Exam 1 (Ch 1-4) Flashcards
-provide contractile force that causes joints to move -must span the joint to have an effect on that joint -soft and cannot attach directly to bone
Muscle
“caved” in much like a cave
concave
-partial dislocation of a joint and usually occurs over a period of time ex. after a stroke, muscle paralysis and weight of arm slowly separate the shoulder joint
Subluxation
- caused joint distraction in which joint surfaces pull apart from one another -due to external force
Traction
Yellow Part of body?
Green part of body?
Axial
Appendicular
Hollow or depression
Fossa Ex. Glenoid fossa of scapula
Joint structure- components - two that are articulate with each other -amount and direction of motion allowed at each joint are dictated by shape of the bone ends by the articular surface of each bone
Bones
- length is greater than width -largest bones of body and most of appendicular skeleton
Long bones
A movement that straightens or opens a joint
Extension
-lined with a synovial membrane
Inner layer of capsule
-AK movement that happens between joint surfaces when an external force creates a passive motion at the joint
Joint play movement
-often found in acute condition in which soft tissue edema is present such as immediately after a severly sprained ankle or with synovitis -soft “wet sponge” feel
Boggy end feel
-glide motion -movement tends to be linear instead of angular -occurs secondarily to other motion -joint surfaces are relatively flat and glide over one another instead of one moving around the other (plane, joint)
Nonaxial joint
-divides the body into right and left -flexion and extension
Sagittal plane
What bony landmark is highlighted?
Ischial tuberosity
tuberosity- large, rounded projection
A movement of the head and vertebral column along the transverse plane
Rotation
-caused by the breakdown and eventual loss of cartilage or one or more joints
Osteoarthritis (degenerative)
-must connect them to bone -cylindrical cord or flattened band -encased in tendon sheathes
Tendon
Living, organic composition (1/3)
gives bone elasticity
3 types of normal end feel
soft, firm hard
Structure (or movement) closer to head
Superior
A limb at the shoulder or hip turns away from the midline
Lateral Rotation
inflammation of a tendon
Tendonitis
What is the bony landmark marked out?
Glenoid fossa
-hollow or depression
-tend to have more equal dimensions of height, length, and width -cube shaped -great deal of articular surface
Short bones
-each joint is concave in one direction and convex in another -carpometacarpal joint of the thub
Sellar (saddle-shaped) joint
-rounded outward like a mound
convex
-constant sustained pressure ex. constant pressure on a gas pedal
Sustained stretch joint mobilization
A movement that bends a joint bringing the bones closer together
Flexion
-same side Ex. Right hip and shoulder flex
Ipsilateral
Lying on back
Supine
Study of movement Combines anatomy, physiology, physics, and geometry
Kinesiology
-angular motion occuring in one plane around one axis
Uniaxial joint
-knee and elbow -flexion and extension which occur in sagittal plane around frontal axis
Hinge Joint
-break in continuity of the bony cortex caused by direct force, indirect force, or pathology -described by type, direction of fracture, or position of bone fragments
Fracture, broke bone, cracked bone
-forces that occur parallel to the joint surface -results in glide motion of joint
Shear
joint motion
OK
Located at ends of long bones where they receive pressure from opposing bone making up that joint
Pressure epiphysis
-thick, clear fluid that lubricates the articular surface -reduces friction -helps joint move freely -shock absorption -major source of nutrition for articular cartilage
Synovial fluid
Ways to classify joints
-movement -shape -type of connective tissue surrounding it
Ditchlike groove containing a tendon or blood vessel
Groove ex. bicipital (intercondylar) groove of humerus
Projecting prominent part of bone
Eminence ex. Intercondylar eminence of tibia
-thin, fiborous membrane covering all the bone except the articular surface -contains nerve and blood vessels that are important in providing nourishment promoting growth in diameter of immature bone and repairing the bone -serves as an attachment point for tendons and ligaments - greater number of pain receptors which makes it pain sensitive when overstressed
Periosteum
-position of maximum incongruence -resting position -parts of capsule and supporting ligaments are lax -minimal congruency between the articular surface -further passive separation of the joint surfaces can occur in this position -joint play allowed -importance for joint mobilization -allows for roll, spin, and glide
open-packed or loose-packed
Combination of flexion, extension, abduction, adduction
Circumduction
long, thing projection (spinous process)
Spine ex. Scapular spine
-motions that are accessory to classical movement -not under voluntary control -roll, spin, glide
Accessory movement
-small, padlike sacs are found around most joints -located in areas of excessive friction such as between tendons and bony prominences -lined with synovial membrane and filled with a clear fluid -reduce friction between moving parts
Bursae
-Hole through which blood vessels, nerves, and ligaments pass
Foramen Ex. vertebral foramen of cervical vertebra
-fibrous sleeves surround the tendon when it’s subject to pressure or friction such as when it passes between muscle and bones or through a tunnel of bones -lubricated by fluid secreted from their lining
Tendon sheaths
joint surface motion
AK
-may be present when pain, muscle guarding, swelling, or abnormal anatomy stops the joint movement
Abnormal end feel
-muscle bulk is compressed
Soft end feel (soft tissue approximation)
Sole of foot outward
Eversion
-manner in which adjoining joint surfaces move on each other during OK joint movement
Arthrokinematic motion
-two or both sides Ex. both shoulders more
Bilateral
-complete separation of the two articular surfaces of a joint -portion of joint capsule surrounding the joint will be torn
Dislocation
- Form of linear motion that occurs in a straight line
Rectilinear
-inflammation of the tendon sheath and is often cause by repetitive use -common sites: tendon of long head of biceps and flexor tendons on hand
Tenosynovitis
What bony landmark is marked out?
Greater and lesser trochanter
trochanter- very large, prominence for muscle attachment
-demonstrated in these open-packed position -not a voluntary movement -passive movement of one articular surface over another -requires relaxed muscles and the external force of a trained practitioner
joint play
-rolling of one joint surface on another -new points on each surface come into contact throughout the motion
roll
-technique that applies an external force to a patient’s joint to generate a passive oscillatory motion or sustained stretch between the joint surfaces
Joint mobilization
-congruent -one extreme ROM -no joint play -joint is often in this positioned when injured -when joint is swollen, it cannot be moved into this position -when ligaments and capsular are tested for stability and integrity, the joint is usually in this position
close-packed position
Small, rounded projection
Tubercle ex. greater tubercle of humerus
-may be present when pain, muscle, guarding, swelling, or abnormal anatomy stops the joint movement
Abnormal end feel
ligament is torn and no longer functions
severe sprain
- hard, dense outer layer of all bones -thick along shaft and thin at ends
Compact bone
Ankle movement such as letting of the car’s gaspedal
Dorsiflexion
partial tearing of ligament with some loss of function
moderate sprain
What bony landmark is the arrow pointing to?
Bicipital groove of humerus
-groove: ditchlike groove containing a tendon or blood vessel
air-filled cavity within a bone
Sinus ex. frontal sinus in frontal bone
-type of the resistance that a clinician feels when bringing a patient’s joint to the end of its passive ROM then applying a slight overpressure
End feel
Less prominent ridge
Line ex. Linea aspera of femur
fracture at an angle
Oblique fracture
inflammation of bursae
Bursitis
-linear movement of a joint surface parallel to the plane of the adjoining joint surface -one point on a joint surface connects with a new points on the adjacent surface
glide/slide
-occurs when movement produces considerable pain and the patient stops the clinician from moving the joint beyond the painful point
Empty end feel
- Mechanical principles that relate directly to human body 1. Static (nonmoving) 2. Dynamic (moving) 3. Kinetics (Causing movements) 4. Kinematics (time, space, & mass aspects of a moving system)
Biomechanics
-results from tension in the surrounding ligaments, capsule, and/or muscles -perceived as a firm stop to the motion with only a “slight give” on overpressure -most common
Firm end feel
responsible for bone resoprtion
Osteoclasts
fixed lines of reference along which the body is divided
Planes of action
-consists of fibrous tissue and supports and protects the joint -usually reinforced by ligaments
Outer layer of capsule
-Attaches to axial skeleton -126 bones of extremities -no irregular bones
Appendicular Skeleton
-covers the ends of opposing bones within a synovial joint -provides a smooth articulating surface in all synovial joints with the help of synovial fluid -lacks its own blood supply and must get its nutrition from synovial fluid; it cannot repair itself if it’s damaged
Hyaline (articular) cartilage
When head or vertebral column bend laterally to the side
Lateral Flexion
Structure closer to body’s surface
Superficial
-provide a bade of muscular attachment where no bone is present but where great strength is needed
Linea Alba (Aponerosis)
-fracture but all places are still in place -put in a cast
Nondisplaced fracture
Large, rounded projection
Tuberosity ex. Ischial tuberosity
-inflammation of joint capsule -when joint capsule is inflamed for extended period of time, it loses extensibility and loss of joint motion results
Capsulitis
What axis pairs with frontal plane?
Sagittal axis