Anatomy of Human Legs



The human leg is the entire lower extremity or limb of the human body, including the foot, thigh and even the hip or gluteal region, the precise definition in human anatomy refers to the section of the lower limb extending between the knee and the ankle.

Legs are used for standing, walking, jumping, running, kicking, and similar activities, and constitute a significant portion of a person's mass.

In human anatomical terms, the leg is the part of the lower limb that lies between the knee and the ankle,[6] the thigh is between the hip and knee and the term "lower limb" is used to describe the colloquial leg. This article generally follows the common usage.

The leg from the knee to the ankle is called the cnemis (née'mis) or crus. The calf is the back portion and the shin is the front.
Comparison between human and gorilla skeletons. (Gorilla in non-natural stretched posture.)

Evolution has provided the human body with two distinct features: the specialization of the upper limb for visually guided manipulation and the lower limb's development into a mechanism specifically adapted for efficient bipedal gait. While the capacity to walk upright is not unique to humans, other primates can only achieve this for short periods and at a great expenditure of energy. The human adaption to bipedalism is not limited to the leg, however, but has also affected the location of the body's center of gravity, the reorganisation of internal organs, and the form and biomechanism of the trunk. In humans, the double S-shaped vertebral column acts as a shock-absorber which shifts the weight from the trunk over the load-bearing surface of the feet. The human legs are exceptionally long and powerful as a result of their exclusive specialization to support and locomotion — in orangutans the leg length is 111% of the trunk; in chimpanzees 128%, and in humans 171%. Many of the leg's muscles are also adapted to bipedalism, most substantially the gluteal muscles, the extensors of the knee joint, and the calf muscles.[7]

See also: Human skeletal changes due to bipedalism

[edit] Skeleton
Bones of the leg

The major (long) bones of the human leg are the femur (thighbone), tibia (shinbone), and fibula (the smaller, rear calf bone). The patella (kneecap) is the bone in front of the knee. Most of the leg skeleton has bony prominences and margins that can be palpated, notable exceptions being the hip joint, and the neck and shaft of femur. Many of these anatomical landmarks are used to define the extent of the leg: most notably the anterior superior iliac spine, the greater trochanter, the superior margin of the medial condyle of tibia, and the medial malleolus.

In the normal case, the large joints of the lower limb are aligned on a straight line which represents the mechanical longitudinal axis of the leg, the Mikulicz line. This line stretches from the hip joint (or more precisely the head of the femur), through the knee joint (the intercondylar eminence of the tibia), and down to the center of the ankle (the ankle mortise, the fork-like grip between the medial and lateral malleoli). In the tibial shaft, the mechanical and anatomical axes coincide, but in the femoral shaft they diverge 6°, resulting in the femorotibial angle of 174° in a leg with normal axial alignment. A leg is considered straight when, with the feet brought together, both the medial malleoli of the ankle and the medial condyles of the knee are touching. Divergence from the normal femorotibial angle is called genu varum if the center of the knee joint is lateral to the mechanical axis (intermalleolar distance exceeds 3 cm), and genu valgum if it is medial to the mechanical axis (intercondylar distance exceeds 5 cm). These conditions impose unbalanced loads on the joints and stretching of either the thigh's adductors and abductors. The angle of inclination formed between the neck and shaft of the femur, the collodiaphysial angle, varies with age—about 150° in the newborn, it gradually decreases to 126-128° in adults, to reach 120° in old age. Pathological changes in this angle results in abnormal posture of the leg: A small angle produces coxa vara and a large angle in coxa valga; the latter is usually combined with genu varum and coxa vara leads genu valgum. Additionally, a line drawn through the femoral neck superimposed on a line drawn through the femoral condyles forms an angle, the torsion angle, which makes it possible for flexion movements of the hip joint to be transposed into rotary movements of the femoral head. Abnormally increased torsion angles results in a limb turned inward and a decreased angle in a limb turned outward; both cases resulting in a reduced range of mobility.

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Anatomy of Human Legs

The human leg is the entire lower extremity or limb of the human body, including the foot, thigh and even the hip or gluteal region, the precise definition in human anatomy refers to the section of the lower limb extending between the knee and the ankle.

Legs are used for standing, walking, jumping, running, kicking, and similar activities, and constitute a significant portion of a person's mass.

In human anatomical terms, the leg is the part of the lower limb that lies between the knee and the ankle,[6] the thigh is between the hip and knee and the term "lower limb" is used to describe the colloquial leg. This article generally follows the common usage.

The leg from the knee to the ankle is called the cnemis (née'mis) or crus. The calf is the back portion and the shin is the front.
Comparison between human and gorilla skeletons. (Gorilla in non-natural stretched posture.)

Evolution has provided the human body with two distinct features: the specialization of the upper limb for visually guided manipulation and the lower limb's development into a mechanism specifically adapted for efficient bipedal gait. While the capacity to walk upright is not unique to humans, other primates can only achieve this for short periods and at a great expenditure of energy. The human adaption to bipedalism is not limited to the leg, however, but has also affected the location of the body's center of gravity, the reorganisation of internal organs, and the form and biomechanism of the trunk. In humans, the double S-shaped vertebral column acts as a shock-absorber which shifts the weight from the trunk over the load-bearing surface of the feet. The human legs are exceptionally long and powerful as a result of their exclusive specialization to support and locomotion — in orangutans the leg length is 111% of the trunk; in chimpanzees 128%, and in humans 171%. Many of the leg's muscles are also adapted to bipedalism, most substantially the gluteal muscles, the extensors of the knee joint, and the calf muscles.[7]

See also: Human skeletal changes due to bipedalism

[edit] Skeleton
Bones of the leg

The major (long) bones of the human leg are the femur (thighbone), tibia (shinbone), and fibula (the smaller, rear calf bone). The patella (kneecap) is the bone in front of the knee. Most of the leg skeleton has bony prominences and margins that can be palpated, notable exceptions being the hip joint, and the neck and shaft of femur. Many of these anatomical landmarks are used to define the extent of the leg: most notably the anterior superior iliac spine, the greater trochanter, the superior margin of the medial condyle of tibia, and the medial malleolus.

In the normal case, the large joints of the lower limb are aligned on a straight line which represents the mechanical longitudinal axis of the leg, the Mikulicz line. This line stretches from the hip joint (or more precisely the head of the femur), through the knee joint (the intercondylar eminence of the tibia), and down to the center of the ankle (the ankle mortise, the fork-like grip between the medial and lateral malleoli). In the tibial shaft, the mechanical and anatomical axes coincide, but in the femoral shaft they diverge 6°, resulting in the femorotibial angle of 174° in a leg with normal axial alignment. A leg is considered straight when, with the feet brought together, both the medial malleoli of the ankle and the medial condyles of the knee are touching. Divergence from the normal femorotibial angle is called genu varum if the center of the knee joint is lateral to the mechanical axis (intermalleolar distance exceeds 3 cm), and genu valgum if it is medial to the mechanical axis (intercondylar distance exceeds 5 cm). These conditions impose unbalanced loads on the joints and stretching of either the thigh's adductors and abductors. The angle of inclination formed between the neck and shaft of the femur, the collodiaphysial angle, varies with age—about 150° in the newborn, it gradually decreases to 126-128° in adults, to reach 120° in old age. Pathological changes in this angle results in abnormal posture of the leg: A small angle produces coxa vara and a large angle in coxa valga; the latter is usually combined with genu varum and coxa vara leads genu valgum. Additionally, a line drawn through the femoral neck superimposed on a line drawn through the femoral condyles forms an angle, the torsion angle, which makes it possible for flexion movements of the hip joint to be transposed into rotary movements of the femoral head. Abnormally increased torsion angles results in a limb turned inward and a decreased angle in a limb turned outward; both cases resulting in a reduced range of mobility.

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Irritation of Human Eye

Bloodshot eyeball

Eye irritation has been defined as “the magnitude of any stinging, scratching, burning, or other irritating sensation from the eye”. It is a common problem experienced by people of all ages. Related eye symptoms and signs of irritation are e.g. discomfort, dryness, excess tearing, itching, grating, sandy sensation, smarting, ocular fatigue, pain, scratchiness, soreness, redness, swollen eyelids, and tiredness, etc. These eye symptoms are reported with intensities from severe to less severe. It has been suggested that these eye symptoms are related to different causal mechanisms.

Several suspected causal factors in our environment have been studied so far. One hypothesis is that indoor air pollution may cause eye and airway irritation. Eye irritation depends somewhat on destabilization of the outer-eye tear film, in which the formation of dry spots results in such ocular discomfort as dryness. Occupational factors are also likely to influence the perception of eye irritation. Some of these are lighting (glare and poor contrast), gaze position, a limited number of breaks, and a constant function of accommodation, musculoskeletal burden, and impairment of the visual nervous system. Another factor that may be related is work stress. In addition, psychological factors have been found in multivariate analyses to be associated with an increase in eye irritation among VDU users. Other risk factors, such as chemical toxins/irritants, e.g. Amines, Formaldehyde, Acetaldehyde, Acrolein, N-decane, VOCs; Ozone, Pesticides and preservatives, Allergens, etc might cause eye irritation as well.

Certain volatile organic compounds that are both chemically reactive and airway irritants may cause eye irritation as well. Personal factors (e.g., use of contact lenses, eye make-up, and certain medications) may also affect destabilization of the tear film and possibly result in more eye symptoms. Nevertheless, if airborne particles alone should destabilize the tear film and cause eye irritation, their content of surface-active compounds must be high. An integrated physiological risk model with blink frequency, destabilization, and break-up of the eye tear film as inseparable phenomena may explain eye irritation among office workers in terms of occupational, climate, and eye-related physiological risk factors.

There are two major measures of eye irritation. One is blink frequency which can be observed by human behavior. The other measures are break up time, tear flow, hyperemia (redness, swelling), tear fluid cytology, and epithelial damage (vital stains) etc, which are human beings’ physiological reactions. Blink frequency is defined as the number of blinks per minute and it is associated with eye irritation. Blink frequencies are individual with mean frequencies of < 2-3 to 20-30 blinks/minute, and they depend on environmental factors including the use of contact lenses. Dehydration, mental activities, work conditions, room temperature, relative humidity, and illumination all influence blink frequency. Break-up time (BUT) is another major measure of eye irritation and tear film stability.[18] It is defined as the time interval (in seconds) between blinking and rupture. BUT is considered to reflect the stability of the tear film as well. In normal persons, the break-up time exceeds the interval between blinks, and, therefore, the tear film is maintained. Studies have shown that blink frequency is correlated negatively with break-up time. This phenomenon indicates that perceived eye irritation is associated with an increase in blink frequency since the cornea and conjunctiva both have sensitive nerve endings that belong to the first trigeminal branch. Other evaluating methods, such as hyperemia, cytology etc have increasingly been used to assess eye irritation.

There are other factors that related to eye irritation as well. Three major factors that influence the most are indoor air pollution, contact lenses and gender differences. Field studies have found that the prevalence of objective eye signs is often significantly altered among office workers in comparisons with random samples of the general population. These research results might indicate that indoor air pollution has played an important role in causing eye irritation. There are more and more people wearing contact lens now and dry eyes appear to be the most common complaint among contact lens weare. Although both contact lens wearers and spectacle wearers experience similar eye irritation symptoms, dryness, redness, and grittiness have been reported far more frequently among contact lens wearers and with greater severity than among spectacle wearers. Studies have shown that incidence of dry eyes increases with age. especially among women. Tear film stability (eg. break-up time) is significantly lower among women than among men. In addition, women have a higher blink frequency while reading. Several factors may contribute to gender differences. One is the use of eye make-up. Another reason could be that the women in the reported studies have done more VDU work than the men, including lower grade work. A third often-quoted explanation is related to the age-dependent decrease of tear secretion, particularly among women after 40 years of age.

In a study conducted by UCLA, the frequency of reported symptoms in industrial buildings was investigated. The study's results were that eye irritation was the most frequent symptom in industrial building spaces, at 81%. Modern office work with use of office equipment has raised concerns about possible adverse health effects. Since the 1970s, reports have linked mucosal, skin, and general symptoms to work with self-copying paper. Emission of various particulate and volatile substances has been suggested as specific causes. These symptoms have been related to Sick Building Syndrome (SBS), which involves symptoms such as irritation to the eyes, skin, and upper airways, headache and fatigue.

Many of the symptoms described in SBS and multiple chemical sensitivity (MCS) resemble the symptoms known to be elicited by airborne irritant chemicals.[39] A repeated measurement design was employed in the study of acute symptoms of eye and respiratory tract irritation resulting from occupational exposure to sodium borate dusts.[40] The symptom assessment of the 79 exposed and 27 unexposed subjects comprised interviews before the shift began and then at regular hourly intervals for the next six hours of the shift, four days in a row. Exposures were monitored concurrently with a personal real time aerosol monitor. Two different exposure profiles, a daily average and short term (15 minute) average, were used in the analysis. Exposure-response relations were evaluated by linking incidence rates for each symptom with categories of exposure.

Acute incidence rates for nasal, eye, and throat irritation, and coughing and breathlessness were found to be associated with increased exposure levels of both exposure indices. Steeper exposure-response slopes were seen when short term exposure concentrations were used. Results from multivariate logistic regression analysis suggest that current smokers tended to be less sensitive to the exposure to airborne sodium borate dust.

Several actions can be taken to prevent eye irritation—

* trying to maintain normal blinking by avoiding room temperatures that are too high; avoiding relative humidities that are too high or too low, because they reduce blink frequency or may increase water evaporation.
* trying to maintain an intact tear film by the following actions. 1) blinking and short breaks may be beneficial for VDU users. Increase these two actions might help maintain the tear film. 2) downward gazing is recommended to reduce the ocular surface area and water evaporation.[43][44][45] 3) the distance between the VDU and keyboard should be kept as short as possible to minimize evaporation from the ocular surface area by a low direction of the gaze.[46] And 4) blink training can be beneficial.

In addition, other measures are proper lid hygiene, avoidance of eye rubbing,[48] and proper use of personal products and medication. Eye make-up should be used with care.

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Human Eyes Dynamic range

The retina has a static contrast ratio of around 100:1 (about 6½ f-stops). As soon as the eye moves (saccades) it re-adjusts its exposure both chemically and geometrically by adjusting the iris which regulates the size of the pupil. Initial dark adaptation takes place in approximately four seconds of profound, uninterrupted darkness; full adaptation through adjustments in retinal chemistry (the Purkinje effect) are mostly complete in thirty minutes. Hence, a dynamic contrast ratio of about 1,000,000:1 (about 20 f-stops) is possible. The process is nonlinear and multifaceted, so an interruption by light merely starts the adaptation process over again. Full adaptation is dependent on good blood flow; thus dark adaptation may be hampered by poor circulation, and vasoconstrictors like alcohol or tobacco.

The eye includes a lens not dissimilar to lenses found in optical instruments such as cameras and the same principles can be applied. The pupil of the human eye is its aperture; the iris is the diaphragm that serves as the aperture stop. Refraction in the cornea causes the effective aperture (the entrance pupil) to differ slightly from the physical pupil diameter. The entrance pupil is typically about 4 mm in diameter, although it can range from 2 mm (f/8.3) in a brightly lit place to 8 mm (f/2.1) in the dark. The latter value decreases slowly with age, older people's eyes sometimes dilate to not more than 5-6mm.

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The human eye is an organ which reacts to light for several purposes.
As a conscious sense organ, the eye allows vision. Rod and cone cells in the retina allow conscious light perception and vision including color differentiation and the perception of depth. The human eye can distinguish about 10 million colors.

In common with the eyes of other mammals, the human eye's non-image-forming photosensitive ganglion cells in the retina receive the light signals which affect adjustment of the size of the pupil, regulation and suppression of the hormone melatonin and entrainment of the body clock.

Eyes General properties
The eye is not properly a sphere, rather it is a fused two-piece unit. The smaller frontal unit, more curved, called the cornea is linked to the larger unit called the sclera. The corneal segment is typically about 8 mm (0.3 in) in radius. The sclera constitutes the remaining five-sixths; its radius is typically about 12 mm. The cornea and sclera are connected by a ring called the limbus. The iris – the color of the eye – and its black center, the pupil, are seen instead of the cornea due to the cornea's transparency. To see inside the eye, an ophthalmoscope is needed, since light is not reflected out. The fundus (area opposite the pupil) shows the characteristic pale optic disk (papilla), where vessels entering the eye pass across and optic nerve fibers depart the globe.

Dimensions
The dimensions differ among adults by only one or two millimeters. The vertical measure, generally less than the horizontal distance, is about 24 mm among adults, at birth about 16–17 mm. (about 0.65 inch) The eyeball grows rapidly, increasing to 22.5–23 mm (approx. 0.89 in) by the age of three years. From then to age 13, the eye attains its full size. The volume is 6.5 ml (0.4 cu. in.) and the weight is 7.5 g. (0.25 oz.)

Components
The eye is made up of three coats, enclosing three transparent structures. The outermost layer is composed of the cornea and sclera. The middle layer consists of the choroid, ciliary body, and iris. The innermost is the retina, which gets its circulation from the vessels of the choroid as well as the retinal vessels, which can be seen in an ophthalmoscope.

Within these coats are the aqueous humor, the vitreous body, and the flexible lens. The aqueous humor is a clear fluid that is contained in two areas: the anterior chamber between the cornea and the iris and exposed area of the lens; and the posterior chamber, behind the iris and the rest. The lens is suspended to the ciliary body by the suspensory ligament (Zonule of Zinn), made up of fine transparent fibers. The vitreous body is a clear jelly that is much larger than the aqueous humor, and is bordered by the sclera, zonule, and lens. They are connected via the pupil.

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Anatomy of Human Eyes

Eyes are organs that detect light, and convert it to electro-chemical impulses in neurons. The simplest photoreceptors in conscious vision connect light to movement. In higher organisms the eye is a complex optical system which collects light from the surrounding environment; regulates its intensity through a diaphragm; focuses it through an adjustable assembly of lenses to form an image; converts this image into a set of electrical signals; and transmits these signals to the brain, through complex neural pathways that connect the eye, via the optic nerve, to the visual cortex and other areas of the brain. Eyes with resolving power have come in ten fundamentally different forms, and 96% of animal species possess a complex optical system. Image-resolving eyes are present in molluscs, chordates and arthropods.

The simplest "eyes", such as those in microorganisms, do nothing but detect whether the surroundings are light or dark, which is sufficient for the entrainment of circadian rhythms. From more complex eyes, retinal photosensitive ganglion cells send signals along the retinohypothalamic tract to the suprachiasmatic nuclei to effect circadian adjustment.

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The Anatomy of Human Brain

The human brain is the center of the human nervous system. Enclosed in the cranium, it has the same general structure as the brains of other mammals, but is over three times as large as the brain of a typical mammal with an equivalent body size. Most of the expansion comes from the cerebral cortex, a convoluted layer of neural tissue that covers the surface of the forebrain. Especially expanded are the frontal lobes, which are associated with executive functions such as self-control, planning, reasoning, and abstract thought. The portion of the brain devoted to vision is also greatly enlarged in human beings.

Brain evolution, from the earliest shrewlike mammals through primates to hominids, is marked by a steady increase in encephalization, or the ratio of brain to body size. The human brain has been estimated to contain 50–100 billion (1011) neurons, of which about 10 billion (1010) are cortical pyramidal cells. These cells pass signals to each other via as many as 1000 trillion (1015, 1 quadrillion) synaptic connections. However, recent research has shown that the modern human brain has actually been shrinking over the last 28,000 years.

The brain monitors and regulates the body's actions and reactions. It continuously receives sensory information, and rapidly analyzes these data and then responds, controlling bodily actions and functions. The brainstem controls breathing, heart rate, and other autonomic processes that are independent of conscious brain functions. The neocortex is the center of higher-order thinking, learning, and memory. The cerebellum is responsible for the body's balance, posture, and the coordination of movement.

In spite of the fact that it is protected by the thick bones of the skull, suspended in cerebrospinal fluid, and isolated from the bloodstream by the blood-brain barrier, the delicate nature of the human brain makes it susceptible to many types of damage and disease. The most common forms of physical damage are closed head injuries such as a blow to the head, a stroke, or poisoning by a wide variety of chemicals that can act as neurotoxins. Infection of the brain is rare because of the barriers that protect it, but is very serious when it occurs. The human brain is also susceptible to degenerative disorders, such as Parkinson's disease, multiple sclerosis, and Alzheimer's disease. A number of psychiatric conditions, such as schizophrenia and depression, are widely thought to be caused at least partially by brain dysfunctions, although the nature of such brain anomalies is not well understood.

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