Lower extremity of femur

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Lower extremity of femur
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Lower extremity of right femur viewed from below.
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Left knee joint from behind, showing interior ligaments.
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Identifiers
Latin Extremitas distalis ossis femoris
FMA 32844
Anatomical terms of bone

The lower extremity of femur (or distal extremity) is the lower end of the femur (thigh bone) in human and other animals, closer to the knee. It is larger than the upper extremity of femur, is somewhat cuboid in form, but its transverse diameter is greater than its antero-posterior; it consists of two oblong eminences known as the lateral condyle and medial condyle.

Contents

Condyles

Anteriorly, the condyles are slightly prominent and are separated by a smooth shallow articular depression called the patella surface. Posteriorly, they project considerably and a deep notch, the intercondylar fossa of femur, is present between them.

The lateral condyle is the more prominent and is the broader both in its antero-posterior and transverse diameters, the medial condyle is the longer and, when the femur is held with its body perpendicular, projects to a lower level.

When, however, the femur is in its natural oblique position the lower surfaces of the two condyles lie practically in the same horizontal plane.

The condyles are not quite parallel with one another; the long axis of the lateral is almost directly antero-posterior, but that of the medial runs backward and medialward.

Their opposed surfaces are small, rough, and concave, and form the walls of the intercondylar fossa.

This fossa is limited above by a ridge, the intercondyloid line, and below by the central part of the posterior margin of the patellar surface.

The posterior cruciate ligament of the knee joint is attached to the lower and front part of the medial wall of the fossa and the anterior cruciate ligament to an impression on the upper and back part of its lateral wall.

Epicondyles

Each condyle is surmounted by an elevation, the epicondyle.

The medial epicondyle is a large convex eminence to which the medial collateral ligament of the knee-joint is attached.

At its upper part is the adductor tubercle, and behind it is a rough impression which gives origin to the medial head of the gastrocnemius.

The lateral epicondyle, smaller and less prominent than the medial, gives attachment to the fibular collateral ligament of the knee-joint.

Directly below it is a small depression from which a smooth well-marked groove curves obliquely upward and backward to the posterior extremity of the condyle.

This groove is separated from the articular surface of the condyle by a prominent lip across which a second, shallower groove runs vertically downward from the depression.

In the fresh state these grooves are covered with cartilage.

The popliteus arises from the depression; its tendon lies in the oblique groove when the knee is flexed and in the vertical groove when the knee is extended.

Above and behind the lateral epicondyle is an area for the origin of the lateral head of the gastrocnemius, above and to the medial side of which the plantaris arises.

Articular surface

The articular surface of the lower end of the femur occupies the anterior, inferior, and posterior surfaces of the condyles.

Its front part is named the patellar surface and articulates with the patella; it presents a median groove which extends downward to the intercondyloid fossa and two convexities, the lateral of which is broader, more prominent, and extends farther upward than the medial.

The lower and posterior parts of the articular surface constitute the tibial surfaces for articulation with the corresponding condyles of the tibia and menisci.

These surfaces are separated from one another by the intercondyloid fossa and from the patellar surface by faint grooves which extend obliquely across the condyles.

The lateral groove is the better marked; it runs lateralward and forward from the front part of the intercondyloid fossa, and expands to form a triangular depression.

When the knee-joint is fully extended, the triangular depression rests upon the anterior portion of the lateral meniscus, and the medial part of the groove comes into contact with the medial margin of the lateral articular surface of the tibia in front of the lateral tubercle of the tibial intercondyloid eminence.

The medial groove is less distinct than the lateral.

It does not reach as far as the intercondyloid fossa and therefore exists only on the medial part of the condyle; it receives the anterior edge of the medial meniscus when the knee-joint is extended.

Where the groove ceases laterally the patellar surface is seen to be continued backward as a semilunar area close to the anterior part of the intercondyloid fossa; this semilunar area articulates with the medial vertical facet of the patella in forced flexion of the knee-joint.

The tibial surfaces of the condyles are convex from side to side and from before backward. Each presents a double curve, its posterior segment being an arc of a circle, its anterior, part of a cycloid.

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Femur The longest bone in human body.

The femur, or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with the tibia and kneecap, forming the knee joint. By most measures the two femurs are the strongest bones of the body, and in humans, the longest.

Knee Region around the kneecap

In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia, and one between the femur and patella. It is the largest joint in the human body. The knee is a modified hinge joint, which permits flexion and extension as well as slight internal and external rotation. The knee is vulnerable to injury and to the development of osteoarthritis.

Humerus long bone of the upper arm

The humerus is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a rounded head, a narrow neck, and two short processes. The body is cylindrical in its upper portion, and more prismatic below. The lower extremity consists of 2 epicondyles, 2 processes, and 3 fossae. As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons.

Tibia larger of the two bones of the leg below the knee for vertebrates

The tibia, also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates, and it connects the knee with the ankle bones. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane or centre-line. The tibia is connected to the fibula by the interosseous membrane of the leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute tibia. It is the second largest bone in the human body next to the femur. The leg bones are the strongest long bones as they support the rest of the body.

Patella bone of the leg

The patella, also known as the kneecap, is a flat, circular-triangular bone which articulates with the femur and covers and protects the anterior articular surface of the knee joint. The patella is found in many tetrapods, such as mice, cats and birds, but not in whales, or most reptiles.

Fibula smaller of the two bones of the leg below the knee for vertebrates

The fibula or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the slenderest of all the long bones. Its upper extremity is small, placed toward the back of the head of the tibia, below the knee joint and excluded from the formation of this joint. Its lower extremity inclines a little forward, so as to be on a plane anterior to that of the upper end; it projects below the tibia and forms the lateral part of the ankle joint.

Popliteal artery

The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries.

Tibial nerve

The tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus.

The semimembranosus is the most medial of the three hamstring muscles. It is so named because it has a flat tendon of origin. It lies posteromedially in the thigh, deep to the semitendinosus.

Lateral meniscus

The lateral meniscus is a fibrocartilaginous band that spans the lateral side of the interior of the knee joint. It is one of two menisci of the knee, the other being the medial meniscus. It is nearly circular and covers a larger portion of the articular surface than the medial. It can occasionally be injured or torn by twisting the knee or applying direct force, as seen in contact sports.

The knee examination, in medicine and physiotherapy, is performed as part of a physical examination, or when a patient presents with knee pain or a history that suggests a pathology of the knee joint.

Trochlea of humerus articular surface of the elbow joint which articulates with the trochlear notch of the ulna

In the human arm, the humeral trochlea is the medial portion of the articular surface of the elbow joint which articulates with the trochlear notch on the ulna in the forearm.

Medial condyle of femur

The medial condyle is one of the two projections on the lower extremity of femur, the other being the lateral condyle.

Lower extremity of humerus

The lower extremity of the humerus is flattened from before backward, and curved slightly forward; it ends below in a broad, articular surface, which is divided into two parts by a slight ridge.

Lateral epicondyle of the femur

The lateral epicondyle of the femur, smaller and less prominent than the medial epicondyle, gives attachment to the fibular collateral ligament of the knee-joint. Directly below it is a small depression from which a smooth well-marked groove curves obliquely upward and backward to the posterior extremity of the condyle.

Oblique popliteal ligament

The oblique popliteal ligament is a broad, flat, fibrous band, formed of fasciculi separated from one another by apertures for the passage of vessels and nerves.

Articular capsule of the knee joint

The articular capsule of the knee joint is the wide and lax joint capsule of the knee. It is thin in front and at the side, and contains the patella, ligaments, menisci, and bursae of the knee. The capsule consists of an inner synovial membrane, and an outer fibrous membrane separated by fatty deposits anteriorly and posteriorly.

Knee bursae

The knee bursae are the fluid-filled sacs and synovial pockets that surround and sometimes communicate with the knee joint cavity. The bursae are thin-walled, and filled with synovial fluid. They represent the weak point of the joint, but also provide enlargements to the joint space. They can be grouped into either communicating and non-communicating bursae or, after their location – frontal, lateral, or medial.

Intercondylar fossa of femur

The intercondylar fossa of femur is a deep notch between the rear surfaces of the medial and lateral epicondyle of the femur, two protrusions on the distal end of the femur that joins the knee. On the front of the femur, the condyles are but much less prominent and are separated from one another by a smooth shallow articular depression called the patellar surface because it articulates with the posterior surface of the patella (kneecap).

Intercondylar area

The intercondylar area is the separation between the medial and lateral condyle on the upper extremity of the tibia. The anterior and posterior cruciate ligaments and the menisci attach to the intercondylar area.

References

This article incorporates text in the public domain from page 243 of the 20th edition of Gray's Anatomy (1918)