Nycc 2Nd Tri Ford Exam 2 Tech V

Front 1

articulations between R and L os coxae and the sacrum

Back 1

SI joints

Front 2

compresses the sacrum laterally

Back 2

each ilium

Front 3

orientation of sacrum

Back 3

oblique with convex-concave relationship between ilium and sacrum

Front 4

The sacrum is wider _______ at the top, and _______ at the bottom.

Back 4

posteriorly
anteriorly
*this shape restricts nutation

Front 5

What creates STABILITY by limiting SI motion?

Back 5

SI ligaments

Front 6

proper name for interosseous ligament (strongest one)

Back 6

syndesmosis

Front 7

What covers ilial surfaces in the SI joints?

Back 7

fibrocartilage

Front 8

Each SI has a joint capsule with a synovial-type fluid contained and is therefore considered to be a _________ joint.

Back 8

synovial

Front 9

Opposes vertical translation and SI joint distraction - disrupted when pubic symphysis is off by even 25mm.

Back 9

Anterior SI ligament

*Vertical restriction

Front 10

Restricts lateral flexion of lumbar base relative to ilium, and restricts translation out of pelvic girdle as result of normal lordosis.

Back 10

Iliolumbar Ligament

*Lateral and lordosis limiter

Front 11

This SI ligament is a thin extension of the synovial capsule and restricts vertical translation of sacrum.

Back 11

Anterior SI ligament

Front 12

This ligament comes from L4/5 TP's and blends with the anterior SI ligament; it restricts lateral and lordotic translation.

Back 12

Iliolumbar ligament

Front 13

Attaches the PSIS to the sacrum! Ergo, it is so stiff it frequently is mistaken for bony prominence during palpation.

Back 13

Posterior SI ligament

Front 14

Continuous with sacrotuberous ligament, then hamstring fascia, all the way from the PSIS!

Back 14

Posterior SI ligament

Front 15

Limits joint separation, vertically and anteroposterior translations and limits EXCESSIVE COUNTERNUTATION

Back 15

Posterior SI Ligament

Front 16

Anterior ligament stops ________ translation. Iliolumbar stops ______ + _______ translation. Posterior SI stops joint separation, vertical/anteroposterior and excessive __________.

Back 16

Anterior = vertical + joint dis.
Iliolumbar = lateral + lordotic
Posterior = counternutation

Front 17

Has a Lateral, Medial and Superior band...very large LEVER ARM that restricts nutation (like iliolumbar).

Back 17

Sacrotuberous ligament

Front 18

The anterior SI ligament is an extension of the anterior joint capsule; what is the sacrotuberous ligament?

Back 18

an extension of the posteroinferor joint capsule of the SI

Front 19

Which band of the Sacrotuberous ligament lever arm stretches from PSIS to coccyx?

Back 19

Superior
*interdigitates with iliolumbar and restricts nutation

Front 20

Thickest and strongest ligament of SI

Back 20

Interosseous

Front 21

Limits vertical and anteroposterior translation, and is the strongest SI ligament

Back 21

Interosseous

*same actions as posterior SI ligament

Front 22

Extension of anteroinferior joint capsule that attaches sacrum to coccyx and ischial spine. LARGE LEVER ARM restricting nutation.

Back 22

Sacrospinous ligament

*same actions as Sacrotuberous ligament

Front 23

Sacrospinous is in the front, Sacrotuberous is in the back. They both?

Back 23

Long Lever arms that restrict NUTATION

Front 24

Gluteus Maximus attaches to which SI ligament?

Back 24

Sacrotuberous (the one in the back that is the long lever restricting nutation)

Front 25

How does gluteus maxiumus influence sacral motion?

Back 25

it is attached to sacrotuberous ligament, which restricts nutation. It may influence the stability of the joint.

Front 26

The piriformis is attached to the same ligament as gluteus maximus - ?

Back 26

sacrotuberous ligament

Front 27

Which muscles traction the ilia from the sacrum, although not directly attached to the SI?

Back 27

Gluteus medius and minimus

Front 28

We know the origin of biceps femoris is the ischial tuberosity. What then is the ligament to which it is attached?

Back 28

Sacrotuberous so it stabilizes nutation of the sacrum

Front 29

sacrospinous in the front, sacrotuberous in the back

Back 29

they both have long lever arms that restrict nutation

Front 30

Which muscle flexes the hip and is attached to Ventral sacroiliac, iliolumbar and lumbosacral ligaments?

Back 30

Iliopsoas

Front 31

Iliacus stabilizes pelvis to hip but PSOAS itself resists the high __________ forces between the lumbar vertebrae

Back 31

compression

Front 32

What is not under dispute is the SIJ and its ligaments are extensively ________.

Back 32

innervated

(L2-S4)

Front 33

functions of SIJ

Back 33

1. transmission/dissapation of truncal loads to lower ex and vice versa (buffer)
2. limits X-axis rotation
3. Helps parturition (pregn)

Front 34

What may preferentially strain and injure the weaker anterior joint capsule of the SIJ?

Back 34

Torsion and Axial compression
(SI joints can take medially directed force 6x greater)

Front 35

Which aspect of thoracolumbar fasica cover the QL

Back 35

deepest

Front 36

Which aspect of thoracolumbar fascia attaches to TP's and intertransverse ligaments from rib 12- iliac crest?

Back 36

middle

Front 37

Layer of thoracolumbar fascia that attaches to most of the SI ligaments, core stability and breathing muscles and lats?

Back 37

Superficial layer

Front 38

Most important layer of thoracolumbar fascia, due to ligamentous attachment, ergo SI stability?

Back 38

Superficial

Front 39

muscles that contract superficial thoracolumbar fascia

Back 39

lats
glute max
erectors

Front 40

muscle attached to deep layer of thoracolumbar fascia

Back 40

biceps femoris

Front 41

What muscle pulls on both the ipsi and contra SI's when it contracts, preventing counternutation at both joints

Back 41

Latissimus dorsi via pulling on the thoracolumbar fascia

Front 42

Has there ever been a non-invasive test for diagnosing SIJ (dysfunction)?

Back 42

No

Front 43

Is the SIJ a significant source of pain in patients with chronic low back pain?

Back 43

yes

studies done via needle anesthetics

Front 44

SIJ pain is similar to what pain?

Back 44

lumbar disc herniation

Front 45

Single distinguishing characteristic of SIJ dysfunction from lumbar zygapophyseal/disc pain?

Back 45

groin pain present with SJI

*below the knee radiation was equal

Front 46

The SIJ presentation of
Low Back
Groin
Thigh pain is most common in?

Back 46

young & middle aged women

Front 47

Most common method to diagnose SIJ dysfunction?

Back 47

static palpation

Front 48

What is the most valid, not the most common, method of diagnosing SIJ dysfun.

Back 48

SIJ blocks

Front 49

conclusion of chiro diagnostics for SIJ

Back 49

not reproducible nor is detection of lumbo-pelvic lesion because no valid tests established

Front 50

Presence of the manipulative lesion of SIJ remains ____________

Back 50

hypothetical