Einführung in die Inspektion und Palpation der unteren Extremität. Übung 1 Klinische Anatomie M.Sc. SPT R. Prill, B.Sc. PT MPH J. Kirschner, B.Sc. PT 1 Pelvis (Becken) - Crista iliaca - Spina iliaca anterior superior (SIAS) - Spina iliaca anterior inferior (SIAI) - Spina iliaca posterior superior (SIPI) - Spina iliaca posterior inferior (SIPS) - Abgrenzung L5, Sacrum und Os coccygis - Tuber ischiadicum __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Leiste - IVAN __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Prill R, Kirschner J. Einführung in die Inspektion und Palpation der unteren Extremität. Medizinische Hochschule Brandenburg, Neuruppin; 2015 2 Femur - Trochanter major - Corpus femoris - Condylus, Epicondylus medialis femoris - Tuberculum adductorium - Condylus, Epicondylus lateralis femoris __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Art. Genus (Schwerpunkt Untersuchung in Übung II) - Patella (Basis, Apex, medial, lateral) - Ligamentum patellae - Tuberositas tibiae - Tibiaplateau - lateraler Kniegelenksspalt - Ligamentum collaterale mediale - pars superficiale - pars posterius - Tuberculum von Gerdy(i) (Ansatz des Tractus iliotibialis -> lateral an der Patella und am T. v. G) - Ligamentum collaterale laterale (im 4-er Zeichen palpieren) - Meniskusvorderhörner (in Extension palpabel) __________________________________________________________________________________ __________________________________________________________________________________ Prill R, Kirschner J. Einführung in die Inspektion und Palpation der unteren Extremität. Medizinische Hochschule Brandenburg, Neuruppin; 2015 3 __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Tibia & Fibula - Caput und Collum fibulae - Art. tibiofibularis proximales - Corpus tibiae und ventrale Tibiakante - Corpus fibulae - Malleolus medialis - Malleolus lateralis - Art. tibiofibularis distales - distale Begrenzung der Tibia von ventral - Art. talocruralis (Oberes Sprunggelenk) Quelle: IAOM © __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Prill R, Kirschner J. Einführung in die Inspektion und Palpation der unteren Extremität. Medizinische Hochschule Brandenburg, Neuruppin; 2015 4 Pedis (Fuß) Os/Ossa - talus - calcaneus - naviculare - cuboideum - cuneiformia I-III - metatarsalia I-V - digitorum pedis I-V - Achillessehne - Arteria tibialis posterior - Arteria dorsalis pedis __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Prill R, Kirschner J. Einführung in die Inspektion und Palpation der unteren Extremität. Medizinische Hochschule Brandenburg, Neuruppin; 2015 5 Muskeln Becken und Oberschenkel - M. gluteus maximus - M. gluteus medius et minimus - M. piriformes - M. tensor fasicae latae mit tactus iliotibialis - M. pectineus - M. adductor longus - M. gracilis - M. adductor magnus - M. quadriceps femoris (palpabel: rectus, vastus medialis et lateralis) - M. sartorius - M. ischiocruralis (mit biceps femoris, semitenditosus, semimebranosus) Unterschenkel und Fuss - M. triceps surae (mit gastrocnemius und soleus) - M. tibialis anterior - M. peroneus longus et. brevis (auch fibularis genannt) - M. tibialis posterior __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Prill R, Kirschner J. Einführung in die Inspektion und Palpation der unteren Extremität. Medizinische Hochschule Brandenburg, Neuruppin; 2015