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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
Q

describe the arthrokinematics at the humeroulnar and humeroradial joint

A

concave on convex

roll and slide in same direction

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26
Q

At the humeroulnar joint, what is the:

closed pack position

open pack position

capsular pattern

A

closed = full extension and supination

open = flexed 70 degrees, supinated 10 degrees

capsular pattern = flexion > extension

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27
Q

at the humeroradial joint, what is the following:

closed pack position

open pack position

capsular pattern

A

closed = 90 degrees of elbow flexion and 5 degrees of supination

open = full extension and supination

capsular pattern = flexion > extension

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28
Q

how is the arthrokinematics different at the proximal and distal radioulnar?

A

proximal = convex on concave

distal = concave on convex

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29
Q

describe the arthrokinematics that occur at the radiocarpal and midcarpal joints

A

convex on concave = roll is opposite of slide

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30
Q

describe the arthrokinematics at the 1st CMC joint

A

flexion/extension = concave on convex (M/L roll with glide)

ADB/ADD = convex on concave

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31
Q

describe the arthrokinematics at the MCP joints

A

concave on convex

roll and glide same direction

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32
Q

describe the arthrokinematics at the IP joints

A

concave on convex

palmar/dorsal roll with anterior/posterior glide

(in same direction)

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33
Q

describe the arthrokinematics of the hip during an OKC motion

A

Convex on Concave

opposite roll and slide

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34
Q

describe the arthrokinematics of hip IR/ER during an OKC motion

A

IR = anterior roll, posterior glide

ER = posterio roll, anterior glide

35
Q

describe the arthrokinematics of the pelvic during an CKC movement

A

Concave on Convex

roll and glide in same direction

36
Q

describe the arthokinematics of the tibiofemoral joint during a CKC motion

A

convex femoral condyle moves on concave tibial plateau

opposite roll and glide

37
Q

describe the arthrokinematics of the tibiofemoral joint during an OKC movement

A

concave tibial plateau moves on convex femoral condyle

roll and glide in same direction

38
Q

what occurs during the screw home mechanism at the knee?

A

10° of tibial ER

needed for terminal knee extension

39
Q

what occurs during the unlocking mechanism of the knee joint?

A

popliteus IR the tibia prior to flexion

40
Q

when does S/I glide of the patella occur?

A

superior = knee extension

inferior = knee flexion

41
Q

what is the arthrokinematic rule during OKC motion at the talocrural joint?

A

convex talus moves on concave tibiofibular mortise

42
Q

what moves on what during weight bearing at the subtalar joint?

A

talus moves on calcaneus

43
Q

during weight bearing, what motions couple to allow for supination?

A
  1. calcaneus inverts
  2. talus abducts
  3. talus dorsiflexes
  4. tibiofibular lateral rotation
44
Q

during weight bearing, what motions couple to produce pronation?

A
  1. calcaneus everts
  2. talus adducts and plantarflexes
  3. tibiofibular medial rotation
45
Q

what moves on what during non-weight bearing motions at the subtalar joint?

A

calcaneus moves on the talus

46
Q

during non-weight bearing motions, what movements couple together to produce supination at the subtalar joint?

A

calcaneus adduction, inversion, and plantarflexion

47
Q

during non-weight bearing motions, what movements couple together to produce pronation at the subtalar joint?

A

calcaneus abduction, dorsiflexion and eversion

48
Q

what is the arthrokinematic rule for the MTP joints?

A

Concave on Convex

roll and glide in same direction

49
Q

what is the arthokinematic rule for the IP joints?

A

Concave on Convex

roll and glide in same direction

50
Q

describe the arthrokinematics at the atlanto-occipital joint?

A

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

opposite roll and glide/slide

51
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

52
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)

53
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

54
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

55
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

56
Q

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

A
  1. approximation/distraction and gliding
  2. tipping
57
Q

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

A

approximation/gapping and gliding

58
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
59
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
60
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
61
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
62
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
63
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
64
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
65
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
66
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
67
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)

68
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)

69
Q

describe the associated arthrokinematics for the osteokinematic motions at the AC joint

A

none are well defined

70
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)

71
Q

describe the arthrokinematics at the humeroulnar and humeroradial joint

A

concave on convex

roll and slide in same direction

72
Q

how is the arthrokinematics different at the proximal and distal radioulnar?

A

proximal = convex on concave

distal = concave on convex

73
Q

describe the arthrokinematics that occur at the radiocarpal and midcarpal joints

A

convex on concave = roll is opposite of slide

74
Q

describe the arthrokinematics at the 1st CMC joint

A

flexion/extension = concave on convex (M/L roll with glide)

ADB/ADD = convex on concave

75
Q

describe the arthrokinematics at the MCP joints

A

concave on convex

roll and glide same direction

76
Q

describe the arthrokinematics at the IP joints

A

concave on convex

palmar/dorsal roll with anterior/posterior glide

(in same direction)

77
Q

describe the arthrokinematics of the hip during an OKC motion

A

Convex on Concave

opposite roll and slide

78
Q

describe the arthrokinematics of hip IR/ER during an OKC motion

A

IR = anterior roll, posterior glide

ER = posterio roll, anterior glide

79
Q

describe the arthrokinematics of the pelvic during an CKC movement

A

Concave on Convex

roll and glide in same direction

80
Q

describe the arthokinematics of the tibiofemoral joint during a CKC motion

A

convex femoral condyle moves on concave tibial plateau

opposite roll and glide

81
Q

describe the arthrokinematics of the tibiofemoral joint during an OKC movement

A

concave tibial plateau moves on convex femoral condyle

roll and glide in same direction

82
Q

what is the arthrokinematic rule during OKC motion at the talocrural joint?

A

convex talus moves on concave tibiofibular mortise

83
Q

what is the arthrokinematic rule for the MTP joints?

A

Concave on Convex

roll and glide in same direction

84
Q

what is the arthokinematic rule for the IP joints?

A

Concave on Convex

roll and glide in same direction

Joint Positions (4 decks)

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