Lower Limb Joint Ligaments

Front 1

Anterior sacroiliac ligament

Back 1

anterior aspect of 1st&2nd vertebrae - ilium

Front 2

Interosseous sacroiliac ligament

Back 2

sacral tuberosity - iliac tuberosity

Front 3

Posterior sacroiliac ligament
Upper part (short)

Back 3

1st&2nd transverse tubercles on the back of the sacrum - iliac tuberosity

Front 4

Posterior sacroiliac ligament
Lower part (long)

Back 4

3rd transverse tucercle on the back of the sacrum - iliac spine

Front 5

Sacrotuberous ligament

Back 5

Sacrum&Ilium - ischial tuberosity

Front 6

Sacrospinous ligament

Back 6

ichial spine - lateral margins of sacrum&coccyx (dividing the lesser and greater foramina)

Front 7

Pubic Symphysis

Back 7

Superior&inferior ligaments
Interpubic disc

Front 8

Obturator membrane

Back 8

membrane that almost closes the obturator foramen.

Front 9

Obturator canal

Back 9

Hole in oburator membrane through which obturator vessels and nerve go.

Front 10

Greater sciatic foramen

Back 10

formed by greater sciatic notch, sacrospinous lig and the sacrotuberous lig. Piriformis muscles passes from the pelvis.

Front 11

Lesser sciatic foramen

Back 11

formed by lesser sciatic notch, sacrospinous lig, and the sacrotuberous lig. Obturator mm passes through from the pelvis. It also transmits internal pudendal artery, vein and nerve medially to the ischioanal fossa.

Front 12

Iliofemoral lig

Back 12

Anterior inferior iliac spine - intertrochantric line

Front 13

Pubofemoral lig

hip

Back 13

superior ramus of pubis - Lower part of intertrochantric line
Limtis abduction!

Front 14

Ischiofemoral lig

hip

Back 14

ischium above the neck of femur to trochantric fossa.
Limits rotation!

Front 15

Acetabular labrum

hip

Back 15

Lip of acetabulum

Front 16

transverse acetabular lig

hip

Back 16

Acetabular labrum where it overlaps acetabular notch and creates a tunnel where nutrient vessels enter the joint.
Prevents inferior displacement of head of femur!

Front 17

Ligament of head of femur

Hip

Back 17

Acetabular notch - fovea for ligament of head of femur
Transmits vessel and does not influence joint mechanics

Front 18

Lateral miniscus

knee

Back 18

Nearly circular miniscus below corresponding femoral condyle. relatively mobile

Front 19

Anterior meniscofemoral lig

knee

Back 19

Post. end of lat. miniscus - medial condyle of femur
occasionally present

Front 20

Posterior meniscofemoral lig

knee

Back 20

Lat. meniscus - fibular surface of medial condyle of femur

Front 21

Medial miniscus

knee

Back 21

Crescent-shaped miniscus. Attached to corresponding collateral lig and thus highly susceptible to injury

Front 22

Transverse lig of the knee

Back 22

connects ant. ends of the two minisci

Front 23

Anterior cruciate lig

knee

Back 23

Ant. intercondylar area - superiorly&posteriorly to med. aspect of lat. fem. condyle

Front 24

Posterior cruciate lig

knee

Back 24

Post. intercondylar area - med. aspect of med. fem. condyle

Front 25

Fibular (lateral) collateral lig

knee

Back 25

Head of fibula - lateral epicondyle of fem. Lack of attachment to joint capsule and minisci

Front 26

Tibial (medial) collateral lig

knee

Back 26

Tibia - medial epicondyle of fem. Attached to joint capsule and med miniscus

Front 27

Oblique popliteal lig

knee

Back 27

insertion of semimembranous mm - superolateral

Front 28

Arcuate popliteal lig

knee

Back 28

head of fibula - within post. wall of joint capsule

Front 29

Patellar lig

knee

Back 29

continuation of tendon of the quadriceps femoris - tibial tuberosity

Front 30

Medial patellar retinaculum

knee

Back 30

aponeurosis derived from vastus medialis - tibial tuberosity
Back-up extensor mechanism

Front 31

Lateral patellar retinaculum

knee

Back 31

aponeurosis derived from vastus lateralis & rectus femoris - tibial tuberosity

Front 32

Anterior lig of fibular head

Back 32

Strong fibers from head of fibula to tibia that holds the bones together

Front 33

Posterior ligament of fibular head

Back 33

head of fibula - tiba
weak band of fibers

Front 34

during maximal forward dorsiflexion in the ankle (____) joint, there is expansion of the __________ and this results in a compensatory movement in the tibiofibular joint. Thus, this joint is also called a ________ joint

Back 34

(talocrural)
malleolar mortise
compensation

Front 35

Movement of tibiofibular joint

Back 35

almost immobile synovial joint

Front 36

Interosseous membrane (lower limb)

Back 36

Membrane that fixes the tibia and the fibula very tensely.

Front 37

Tibiofibular syndesomosis

Back 37

At distal end of tibia&fibula

Front 38

Anterior tibiofibular lig

Back 38

flat lig. that runs obliquely over ant. surfaces of the tib&fib

Front 39

Posterior tibiofibular lig

Back 39

lig that runs horizontally between post. surfaces of tib&fib

Front 40

In extended knee both ____ ligaments and the anterior part of the _______ ligament are taut

Back 40

collateral
anterior cruciate lig

Front 41

During the last 10* movement before complete extension of knee joint there is an __________ of about __

Back 41

Obligatory terminal rotaion-5*
"the joint is screwed home"

Front 42

Knee joint is screwed home. =?Caused by stretching of ______ and is permitted by the shape of the _________ and assisted by ________

Back 42

Obligatory terminal rotation during last 10* movement before complete extension.
Anterior cruciate lig
Medial femoral condyle
Iliotibial tract

Front 43

In flexed knee the ________ is completely relaxed and the ______ largely slack. While ____________ are taut.

Back 43

fibular collateral lig
tibial collateral lig
Ant.&post. cruciate ligaments

Front 44

When _____, the knee joint can also be slightly rotated. Medial rotation is _____ than that of the lateral rotation

Back 44

Flexed knee joint also allows

___ rot is less than that of the ___ rot

Front 45

the limit of lateral rotation of knee while Flexed is primarily determined by ______

Back 45

The cruciate ligaments primarily determine limitation of ______ while knee joint is _____

Front 46

In case of ruptured anterior cruciate lig the so-called ______ might be observed => in flexed pos the lower leg can be ______

Back 46

Anterior drawer sign may be observed when ______ is ruptured. => lower leg can be pulled forwardly 2-3cm in _____pos

Front 47

Rupture of posterior cruciate lig and fibular collateral lig results in _________ => the leg may be ______

Back 47

Posterior drawer sign is a result of rupture of ________ and _______ => lower leg may be pushed backward

Front 48

abnormal lateral movements occur if there is a torn ______ Also called ______

Back 48

A wobbly joint is caused by a torn lateral ligament and causes ________ movements