Anatomy of Lower Limb 2 Flashcards
joints of the lower limb: lines of gravity
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hip joint movements (abduction, external rotation, etc.)
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what two motions occur in a healthy ankle joint?
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what is the name of the hip joint? what kind of joint is the hip?
anterior spine and pubic tubercle are in the same anatomical line
flexible border keeps the synvoial fluid on the wall of the joint
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where is the head of the femur located?
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the shaft of the femur is not in a _____ plane
vertical
angle of the femur; comparison in M and F
This minimizes mass –> efficienct gait, decreased swinging of the mass during gait
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bone density is greatest along the lines of ________
gravitational load!
sacrum transmits mass thru pelvic bone to head of femur
red = sacrospinatus; green = sacrotuberous
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what is the thickest and strongest ligament in the body?
this keeps the trunk from flopping backwards
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blood supply to the hip joint:
Femoral artery gives rise to deep femoral and retinacular arteries to go around femur
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clinical anatomy
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the bones of the knee _____(do/do not) form a stable joint
the bones of the knee do NOT form a stable joint
patella function
patella acts like a pulley
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which leg bone receives the weight of the upper body? which leg bone is not part of the knee joint?
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mechanisms and structures that stabilize the knee joint
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fibular collateral ligament attachments
lateral collateral ligament is more cord like
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what are the cruciate ligaments attached to?
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function of cruciate ligaments?
Posterior cruciate ligament prevents forward displacement of femur off of tibia
Anterior cruciate ligament prevents posterior displacement
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what are the motions involved in knee joint movement?
Spin is internal/medial when tibia is fixed and you extend up
Spin also pulls medial condyle back
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knee joint motions when you have a fixed femur (walking)
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medial side has a little extra room
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knee joint motions: fixed tibia (rocking chair)
Spin is on medial side (with fixed tibia), and this rotates it internally
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there is NO single axis around which the femoral condyles rotate…
this impacts stability
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at maximum knee extension (Me), the distance btwn the two reference points is _____(>/<) at maximum flexion (Mf)
knee joint is mores table/ligaments are tighter during extension
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what is meant by locking the knee?
When you’re in full upright locked position, you’re not using any muscles (as long as you have a little activity in calf)
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how do you unlock your knee joint?
Popliteus: pulls on lateral condyle and spin the femur outward to unlock the knee
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what arteries supply the knee joint?
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dorsiflexion = extension
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what is the “ankle bone” and where does it sit/articulate with?
talus is the ankle bone
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talus is covered in aritcular cartilage and wrapped in ligaments
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what joint allows side to side motion in the foot?
Allows swinging of heel bone (inversion and eversion) btwn talus and calcaneus
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what also provides stability to the ankle joint?
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what joint is the most commonly injured? how?
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clinical anatomy
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human posture compared to primates
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where is the trunk’s center of mass? what joints cause this?
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why do humans not stand perfectly upright?
this allows hip drop (when you stand with more weight on one foot)
you tighten the iliotibial tract to use less muscle
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Contrapposto [kontrap posto]
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human posture
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cyclic process of the gait
One foot is always on the ground during walk
Tibialis anterior does the lengthening contraction (allowing heel strike)
Feet have to move twice as fast as trunk
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electromyographic recording data determine when various muscles contract during the gait
You can record muscle activity and relate this to muscles
Iliopsoas pulls limb forward (heel off)
Tibialis anterior slowly pulls your foot down for smooth gait
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examples of limb muscles active during the gait
Medius and minimus prevent hip drop
Biceps femoris contracts just before heel strike to slow down the limb
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damage to the common fibular nerve affects gait how? how do heels affect gait?
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determinants of gait: femoral inclincation
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determinants of gait: pelvic tilt
Pelvic tilt…don’t want it to collapse; you want a little tilt with your gait
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trendelenburg sign
Put cane in this person’s left hand to bring pelvis back to level
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determinants of gait: pelvic rotation
Pelvic rotation allows us to not walk like we are on stilts
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running & leaping
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most powerful ground rxn occurs when spine is ________ to the ground
use anti-gravity force to propel you forward
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