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127 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
5 Sections of the Vertebral column and how many
C 1-7, T 1-12, L 1-5, S 1-5, Coccyx 4
Climb Tall Ladders Slowly, Coccyx
Attributes of vertebral column
has a body, is the spinal canal, larger at the lower portions to support pressure
3 things
Primary curvature
born with it, thoracic and sacral
born in fetal position
Secondary curvature
develops as we walk, cervical and lumbar
standing position
Kyphosis
from osteoporosis, thoracic hump, usually found in the elderly
hunchback of notre dame
Lordosis
increased lumbar curvature, usually from pregnancy and beer bellies
Lord, don't drink while you're preggo!
Scoliosis
spine is curved to the side
Most frequently injured vertebrae
L4 & L5
don't hurt my lazy 4 guys and my lovely 5 girls!
Vertebrae are what type of joint?
diarthrodial, irregular/plane
same as GH joint
Actions of cervical region?
flexion, extension, rotating R&L, lateral flexion and extension
think of neck movements
Lumbar region movements
flex, extend, rotate R&L, laterally flex and extend, same as cervical
same as cervical
Thoracic region movements
least mobile due to overlapping spinous processes
strongest region
Sacral region movement
least mobile, fused bones
tailbone
Coccyx movements
no musculature
end of tailbone
Functions of the vertebrae
1. support head and girdle
2. protects spinal cord
3. base of support and stability for appendages
4. provides attachment sites for musculature
4 functions -- sally plays alex's anthem
Where is stability better and why?
Better in thoracic because of overlapping spinous processes & ribs
Two parts of discs
Annulus fibrosis (fibrous circle) and Nucleus pulposa (jello-like inside)
eat your fiber and then your jello
Sciatica
discs put pressure on the sciatic nerves and cause pain
think of mom
4 types of back muscles
1. very deep
2. not so very deep
3. erector spinae
4. quadratus lumborum
Very deep muscles
- close to the bone
- span one vertebrae
- share the same actions
smallest and shortest
Movement of very deep muscles
- if one side acts alone, you laterally flex to that side
- when one side contracts, you can rotate to the opposite side
you get VD if you go to the opposite side
Not so very deep muscles
- superior to VD muscles
- span 3-5 vertebrae
- longer and larger
bigger
Movement of very deep muscles
- if one side acts alone, you laterally flex to that side
- when one side contracts, you can rotate to the opposite
same as VD's
Erector Spinae
- hold the spine erect (duh)
duh.
Movement of Erector Spinae
- contract symmetrically to extend
- flex to side when one side contracts
- rotate to side that contracts
Every Song is the same
Quadratus Lumborum
- quadratus muscle
- located in lumbar vertebrae
- has most frequently injured discs (L4 & L5)
- originates at iliac crest
- easy to spasm, frequent lower back pain
- raises hips in paralyzed person
lumborum.. lumbar.
Movement of Quadratus Lumborum muscles
- laterally flexes to same side
only one action
Muscles of the abdomen
Rectus Abdominius, External & Internal Obliques
king & inside outside
Rectus abdominius
- most superficial
- most midline
- one muscle fiber, inserts on pubic bone
- fascial sheaths
- flexes trunk, NOT HIP
your 6 pack is not hip!
External Obliques
- attaches at lower 8 ribs
- flexion of the trunk
- lateral sides of the abdomen
- laterally flexes to same side, rotates to opposite
When you're outside, you're opposite.
Internal Obliques
- lie deep to the external
- progrsses to costal cartilages
- laterally flexes and rotate to same side
When you're inside the circle, you're the same as every one else.
Bones of the Pelvis
- sacrum (5)
- ischium (2)
- ileum (2)
- pubis (2)
5 silly idiots itched (their) pox
Pubic symphysis
cartilaginous articulation
Sacroiliac joint
- not fused
- cartilaginous
- no movement
- widens in females, not males
babymaking time.
Motions of the hip
- anterior tilt
- posterior tilt
- lateral tilt
- rotation
dance class
Femorus Capitus (teres femorus)
ligament which attaches fovia to acetabulum
blood supply, Bo Jackson
Acetabular Glenoid Labrum
lining of the inside of the acetabulum
inside the "C"
Stability factors of hip joint
same as GH, except no fascia and skin
What causes the acetabulum to form?
pressure
What type of joint is the hip and how many axes?
ball & socket - 3 axes

- flexion & extension
- ab & ad
- circumduction
same as GH
Lumbosacral plexus
T12- S3
- goes under the spinous process
- gives rise to many nerves
Femoral Nerve
L2,3,4

- supply muscles on from of the thigh (quads, sartorius)
- not often injured
- if injured, pain will stop at knee
- mixed nerve
femur?
Obturator Nerve
L2,3,4

- rarely injured
- supplies the adductors & gracilus
Gluteal Nerves
L4,5 S1,2

- two parts (superior & inferior)
- supply gluteus maximus, medius and minimus, and tensor fascia lata
butt supplier
Sciatic nerve
L4,5 S1,2,3

- lowest on the plexus
- most commonly injured by lifting and pregnancy
- supplies all the way to the ankle and foot
- supplies the hamstrings and everything under the knee
bottom half of leg
Gluteus Maximus
- most superficial
- begins at sacrum and goes across hip bones
- articulates into the greater trochanter
- easy to palpate
- supplied by gluteal nerves
Actions of the Gluteus Maximus
- Extends ONLY against body weight (climbing stairs, rising from a chair)
- externally rotates
- abduction of leg
turn foot out and kick it to the side
Gluteus Medius
- origin on outside of the iliac crest
- good sized, smaller than max
- inserts on great. troch.
- innervated by the GN
Actions of the Gluteus Medius
- Internally rotates hip
- abduction

- STABILIZES THE PELVIS
turn foot in and pull legs together
Trenelenburg Sign/Gait
when hip slams into trochanter, medius is unable to stabilize
Gluteus Minimus
- too small to stabilize the pelvis
Actions of the Gluteus Minimus
- internally rotate
- abduction
Rotator Cuff of the lower extremity
6 deep lateral rotators that go superiorly down from the GTroch
Hamstring Muscles
- begin at the ischial tuberosity
- extend the hip
- act on the knee
- innervated by sciatic nerve
Biceps Femorus
- on the back of the femur
- inserts into lower knee
- extends the hip
Semitendonosus and Semimebranosus
- inserts behind the knee
- extends the hip
Linea Aspera
the line down the middle of the femur
linea= line
tensor fascia lata
- named after fascial sheath on the side of the leg
- tenses the fascia, pulls it up to make it tighter
- is for stability of the lateral aspect of the knee
named after what?
tenses what?
stability for what?
What is the fascia of the leg called?
Iliotibial Band (IT BAND)
where do you work?
what does the tensor fascia lata do?
abducts, flexes, internally rotates
abby falls into radiators
adductor group
originates at the pubic ramus

brevis, longus, magnus, gracilus

innvervated by the obturator nerve
beau loves many girls
iliopsoas
protective

psoas takes nerves from vertebrea

iliacus innervated by femoral nerve

flexor, but also externally rotates and abducts
the word iliopsoas is funny, but also raunchy and awesome!
pectineus
comes from pubic ramus

inserts on the lesser trochanter

supplied by the femoral nerve

adductor & flexor
ally and fletcher has nice pecs!
sartorius
flexion, abduction, and external rotation

crosses the front of the thigh (indian style)
sartorius is also funny, but also awesome and extra raunchy!
rectus femorus
king!

supplied by the femoral nerve

flexes the hip
femorus, flexes
flexors of the hip
iliopsoas
rectus femorus
sartorius
pectinius
extensors of the hip
hamstrings
gluteus max when against body weight
adductors of the hip
adductor longus
adductor brevis
adductor magnus
adductor gracilis
external rotators of the hip
6 deep little lateral muscles
sartorius
internal rotators
gluetus minimus
gluteus medius
when the hip flexes...
the pelvis posteriorly tilts
when the hip extends..
the pelvis anteriorly tilts
what type of joint is the knee?
complicated hingle with one axis
what are menisci of the knee?
fibrocartiligenous circular recepticles that revieve the condyles of the femur
what are the ligaments of the knee?
anterior, posterior, collateral, oblique popliteal, patellar, cruciate
what is the ligament that encapsulates the patella?
patellar ligament, which protects the anterior aspect of the knee
what does the oblique popliteal ligament do?
covers the posterior aspect of the knee
what are the 2 collateral ligaments?
medial and lateral
medial collateral ligament does what?
attaches on the tibia

checks extension to keep femur from sliding back
lateral collateral ligament does what?
attaches femur to fibula

checks extension, prevents movement to side
cruciate ligaments do what?
are intracapsular

cross (cruciate)

there are anterior and posterior

prevents hyperextension
three things that attachs to medial aspect are? - unhappy triad
anterior cruciate ligament

medial collateral ligament

medial meniscus
important things about the knee...
many bursae

fat pad behind the patella

patella and fibula are not part of the knee joint
what are the chunky bones of the ankle?
talus & calcaneus
what part of the quadricepts acts at the hips?
rectus femorus
hamstrings
acts on hips and knees

supplied by the sciatic nerve
rotation of the knee
femur condyles roll forward and laterally to block space between knee joint

biceps femorus assist with lateral rotation
three hamstrings are?
biceps femorus, semitendonous, semimembranous
gastrocs
most prominent part of the calf

inserts on calcaneous

flexes the knee

supplied by medial popliteal nerve

prevents overextension

heel spurs & heel cord.
quadriceps
rectus femorus

vastus lateralus

vastus medialus

vastus intermedialus
proper ankle is what type of joint?
hinge - 1 axis
intertarsals are what type of joint?
irregular/plane - modified ball and socket - 0/3
tarsal metatarsals are what type of joint?
irregular/plane 0
metatarsal phalangeal is what type of joint?
ellipsoid - 2 axes
proximal and distal interphalangeal joints are what type?
hinge - 1 axis
three tarsals to know are?
calcaneus
talus
navicular
proper ankle does what?
flexion/extension
intertarsals (it's) do what?
dorsi & plantar flexion, ab & adduction, inversion & eversion
tarsalmetatarsals (tmt's) do what?
glide
metatarsalphalangeal do what?
ab & adduction
PIP & DIP do what?
flexion & extension
stability factors of the ankle are?
ligaments stretch, but don't contract

no fascia/skin

talus slips out easily

deltoid ligament holds talus in
arches of the ankle
lateral arch begins at calcaneus, ends at MTP head

distributes weight, shock absorber
plantar fascia is what?
the primary support of the arch
spring ligaments do what?
have yellow elastic fibers

called plantar calcaneal navicular ligament

pulls the arch together

ligament allows for small amount of spread and elastic spring back
what is plantar fascitis?
inflammation of plantar fascia on the base of the calcaneus
plantar flexors of the ankle?
gastrocnemius
soleus
plantaris
what does the gastroc do for the foot?
plantar flexor

supplied by the sciatic nerve

top of calf
soleus is what?
under the gastrocs

3 heads of attachment

only flexes the ankle
plantaris is what?
plantar flexes the ankle

easy to rupture

size of a pinkey
medial malleolus is made up of?
tibialis anterior

flexor digitorum longus

flexor hallicus longus
lateral malleolus is made up of?
peroneus longus

peroneus brevis
what is the flexor digitorum longus?
splits into 4 tendons

covered by specialized synovial sheaths

has a flexor retinaculum

acts on distal joints
Dorsiflexors of the proper ankle?
tibialis anterior
extensor digitorum longus
extensor hallicus longus
Tom, Dick, and Harry
Plantar flexors of the proper ankle?
gastrocs
soleus
plantaris
tibialis posterior
flexor digitorum longus
intertarsal flexors
tibialis anterior
ex. digitorum longus
ex. hallicus longus
Tom, Dick, and Harry
intertarsal extensors
tibialis posterior
flexor digitorum longus
intertarsal everters
peroneus longus
peroneus brevis
intertarsal intervers
tibialis anterior & posterior
tarsal metatarsal flexors
tibialis anterior
extensor digitorum longus
extensor hallicus longus
same as IT's
tarsal metatarsal extensors
tibialis posterior
flexor digitorum longus
same as IT's
tarsal metatarsal everters
peroneus longus
peroneus brevis
same as IT's
tarsal metatarsal inverters
tibialis anterior & posterior
same as IT's
metatarsal phalangeal flexors
flex. digitorum longus
flex. hallicus longus
metatarsal phalangeal extensors
ex. digitorum longus
ex. hallicus longus
interphalangeal flexion
flex. digitorum longus
flex. hallicus longus
same as MTP's
interphalangeal extension
ex. digitorum longus
ex. hallicus longus
same as MTP's