8: Articulations and Suturing

Question 1

knee joint

Answer 1

tibiofemoral joint

Question 2

largest, most complex, most vulnerable joint in the body

Answer 2

tibiofemoral joint

Question 3

classification of tibiofemoral joint

Answer 3

complex hinge diarthrosis

Question 4

patella and patellar ligament form what?

Answer 4

gliding patellofemoral joint

Question 5

strong ligament on medial side of tibiofemoral joint

Answer 5

medial collateral ligament, attached to medial meniscus

Question 6

strong ligament on lateral side of tibiofemoral joint

Answer 6

lateral collateral ligament

Question 7

deep tibiofemoral ligaments

Answer 7

anterior cruciate ligament and posterior cruciate ligamnet

Question 8

two fibrocartilaginous discs in the tibiofemoral joint

Answer 8

lateral meniscus and medial meniscus

Question 9

how are the two menisci in the tibiofemoral joint connected

Answer 9

transverse ligament

Question 10

number of bursae and location associated with the tibiofemoral joint

Answer 10

14 total
anterior side=5
lateral side=4
medial side=5

Question 11

bursa on anterior side of tibiofemoral joint which allows for easy movement of the patella

Answer 11

suprapatellar bursa

Question 12

ankle joint

Answer 12

talocrural joint

Question 13

there are actually 2 articulations within the ankle joint, both of which are _____

Answer 13

hinge diarthroses (medial malleolus with talus and lateral malleolus with talus)

Question 14

how many joint capsules surround the articulations of all three bones in talocrural joint

Answer 14

one joint capsule

Question 15

how many ligaments support the ankle joint on the outside of capsule

Answer 15

4

Question 16

ligament on medial side of ankle that extends from the medial malleolus to the talus, calcaneus, and another tarsal bone

Answer 16

deltoid ligament

Question 17

ligament on lateral side which passes anteriorly from the malleolus of the fibula to the talus

Answer 17

anterior talofibular ligament

Question 18

ligament on lateral side which passes posteriorly from the malleolus of the fibula to the talus

Answer 18

posterior talofibular ligament

Question 19

ligament on lateral side which runs inferiorly from the malleolus of the fibula to the calcaneus

Answer 19

calcaneofibular ligament

Question 20

the _____ form a cap over the upper surface of the talus that prohibits ______ movement of the nakle joint

Answer 20

malleoli, side-side

Question 21

wound assessment

Answer 21

time of incident, size of wound, depth of wound, tendon/nerve involvement, bleeding at site

Question 22

suture contraindications

Answer 22

redness, edema of wound margins, infection, fever

Question 23

wound preparation

Answer 23

irrigate, debridement, and local anesthesia

Question 24

rule of halves

Answer 24

simple interrupted sutures. always start in the middle of an injury

Question 25

wound is closed so underlying tissue is in contact with opposite side

Answer 25

everting wound edges

Question 26

what happens is wound edges are not properly everted

Answer 26

subdermal abscess

Question 27

most commonly used and versatile suture in cutaneous surgery

Answer 27

simple interrupted

Question 28

good for everting wound edges

Answer 28

vertical mattress

Question 29

good for closing wound edges under high tension, and for hemostasis

Answer 29

horizontal mattress

Question 30

useful for long wounds in which wound tension has been minimized

Answer 30

continuous, or simple running

Question 31

tissue breakdown

Answer 31

dehiscence

Question 32

overall average healing time

Answer 32

7-10 days

Question 33

healing time for sutures on face

Answer 33

4-5 days

Question 34

healing time for sutures on body and scalp

Answer 34

7 days

Question 35

healing time for sutures on soles, palms, back, or over a joint

Answer 35

10 days