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Arthrokinematic review Flashcards

1
Q

describe the arthrokinematics at the atlanto-occipital joint?

A

convex (occipital condyle) on concave (superior facets of atlas)

opposite roll and glide/slide

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2
Q

describe the arthrokinematics at the atlanto-axial joint

A

inferior facet of atlas/superior facet of axis

gliding → ipsilateral posterior glide with contralateral anterior glide

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3
Q

describe the arthrokinematics that occur during flexion/extension of C3-C7

A

flexion = inferior facet (of superior vertebrae) glides anterior and superior to superior facet (of inferior vertebrae)

extension = inferior facet (of superior vertebrae) slides posterior and inferior to superior facet (of inferior vertebrae)

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4
Q

describe the arthorkinematics that occur during rotation in C3-C7

A

same side as rotation = inferior facet glides posterior and slightly inferior

opposite side as rotation = inferior facet glides anterior and slightly superior

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5
Q

descibe the arthrokinematics that occur during lateral flexion of C3-C7

A

same side - inferior facet glides inferior and slightly posterior

opposite side - inferior facet glides superior and slightly anterior

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6
Q

describe the arthrokinematics of R rotation of C4-5

A

R (ipsilateral) C4 facet glides posterior and slightly inferior on C5 facet

L (contralateral) C4 facet glides anterior and slighly superior on C5 facet

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7
Q

what are the arthokinematic motions that occur at the intervertebral joints with each osteokinematic motion?

A
  1. approximation/distraction and gliding
  2. tipping
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8
Q

what are the arthokinematic motions that occur at each facet joint with each osteokinematic movement?

A

approximation/gapping and gliding

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9
Q

describe the arthrokinematics for flexion in the thoracic spine at the intervertebral and facet joints

A
  1. facet joint
    • anterior and superior glide bilaterally
  2. intervertebral
    1. anterior tilting of superior vertebrae
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10
Q

describe the arthrokinematics for extension in thoracic spine at the intervertebral and facet joints

A
  1. facets
    • posterior and inferior glide
  2. intervertebral
    1. posterior tilting of superior vertebrae
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11
Q

describe the arthrokinematics for L sidebending in the thoracic spine at the facet and intervertebral body joints

A
  1. facets
    • contralateral facet → superior glide
    • ipsilateral facet → inferior glide
  2. intervertebral body
    1. lateral tilt to the L
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12
Q

describe the arthrokinematics for R rotation in the upper thoracic spine at the facet and intervertebral body joints

A
  1. facet
    • contralateral side → anterior slide with superio glide
    • ipsilateral side → posterior slide with inferior glide
  2. interbody
    • R rotation
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13
Q

describe the arthrokinematics for L rotation in the lower thoracic spine at the facet and interbody joints

A
  1. facets
    • contralateral → anterior glide with inferior glide
    • ipsilateral → posterior glide with superior glide
  2. interbody
    1. rotate to the L
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14
Q

describe the arthrokinematics for flexion in the lumbar spine at the facet and interbody joints

A
  1. facets
    1. anterior and superior gliding (gapping)
  2. interbody
    1. anterior tilting
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15
Q

describe the arthrokinematics during extension of the lumbar spine at the facet and interbody joints

A
  1. facets
    • posterior and inferior glide (approximating)
  2. interbody
    1. posterior tilt
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16
Q

describe the arthrokinematics during L3-L4 R sidebending at the facet and interbody joints

A
  1. facet
    • contralateral side → superior glide
    • ipsilateral side → inferior glide
  2. interbody
    • R tilt
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17
Q

if you are starting with a neutral Lumbar spine

where would facet gapping occur during L sidebending?

A
  1. gapping → ipsilateral side (L)
  2. approximation → contralateral side (R)
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18
Q

describe the arthrokinematics during L rotation of the L2-L3 at the facets and interbody joints

A
  1. facets
    • contralateral side → anterior slide (approximate if started in neutral)
    • ipsilateral side → posterior slide (gap if started in neutral)
  2. interbody
    • L rotation
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19
Q

what is nutation?

A

sacral promontory → moves anteriorly and inferiorly

sacral apex → moves posteriorly and superiorly

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20
Q

what is counternutation?

A

sacral promontory → moves posteriorly and superiorly

sacral apex → moves anteriorly

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21
Q

describe the arthrokinematics of the SC joint during elevation/depression

A

convex on concave

elevation = lateral clavicle rotates upward (superior roll, inferior glide)

depression = lateral clavicle rotates downward (inferior roll, superior glide)

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22
Q

describe the arthrokinematics of the SC joint during protraction/retraction

A

concave on convex

protraction = lateral clavicle moves anterior (anterior roll and glide)

retraction = lateral clavicle moves posterior (posterior roll and glide)

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23
Q

describe the arthrokinematics for each osteokinematic motion at the GH joint

A

convex on concave

(roll and glide will be opposite for every motion)

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24
Q

what is the normal carrying angle of the elbow?

A

8-15 degrees

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25
describe the arthrokinematics at the humeroulnar and humeroradial joint
concave on convex roll and slide in same direction
26
At the humeroulnar joint, what is the: closed pack position open pack position capsular pattern
closed = full extension and supination open = flexed 70 degrees, supinated 10 degrees capsular pattern = flexion \> extension
27
at the humeroradial joint, what is the following: closed pack position open pack position capsular pattern
closed = 90 degrees of elbow flexion and 5 degrees of supination open = full extension and supination capsular pattern = flexion \> extension
28
how is the arthrokinematics different at the proximal and distal radioulnar?
proximal = convex on concave distal = concave on convex
29
describe the arthrokinematics that occur at the radiocarpal and midcarpal joints
convex on concave = roll is opposite of slide
30
describe the arthrokinematics at the 1st CMC joint
flexion/extension = concave on convex (M/L roll with glide) ADB/ADD = convex on concave
31
describe the arthrokinematics at the MCP joints
concave on convex roll and glide same direction
32
describe the arthrokinematics at the IP joints
concave on convex palmar/dorsal roll with anterior/posterior glide (in same direction)
33
describe the arthrokinematics of the hip during an OKC motion
Convex on Concave opposite roll and slide
34
describe the arthrokinematics of hip IR/ER during an OKC motion
IR = anterior roll, posterior glide ER = posterio roll, anterior glide
35
describe the arthrokinematics of the pelvic during an CKC movement
Concave on Convex roll and glide in same direction
36
describe the arthokinematics of the tibiofemoral joint during a CKC motion
convex femoral condyle moves on concave tibial plateau opposite roll and glide
37
describe the arthrokinematics of the tibiofemoral joint during an OKC movement
concave tibial plateau moves on convex femoral condyle roll and glide in same direction
38
what occurs during the screw home mechanism at the knee?
10° of tibial ER needed for terminal knee extension
39
what occurs during the unlocking mechanism of the knee joint?
popliteus IR the tibia prior to flexion
40
when does S/I glide of the patella occur?
superior = knee extension inferior = knee flexion
41
what is the arthrokinematic rule during OKC motion at the talocrural joint?
convex talus moves on concave tibiofibular mortise
42
what moves on what during weight bearing at the subtalar joint?
talus moves on calcaneus
43
during weight bearing, what motions couple to allow for supination?
1. calcaneus inverts 2. talus abducts 3. talus dorsiflexes 4. tibiofibular lateral rotation
44
during weight bearing, what motions couple to produce pronation?
1. calcaneus everts 2. talus adducts and plantarflexes 3. tibiofibular medial rotation
45
what moves on what during non-weight bearing motions at the subtalar joint?
calcaneus moves on the talus
46
during non-weight bearing motions, what movements couple together to produce supination at the subtalar joint?
calcaneus adduction, inversion, and plantarflexion
47
during non-weight bearing motions, what movements couple together to produce pronation at the subtalar joint?
calcaneus abduction, dorsiflexion and eversion
48
what is the arthrokinematic rule for the MTP joints?
Concave on Convex roll and glide in same direction
49
what is the arthokinematic rule for the IP joints?
Concave on Convex roll and glide in same direction
50
describe the arthrokinematics at the atlanto-occipital joint?
convex (occipital condyle) on concave (superior facets of atlas) opposite roll and glide/slide
51
describe the arthrokinematics at the atlanto-axial joint
inferior facet of atlas/superior facet of axis gliding → ipsilateral posterior glide with contralateral anterior glide
52
describe the arthrokinematics that occur during flexion/extension of C3-C7
flexion = inferior facet (of superior vertebrae) glides anterior and superior to superior facet (of inferior vertebrae) extension = inferior facet (of superior vertebrae) slides posterior and inferior to superior facet (of inferior vertebrae)
53
describe the arthorkinematics that occur during rotation in C3-C7
same side as rotation = inferior facet glides posterior and slightly inferior opposite side as rotation = inferior facet glides anterior and slightly superior
54
descibe the arthrokinematics that occur during lateral flexion of C3-C7
same side - inferior facet glides inferior and slightly posterior opposite side - inferior facet glides superior and slightly anterior
55
describe the arthrokinematics of R rotation of C4-5
R (ipsilateral) C4 facet glides posterior and slightly inferior on C5 facet L (contralateral) C4 facet glides anterior and slighly superior on C5 facet
56
what are the arthokinematic motions that occur at the intervertebral joints with each osteokinematic motion?
1. approximation/distraction and gliding 2. tipping
57
what are the arthokinematic motions that occur at each facet joint with each osteokinematic movement?
approximation/gapping and gliding
58
describe the arthrokinematics for flexion in the thoracic spine at the intervertebral and facet joints
1. facet joint * anterior and superior glide bilaterally 2. intervertebral 1. anterior tilting of superior vertebrae
59
describe the arthrokinematics for extension in thoracic spine at the intervertebral and facet joints
1. facets * posterior and inferior glide 2. intervertebral 1. posterior tilting of superior vertebrae
60
describe the arthrokinematics for L sidebending in the thoracic spine at the facet and intervertebral body joints
1. facets * contralateral facet → superior glide * ipsilateral facet → inferior glide 2. intervertebral body 1. lateral tilt to the L
61
describe the arthrokinematics for R rotation in the upper thoracic spine at the facet and intervertebral body joints
1. facet * contralateral side → anterior slide with superio glide * ipsilateral side → posterior slide with inferior glide 2. interbody * R rotation
62
describe the arthrokinematics for L rotation in the lower thoracic spine at the facet and interbody joints
1. facets * contralateral → anterior glide with inferior glide * ipsilateral → posterior glide with superior glide 2. interbody 1. rotate to the L
63
describe the arthrokinematics for flexion in the lumbar spine at the facet and interbody joints
1. facets 1. anterior and superior gliding (gapping) 2. interbody 1. anterior tilting
64
describe the arthrokinematics during extension of the lumbar spine at the facet and interbody joints
1. facets * posterior and inferior glide (approximating) 2. interbody 1. posterior tilt
65
describe the arthrokinematics during L3-L4 R sidebending at the facet and interbody joints
1. facet * contralateral side → superior glide * ipsilateral side → inferior glide 2. interbody * R tilt
66
describe the arthrokinematics during L rotation of the L2-L3 at the facets and interbody joints
1. facets * contralateral side → anterior slide (approximate if started in neutral) * ipsilateral side → posterior slide (gap if started in neutral) 2. interbody * L rotation
67
describe the arthrokinematics of the SC joint during elevation/depression
convex on concave elevation = lateral clavicle rotates upward (superior roll, inferior glide) depression = lateral clavicle rotates downward (inferior roll, superior glide)
68
describe the arthrokinematics of the SC joint during protraction/retraction
concave on convex protraction = lateral clavicle moves anterior (anterior roll and glide) retraction = lateral clavicle moves posterior (posterior roll and glide)
69
describe the associated arthrokinematics for the osteokinematic motions at the AC joint
none are well defined
70
describe the arthrokinematics for each osteokinematic motion at the GH joint
convex on concave (roll and glide will be opposite for every motion)
71
describe the arthrokinematics at the humeroulnar and humeroradial joint
concave on convex roll and slide in same direction
72
how is the arthrokinematics different at the proximal and distal radioulnar?
proximal = convex on concave distal = concave on convex
73
describe the arthrokinematics that occur at the radiocarpal and midcarpal joints
convex on concave = roll is opposite of slide
74
describe the arthrokinematics at the 1st CMC joint
flexion/extension = concave on convex (M/L roll with glide) ADB/ADD = convex on concave
75
describe the arthrokinematics at the MCP joints
concave on convex roll and glide same direction
76
describe the arthrokinematics at the IP joints
concave on convex palmar/dorsal roll with anterior/posterior glide (in same direction)
77
describe the arthrokinematics of the hip during an OKC motion
Convex on Concave opposite roll and slide
78
describe the arthrokinematics of hip IR/ER during an OKC motion
IR = anterior roll, posterior glide ER = posterio roll, anterior glide
79
describe the arthrokinematics of the pelvic during an CKC movement
Concave on Convex roll and glide in same direction
80
describe the arthokinematics of the tibiofemoral joint during a CKC motion
convex femoral condyle moves on concave tibial plateau opposite roll and glide
81
describe the arthrokinematics of the tibiofemoral joint during an OKC movement
concave tibial plateau moves on convex femoral condyle roll and glide in same direction
82
what is the arthrokinematic rule during OKC motion at the talocrural joint?
convex talus moves on concave tibiofibular mortise
83
what is the arthrokinematic rule for the MTP joints?
Concave on Convex roll and glide in same direction
84
what is the arthokinematic rule for the IP joints?
Concave on Convex roll and glide in same direction

Joint Positions (4 decks)

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