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8/19/2019 Anatomy Lower Limb
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ANATOMY LOWER LIMB
PRESENT BY :
NANDA RIZKI (P27227014050)SITI MAYSAROH(P27227014055)
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coxae
Femur
FibulaTibia
Foot
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PELVIC
PANDANGAN PROIMAL
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C!"#$ %#&
P#&'#&#& #*$+#
Crista iliaca
SIAS
SIAI
Acetabulum
Tuberculum pubicum
Iachial tuberocity
SIPI
SIPS
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,EM-R
Caput femuris
Colum femurisTrochantor mayor
Trochantor minor
Corpus
Condylus lateral
Condylus medialFacies patellaris
Linea aspera
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OTOT
A M. /#+*!+/
B M. +$*/ 3$!+/C M. #/*/ $'#/D M. #/*/ #*$+#/E M. #/*/&*$+$'/
, M. *$&/!+3###*#$G M. 6$*&$/H M. #''*!+!&/I M. P/!#/ #!+
8 M. #/
P#&'#&#& #&*$+!+
A
B
C
D
, G
H
8 I
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A
D
C
B
A M. G*$/#"/B M. T$&/!+ 3###*#$
C M. V#/*/#*$+#/D M. B$6*3$!+#/
P#&'#&#& #*$+#
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LIGAMEN
Lig. Ilio femurale Lig. Pubo femurale L. I/9!3$+#$
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• L !3$!+#$
SIAI %$ L&$# &*$+*9+!9#&*$+#($&9##* 6$+$+#%#& $%/*$&/ '#&$"/! +!*#/)
• L. P!3$!+#$
+#/ /6 !/// 6/ %$ *+!9#&*$+ &!+• L. I/9!3$!+#$
'#+ !+6/ !/// /9 ' #'# #$*#
%$ #*$+# #*#/ $$!% %$ !3$!+/ $& 6&+ '$6#& *+!9#&*$+#;!+
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HIP 8OINT
1. D$&*% !$9 #6*3$!+/ '#& #$*#.
2. S$&' $+$&*%/69+!'$# (/$&' 6$+)
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M/$ #&' &$+$
FLEXI HIP
•PENGGERAK UTAMA
. m. Psoas !a"or
#. m. Iliacus
ner$e % &r musculares 'plexus lumbalis(
•OTOT BANTU
.m. &ectus femoris
#.m. Sartorius)m. Tensor Fascia Latae*m. Pectineus+m. Addu,tor bre$is-m. Addu,tor longusm. Addu,tor magnus
ner$e % / Femoralis. / gluteus superior0 dan / obturatorius 'plexus lumbalis(
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ETENSI HIP
PENGGERAK UTAMA
. m. 1luteus maximus#. m. Semitendinosus
). m. Semi membranosus*. m. 2iceps femoris
'caput longum(
/er$e %
/ gluteus inferior 'plexus sacralis(
/ Ischiadicus 'plexus sacralis(
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ABD-CTION HIP
PENGGERAK UTAMA
.m. 1luteus medius
ner$e % / gluteus superior 'plexus sacralis(
OTOT BANTUm. 1luteus minimus
m. Tensor fascia latae
m. 1luteus maximus
'serabut upper(
/er$e %/ gluteus superior 'plexus sacralis(
/ gluteus superior 'plexus lumbalis(
/ gluteus inferior 'plexus sacralis(
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ADD-CTION HIP
PENGGERAK UTAMA
. m. adductor magnus#. m. adductor bre$is). m. adductor longus
*. m. pectineus+. m. gracilis
/er$e %
/ obturatorius 'plexus lumbalis(
/ femoralis 'plexus lumbalis(
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ENDOROTASI HIP
PENGGERAK UTAMA. m. gluteus minimus
#. m. tensor fasciae latae
/er$e %
/ gluteus superior 'plexus sacralis(
/ gluteus superior 'plexus lumbalis(
OTOT BANTU
. m. gluteus medius
'serabut anterior(
# m. semitendinosus) m. semimembranosus
/er$e %
/ gluteus superior 'plexus sacralis(
/ Ischiadicus 'plexus sacralis(
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EOROTASI HIP
PENGGERAK UTAMA
. m. biceps femoris#. m. semitendinosus). m. semimembranosus
*. !
ner$e % / Ischiadicus 'plexus sacralis(
OTOT BANTU
. m. popliteus#. m. sartorius
). m. gracilis*. m. gastrocnemius
/er$e %
/ femoralis dan / obturatorius 'plexus
lumbalis(
/ tibialis ' / ischiadicus(
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PATELLA
P#*$# $+$&*% /$*# '$&#& #// 6#*$# '
##& +#&# '#& #6$" 6#*$# ' ##& #'#.P$+%##& #&*$+!+ '/$* 3#/$/ #&*$+!+ '#&6$+%##& '!+/# *$+'#6#* 3#$/ #+*#+/
$+*$ '$&#& 3#/$/ 6#*$#+/
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TIBIA DAN ,IB-LA
STR-KT-R T-LANG
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LIGAMEN
LIGAMENT-M ETRACAPS-LAR
• L#$&* P#*$#$
• L#$&* C!#*$+#$ ,#+$
• L#$&* C!#*$+#$ T#$• L#$&* P!6*$ O
• L#$&* T+#&/$+/ G$&
LIGAMENT-M INTRA CAPS-LAR• L#$&* C+#*# A&*$+!+
• L#$&* C+#* P!/*$+!+
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OTOT PADA TIBIA DAN,IB-LA
1. T#/ #&*$+!+
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2. G#/*+!&$/
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• S$*$&'&!//
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• S$$+#&!//
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• B$6 3$!+/
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KNEE 8OINT
L. T$&'!&6#*$#
.!#*$+# #*$+# L.C!#*$+
# $'#
P#&'#&#&6!/*$+!+
P#&'#&#&
#&*$+!+
L.C+#*
6!/*$+!+
L. C+#*#&*$+!+
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OTOT PENGGERAK KNEE 8OINT
FLEXI KNEE
• PENGGERAK UTAMA
. m. biceps femoris
# . m. semitendinosus) . m. semimembranosus
• OTOT BANTU
. m. popliteus# . m. sartorius) . m. gracilis* . m. gastrocnemius
)
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EKSTENSI KNEE
•PENGGERAK UTAMA
. m. rectus femoris# . m. $astus intermedius
) . m. $astus medialis
* . m. $astus lateralis
*
)
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,OOT
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,!!* '# $&#' < ##& ;#* :
•H&' 3!!* T$+'+ '#+ *#/ '#& ##&$/
•M' 3!!*
*$+'+ '#+ #+ !' #*$+#&$3!+ &*$+$'#*$ &$3!+ '#&$'# &$3!+
•,!+$ 3!!* T$+'+ '#+ $*#*#+/# (5) '#& 69##&(14)
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1. O/ T#/
T$+# $&#' <##& ;#* #6*(##& '/*#) !(##& *$	) '#&
!+6/ (##&6+!"#). P&;# 2'#*#+#& ;#* 3#$/'!+/#/ '#& 3#$/
6#&*#+/.
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2. O/ C##&$/
-& 6+!"#$+6#%#& ##&'#+ #" (**)##& *$+$/#+'/$* !+6/.
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4. O/ C!'$
B$+$&*% %/. P&;# < '#*#+#&/$&' ;#* /$$#9 6+!"# $'#'#& '/*#.
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5. O/ C&$3!+ 1 2 '#& <
C&$3!+$'#
C&$3!+&*$+$'
C&$3!+#*$+#
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O//# $*#*#+/#
B$+#9 5. O/$*#*#+/# 16#& $/#+ '#&
6#& *$#*$*#6 6#&6$&'$%.
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O//# P9##&$/
P#'# #+ (#+1) *$+'#6#* 269##&$//$'#&%#& 6#'#
#+ #& *$+'#6#*< 69##&$/.
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P$+/$&'#& 6#'# *#& *#+/#1. A+*#*! *#! ##&$#
D$&*% !$9 *# '#*#+#& /$&' 6#'# !/ *#/ '#& *# '#*#+#&/$&' 6#'# !/ ##&$/.
2. A+*#*! *#!##&$! #+$D$&*% !$9 '#*#+#& /$&' 6#'# !/ %#%#&$/ !/ #+$
.
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• A+*#*! *#+/! $*#*#+/#
D$&*% !$9 '#*#+#&'#*#+#& /$&'#&*#+# !/ %!'$ !/ &$3!+IIIIII '#& !/ $*#*#+// IIIIIIIVV.
• A+*#* $*#*#+/! 69##&$#
D$&*% !$9 '#*#+#& /$&' /$*#6 !/
$*#*#+// '#& '#*#+#& /$&' /$*#6!/ 69##&$# 6+!"#/ ;#& *$6#*$+#'# '/$$#9 '/*#&;#.
A 9 3 3 *
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A+9$/ !3 3!!*A+9$/ *$+'+ '#+ <##&:1.A+9$/ !&*'
#*$+#2.A+9$/ !&*'$'#
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A&%$ !&*
• Tibio tarsal joint
•Hinge joint• Satu derajat kebebasan gerak
• Penting dalam jalan, menumpuberat badan
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Ligamentum penguat
ankle joint1. Lig. Collateral
laterale2. Lig. Collateral
mediale3. Lig. Anterior4. Lig. Posterior
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Lig. Collateral Laterale
1. Lig. Taloibular anterior
2. Lig. Cal!aneo ibular
3. Lig. Taloibular posterior
L. C##&$! ?#+
L. T#!?#+ #&*$+!+
L. T#!?#+6!/*$+!+
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Lig. Collateral medial
1. "eep
a. Lig. Talotibial anterior
• #edial aspek !ollum !al!aneus
• $bli%ue inerior dan anterior
b. Lig. Talo tibial posterior
• $bli%ue inerior dan posterior
2. Superi!ial lig. "eltoid
M-SCLE AND NERVE
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M-SCLE AND NERVE
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Dorsifexion o the ankle• T#/ #&*$+!+
•E"*$&/!+ '*!+ !&/
•E"*$&/!+ 9#/ !&/
•P$+!&$/ *$+*/
N$+$ : N ,#+/ 6+!3&'/ (N I/9#'/)
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Plantarfexion o the ankle
• T+$6/ /+#$
• T#/ 6!/*$+!+
•,$"!+ '*!+ !&/
•,$"!+ 9#/ !&/
•P$+!&$/ !&/
•6$+!&$/ +$/
N$+$ :
N T#/ (N I/9#'/)N ,#+/ /6$+?#/ (N I/9#'/)
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Pronasi o oot
•P$+!&$/ !&/
•P$+!&$/ +$/
•P$+!&$/ *$+*/
N$+$ :N ,#+/ /6$+?#/ (N I/9#'/)
N ,#+/ 6+!3&'/ (N I/9#'/)
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Supinasi o oot
• T#/ #&*$+!+
• T#/ 6!/*$+!+
•E"*$&/!+ 9#/ !&/
N$+$ :
N ,#+/ 6+!3&'/ (N I/9#'/)
N T#/ (N I/9#'/)
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RE,ERENSI
9**6/:FF3+.=%6$'#.!+F=%FT#/2!/2J!'3!+#**+$
9**6/:FF3+.=%6$'#.!+F=%FC##&C
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TERIMA KASIH
ADA PERTANYAAN
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A&3# *9?# : *!!& !&*!9%#&## /6/ 3!!* '#& 6+!/ 3!!* .
M#+$*#&# : /#+#&
K&' : $+#6# '$+##* /6/ '#& 6+!/
I/ : 6#'# 6#*$# #'# * ' ##&
#& H#&3 &+ : #*! 6#'# ##& ,O ;#&6$&*& 9#3# * ##& #