Anatomy of joints: Joints of the lower extremity week 4 Flashcards
femoroacetabular impingement (FAI)
condition where bony abnormalities of the femur, acetabulum, or both result in pain and altered mechanics at the hip joint. The bony abnormalities can result in impingements of and subsequent damage to acetabular cartilage or labrum
What are meniscus tears? Who do they affect?
tear of menisci in knee. most common type of knee injury. atheletes particularly susceptible but can affect anyone and can occur due to degnerative changes with age
What is the most commonly injured knee ligaments? Who is most susceptible? What other knee injury is most commonly associated with it?
- ACL (anterior cruciate ligament)
- higher in athletes, particularly females
- about 50% of ACL injuriees occur in conjunction with an injury to the meniscus
What are the cause of ankle sprains? What is the most common type of ankle sprain?
occurs when excessive motion at the ankle reults in varying degrees of stretching or tearing of ligaments in this area. ligaments on the lateral side of the ankle tend to be affected more often due to inversion sprains.
What type of joint is the hip joint? How many degrees of freedom of motion does it allow? What 2 bones is this articulation formed by?
- ball and socket
- allows 3 degrees of freedom of motion
- formed by articulation of head of femur and acetabulum of hemipelvis
What factors affect the limited ROM of the hip joint as compared to the glenohumeral joint?
acetabulum is deeper then glenoid fossa. also, the ligaments and muscles at the hip joint are stronger than at the glenohumeral joint. ppl that are more flexible at the hip joint have more lax ligaments and differences in muscles and bones at the hip joint
Where do hip fxs commonly occur?
occur at the neck of the femur. reason why we care about blood supply to the femur.
Identify the bony portions of the hip joint.
What 3 bones fuse to form the hemipelvis?
ilium, ischium, and pubis (pubic bone) fuse at the acetabulum to form the hemipelvis
What is the strongest capsular ligament of the hip? What bones does it span from? When are its fibers maximally taut? What is its fxn thought to be?
ilofemoral ligament. Spans btwn the intertrochanteric line and ilial portion of the acetabular rim and anterior inferior iliac spine. Its fibers are maximally taut in extension and are lax in flexion of the hip. It has been suggested that due to the position of this ligament anterior to the hip joint that it has a special role in maintenance of erect posture by restricting hyperextension of the joint and balancing force of the body’s weight on the femur during standing.
From what bones/bony prominences does the pubofemoral ligament span? When is it maximally taut?
the pubofemoral ligament spans from its proximal attachment at the obturator crest and superior pubic ramus to the intertrochanteric fossa. distally at the femoral attachment, its fibers blend with the inferior band of the fibers of the ilofemoral ligament at the attachment site on the lesser trochanter. is maximally taut in abduction. a person that has more than normal ROM of abduction would have a lax pubofemoral ligament
From what bones/bony prominences does the ischiofemoral ligament span? When is it maximally taut?
ischiofemoral ligament is attached to the acetabular rim and labrum and the inner surface of the greater trochanter. posteriorly the ischiofemoral ligament reinforces the joint capsule. The thickness of the capsule is decreased posteriorly with thinner and looser fibers except at the distal attachment on the femur. This ligament has been suggested to restric internal rotation due to the length and tautness of its fibers with this motion at the hip joint.
Identify these portions of the hip.
Identify these portions of the hip.
What is the acetabular labrum? What are its connections and function?
the acetabular labrum is a fibrocartilaginous structure attached both along the perimeter of the bony acetabulum and to its articular surface via connecections to the articular cartilage lining the acetabulum. the acetabular labrum plays an important role in increasing congruence btwn the joint surfaces and thus contributing to joint sability