2nd semester procedures femur and pelvic girdle Flashcards

1
Q

what is the angle of the proximal femur ?

A

125 degrees with a 15 degree variance

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2
Q

what is the angle of the proximal femur in a person with long legs and a Narrow pelvis?

A

140 degrees

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3
Q

what is the angle of the proximal femur in a person with short legs and a wide pelvis?

A

110-115 degrees

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4
Q

for an average adult in anatomic position the longitudinal plane of the femur is about how many degrees from vertical?

A

10

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5
Q

when rotating the legs or feet internally to place the femoral neck parallel to the IR and the proximal femur into a true AP position how many degrees of rotation is needed?

A

15-20

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6
Q

what is at the base of the trunk that connects the vertebral column in the lower limbs?

A

the pelvis

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7
Q

what are the four bones in the pelvis?

A

to hip bones the sacrum and coccyx

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8
Q

what makes up the pelvic girdle?

A

The two hip bones

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9
Q

Each hip bone is composed of what three parts?

A

Ilium
ischium
pubis

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10
Q

where do the three parts of the hip bone fuse?

A

in the area of the Acetabulum

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11
Q

can you locate the following parts on the pelvis?

A
body
ala
crest
ASIS
PSIS
AIIS
PIIS
acetabulum
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12
Q

describe a male pelvis:

A

narrow
less than 90 degree acute angle at pubic arch
oval heart shape inlet

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13
Q

describe the female pelvis:

A
wide
shallow
flared 
greater than 90 degree angle at pubic arch 
round large
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14
Q

describe the ilium:

A

each has an ala and a body and the body includes the superior 2/5 of the acetabulum

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15
Q

crest extends from _____ to _______.

A

ASIS PSIS

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16
Q

what are two important landmarks of the pelvis

A

iliac crest and ASIS

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17
Q

what are the four essential parts of the proximal femur?

A

head
neck
greater troch
lesser troch

18
Q

describe the ischium:

A

inferior and posterior to the Acetabulum Each ischium is divided into a body and a ramus. the upper part of the body makes up the bottom of the acetabulum

19
Q

what is the bony projection posterior to the Acetabulum

A

ischial spine

20
Q

what is the round rough area one and a half to 2 inches below the symphysis

A

ischial tuberosity

21
Q

what is the lower part of the ischium body called?

A

superior ramus

22
Q

where is the greater sciatic notch?

A

above ischial spine . it is the larger Notch

23
Q

where is the lesser sciatic notch

A

below ischial spine. the smaller notch

24
Q

The two of these meet to form symphysis pubis joint

A

superior ramus

25
Q

what is the opening formed by the ramus and body of each ischium and the pubis

A

obturator foremen

26
Q

The two of these meet to form symphysis pubis joint

A

superior ramus

27
Q

what is the opening formed by the ramus and body of each ischium and the pubis

A

obturator foremen

28
Q

the greater ( false) pelvis is the ______ portion (wings) of the ilia

A

flared

29
Q

lesser ( true) pelvis forms the actual ______ _______.

A

birth canal

30
Q

the two ischial tuberosities and the tip of the coccyx form the ______

A

outlet ( inferior aperture)

31
Q

between the inlet and outlet is the _____

A

cavity

32
Q

how many inches below Asis is symphysis pubis?

A

3-4 inches

33
Q

describe how to find femoral neck

A

1 to 2 inches medial and 3 to 4 inches distal to Asis

34
Q

what determines correct leg or foot position

A

lesser trochanter

35
Q

what is a typical sign of femoral neck fracture?

A

external rotation of the involved foot …lesser trochanter is clearly seen in profile

36
Q

causes bamboo spine and fusion of sacroiliac joints as well as calcification of the anterior ligament of the spine

A

ankylosing spondylitis

37
Q

caused by a sudden forceful contraction of the tendinous and muscular attachments. The muscle forcefully slides over the tuberosities . Extreme pain

A

avulsion fx of pelvis

38
Q

Aseptic or ischemic necrosis . Lesions often in one hip in the head or neck of the femur . affects boys five or 10 years old the first symptom is a limp and they will have a flattened femoral head

A

leg-calve-perthes disease

39
Q

severe blow or trauma to one side of the pelvis can cause a fracture on the opposite side or a site away from the trauma. The entire pelvis should be examined via an Inlet View.

A

pelvic ring fracture

40
Q

occurs during rapid growth. Ages 10 to 16 years. slipped epiphysis

A

slipped capital femoral epiphysis. SCFE