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69 Cards in this Set
- Front
- Back
What type of motion do the subtarsal and transverse joints allow for?
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inversion/eversion of foot
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What part of the femur is a major site of muscular attachment?
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trochanters
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Name the thickend regions or ligaments of the hip joint.
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iliofemoral, pubofemoral and ishiofemoral
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What helps to deepen the socket of the hip joint? What type of cartilage covers it?
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acetabular labrum
fibrocartilage |
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Which arteries supply the hip joint?
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medial and lateral femoral circumflex, branches of obturator, superior and inferior gluteal, retinacular branches
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Where are the retinacular branches located?
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lie against the femoral neck
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Which nerves innervatet he hip?
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obturator and superior gluteal nerve
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What is Trendelenburg sign?
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waddling gait, one hip drops during every walking cycle
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What is a positive Trendelenburg test? What type of disease may be present?
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when patient is asked to stand on one foot, the side opposite droops
-disease int he gluteus medius/minimus or siatic nerve |
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What can artificially stabilize (raise) the pelvis in a patient with a positive Trendelenburg test?
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use of a cane held in the hand of the affected side
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What is the action of the knee joint?
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flexion/extension and rotation between femur and tibia
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What is located just superior to the medial epicondyle?
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adductor tubercle
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What is between the posterior projection of the medial and lateral condyles?
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intercondylar fossa
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What is superior to the lateral and medial femoral condyles on the posterior surface?
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supracondylar lines
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What is the region between the supracondylar lines?
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triangular popliteal surface
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What is the prominen ridge along the middle 1/3 of the posterior shaft of the femur?
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linea aspera
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The distal ends of the femur are much closer together than the proximal ends, what is the usefulness of this?
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helps minimize side-to-side motion=less energy
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What forms the front of the articular capsule of the knee?
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tendons of the quadriceps and patellarligament
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What forms the sides of the articular capsule of the knee joint?
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aponeurotic expansions of the vastus medialis and lateralis which fan-out to form medial and lateral retinacula of the patella
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Is the intercondylar fossa within the articular capsule?
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yes
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Name the special ligaments that help reinforce the knee.
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tibial collateral and oblique popliteal ligament
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What is the tibial collateral ligament a thickening of?
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medial articular capsule
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What helps attache the tibial collateral ligament to the articular disc?
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coronary ligament
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Which ligament reinforces the posterior wall of the knee joint?
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oblique popliteal ligament
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What is the oblique popliteal ligament a continuation of?
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tendon of semimembranosus
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Which ligament of the knee joint is not part of the capsule?
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lateral collateral ligament
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What is the synovial membrane that reaches beneath the tendon of quadriceps?
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suprapatellar bursa
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What does the synovial membrane of the knee joint not cover?
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articular surfaces of the patella or tibia
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What does the synovial membrane typically communicate with?
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bursa
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What is the position of the cruciate ligaments?
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from intercondylar fossa of femus to intercondylar eminence of tibia
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Describe the meniscus.
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incomplete, flat fibrocartilage rings
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Which of the meniscus is immobile? What is the reason for this?
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medial meniscus
b/c of adhesions to the intercondyhlar region of tibia and attachments to articular capsule |
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Which vessels supply the knee joint?
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genicular anastomosis
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Which nerves supply the knee joint?
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muscular branches of femoral nerve and saphenous nerve, as well as branches from tibial, common fibular and obturator nerves
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What is the stabilizes of the knee joint directly related to?
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relative positions of tibia and femus, more stable when locked
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Which type of ligament restricts excess rotation?
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collateral ligaments
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Which ligament is particularly helpful at resisting over-extension? What is its other function?
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nterior cruciate
prevents backward displacement of femus off of flat tibial articular surface |
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What prevents forward displacement of femur off top of tibia?
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posterior cruciate ligament and popliteus muscle
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What is the origin and insertion of the popliteus muscle?
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o-femoral and meniscal
i-proximal posterior surface of tibia |
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What is the action of the popliteus muscle?
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medial rotator of tibia or lateral rotator of femur, unlocks knee, prevents forward dislocation of femur
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Which nerve supplies the popliteus muscle?
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tibial
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What is the 'unhappy triad'?
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injury to anterior cruciate ligament, medial meniscus and medial collateral ligmaent
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Which ligaments are less likely to be injured?
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lateral collateral ligament or posterior cruciate ligament
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What part of the knee joint is prone to dislocation?
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lateral patellar dislocation
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The weight of the body is transmitted from what to what?
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tibia to talus
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All tendons crossing the ankle joint also cross tarsal joints except which tendon?
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calcaneal
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Describe how many tendons enter the foot and what side each is on.
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4 anterior, 2 lateral, 3 deep posteior
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Describe the location of the superior extensor retinacula.
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between anterior borders of tibia and fibula
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Describe teh inferior extensor retinacula.
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Y-shaped band anterior to ankle joint
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What is the location of the peroneal extensor retinacula.
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from lateral malleolus to cacaneus
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What is the location of the flexor retinaculum of the ankle?
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from medial malleolus to medial side of calcaneus
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Which nerve and artery pass deep to the flexor retinaculum?
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posterial tibial artery and tibial nerve
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Which skeletal elements make up the ankle joint?
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lateral and medial malleolus, talus and calcaneus
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Why is the lateral malleolus pointed with 2 facets?
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for articulation with tibia and talus
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The medial surface of the lateral malleolus and the lateral surface of th emedial malleolus are covered by what type of cartilage?
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hyaline
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What does the medial malleolus articulate with?
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talus
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What does the superior surface of the talus articulate with? What does the head of the talus articulate with?
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-malleoli
navicular and calcaneus |
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What is the tuberosity of the calcaneus an attachment site for?
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Achilles tendon
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What part of the calcaneus supports the talus and serves as a point of attachment for the medial collateral ligament?
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sustentaculum tali
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Which ligament attaches to the tubercle of the calcaneus?
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calcaneofibular ligament
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Which ligaments bind the fibula and tibia? Which ligament is the chief uniting element of the distal ends?
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tibiofibular interosseus-chief
anterior and posterior tibiofibular ligaments |
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Why are the anterior and posterior parts of the articular capsule of the ankle joint loose?
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to permit dorsiflexion an dplantarflexion
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Name the intrinsic ligaments of the ankle joint.
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midieal or deltoid and lateral ligaments
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What does the medial ligament of the ankle joint connect? What does it prevent
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medial malleolus to navicular, talus, and calcaneus
prevents abduction |
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What does the lateral ligament of the ankle joint prevent?
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adduction
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What are the 3 parts of the lateral ligament of the ankle joint?
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anterior and posterior toalfibular ligaments and calcaneofibular ligament
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What does the anterior talofibular ligament of the ankle joint unite?
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lateral malleolus to neck of talus
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What does the posterior talofibular ligament of the ankle joint unite?
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lateral malleolus to lateral tubercle of talus
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What does the calcaneofibular ligament of the ankle joint unite?
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lateral malleolus to tubercle on calcaneus
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