bones and joints of lower extremity · collum femoris ramus inferior ossis pubis incisura...

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KOSTI A KLOUBY DOLNÍ KONČETINY BONES AND JOINTS OF LOWER EXTREMITY Ondřej Naňka Institute of Anatomy

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Page 1: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

KOSTI A KLOUBY DOLNÍ

KONČETINY

BONES AND JOINTS

OF LOWER EXTREMITY

Ondřej Naňka

Institute of Anatomy

Page 2: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adult

art. sacroiliaca

spina iliaca

anterior superior

sacrum

facies lunata

ala ossis ilii

foramen

obturatum

tuber

ischiadicum

linea

arcuata

spina iliaca

anterior inferior

crista iliaca

Page 3: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adult

art. sacroiliaca

spina iliaca

ant. sup.

sacrum

„stříška“/“roof of acetabulum“

collum

femoris

ramus inferior

ossis pubis

incisura

ischiadica

major

spina iliaca

ant. inf.

ramus superior

ossis pubis

caput

femoris

trochanter

major

trochanter

minor

Page 4: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

12 let/12 year old

art. sacroiliaca

ala ossis ilii

sacrum

cartilago ypsiloniformis

collum

femoris

ramus inferior

ossis pubis

L5

ramus superior

ossis pubis

caput

femoris

/epiphysis

prox.

trochanter

major

trochanter

minor

L4

corpus

ossis pubis

Page 5: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

1 rok / 1 year old

1 day / 1 den

ala ossis ilii sacrum

cartilago ypsiloniformis

collum

femoris

ramus inferior

ossis pubis

ramus superior

ossis pubis

collum

femoris

os pubis

os ischii

caput

femoris

/epiphysis

prox.

„stříška“/“roof of acetabulum“

os ischii

ala ossis ilii

Page 6: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adultdospělý/adult

art. sacroiliaca

spina iliaca

ant. sup.

sacrum

fossa iliaca

foramen

obturatum

tuber

ischiadicum

tuberculum

pubicum

crista iliaca

spina iliaca

ant. inf.

L5

ramus inferior

ossis pubis

ramus superior

ossis pubis

eminentia

iliopubica

caput

femoris

trochanter

majorcollum

femoris

discus intervertebralis

3D CT rekonstrukce/

3D CT reconstruction

Page 7: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adult

art. sacroiliaca

spina ischiadica

sacrum

ala ossis ilii crista iliaca

spina iliaca

ant. sup.

L5

ramus superior

ossis pubis

eminentia

iliopubica

caput

femoris

trochanter

major

linea

intertrochanterica

coccyx

tuberculum

pubicumtrochanter

minor

symphysis

pubica

collum

femoris

Page 8: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adult

facies glutealis

incisura

ischiadica

major

ala ossis ilii

crista iliaca

spina iliaca

ant. sup.

L5

corpus

ossis pubis

trochanter

major

linea

intertrochanterica

ramus superior

foramen

obturatum

spina iliaca

ant. inf.

Page 9: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adult

Aditus pelvis

Page 10: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adult

art. sacroiliaca

incisura ischiadica

major

sacrum

ala ossis ilii

crista iliaca

spina ischiadica

L5

ramus inferior

ossis pubis

caput

femoris

trochanter

major

linea

intertrochanterica

coccyx

tuber

ischiadicum

trochanter

major

incisura ischiadica

minor

spina iliaca

posterior superior

spina iliaca

posterior inferior

tuberositas

glutea

Page 11: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

MRI - dospělý/adult

m. psoas major

m. gluteus

medius

sacrum

crista iliaca

m. gluteus

minimus

L5

m. obturatorius

internus

caput

femoris

trochanter

major

m. obturatorius

externus

pulvinar

acetabuli

m. iliacus

collum

femoris

m. vastus lat.

ala ossis ilii

Page 12: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

Fr. pertrochanterica femoris l. sin. dospělý/adult

Page 13: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adult

collum

femoris

ramus inferior

ossis pubis

linea arcuata

caput

femoris

trochanter

major

trochanter

minor

linea

intertrochanterica

„stříška“/“roof of acetabulum“

Page 14: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adultdospělý/adult

basis patellae

epicondylus

lat.

epicondylus

medialis

condylus

lat.

condylus

lat.

condylus

medialiseminentia

intercondylaris

condylus

med.

apex

basis condylus

med.

condylus

lat.

caput

fibulae

caput

fibulae

eminentia

intercondylaris

tuberositas

tibiae

apex patellae

Page 15: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

patella

condylus

lat.

condylus

med.

caput

fibulae

fabella

patella

facies

articularis

Page 16: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dítě 8 let / 8 years old

epicondylus

lateralis

epicondylus

medialis

condylus

lat.

condylus

lat.

condylus

medialis

eminentia

intercondylaris

condylus

med.

apex

basis

condylus

medialis

condylus

lateralis

caput

fibulae

caput

fibulae

eminentia

intercondylaris

tuberositas

tibiae

Page 17: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter
Page 18: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dítě 8 let / 8 years old

epicondylus

lateralis

condylus

med.

condylus

Med.

tibia

eminentia

intercondylaris

condylus

lat.

apex

basis patellae

caput

fibulae caput

fibulae

eminentia

intercondylaris

tuberositas

tibiae

fossa intercondylaris

condylus

lat.

epicondylus

medialis

Page 19: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

Fr. patellae dislocata

dospělý/adult

Page 20: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

epiphysis proximalis

tibiae

epiphysis distalis

femoris

diaphysis

tibiae

epiphysis distalis

fibulae

epiphysis distalis

tibiae

epiphysis distalis

tibiae

4 roky/ 4 years old

Page 21: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adult

malleolus medialis malleolus lateralis

trochlea

tali

caput

talicalcaneus

os cuboideum

os cuneiforme

med.intermed.

lat.

MTT II.MTT I.

Page 22: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adult

Page 23: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

Fr. malleoli medialis tibiae dislocata

dospělý/adult

Page 24: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

10 let/ 10 years

3 roky + 9 měsíců/ 3 years and 9 months

Page 25: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

apophysis calcanei

talus

calcaneuscalcaneus

calcaneus

dětský věk/ childhood

Page 26: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter
Page 27: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter
Page 28: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

11 let / 11 years old

os trigonum/

samostatně

osifikující

proc. posterior tali

Page 29: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

dospělý/adult

Chopartův kloub / Chopart´s joint

Lisfrankův kloub / Lisfrank´s joint

Page 30: BONES AND JOINTS OF LOWER EXTREMITY · collum femoris ramus inferior ossis pubis incisura ischiadica major spina iliaca ant. inf. ramus superior ossis pubis caput femoris trochanter

os cuboideum

os cuneiforme

mediale intermedium laterale

MRI dospělý/adult