Anatomy Quiz #2 Flashcards
Which directions does the head of the femur project?
medially, superiorly, and anteriorly
Which directions does the acetabulum project?
laterally, inferiorly, and anteriorly
Which motions are available at the hip?
Flexion, extension, abduction, adduction, medial rotation, lateral rotation
What shape is the articular surface of the acetabulum
Horseshoe-shaped
The head of the femur and the horseshoe shaped part of the acetabulum are covered with what?
Articular cartilage
What connects the head of the femur to the acetabulum?
Ligament of the head of the femur (a.k.a. ligamentum teres, round ligament, foveal ligament)
Name the fibrocartilagenous lip that attaches to the bony rim of the acetabulum and deepens the acetabulum (make the ‘socket’ a deeper socket)
Acetabular labrum
What lies in the centre of the acetabulum, and is occupied by a fat pad covered with synovium.
Acetabular fossa
What lies between the two ends of the horseshoe of the acetabulum to allow passage for blood vessels?
Acetabular notch
What connects (closes) the acetabular notch?
Transverse ligament of the acetabulum
Extension/hyperextension tightens the capsular ligaments of the hip, making extension part of the __________________ and a position of stability in an upright posture
Close-packed position
Which ligament attaches at AIIS, acetabular rim ⬄ intertrochanteric line of the femur, and checks extension, abduction, lateral rotation?
Iliofemoral ligament (Y ligament)
Which ligament attaches at superior pubic ramus ⬄ iliofemoral ligament, and checks abduction?
Pubofemoral ligament
Which ligament attaches attaches at the ischial part of the acetabular rim ⬄ femoral neck and medial greater trochanter, and checks hyperextension?
Ischiofemoral ligament
Where is the trochanteric bursa?
between the gluteus maximus muscle and the (postero-lateral) greater trochanter.
Where is the ischiogluteal bursa?
overlying the ischial tuberosity
Weaver’s bottom (people weaving would have to extend one leg forward then the other) is a layman’s term for this condition
Ischiogluteal Bursitis
Where is the iliopectineal bursa?
Between the iliopsoas muscle and the iliopubic eminence.
What part of the femur has both a superficial and deep bursa?
The greater trochanter
What is between the inferior and superior pubic ligaments?
The pubic symphysis
What types of joint is the SI joint?
Synovial (very strong— high stability, low mobility)
Which ligaments, besides the pubic symphysis, progressively relax during pregnancy to allow passage of the fetus through the birth canal?
The vertebropelvic ligaments
Which ligament attaches from L4 & L5 to the posterior iliac crest, is a key stabilizer of L5, and limits/checks/restricts lateral flexion?
The iliolumbar ligament
Which ligament attaches from the posterior surface of the sacrum/coccyx to the ischial tuberosity, stabilizes the SI joint and provides a surface attachment for gluteus maximus?
The sacrotuberous ligament
Which ligament attaches from the lateral sacrum/coccyx to the ischial spine and converts the greater sciatic notch into the greater sciatic foramen?
The sacrospinous ligament.
___________ connect muscle to bone.
Tendons
The connection between a muscle and a tendon is called the_________ junction
Musculotendinous junction (MTJ)
The connection between a tendon and a bone is called the _______________ junction
Tendoperiosteal (TPJ)
The __________ is the central portion of the muscle (the meat of it)
Belly
The __________ is one of at least 2 extensions of a particular muscle belly that attaches via its own tendon
Head
A sheet-like tendon is called a(n) ____________
Aponeurosis
What type of muscle contraction pulls the attachments closer together?
Concentric contraction
When a muscle contracts against a resistance and there is no visible change in the muscle length (its attachments are NOT drawn together or pulled apart), it is called a(n)
Isometric conraction
When a muscle is generating force but is unable to overcome the force, the muscle will undergo a lengthening or _________ __________
Eccentric contraction
When a muscle contracts, the attachment that is fixed is sometimes called the ________
Origin
When a muscle contracts, the attachment that is moving is sometimes called the ________
Insertion
Why are the terms ‘origin’ and ‘insertion’ for muscle movements sometimes confusing?
Because the fixed-moving attachments can
change
In general, the _________ attachment is assumed to be the fixed attachment and a contraction is assumed to be _________ unless otherwise stated.
Fixed, concentric
What is the result of contraction of the gluteus medius, assuming the ilium is fixed?
Abduction of the femur
What is the result of contraction of the gluteus medius if the femur becomes the fixed attachment (i.e. if the person’s weight is on that one side)?
Lateral flexion of the pelvis.
What do we call the primary muscle causing the desired movement?
The prime mover
What do we call the muscle that opposes a specific action?
The antagonist.
What do we call the muscles that stabilize the more proximal joints during actions of the more distal joints?
Stabilizers (or fixators)
What do we call the muscle(s) that works to assist the prime mover in a given action?
Synergists (or neutralizers, or neutralizing synergists)
What do we call the connective tissue that invests throughout the thigh and surrounds the thigh muscles in a dense tubular sheath?
Fascia lata
The very strong part of the fascia lata (which thickens laterally) is called the _________
Iliotibial band (IT band)
What are the superior and inferior attachments of the IT band?
(Superior) the tubercle of the iliac crest
(inferior) Gerty’s tubercle and the patella
What are the superior/proximal attachments of the psoas major?
The sides of T12 – L4 vertebrae (and the associated intervertebral discs)
What are the inferior/distal attachments of the psoas major?
The lesser trochanter of the femur
When the low back is fixed and the femur is moving, what action does the psoas major produce?
Flexion of the hip joint (with iliacus)
When the femur is fixed and the low back is moving, what action does the psoas major produce?
Flexion of the lumbar spine (low back)
What are the superior/proximal attachments of the iliacus?
The Iliac fossa
What are the inferior/distal attachments of the iliacus?
The lesser trochanter
When the pelvis is fixed and the femur is moving, what action does the iliacus produce?
Flexion of the hip joint (with psoas major)
When the femur is fixed and the pelvis is moving, what action does the iliacus produce?
Pulls the hip bone anteriorly (anterior pelvic tilt)
What are the superior/proximal attachments of the gluteus maximus?
External and posterior surface of the ilium, posterior surface of the sacrum and coccyx, sacrotuberous ligament
What are the inferior/distal attachments of the gluteus maximus?
3⁄4 of the fibres attach into the iliotibial band, 1⁄4 of the fibres attach to the gluteal tuberosity.
What are the three actions of the gluteus maximus?
hip joint extension (Prime mover)
hip joint lateral rotation
hip abduction
What are the superior/proximal attachments of the gluteus medius?
external ilium (anterior 2/3rds)
What are the inferior/distal attachments of the gluteus medium?
lateral surface of the greater trochanter
What are the three actions of the gluteus medius?
hip joint abduction (Prime mover)
hip joint flexion & medial rotation (anterior fibres)
hip joint extension & lateral rotation (posterior fibres)
What condition results from weakness in the gluteus medius?
Trendelunburg gait.
What are the superior/proximal attachments of the gluteus minimus?
External ilium (deep to gluteus medius)
What are the inferior/distal attachments of the gluteus minimus?
Anterior surface of the greater trochanter
What are the three actions of the gluteus minimus?
hip joint abduction
hip joint flexion
hip joint medial rotation
What are the superior/proximal attachments of the tensor fascia lata?
outer ASIS
What are the inferior/distal attachments of the gluteus minimus?
iliotibial band (approximately 1/3rd thigh)
What are the three actions of the gluteus minimus?
hip joint flexion
hip joint abduction
hip joint medial rotation
What are the superior/proximal attachments of the piriformis?
Anterior sacrum traveling through the greater sciatic notch
What are the inferior/distal attachments of the piriformis?
Posteromedial aspect of the greater trochanter
What are the three actions of the piriformis?
hip joint lateral rotation (in anatomical position)
hip joint medial rotation when the hip is flexed up to approx. 60o
hip joint abduction when the hip is flexed greater than 60o
The gemellus superior, gemellus inferior, obturator internus obturator externus and quadratus femoris all aid in which action?
Hip joint lateral rotation.
What do we call a bone embedded in a tendon – usually shaped like a sesame seed?
Sesamoid
Inside the tendon of which muscle is the patella (knee cap) embedded?
The rectus femoris (one of the quadriceps)
Where do the facets of the patella articulate?
The patellar surface of the femur and the medial and lateral condyles of the femur
Which bone, sometimes called the shin bone, is the primary weight bearing bone of the leg?
The tibia
Which bone, located beside the tibia, carries 1/6 of the body’s weight?
The fibula
What are the three articulations of the knee?
1) the lateral condyle of the tibia articulates with the lateral femoral condyle
2) the medial condyle of the tibia articulates with the medial femoral condyle
3) the patella articulates with the femur
What are the 4 available movements at the knee (tibiofemoral joint)?
● flexion ● extension ● internal rotation (limited) ● external rotation (limited) *rotation occurs ONLY when the knee is flexed
What type of joint is the tibiofemoral joint (three points)?
Synovial, biaxial, modified hinge
What type of joint is the patellofemoral joint (two points)?
Synovial, plane
The patella moves ________ during flexion and _________ during extension
Down, up (superolaterally)
The lateral femoral condyle projects farther (anteriorly) than the medial femoral condyle, which prevents what?
The patella from tracking too far laterally (sliding out of place)
The lateral deviation of the distal bone(s) of a joint is called ________
Valgus
The medial deviation of the distal bone(s) of a joint is called ________
Varus
Which ligament checks/restricts varus deviation?
Lateral collateral ligament (fibular collateral ligament)
Which ligament checks/restricts valgus deviation?
Medial collateral ligament (tibial collateral ligament)
What are the attachment points of the Lateral collateral ligament?
lateral epicondyle of the femur ⬄ fibular head
What are the attachment points of the medial collateral ligament?
medial epicondyle of the femur and the medial condyle of the tibia