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Joint mobilization > joints of lower extremities > Flashcards

joints of lower extremities Flashcards

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0
Q

AF joint ROM

A

Flexion 120
Extension 30
Abduction 45
Adduction 30
Medial rotation 35 (limited by ishofemoral lig)
Lateral rotation 45 (limited by pubofemoral and iliofemoral ligaments0

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1
Q

Acetabulofemoral joint classification

A

Structure: synovial
subtype ball and socket
Multiaxial
Function: diarthrotic

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2
Q

AF joint resting, closed pack and capsular pattern

A

Resting: 30 flexion, 30 abduction and slight lateral rotation
Closed pack: full extension, abduction and medial rotation
Capsular pattern: internal rotation and abduction > flexion and extension> external rotation

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3
Q

AF joint articular surfaces

A

Femoral head (convex)
Acetabulum (concave)
Strong

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4
Q

AF joint ligaments (6)

A
  1. Ligamentum capitis femoris
  2. Iliofemoral ligament
  3. Pubofemoral ligament
  4. Ishiofemoral ligament
  5. Transverse acetabular ligament
  6. Zona Orbicularis
    Strong because of zona orbicularis (circular fibers of the articular capsule)
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5
Q

AF joint bursae (2)

A

iliopectineal and trochanteric

Acetabular labrum

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6
Q

AF joint mob

A

Distraction
Long-axis traction/inferior glide -increase abduction
Posterior glide - increase flexion /medial rotation
Anterior glide - increase extension/lateral rotation
Postero-lateral glide of femur on pelvis -increase medial rotation
Lateral glide - increase adduction/medial rotation

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7
Q

Tibiofemoral joint classification

A

Structure: synovial, hinge, uniaxial
Function: diarthrotic

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8
Q

Tibiofemoral joint ROM

A

Flexion 130
Extension up to 10 (hyperextension is called genu recurvatum)
Rotation: +/- 10

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9
Q

Tibiofemoral joint resting position, closed pack, capsular pattern

A

Resting: 25 of knee flexion
Closed-pack position: full extension with lateral rotation
Capsular pattern: flexion > extension

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10
Q

Articular surfaces of Tibiofemoral joint

A 
Femoral condyles (convex)
Tibial condyles (concave)
with menisci in between
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11
Q

Tibiofemoral joint ligaments (7)

A
  1. Tibial (medial) collateral ligament
  2. Fibular (lateral) collateral ligament
  3. Popliteal ligament (Oblique, arcuate)
  4. Cruciate ligaments
    - Anterior for extension
    - Posterior for flexion
  5. Coronary ligament
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12
Q

Tibiofemoral joint bursae and additional structures

A

suprapatellar and semimembranosus bursae

Medial and lateral (more circular in shape) menisci

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13
Q

Joint mobs of Tibiofemoral joint

A

Distraction
Posterior glide - increase flexion 2 techniques
Anterior glide - increase extension - 3 techniques
medial glide - increase flex/ext
Lateral glide - increase flex/ext
Medial gap - increase flex/ext and to treat genu varum
Lateral gap - increase flex/ext and to treat genu valgum

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14
Q

Patellofemoral joint classification

A

Structure: synovial, planar nonaxial
Function: diarthrotic

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15
Q

Patellofemoral ROM

A

Superior/inferior glide (s-shaped)

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16
Q

Patellofemoral joint resting position, closed pack position, capsular pattern

A

25-40 of flexion
Closed pack position full flexion
Capsular pattern : flexion>extension

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17
Q

Patellofemoral joint articular surfaces

A

Patellar surface of femur (concave)

Medial/lateral surfaces of patella (convex)

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18
Q

Patellofemoral joint ligaments (2)

A

Patellar ligament

Patellar retinaculam

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19
Q

Patellofemoral joint mob

A 
Superior glide
Inferior glide - to increase flexion
Medial glide 
Lateral glide care taken because this motion may be hypermobile
Medial/lateral tilts
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20
Q

Proximal tibiofibular joint classification and ROM

A

structure: synovial, planar, nonaxial
Function: diarthrotic
ROM: slight gliding

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21
Q

Proximal Tibiofibular joint resting, closed-pack, capsular pattern

A

0 of plantar flexion
full dorsiflexion
Capsular pattern: none

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22
Q

Proximal tibiofibular joint articular surfaces

Study These Flashcards
A

Facet on the lateral condyle of the tibia (convex)

Facet on the head of the fibula (concave)

23
Q

Proximal tibiofibular joint ligaments (2)

Study These Flashcards
A

Anterior ligament of the head of the fibula
Posterior ligament of the head of the fibula
Capsular strength : moderate reinforced by strong ligaments

24
Proximal tibiofibular joint mob
``` Posterior glide (caution - possible Hypermobility, can help correct positional fault) Anterior glide (as with previous mob) ```
25
distal tibiofibular joint classification and range of motion
Structure: syndesmosis, non axial Function: amphiathrosis ROM: slight gliding
26
Articular surface of Distal tibiofibular joint
Post-lat aspect of distal tibia (concave) | Ant-med aspect of distal fibula (convex)
27
Resting, closed pack, capsular pattern of restriction of distal tibiofibular
resting: not described closed pack: not described capsular pattern n/a
28
Capsular strength of distal tibiofibular
moderate, reinforced by strong ligament (Interosseus membrane)
29
Ligaments around tibiofibular
1. Ant. Tibiofibular ligament 2. post. Tibiofibular ligament 3. inferior transverse ligament 4. interosseous membrane
30
Joint mob of distal tibiofibular
posterior glide - positional fault/general ROM anterior glide - positional fault/general ROM Superior glide - increased dorsiflexion Inferior glide - general ROM
31
Tarocrural joint classification
Structure: synovial, hinge, uniaxial Function: diarthrotic
32
Tarocrural joint ROM
Dorsiflexion 20 degree | Plantar flexion: 50 degree
33
Resting, closed pack, capsular pattern of restriction of Talocrural joint
Resting position: plantar flexion 10 degree Closed pack position: full dorsiflexion Capsular pattern of restriction: plantarflexion slightly > dorsiflexion (plantar flexion is slightly more limited than Dorsiflexion)
34
Articular surfaces of talocrural
Talus: trochlea (convex) Tibia: Malleolar and inferior articular surfaces (concave) Fibula: Malleolar articular surface (concave)
35
Capsular strength of Talocrural
weak
36
Ligaments of Talocrural
Lateral collateral ligs (3) posterior talofibular lig Calcaneofibular lig Anterior talofibular lig (most frequently sprained ligament) ``` Medial (Deltoid) Collateral lig (4) posterior tibiotalar part Tibiocalcaneal part Tibionavicular part anterior tibiotalar part ```
37
Joint mobs of Tatocrural joint
``` Distraction Posterior glide (increasing dorsiflexion) Anterior glide (increasing plantar flexion) ```
38
Subtalar (Talocalcaneal)joint classification
Structure: synovial, planar, non axial | Function diarthrotic
39
Range of motion of Subtalar
inversion 5 degree | eversion 5 degree
40
Resting position, closed pack, capsular pattern of restriction of subtalar
Resting position 10 degree plantarflexion with neutral inversion/eversion closed pack position: full inversion capsular pattern of restriction: inversion>eversion, which is relatively free (there is a limitation in inversion)
41
articular surfaces of subtalar
anterior, middle and posterior articular facets of talus and calcaneus posterior part: talus with calcaneus anterior part: talus with navicular (inversion/eversion) capsular strength: weak
42
Subtalar ligaments
``` medial talocalcaneal lig lateral talocalcaneal lig posteior talocalcaneal lig interosseous talocalcaneal lig (tibiocalcaneal and calcaneofibular) ```
43
joint mob of subtalar
Distraction medial glide lateral glide medial gap (increasing subtalar eversion) lateral gap (increasing subtalar inversion)
44
Foot is comprised of 4 sets of joints
Midtarsal joints intermetatarsal joints Metatarsophalangeal joints Interphalangeal joints the midtarsal joint is composed of the talonavicular and calcaneocuboid joint
45
Talocalcanealnavicular joint classification and range of motion
stracture: synovial, gliding nonaxial functional: diarthrotic ROM: inversion 20 degree Eversion 10 degree
46
Resting, closed pack and capsular pattern of restriction of talocalcanealnavicular joint
Resting 10 degree plantar flexion, with neutral supination/pronation closed pack position: full supination capsular pattern of restriction: supination> pronation (supination is more limited than pronation)
47
articular surfaces of talocalcanealnavicular joint
Talus: anterior and middle facets and facet for navicular Calcaneus: anterior and middle talar facets Navicular: posterior facet for talus
48
Ligaments of talocalcaneal navicular joint
dorsal talonavicular lig dorsal calcaneaonavicular lig plantar calcaneonavicular lig
49
Distal intertarsal joints (3)
Cuneonavicular joint Intercuneiform joint Cuneocuboid joit
50
Classification of distal intertarsal joints
structure: synovial planar, nonaxial Function: diarthrotic Slight gliding
51
Tarsometatarsal joint classification, range of motion
Structure: synovial, planar, nonaxial Function: diarthrotic Range of Motion: slight flexion/extension, abduction/adduction and rotation at the 1st tarsometatarsal jt. (to facilitate pronation/supination)
52
Resting, closed pack, capsular pattern of restriction
Resting position: midway between supination and pronation Closed-pack position full supination Capsular pattern of restriction: not described
53
Articular surfaces of tarsometatarsal joint
medial cuneiform to metatarsals 1 and 2 Intermediate cuneiform to 2nd metatarsal Lateral cuneiform to metatarsals 2,3 and 4 Cuboid to metatarsals 4 and 5
54
Intermetatarsal joint classification and range of motion
structre: synovial, planar, nonaxial Function: diarthrotic Range of motion slight gliding
55
articular surfaces of intermetatarsal joint
adjacent surfaces of the lateral four metatarsals

Joint mobilization (3 decks)

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