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final Flashcards

1
Q

normal end feel:

humeroulnar and humeroradial

A

hard and bony / tissue approximation

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2
Q

normal end feel:

proximal radioulnar

A

supination = firm
pronation = hard or firm

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3
Q

normal end feel:

acetabulofemoral

A

flex/adduction = elastic / tissue approx
straight leg raise = elastic
ext and abduction = elastic/firm
internal/external rotation = elastic/firm

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4
Q

normal end feels

tibiofemoral

A

flexion = soft tissue/ bony approx
ext = firm

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5
Q

normal end feel

TMJ

A

opening = tissue stretch
closing = bone to bone

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6
Q

normal end feel :

spine

A

bony, soft tissue approx, tissue stretch

all ranges in spine are TISSUE STRETCH

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7
Q

capsular pattern of GH

LABM

A

lateral rotation
abduction
medial rotation

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8
Q

hand placement for lateral distraction of GH

A

stabilize= distal humerus at lateral supracondylar crest

mobilize = proximal humerus near axilla and mobilize laterally

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9
Q

close packed

A

min mobility
max stability
max congruency / contact

fracture/dislocations

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10
Q

loose/open packed

A

least amt of stress
min contact
min stability
max mobility

sprains/strains

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11
Q

what is the humeral scapular ratio

A

every 2 degrees of motion in humerus = 1 degree of motion in scapula

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12
Q

proximal radioulnar joint

convex on concave

A

pivot
uniaxial

convex radial head
concave radial notch of ulna

annular lig
quadrate lig

pronate and supinate

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13
Q

loose pack of proximal radioulnar

A

35 sup
70 flexion

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14
Q

close packed of proximal radioulnar

A

5 supin from neutral

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15
Q

capsular pattern for proximal radioulnar

A

supination–> pronation

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16
Q

distal radioulnar

roll and glide in same direction

A

pivot
uniaxial

concave ulnar head
convex ulnar notch of distal head

articular disc
TFCC
dorsal and palmar radioulnar lig

PRO AND SUP

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17
Q

midcarpal joint type

A

saddle
biaxial

proximal row of carpals
distal row of carpals

transverse carpal ligament

flex, ext, ab, add

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18
Q

intercarpal, intermetacarpal, CMC digits 2-5 joint type

A

plane
uniaxial

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19
Q

CMC digit 1 joint type

A

saddle
triaxial

TRAPEZIUM w first metcarpal

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20
Q

3 transverse joints through wrist that allow for maximum movement and stability

A

radiocarpal
midcarpal
carpometacarpal

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21
Q

MCP joints

A

1st = condyloid, triaxial
2-5 = condyloid, biaxial

convex on concave

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22
Q

what separates the radiocarpal joint from radioulnar joint

A

disc or triangular fibrocartilage complex

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23
Q

TMJ joint type

A

condyloid and hinge
biaxial

convex condyles of mandible on concave mandibular fossali

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24
Q

ligaments of TMJ

A

fibrous joint capsule
temporomandibular
stylomandibular (limited protrusion)
sphenomandibular
fibrocartilaginous articular disc that divides the two joint cavities

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25
upper TMJ joint = plane
lower = hinge disc moves forward as the mouth opens
26
as mouth opens, ROTATION of mandibular condyles occurs around LOWER joint space
followed by TRANSLATION of ARTICULAR DISC on UPPER joint space
27
loose packed of TMJ
mouth slightly open, lips together, teeth not in contact
28
what mm opens jaw
lateral pterygoid
29
anatomic barrier = end of PROM
physiologic barrier = end of AROM
30
3 types of proprioceptors around joints
mm spindles tendon organs joint kinesthetic receptors
31
what type of receptors respond to acceleration / decelerstion of joints during movement
small pacinian corpuscles
32
3 structural joints
FIBROUS CARTILAGINOUS SYNOVIAL
33
3 types of fibrous joints
sutures syndesmosis interosseous membrane
34
synostosis joint
type of suture that is replaced by bone as an adult complete fusion of two separate bones into one they are synarthrosis joints = immovable
35
symphysis cartilaginous joint
connecting tissue is also hyaline cartilage but has a broad, flat fibrocartilaginous disc that connects the bones
36
humeroulnar loose closed capsular
loose = 70 elbow flexion, 10 supination closed = ext, supination capsular= flexion --> extension
37
humeroradial loose closed capsular
loose = full ext, full supination closed = elbow 90, supinated to 5 capsular = flexion, ext, supination, pronation
38
proximal radioulnar joint loose closed capsular
loose = 35 supination, 70 flexion closed = supinated to 5 capsular = supination, pronation
39
the ulnar collateral lig has what 3 bundles
anterior posterior transverse / oblique
40
carrying angle lower than normal =
varus
41
leg positioning for inferior glide of pubic bone via leg pull
flexion, adduction, internal rotation
42
leg positioning for axial posterior glide of SI
flexion, abduction, external rotation
43
medial glide AF joint increasing what?
abduction
44
positioning for inferior glide ilium on sacrum
abduction and internal rotation
45
posterior glide of tibia on talus =
increase plantar flexion
46
superior glide of ilium on sacrum =
thigh in external rotation
47
what type of movement at pubic symphysis joint w leg pull
increase inferior glide correct slip up
48
what distraction is performed perpendicular to long axis of joint
lateral distraction
49
what mobilization of AF is the hip at 90 flexion and force directed down through femur towards table
axial posterior glide of femur
50
which mobilization of AF joint is to specifically increase extension
anterior glide
51
when performing an inferior glide of ilium on scarum what two AF range of motions do you put the pt's leg into prior to pulling it
internal rotation, abduction
52
which mob of distal tibiofibular joint increase ankle dorsi and plantar
posterior
53
position for inferior glide of ilium on sacrum
leg in slight abduction and internal rotation to lock hip out
54
superior glide of ilium on sacrum
thigh is slight external rotation
55
CI of superior glide of patellofemoral
dont compress patella or force knee into EXTENSION
56
AF joint loose closed capsular
loose = 30 flexion, 30 abd, slight lat rotation closed = full extension, med rotation, abduction capsular = flex, abduction, med rotation
57
surfaces of SI joint
concave sacral surface on sacrum convex ilium surface on ilium
58
nutation which way does base of sacrum move
inferiorly and anteriorly
59
nutation - pelvic outlet?
enlarges
60
nutation - ischial tuberosities ?
move apart
61
nutation - pubis symphysis and iliac crests?
approximates
62
nutation - PSIS?
separates
63
nutation - ASIS
flares in
64
lateral collateral ligaments of ankle
posterior talofibular calcaneofibular anterior talofibular
65
medial collateral ligaments (deltoid)
posterior tibiotalar tibiocalcaneal tibionavicular anterior tibiotalar
66
Sacrococcygeal joint surfaces
inferior surface of apex of sacrum superior surface of base of coccyx fibrocartilaginous disc
67
which ligament has the trapezoid and conoid
coracoclavicular
68
Gh joint loose closed capsular
loose = 40-55 abduction, 30 horizontal adduction closed = full horizontal abduction w lateral rotation capsular = lat rotation, abduction, med rotation
69
ant glide of GH increases what
extension
70
pubic symphysis and sacrococcygeal jjoint type
cartilaginous symphysis amphi uni
71
no close or loose packed for pubic sympysis, what is the capsular pattern?
pain when joint is stressed
72
hip joint arthrokinematics for flexion
rolls anterior slides posterior
73
most important ligs that protect sacroiliac joint
anterior, posterior (long & short) sacroiliac interosseous sacroiliac
74
posterior ligaments in SI
posterior sacroiliac interosseous sacroiliac sacrotuberous sacrospinous
75
surfaces of sacrococcygeal joint
inferior surface of apex of sacrum superior surface of base of coccyx
76
distal inferior tibiofibular joint type
fibrous syndesmosis amphi uni
77
talocrural joint type (convex on concave)
hinge uniaxial
78
surfaces of talocrural
inferior articular and medial malleolar surfaces of tibia lateral malleolar articular surface of fibula trochlea of talus
79
most commonly sprained ankle lig
anterior talofibular
80
talocrural loose closed capsular
loose = 10 plantar flexion, midway between eversion/inversion closed = max dorsiflexion capsular = PF --> DF
81
all deltoid / medial ligaments start with ??
TIBIO
82
talocrural arthrokinematics DF
dorsiflex - roll anterior slide posterior
83
subtalar joint type
plane triaxial gliding/rotation inversion/eversion
84
subtalar loose closed capsular
loose = midway between extremes of ROM closed = supination capsular = limited ROM
85
loose, closed, capsular for calcaneocuboid, cuboideonavicular, distal intertarsal, talocalcaneonavicular
loose= midway between extremes of ROM closed = supination capsular = DF, PF, adduction, med rotation
86
talocalcaneonavicular joint type
synovial ball & socket & plane diarthrosis multiaxial
87
which joint has the spring ligament aka plantar calcaneonavicular
talocalcaneonavicular
88
calcaneocuboid joint type
saddle uni gliding rotation
89
cuboideonavicular joint type
fibrous uniaxial
90
distal intertarsal, tarsometatarsal, intermetatarsal joint type
plane uni
91
what joint links forefoot to rearfoot
tarsometatarsal
92
metatarsophalangeal joint type convex on concave
condyloid biaxial
93
what does the plantar fascia connect
calcaneal tuberosity to ligaments around heads of metatarsal bones
94
surfaces of tibiofemoral
convex med and lat femoral condyles concave med and lat superior articualr surfaces of tibia (tibial plateau)
95
where does ACL span from
medial aspect of lateral femoral condyle to anterior aspect of tibial intercondylar eminence
96
where does PCL span from
lateral aspect of medial femoral condyle to posterior aspect of intercondylar eminence
97
what does MCL resist
valgus forces
98
tibiofemoral loose, closed, capsular
loose= 25 flexion closed = fill ext, lat rotation of tibia capsular = flexion, extension
99
open kinetic chain (kicking a ball)
concave on convex
100
open kinetic chain flexion:
concave tibial plateau rolls and glides posterior on convex femoral condyles
101
closed kinetic chain flexion
convex on concave femoral condyles roll and glide posterior on tibial plateau
102
genu varum
bow legs Q angle less than 0 open your legs for rum
103
patellofemoral joint type
plane triaxial concave posterior surface of patella convex trochlear surface of distal anterior femur
104
rotation between tibia and femur occurs automatically between full ext (0) and 20 degrees of knee flexion
during knee extension, tibia glides anteriorly on femur and PCL elongates
105
during last 20 degrees of knee extension, anterior tibial glide persists on tiia medial condyle
prolonged ant glide on medial side produces external tibial rotation
106
facet joints loose, closed, capsular
loose = between flexion and ext closed = full ext capsular= side flexion and rotation equally limited then extension
107

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