Case scenario

Mr. C, 50 years old, is an amateur soccer player who regularlyplays with his friends over weekend. He has chronic anterior righthip pain and weakness over his groin region for 5 years. One day,when he was playing soccer, he was injured by another player whocrushed on him from lateral side of his left leg. Then, he felldown on the grassland after twisting his left knee and ankle due tothe crush. He started to feel pain and weakness over his left legfrom knee to ankle. He could not move his left leg to stand up.When he fell down, he fell on the leg of that player which causedpain, swelling, numbness and weakness over the posterior side ofhis own left leg. Then, he was send to the emergency room of anearby hospital. The doctor of the emergency room of the hospitalassessed his legs and arranged X-ray check for him. Your supervisorasked you to identify all key anatomical structures in the initialassessment that are related to his hip, knee and ankle discomfortaccording to the above information. You need to provide clearrationale to support your answers when you report to yoursupervisor.

Please answer according to the following guidance:

1. What bone(s), bony landmark(s) and joint(s) can be involvedin his hip, knee and ankle problems? Please list out accordinglyand support with corresponding reasons.

2. What muscle(s) and soft tissue(s) can be involved in his hip,knee and ankle problems? Please list out accordingly and supportwith corresponding reasons. The relevant origin and insertionshould be included.

3. What nerve (nerves) can be involved in his hip, knee andankle problems? Please list out accordingly and support withcorresponding reasons.

4. What artery (arteries) and vein (veins) are involved in hisproblems mentioned above? Please list out accordingly and supportwith corresponding reasons.

5. What lower limb functional movements that can be affectedaccording to his leg conditions? Why?