Lower extremity of femur | |
---|---|
Details | |
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.
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.
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.
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.
The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula.
The femur, or thigh bone, is the only bone in the thigh — the region of the lower limb between the hip and the knee. In many four-legged animals the femur is the upper bone of the hindleg.
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.
The ulna or ulnar bone is a long bone in the forearm stretching from the elbow to the wrist. It is on the same side of the forearm as the little finger, running parallel to the radius, the forearm's other long bone. Longer and thinner than the radius, the ulna is considered to be the smaller long bone of the lower arm. The corresponding bone in the lower leg is the fibula.
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.
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 ; it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of 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, after the femur. The leg bones are the strongest long bones as they support the rest of the body.
The patella, also known as the kneecap, is a flat, rounded 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, birds and dogs, but not in whales, or most reptiles.
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 most slender 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.
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.
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 muscle is the most medial of the three hamstring muscles in the thigh. It is so named because it has a flat tendon of origin. It lies posteromedially in the thigh, deep to the semitendinosus muscle. It extends the hip joint and flexes the knee joint.
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.
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.
The squamous part of temporal bone, or temporal squama, forms the front and upper part of the temporal bone, and is scale-like, thin, and translucent.
The lateral parts of the occipital bone are situated at the sides of the foramen magnum; on their under surfaces are the condyles for articulation with the superior facets of the atlas.
The medial condyle is one of the two projections on the lower extremity of femur, the other being the lateral condyle.
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.
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).
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.
This article incorporates text in the public domain from page 243 of the 20th edition of Gray's Anatomy (1918)