B6-094 Hip, Knee, and Ankle Flashcards

1
Q

movement most limited by hip joint

A

extension

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2
Q

the acetabular notch is bridged by the […] ligament

A

transverse acetabular

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3
Q

the depth of the acetabulum is increased by the

A

labrum

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4
Q

forms a collar around the femoral neck to hold head in acetabulum

A

orbicular zone

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5
Q

longitudinal fibers in the hip that help hold arteries from the medial/lateral circumflex arteries against the neck of the femur

A

retinacula

**at risk in femoral neck fx

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6
Q

intrinsic ligaments of the hip [3]

A

iliofemoral
pubofemoral
ischiofemoral

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7
Q

the […] ligaments help to maintain integrity of the hip

A

intrinsic

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8
Q

ligament that restricts hyperextension at the hip

A

iliofemoral

**ischiofemoral helps with this as well

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9
Q

ligament that restricts full abduction of the hip

A

pubofemoral

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10
Q

attaches to acetabular ligament and runs to head of the femur

A

round femoral head ligament

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11
Q

what vessel lies within the round femoral head ligament in infants/juvenilles

A

obturator

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12
Q

what is thought to be the function of the obturator vessel that lies in the round femoral head ligament?

A

assist in spreading synovial fluid

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13
Q

important collateral circulation bypassing the popliteal artery

A

genicular branches

**keep blood flow when knee is fully flexed for too long

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14
Q

is the fibula involved in the knee joint?

A

no

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15
Q

knee joint stability depends on

A

strength of surrounding muscles/tendons

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16
Q

extracapsular knee joint ligaments [5]

**bonus points: which two are intrinsic (thickening of capsule)

A

patellar ligament
fibular collateral ligament
tibial collateral ligament (intrinsic)
oblique popliteal ligament (intrinsic)
arcuate popliteal ligament

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17
Q

strong cordlike ligament that runs from the fibular head to lateral femoral condyle

A

fibular collateral ligament (LCL)

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18
Q

[…] passes deep to fibular collateral ligament

A

popliteus tendon

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19
Q

biceps femoris tendon is split by

A

fibular collateral ligament (LCL)

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20
Q

flat band that extends from the medial femoral epicondyle to medial tibial condyle

A

tibial collateral ligament (MCL)

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21
Q

why is the tibial collateral ligament damaged more often than the fibular collateral?

A

it has deep fibers that attach to the meniscus

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22
Q

the tibial and fibular collateral ligaments are […] when the knee is extended and […] during flexion

A

taut in extension
slack in flexion

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23
Q

can be torn during hyperextension of the knee

A

oblique popliteal ligament

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24
Q

prevents posterior displacement of the femur
prevents anterior displacement of the tibia

A

ACL

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25
ACL is taunt at full [...]
extension
26
prevents anterior displacement of femur prevents posterior displacement of tibia
PCL
27
the PCL is taunt when the leg is [...]
flexed
28
[...] bundle of the ACL resists anterior tibial translation during flexion
anteromedial
29
[...] bundle of the ACL resists anterior tibial translation and tibial rotation in extension
posterolateral
30
positive anterior drawer sign indicates
ACL tear
31
the anterior edges of the menisci are joined by
transverse ligament of the knee
32
allows menisci to move together during movements of femur on tibia
transverse ligament of the knee
33
relationships of medial meniscus to ACL, PCL and tibial collateral
attaches anterior to ACL (anterior horn) attaches anterior to PCL (posterior horn) adherent to deep surface of tibial collateral
34
the posterior meniscofemoral ligament joins the lateral meniscus to the
PCL
35
passes between the medial meniscus and fibular collateral ligament
popliteus tendon
36
which menisci is smaller and more mobile?
lateral
37
positive posterior drawer test indicates a tear in
PCL
38
passive fallen arch of the foot is due to a laxity in
plantar calcaneonavicular
39
dynamic support of foot includes [4]
tibialis anterior tibialis posterior flexor hallucis longus intrinsics
40
passive support of the foot includes [4]
plantar aponeurosis short plantar ligament long plantar ligament planter calcaneonavicular
41
pes transversoplanus
loss of transverse arch
42
pes planus
loss of longitudinal arch
43
hyperextension of metatarsal phalangeal joints flexion of DIP/PIP
claw toes
44
stabilizes the ankle joint during eversion
medial (deltoid) ligament
45
injured in a high ankle sprain
anterior inferior tibulofibular ligament (AITFL)
46
injured in low ankle sprain
anterior talofibular ligament
47
most common ankle sprain overall, due to overinversion/supination of the foot
Anterior TaloFibular ligament **Always Tears First
48
most common high ankle sprain
anterior inferior tibiofibular ligament
49
2 separate joints that align to form the transverse tarsal joint
talonavicular calcaneocuboid
50
transection across the [...] is standard method for surgical amputation of the foot
transverse tarsal joint
51
where talus rests on calcaneous
subtalar joint
52
main movement of the subtalar joint are
inversion/eversion
53
which anatomical structures maintain the integrity of the hip joint ?
bony parts of the acetabulum and ligaments that go around the head of the neck (ischiofemoral, iliofemoral and pubofemoral ligaments)
54
How are the head and the neck of the femur vascularized?
medial and lateral circumflex femoral a.
55
How would a posterior hip dislocation present?
internally rotated and adducted
56
How would a hip fx of the femoral neck present?
externally rotated and abducted
57
adduction with a posterior hip dislocation is due to
impingement against acetabular rim
58
abduction and lateral rotation with a femoral neck fx is due to
the lateral rotators of the hip pulling on the femur
59
three intrinsic hip joint ligaments (go around head of femoral neck)
iliofemoral pubofemoral ischiofemoral
60
occur when knee strikes dashboard with thigh abducted
anterior hip dislocation
61
what nerve may be damaged in a posterior hip dislocation?
sciatic
62
fx between the greater and lesser trochanters
intertrochanteric
63
fx inferior to trochanter
subtrochanteric
64
what type of hip fx is most at risk of necrosis?
neck
65
external hip rotation, abduction and shortening of limb indicates
femoral neck fx
66
an internally rotated and adducted limb at the hip joint indicates
posterior dislocation
67
which anatomical structures maintain the integrity of the tibio-talar joint?
**anterior talofibular ligament** deltoid ligament
68
which test is used to assess the integrity of anterior talofibular ligament?
anterior drawer
69
what two joints of the foot align transversely and serve as landmarks for a foot amputation?
talonavicular calcaneocuboid
70
lateral femoral condyle to anterior tibia
ACL
71
medial femoral condyle to posterior tibia
PCL
72
a blow to the lateral leg at the knee is likely to injure what structure?
MCL/medial meniscus
73
the medial meniscus is adherent to
MCL
74
chief flexor of the hip during gait
illiopsoas
75
prevents overextension of the hip joint
iliofemoral ligament **extremely important to up right stance
76
gluteus maximus is a [flexor/extensor]
extensor
77
[men/women] have a higher incidence of femoral neck fracture
women **due to weakening via osteoporosis
78
responsible for skin sensation over the medial malleolus
saphenous n.
79
tibial nerve serves the [plantar/dorsal] foot
plantar
80
provides sensation to the dorsum of the foot
superficial fibular n.
81
provides sensation to the web space between 1st and 2nd toe
deep fibular n.
82
provides sensation to lateral calf and ankle
sural
83
what structures travel through the adductor canal? [3]
femoral artery femoral vein saphenous nerve
84
the [...] nerve passes through the obturator foramen
obturator
85
the [...] artery lies superficial to all the muscles in the thigh
femoral
86
the deep femoral artery branches from the femoral at the
femoral triangle
87
where can the femoral artery be palpated?
just below the mid-point of the inguinal ligament, medial to the iliopsoas
88
resists posterior sliding and dislocation of the tibial plateau
PCL
89
the oblique popliteal is derived from
semimembranosus
90
the iliofemoral ligament restricts
extension of thigh beyond vertical
91
hip extension beyond vertical is done by
lumbar vertebrae
92
the ability to plantar and dorsiflex the ankle comes from which joint in the ankle?
tibiotalar
93
pes planus is associated with a drop in the
medial longitudinal arch
94
major contributor of passive arch
plantar calcaneonavicular ligament
95