Tutorials 5+ Flashcards

(115 cards)

1
Q

Iliofemoral Joint

A
  • Synovial ball and socket
  • Connects pelvic girdle to lower limb
  • Designated for weight bearing
  • Most stable joint in the body
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2
Q

How is stability achieved in iliofemoral joint?

A
  • Depth of acetabulum
  • Femoral head coverage
  • Strong ligamentous structure/joint capsule
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3
Q

Iliofemoral ligament

A
  • Taut in extreme extension, external rotation and adduction
  • Strongest ligament in the body
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4
Q

Pubofemoral Ligament

A
  • Taut in extreme abduction and extension
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5
Q

Ischiofemoral Ligament

A

Taut in internal rotation and adduction

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6
Q

Iliofemoral joint movements degrees

A
  • Flexion (120-145°)
  • Extension (10-30°)
  • Abduction (45-50° with hip flexed)
  • Adduction (20-30°)
  • Internal rotation (35° at 90° flexion)
  • External rotation (45° at 90° flexion)
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7
Q

What muscles contribute to iliofemoral joint flexion?

A
  • Psoas
  • Iliacus
  • Rectus femoris
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8
Q

What muscle is this?

A

Psoas

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9
Q

What muscle is this?

A

Iliacus

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10
Q

What muscle is this?

A

Rectus femoris

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11
Q

What muscles contribute to iliofemoral joint extension?

A
  • Gluteus Maximus
  • Hamstrings ( semimembranosus, semitendinosus, biceps femoris)
  • Adductor magnus
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12
Q

What muscle is this?

A

Gluteus maximus

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13
Q

What muscle is this?

A

Adductor Magnus

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14
Q

What muscles contribute to iliofemoral joint abduction?

A
  • Gluteus medius
  • Gluteus minimus
  • Tensor fascia latae (TFL)
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15
Q

What muscle is this?

A

Gluteus medius

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16
Q

What muscles is this?

A

Gluteus Minimus

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17
Q

What muscle is this?

A

Tensor Fascia Latae

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18
Q

What muscles contribute to iliofemoral joint Adduction?

A
  • Adductor magnus
  • Adductor longus
  • Adductor brevis
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19
Q

What muscle is this?

A

Adductor magnus

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20
Q

What muscle is this?

A

Adductor longus

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21
Q

What muscle is this?

A

Adductor brevis

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22
Q

What muscles contribute to iliofemoral joint internal rotation?

A
  • Gluteus medius
  • Gluteus minimus
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23
Q

What muscles contribute to iliofemoral joint External Rotation

A
  • Piriformis
  • Gluteus Maximus
  • Obturator internus
  • Gemelli superior & inferior
  • Quadratus femoris
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24
Q

What muscle is this?

A

Piriformis

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25
What muscle is this?
Obturator internus
26
What muscle is this?
Quadratus femoris
27
What joint is this?
Glenohumeral Joint
28
Glenohumeral Joint:
- Synovial, Ball and socket joint - One of the most mobile joints in the human body
29
Glenohumeral Joint ROM
Flexion – 180° Extension – 60° Internal rotation – 90° External rotation – 90° Abduction - 150° Adduction - 45° (when you cross in front of your body)
30
What muscles contribute to glenohumeral flexion?
- Pectoralis major - Long head of biceps brachii - Coracobrachialis - Deltoid
31
What muscle is this?
Pectoralis Major
32
What muscle is this?
Coracobrachialis
33
What muscle is this?
Deltoid
34
What muscle is this?
Long head of biceps brachii
35
What muscles contribute to glenohumeral extension
- latissimus dorsi - Long head of triceps brachii - Deltoid (posterior fibres) - Teres major
36
What muscle is this?
Latissimus Dorsi
37
What muscle is this?
Long head of Triceps Brachii
38
What muscle is this?
Deltoid (posterior fibers)
39
What muscle is this?
Teres Major
40
Glenohumeral Joint Abduction
Supraspinatus - Initiates first 15° of abduction - Then assists deltoid Deltoid (up to 90°) - Mostly done by the middle deltoid fibers
41
What muscle is this?
Supraspinatus
42
What muscle is this?
43
Glenohumeral Joint Adduction
- Pectoralis major - Latissimus dorsi - Coracobrachialis - Teres major
44
What muscle is this?
Pectoralis Major
45
What muscles is this?
Coracobrachialis
46
Glenohumeral Joint Internal Rotation
- Subscapularis - Teres major - Latissimus dorsi - Pectoralis major - Deltoid (anterior fibers)
47
What muscle is this?
Subscapularis
48
Glenohumeral Joint Externa Joint
- Infraspinatus - Teres minor - Deltoid (posterior fibers)
49
What muscle is this?
Infraspinatus
50
What muscle is this?
Teres Minor
51
What muscle is this?
Deltoid (posterior fibres)
52
Sternoclavicular joint
- Only true joint connecting upper limb to trunk - Clavicle, manubrium, 1st costal cartilage
53
What is the structure and function of sternoclavicular joint?
Structure - Saddle Function - Ball and Socket
54
Sternoclavicular Joint Movements
Elevation/Depression (40°) Protraction/Retraction (34°) Axial rotation (20-40°)
55
Acromioclavicular Joint (ACJ)
- Acromion process and clavicle - Synovial plane multiaxial joint
56
ACJ Movements
- No muscles acting directly upon the ACJ, therefore passive movements occurs. Protraction/retraction Elevation/depression Rotation
57
Scapulothoracic Articulation
2:1 ratio Glenohumeral Joint (GHJ):Scapulothoracic Joint (ST) - Scapula contributes 60° rotation - GHJ contributes 120° abduction - Combines abduction 180° First 30 degrees of abduction largely occurs at GHJ. 30° on, GHJ & scapulothoracic joint move simultaneously
58
Humeroulnar Joint
- Articulation between humerus and ulnar - Synovial hinge joint - Uniaxial - Flexion/extension
59
Humeroulnar Joint Flexion
- Biceps brachii - Brachialis - Brachioradialis
60
What muscle is this?
Biceps Brachii
61
What muscle is this?
Brachialis
62
What muscle is this?
Brachioradialis
63
Humeroulnar Joint Extension
Triceps brachii
64
What muscle is this?
Triceps Brachii
65
Carrying angle
Angle formed between long axis of humerus and long axis of ulnar Normal range (5-15 degrees) - Increased angle = Cubitus valgus - Decreased angle = cubital varus Gender Dimorphism - 10-15 Male - 15-20 Female
66
Proximal Radioulnar Joint
- Synovial pivot joint (uniaxial) - Head of radius and notch of ulnar - Pronation-supination
67
Proximal Radioulnar Joint Pronation
- Pronator Teres - Pronator Quadratus
68
What muscle is this?
Pronator Teres
69
What muscle is this?
Pronator Quadratus (located distally)
70
Proximal Radioulnar Joint - Supination
- Supinator - Biceps brachii
71
What mucle is this?
Supinator
72
Distal Radioulnar Joint
- Synovial pivot joint - Uniaxial joint - Pronation/supination
73
Proximal Radioulnar Joint Pronation
- Pronator teres (located proximally) - Pronator quadratus (located distally)
74
What muscle is this?
Pronator teres (located proximally)
75
Distal Radioulnar Joint Supination
- Supinator - Biceps Brachii
76
Joints of wrist complex
- Radioulnar Joint - Midcarpal Joint
77
Radiocarpal Joint Movements
Flexion - 65-90° Extension - 60-85° Radial deviation - 15-20° Ulnar deviation – 20-45°
78
Radiocarpal Joint Flexion
- Flexor carpi ulnaris - Flexor carpi radialis - Palmaris longus - Flexor digitorum superficialis - Flexor digitorum profundus
79
What muscle is this?
Flexor carpi ulnaris
80
What muscle is this?
Flexor carpi radialis
81
Radiocarpal Joint Extension
- Extensor carpi radialis longus & brevis - Extensor carpi ulnaris - Extensor digitorum
82
What muscle is this?
Extensor carpi radialis brevis
83
What muscle is this?
Extensor carpi radialis longus
84
What muscle is this?
Extensor Carpi Ulnaris
85
What muscle is this?
Extensor digitorum
86
Radiocarpal Joint Radial Deviation
- Extensor carpi radialis longus & brevis - Flexor carpi radialis - Abductor pollicis longus
87
What muscle is this?
Abductor pollicis longus
88
Radiocarpal joint Ulnar Deviation
- Extensor carpi ulnaris - Flexor carpi ulnaris
89
Midcarpal Joint
Between proximal and distal row of carpal bones - Synovial joints plane/gliding
90
Angle of inclination
Angle between the long axis of femoral neck and long axis of femoral shaft - Coxa Vara – angle less than 110-120 degrees - Coxa Valga – angle more than 130 - 135 degrees
91
Angle of Torsion
Angle between the long axis of the femoral neck and a line touching the posterior borders of femoral condyles - 10-15 - Femoral anteversion = increase "pigeon-toed" - Femoral retroversion = decrease in angle of torsion
92
Tibiofemoral Joint
- Femur, tibia and patella - Synovial hinge joint - Flexion/extension - Medial/lateral rotation
93
Tibiofemoral Joint Movements
- Flexion (160°) - Extension (0°) * Because point of reference is from knee in full extension (anatomical position) - Medial/lateral rotation *Comes from the tibia in relation to the femur *Varies depending on degree of flexion
94
Tibiofemoral Joint Flexion
Hamstrings - Semimembranosis - Semitendinosis - Biceps femoris
95
What muscle is this?
Hamstrings - Semimembranosis - Semitendinosis - Biceps femoris
96
Tibiofemoral Joint Extension
Quadriceps femoris - Rectus femoris - Vastus medialis - Vastus intermedialis - Vastus lateralis
97
What muscle is this?
Quadratus Femoris
98
Tibiofemoral Joint Medial/Lateral Rotation
Popliteus Semimembranosis Semitendinosis
99
100
Patellofemoral Joint
Patella-Femur - Saddle joint - Sesamoid bone
101
Meniscus
Fibrocartilaginous cups overlying the surface of tibial plateau - Joint stability - Shock absorption - Weight distribution.load transmission - proprioception
102
Medial Meniscus
Anterior horn attaches to the anterior intercondylar area and may blend with the anterior cruciate ligament Firmly adhered to the medial collateral ligament and tibial plateau
103
Lateral Meniscus
Not firmly adhered to the collateral ligament or tibial plateau
104
Meniscus Locking Mechanism
Medial femoral condyle rotates medially during final stages of knee extension (due to its larger size) Allows for stabilisation during weight bearing without active help from muscular tissue
105
Anterior Cruciate Ligament
- Anterior aspect of tibial plateau - Attaches to laterial femoral condyle
106
What does the ACL Limit?
- Anterior displacement of tibia under a fixed femur - hyperextension - Internal femoral rotation on fixed tibia
107
Posterior Cruciate Ligament
- Posterior aspect of tibial plateus - Travels anteromedially
108
What does PCL Limit?
- Posterior displacement of tibia under a fixed femur - Hyperflexion - External femoral rotation on a fixed tibia
109
What does the medial collateral ligament limit?
- Medial and lateral translation of tibia under fixed femur - Valgus stress
110
What does Lateral collateral ligament?
- Medial and lateral translation of tibia under fixed femur - Varus stress
111
Ankle and Foot
- Talocrural joint/Mortice Joint - Hindfoot - Midfoot - Forefoot
112
Talocrural Joint/Mortice Joint
- Synovial hinge joint - Distal tibia-fibula and talus Movements: - Dorsiflexion - Plantar flexion
113
Parts and movements of the hind foot
- Talus - Calcaneus - Navicular Movements: - pronation/supination
114
Parts and movements of midfoot
- Navicular - Cuneiforms x 3 - Cuboid Movements: - Pronation/supination
115
Forefoot parts
- metatarsals - phalanges