Quiz 4 (Appendicular skeleton, joints) Flashcards
Humerus
Proximal upper limb bone
Head (humerus)
medial
articulates with glenoid fossa
greater tubercle
Superior projecting tubercle
lateral to head of humerus
less tubercle
smaller tubercle lateral to head on anterior surface of humerus
intertubercular groove
groove on anterior surface between the greater/lesser tubercle of humerus
surgical neck
Base of the head of the humerus
narrowing
the actual line on the model around the base of the head of the humerus
deltoid tuberosity
small ridge on anterior surface
1/2 down length of humerus
capitulum
smooth lateral head on distal anterior surface of the humerus. lateral to the trochlea. 1/2 of the condyle
trochlea
medial 1/2 of the condyle, medial to capitulum
smooth (v grove down middle) anterior distal surface
sharper than capitulum
wraps anteriorly and posteriorly
medial epicondyle
large process projecting medially from the distal end. medial to the condyle
lateral epicondyle
small process projecting laterally from the distal end of the humerus.
lateral to the condyle
coronoid fossa
depression on distal anterior surface of the humerus
immediately proximal to condyle
larger of the two anterior fossa
olecranon fossa
Large depression on distal posterior surface of the humerus
cradles the olecranon process
radial fossa
smaller of the two anterior distal fossa of the humerus
lateral to the coronoid fossa
Radius
Lateral bone of antebrachium
larger end is distal
Head (radius)
proximal, smaller
articulates with ulna
radial tuberosity
anterior, proximal end of radius
points medially
styloid process
lateral distal surface of radius
sharp point
ulnar notch
notch on medial surface of distal end of radius
opposite of styloid process
Ulna
Hook on proximal end
medial bone of the antebrachium
trochlear notch
anterior
big scoop
olecranon process
most proximal structure of the ulna forming the proximal half of the trochlear notch. fits into the olecranon fossa of the humerus
coronoid process
sharp process at the distal end of the trochlear notch
makes up half of the trochlear notch of the ulna
fits into coronoid fossa of the humerus
ulnar tuberosity
small ridge of bone originating from the coronoid process, moving distally
anterior proximal surface of ulna
styloid process
on distal end of ulna medial and posterior
small spike
Head (ulna)
distal end of the ulna
radial notch
articulates with radial head
proximal, medial/inferior edge of the trochlear notch
Carpal bones of the hand: Stop letting those people touch the cadavers hand (lateral to medial, proximal to distal)
scaphoid (navicular) lunate triquetrum (triangular) pisiform trapezium trapezoid capitate hamate
Metacarpal bones
labeled 1-5 starting at the pollex (thumb)
Carpal bones are the bones of this region
wrist
metacarpal bones are the bones of this region
palm
phalanges how many
14
phalanges are the bones of this region
fingers/thumb
proximal phalanx
first digit of finger/thumb
middle phalanx
second digit of finger
distal phalanx
last digit of finger/thumb
another name for thumb
pollex
phalanges of the thumb
proximal
distal
Wording for quiz answers on metacarpals
metacarpal of the R/L hand
Wording for quiz answers on phalanges
P/M/D phalanx of the # digit of the R/L hand
Determining r/l hand
look for pisiform and thumb.
Pisiform is on the anterior surface (palm) side of hand
Femur
proximal bone of lower limb
Head (femur)
articulates with acetabulum
Fovea capitis (fovea)
depression in head of femur
serves for ligament attachment
neck (femur)
narrowing after head
greater trochanter
proximal posterior
large projection on femur
lesser trochanter
proximal posterior
projection just distal to the neck of the femur
intertrochanteric crest
Ridge that connects the greater/lesser trochanter of the femur
pectineal line
small ridge moving distal from base of lesser trochanter of the femur
linea aspera
projected line on posterior surface
runs the whole vertical length of the femur
lateral condyle (femur)
large smooth
articulates with tibia
lateral distal surface of the femur
medial condyle (femur)
large smooth
articulates with tibia
medial distal surface of the femur
lateral epicondyle (femur)
bump superior to the lateral condyle on the lateral surface of the femur
medial epicondyle (femur)
bumb superior to the medial condyle on the medial surface of the femur
patellar surface
anterior distal smooth area between the two condyles of the femur
patella
sesamoid bone
forms within a tendon
knee cap
base (patella)
superior surface, broader
apex (patella)
inferior surface, dull point
articular facets (lateral and medial) of the patella
posterior side
lateral articular facet is larger
lateral will be level on the table if siting on posterior side
Tibia
medial of the two bones of the lower half of the lower limb
medial condyle (tibia)
medial, superior articulating surface with the medial condyle of the femur
lateral condyle (tibia)
lateral, superior articulating surface with the lateral condyle of the femur
tibial tuberosity
bump on proximal, anterior surface of tibia
lower attachment of the tendon housing the patella
anterior crest (margin) (tibia)
most anterior surface of the tibia
ridge running down the front of the bone
medial malleolus
most distal, medially located structure of the tibia
Fibula (can pick up in quiz)
Lateral to tibia
Sharp ridge is on anterior
lateral side is smooth
medial side is ruff
head (fibula)
proximal end
Flatter of the two ends
lateral malleolus
Distal end
pointier of the two ends of the fibula
Tarsal bones (7)
talus calcaneus navicular cuboid lateral/intermediate/medial cuneiform
talus
most superior
articulates with tibia
calcaneus
heal bone
largest bone of foot
navicular
medial to cuboid
larger than cuneiform bones
cuboid
lateral to navicular
larger than cuneiform bones
lateral (3rd) cuneiform
adjacent to cuboid
inline with middle toe
intermediate (2nd) cuneiform
inline with second metatarsal
medial (1st) cuneiform
inline with hallux
another name for big toe
hallux
Metatarsal bones
5
counted from big to little toe
Phalanges of the foot
same as hand
TARSALS
the circus needs more interesting little clowns
hip fracture
head/neck, trochanter regions of femur, not acetabulum
elderly more likely due to osteoporosis
repair by inserting screws and pins or hip replacement
on the rise due to increase lifespan
Green stick fracture
one side of bone breaks, other side bends
happens in children due to not fully osefied bones
SAD
synarthrosis- no movement
amphiarthrosis- little movement
diarthrosis- free movement
6 types of joints
plane joints hinge joint pivot joint condylar / ellipsoidal joint saddle joint ball and socket joint
shoulder joint
glenohumeral joint
glenohumeral ligaments
composed of three thickenings of the articular capsule over the anterior surface of the joint
transverse humeral ligament
narrow sheet extending from the greater tubercle in the lesser tubercle of the humerus.
overlies the tendon of the biceps brachii
coracohumeral ligament
extends from the coracoid process to the head of the humerus
anterior/ superior surface
coracoacromial ligament
supports the superior surface of the capsule
spanning from the coracoid process to the acromion
acromioclavicular ligament
binds the acromion to the clavicle
restricts clavicular movement at the acromial end
two structures of the coracoclavicular ligament
conoid ligament-medial
trapezoid ligament-lateral
coracoclavicular ligament
connects the clavicle to the coracoid process of the scapula
helps to limit the relative motion between the clavicle and scapula
glenoidal labrum
narrow rim/lip of fibrocartilage around the edge of the glenoid cavity/fossa
boxers fracture
fracture of the 5th metatarsal
bankhart lesion
tear in labrum of shoulder
occurs with dislocation
treat by immobilization, surgery, or PT to inprove range of motion and muscle contraction
Slipped capital femoral epiphysis
young adolesence, fracture at epiphysis due to weakness
can occur suddenly or over time
more common in males who are overweight for height
may lead to one leg looking shorter or turned out
treat with surgery
elbow joint
humeroulnar or olecranal joint
ulnar collateral ligament
attaches to medial surface of ulna near trochleah and medial epicondyle of humerus
radial collateral ligament
attaches to lateral epicondyle of humerus and annular ligament binding the head of the radius
annular ligament
binds the proximal radial head to the radial notch of the ulna
knee joint
tibiofemoral joint
patellar ligament
inferior to patella, attaches to patella and tibial tuberosity
fibular (lateral) collateral ligament
fibula to femur reinforces lateral surface
tibial (medial) collateral ligament
tibia to femur, reinforces medial surface
medial meniscus
C shaped
made of fibrocartilage
lateral meniscus
O shaped
made of fibrocartilage
4 functions of the menisci
cushion
conform to the shape of the articulating surfaces as the femur changes position
increase the surface area of the tibiofemoral joint
provide some lateral stability to the joint
anterior cruciate ligament
attaches to anterior of tibia and (middle) medial anterior femur
posterior cruciate ligament
attaches to posterior of tibia and (middle) medial anterior femur
What do the cruciate ligaments of the knee do
limit anterior and posterior movement of the tibia
hip joint
coxal joint
Why is the coxal joint the most stable
deep socket encloses nearly whole head of femur
large amount of force placed on the joint
inside the knee joint capsule
medial meniscus
lateral meniscus
anterior cruciate ligament
posterior cruciate ligament
inside the coxal joint capsule
ligamentum teres
transverse acetabular ligament
acetabular labrum
acetabular labrum
increases the depth of acetabulum
made of fibro cartilage
iliofemoral ligament
attaches to ilium and interochanteric line of the femur
pubofemoral ligament
attaches to ischium and lateral to head of femur
ischiofemoral ligament
attaches to ischium and lateral to head of femur
transverse acetabular ligament
completes inferior boarder of acetabular fossa
crosses acetabular notch
ligamentum teres
attaches to fovea and inferior boarder of acetabulum
acromioclavicular joint
clavicle, sternum
sternoclavicular joint
sternum
clavicle
Luxation
dislocation of joint
subluxation
partial dislocation of joint
arthroscopic surgery
minimally invasive 3 small incisions 1 for camera 1 for fluid to be injected 1 for surgical instrument repairs bone fragments, scar tissue, damaged/torn cartilage or ligaments
bursitis
inflammation of the bursa
arthritis
damage to articular cartilage
rheumatoid arthritis
auto-immune disease damage to articular cartilage
osteoarthritis
due to age damage to articular cartilage
flat fee
loss or absence of longitudinal arch of the foot
congenital talipes equinovarus
club foot
congenital deformity of one or both feet
secondary developemnt to abnormalities of neuromuscular development
sprains
stretching ligament to point where some collagenous fibers are broken
menisectomy
surgical removal of an injured meniscus
shoulder separation
complete or partial dislocation of acromioclavicular joint
colles’ fracture
break in the distal portion of radius
typical of reaching out to catch ones self in a fall
pott’s fracture
occurs at ankle
affects both bones of the leg
comminuted fracture
shattering fracture