Exam 2 Flashcards
iliofemoral
largest, inverted Y, superior and inferior fibers
iliofemoral limits
extension, abduction, adduction
pubofemoral
reinforcement of inferior capsule
pubofemoral limits
extension, abduction
ischiofemoral
reinforces ischium, femoral neck, winds around (posterior - anterior)
ischiofemoral most tight in
extension
ischiofemoral helps relax in
flexion
ischiofemoral
limits hyperextension and internal rotation
iliopsoas
O
I
A
N
iliac fossa, anterior lateral T12-L5
lesser trochanter of femur
hip flexion
femoral nerve L2,L3
rectus femoris
O
I
A
N
anterior inferior iliac spine
tibial tuberosity
hip flexion, knee extension
femoral nerve L2-L4
rectus femoris is the
only quad that crosses hip
tensor fascia lata has a short ____ and ________that feeds in IT band
muscle belly and long tendon
tensor fascia lata
O
I
A
N
anterior superior iliac spine
lateral tibial condyle
hip flexion, abduction, internal rotation
superior gluteal nerve L4-S1
sartorious
O
I
A
N
anterior superior iliac spine
proximal media tibia
hip flexion, abduction, external rotation, knee flexion
femoral nerve L2-L3
sartorius cross the knee
anterior to posterior
gluteus maximus is the biggest
hip extensor - feeds in IT band
gluteus maximus
O
I
A
N
posterior sacrum and ilium
posterior femur- distal to greater trochanter
hip extension, hyperextension, external rotation
inferior gluteal nerve L5-S2
Hamstrings
O
I
A
N
ischial tuberosity
semimembranous/ semitendinous: medial tibia
biceps femoris: fibular head
hip extension, knee flexion
sciatic nerve L5-S2
Gluteus Medius
O
I
A
N
lateral surface of ilium
lateral greater trochanter
hip abduction
superior gluteal nerve L4-S1
gluteus medius is the primary
abductor, largest and strongest
gluteus minimus
O
I
A
N
lateral surface of ilium
anterior greater trochanter
hip abduction, internal rotation
superior gluteal nerve L4-S1
Pectineus
O
I
A
N
superior pubic ramus
pectinial line of femur
hip adduction, hip flexion
femoral nerve L2-L3
pectineus is the most ____ adductor
superior
adductor longus brevis and magnus
O
I
A
N
pubis, ischium
medial femur, adductor tubercle
hip adduction
obturator nerve L2-L4
magnus- sciatic nerve
Gracilis is the only hip adductor is that a
2 joint muscle
(hip & knee)
gracilis
O
I
A
N
pubis
anterior proximal medial tibia
hip adduction, knee flexion
obturator nerve L2-L3
Lateral Rotators
O
I
A
N
sacrum, ischium, pubis
greater trochanter
external rotation
obturator nerve
lateral rotators are
piriforms
obturator internus and externus
gemellus superior and inferior
quadratus femoris
gluteus maximus
sartorius
medial rotators are
tensor fascia lata
adductors
abductors
open chain hip arthrokinematics
lower exteremity free
femur on acetablum
convex on concave (open chain)
closed chain hip artrokinematics
lower extremity fixed
acetablum moves on femur
concave on convex (closed chain)
hip flexion is
120
hip extension is
30
hip abduction is
45
hip adduction is
30
lateral and medial hip rotation is
45
pelvic osteokinematics is in the ____ axis
frontal
hip free is in the ____ direction
opposite
hip fixed is in the ____ direction
same
pelvic anterior / posterior tilt like flex/ext
anterior translation tilt
posterior translation tilt
pelvic lateral tilt
elevation vs depression with
hip abduction/ adduction
pelvic rotation
anterior / posterior
like hip medial/ lateral rotation
lumbopelvic rhythm increases
ROM and occurs in all directions
knee is a
synovial, uniaxial
the hip is a
ball and socket
triaxial
the fibula is
NWB
Q angle is
13-19 degrees
knee joint is
double condyloid joint
like flex / ext
wb of knee is
45% body weight
increased Q angle is the
genu valgum
patellofemoral joint
convex
concave
patella
intercondylar/ femoral groove
the bursa helps with
shock absorption, protect tendon from fraying, friction reduction
terrible triaid
MCL, ACL, medial meniscus
popliteal ligaments
oblique
arcuate
semimembranous 80%
popliteus muscle
iliotibial band is
thickening of fascia
anterolateral knee
connects patella
Pes Anserinus
gracilis
sartorius
semitendinous
ACL helps with
tibia being ripped with hyperextension injury
ACL restricts
extension, medial / lateral rotation
Lateral Collateral ligaments restricts
varus stress
medial collateral ligament
restrict valgus stress
posterior cruciate
restricts too much flex/ ext
pes anserinus bursa motion
knee flexion and adduction
hamstrings are strongest
knee flexor
coxal bone
ilium
ischium
pubis
acetabulm
acetabulum has the labrum which is
femoral head to keep in socket
pelvis
iliac crest
anterior superior iliac spine
posterior superior iliac spine
pubis
ischial tuberosity
most stable hip joint
flexion
abduction
external rotation
sacrum connects
R&L coxal bone
femur inclination is between
femoral neck and shaft
the femoral shaft ___ in inclination
adducts
iliopsoas anterior helps the joint
capsule
normal inclination
125
infant inclination
150
elderly inclination
120
coxa valga
increase in angle
coxa vara
decrease in angle
coxa valga- decreased hip stability, exposed to
dislocation
coxa vara- increased hip stability exposed to
fractures
coxa valga is more
abduction
coxa vara is more
adduction
femoral torsion
femoral shaft rotates medially, head of femur is anterior is condyles
femoral torsion of adults
15 degrees
femoral torsion of infants
40 degrees
anteversion is increase in angle with
toe in
dislocations
retro version is decrease in angle with
toe out
increased hip stability
WB structure
pelvic trabeculae
femoral trabeculae
zone of weakness (fractures)
hip joint does
flex / ex
ab /add
in/ ex rotation
biceps femoris
O
I
A
N
long head: ischial tuberosity short head: linea aspera of femur
fibular head
knee flexion, long head- hip extension
long head- sciatic S1-S2, short head- common fibular L5-S2
semimembranous
O
I
A
N
ischial tuberosity
posterior medial condyle of tibia
hip extension, knee flexion
sciatic nerve L5-S2
Semitendinous
O
I
A
N
ischial tuberosity
anterior proximal medial tibia
hip extension, knee flexion
sciatic nerve L5-S2
gastrocnemius
O
I
A
N
medial and lateral femoral condyles
posterior calcaneus
knee flexion ankle plantarflexion
tibial nerve S1,S2
Plantaris
O
I
A
N
posterior lateral femoral condyles
posterior calcaneus
knee flexion, ankle planatrflexion
tibial nerve S1-S2
Gracilis
O
I
A
N
pubis
anterior proximal medial tibia
knee flexion, hip adduction
obturator nerve L2-L3
sartorius
O
I
A
N
anterior superior iliac spine
anterior proximal medial tibia
knee flexion hip flexion abduction external rotation
femoral nerve L2,L3
quadriceps femoris is improved by
patella - force production by quads
articularis genu
quads contract knee extension
pulls up on joint capsule
prevent pinching
primary knee flexor is
quadriceps femoris
popliteus is
internal rotation of tibia
popliteus initates
knee flexion
rectus femoris
O
I
A
N
anterior inferior iliac spine
tibial tuberosity
knee extension, hip flexion
femoral nerve L2-L4
vastus lateralis, medialis, intermedius
O
I
A
N
linea aspera and anterior femur
tibial tuberosity
knee extension
femoral nerve L2-L4
VMO
vastus medialis oblique
screw home mechanism- knee locking
rolling and gliding of femur on tibia
lateral- locked
medial- keeps going
tibia is externally rotated bc medial is larger
lateral movement ends at
20 degrees knee flexion
interminal extension
ligaments taut, bones are in maximum congruence, joint is locked
close pack position
knee extension - unlocking of popliteus required
knee extension
distal segment free
distal segment fixed
tibia moves anterior on femur
femur moves anterior on tibia
patella movement in knee extension
superiorly
normal ROM of extension
0 degrees
hyperextension ROM
10 degrees
hyperextension is also called
genu recurvatum
knee flexion
distal segment free
distal segment fixed
tibia moving posterior on femur
femur moving posterior on tibia
knee flexion patella moves
inferiorly
normal ROM of knee flexion
135 degrees
Knee
distal segment free moves in
same direction- tibia- femur
Knee
distal segment fixed moves in
opposite direction
femur - tibia
full flexion is in the
center of condyles
full extension is in the
superiorly and posteriorly 2cm