Anatomy and Biomechanicks MSK

Question 1

Arthrokinematics (árthroquinemériquis)

Answer 1

The movement between joint surfaces.

Question 2

What are the 3 motions arthrokinematics?

Answer 2

Roll
Glide
Spin

Question 3

Roll

Answer 3

consists of one joint surface rolling on another.

e.g. movement between the femoral and tibial articular surfaces of knee.

Question 4

Glide

Answer 4

consists of a pure translatory motion of one surface gliding on another.
e.g. movement of the joint surface of the proximal phalanx (feilencs) at the head of the metacartal bone of the hand.

Question 5

Spin

Answer 5

consists of a rotation of the movable component of the joint.
e.g. movement between joint surfaces of radial head with humerus.

Question 6

Osteokinematics

Answer 6

movement between 2 bones.

Question 7

Convex- concave rule

Answer 7

convex surface moves- surface and bone moves in the opposite direction.
concave surface moves - surface and bone slide in the same direction.
In the spine, the convex rule applies at the atlanto-occipital joint, Below the second vertebra, the concave rule applies.

Question 8

Close-packed position

Answer 8

• lig. + capsule maximally tensed
• maximum contact area
• minimum mobility
• maximum stability

Question 9

loose-packed position/ open-packed position/ resting

Answer 9

• lig+ capsule most relaxed
• minimal joint surface contact
• maximum joint play and mobilization.

Question 10

Capsular patterns (képsolol pérans)

Answer 10

limitations of joint movement when the joint capsule is a limiting structure.

Question 11

What are the normal physiological end-feel?

Answer 11

• Soft
• Firm
• Hard

Question 12

Soft end-feel (normal)

Answer 12

occurs with soft tissue approximation.

Question 13

Firm end-feel (normal)

Answer 13

capsular and ligamentous stretching.

Question 14

Hard end-feel (normal)

Answer 14

when bone and/or cartilage meet.

Question 15

Boggy (bógui)/ soft (abnormal (ébinormal) end-feels)

Answer 15

soft tissue (tixuu) edema(edíma)
swelling
synovitis (sainovairis)

Question 16

Firm with decrease elasticity (abnormal end-feels)

Answer 16

increase muscular (masquiular) tonus
capsular(képsiular), muscular, ligamentous (ligamenous) shortening

Question 17

Springy block (abnormal end-feels)

Answer 17

meniscus (maniscus) tear(terr)

Question 18

Empty (empí) (abnormal end-feels)

Answer 18

pain (protection)
acute (aquiut) joint inflamation
bursitis (basaitis)
abscess
fracture (frecchar)
psychogenic (saicogênic) disorder

Question 19

Hard / bony

Answer 19

chondromalacia (condromaleixia)
osteoarthritis (osteoarthaires)
loose bodies in joint
myosites ossificans (maiosairis ossifiquens)

Question 20

Grading of accessory joint moviment or joint play

Answer 20

is graded to assess arthrokimatic motion of the joint and /or when it is impractical or impossible to measure joint motion with goniometer.

Question 21

Manual Grading of accessory joint motion

Answer 21

0- Ankylosed (enquilouset)
1- Considerable (kensirabol ) hypomobility (raipomobílary)
2- Slight (islait) leve/ligeira) hypomobility
3- Normal
4- SJlight hypermobility (raipermobílary)
5- Considerable hypermobility
6- Unstable