pelvis (true pelvis) – Bounded posteriorly by the sacrum and coccyx and laterally and anteriorly by the lower ilium, ischium, and pubis bones – Surrounds the cavity through which an infant passes during the birthing process Differences between Male and Female Pelves • Iliac bones in females are usually more flared, creating broader hips • Pelvic cavity in females is usually wider in all diameters than that of males • Bones in female pelvis are usually lighter and show less evidence of muscle attachments than those of males • http://www.innerbody.com/image_skel20/ske l35.html Lower Limbs • Include femur, tibia, fibula, tarsals, metatarsals, and phalanges Femur • Longest bone in the body • Extends from the hip to the knee Femur • Special features: – Head • Located at the proximal end • Projects medially into the acetabulum of the coxa – Fovea capitis • Pit on the head that marks the attachment of a ligament – Neck • Constriction located just below the head Femur • Special features – Greater trochanter • Large process below the head • Provide attachments for muscles of the lower limbs – Lesser trochanter • Large process below the head • Provide attachments for muscles of the lower limbs Femur • Special features – Linea aspera • Longitudinal crest in the middle of the femur that serves as an attachment for muscles – Lateral and medial condyles • Rounded processes at the distal end that articulate with the tibia – Medial and lateral epicondyles • Projections on the distal surface that provide attachments for muscles Patella • Flat sesamoid (round) bone • Located in a tendon that passes anteriorly over the knee Tibia • Larger of the two leg bones • Located on the medial side • Articulates with the talus in the ankle • Special features: Tibia – Medial and lateral condyles • Expanded proximal end • Have concave surfaces that articulate with the condyles of the femur – Tibial tuberosity • Process on the anterior surface that provides an attachment for the patellar ligament • Special features: Tibia – Anterior crest • Extends downward from the tuberosity and attaches connective tissues in the leg – Medial malleolus • Expanded prominence on the inner ankle that forms an attachment for ligaments Fibula • Long, slender bone located on the lateral side of the tibia Fibula • Special features: – Head • Enlarged proximal end • Articulates with the tibia • Doesn’t enter into the knee joint or bear any body weight – Lateral malleolus • Enlarged distal end • Articulates with the ankle • Protrudes on the lateral side • Ankle (tarsus) Foot – Composed of 7 tarsal bones – The talus (your ankle bone) articulates with the tibia and fibula and can move freely – The calcaneus (your heel bone) helps support the body weight and serves as an attachment for the muscles that move the foot Foot • Instep (metatarsus) – Composed of 5 metatarsal bones (numbered 2 to 5 beginning on the medial side) – Articulates with the tarsus – The heads of the metatarsals at the distal end form the ball of the foot Foot • The tarsals and metatarsals are bound by ligaments to form 2 arches (longitudinal arch and a transverse arch) Foot • Phalanges – Each toe (except the big toe – which has two) has three phalanges (a proximal, middle, and distal phalanx) – Align and articulate with the metatarsals