Exam 2 Flashcards
Functions of the patella
Act as an anatomical pulley for the quad
Decrease friction between quad tendon and femoral condyles
Pattern of patella contact
20 degrees - inferior pole
90 degrees - superior and medial/lateral border (except odd facet)
Greater than 90 - odd facet starts to come into contact
135 degrees -only at medial and lateral border
Joint reaction forces of patella
Joint angle
Quad force
Normal value for Q angle
10-15 degrees
Ways to increase Q angle
Femoral anteversion
Pronation of foot
Increased valgus
Ways to increase lateral tracking of patella
VMO weak Tight ITB Increased valgus Femoral anteversion Lateral tibial torsion Pronation of foot
Functions of ankle
Stable base of support (support weight in a variety of postures with little muscular and energy requirements)
Acts as a rigid level for push off
Function segments of ankle (and what is part of each of them)
Hindfoot (calcaneus and talus)
Midfoot (navicular, cuboid, and cuneiforms)
Forefoot (metatarsals and phalanges)
Movements in supination
Plantar flexion, add, inversion
Movements in pronation
Dorsiflexion, abduction, eversion
Ligaments of superior tibiofibular joint
Anterior tibiofibular
Posterior tibiofibular
Ligaments of inferior tibiofibular joint
Anterior tibiofibular
Posterior tibiofibular
Interosseous membrane
Crural tibiofibular interosseous ligament
Joint injured when say high ankle sprain
Inferior tibiofibular because the tibia and fibula separate more than normal
Support (ligaments) of talocrural joint
Ligaments of inferior tibiofibular
MCL - deltoid
LCL - anterior and posterior talofibular; calcaneofibular
Extensor and peroneal retinacula
Anterior talofibular stressed with what movements
PF, inv, medial rotation
Calcaneofibular stressed with what movements
DF and inverted
Posterior talofibular stressed with what movements
DF, inv, lateral rotation
Axis for talocrural joint (and angles)
M/L axis
14 degrees inferiorly
23 degrees posteriorly
Primary movement at talocrural joint
PF/DF
Arthrokinematics of talocrural in NWB
Convex on concave
Arthrokinematics of talocrural in WB
Concave on convex
Structures that limit DF
Soft tissue, soleus, posterior joint capsule
Structures that limit PF
Tibialis anterior
Extensor hallucis longus
Extensor digitorum longus