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Joint mobs > final > Flashcards

final Flashcards

1
Q

normal end feel:

humeroulnar and humeroradial

A

hard and bony / tissue approximation

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2
Q

normal end feel:

proximal radioulnar

A

supination = firm
pronation = hard or firm

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3
Q

normal end feel:

acetabulofemoral

A

flex/adduction = elastic / tissue approx
straight leg raise = elastic
ext and abduction = elastic/firm
internal/external rotation = elastic/firm

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4
Q

normal end feels

tibiofemoral

A

flexion = soft tissue/ bony approx
ext = firm

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5
Q

normal end feel

TMJ

A

opening = tissue stretch
closing = bone to bone

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6
Q

normal end feel :

spine

A

bony, soft tissue approx, tissue stretch

all ranges in spine are TISSUE STRETCH

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7
Q

capsular pattern of GH

LABM

A

lateral rotation
abduction
medial rotation

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8
Q

hand placement for lateral distraction of GH

A

stabilize= distal humerus at lateral supracondylar crest

mobilize = proximal humerus near axilla and mobilize laterally

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9
Q

close packed

A

min mobility
max stability
max congruency / contact

fracture/dislocations

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10
Q

loose/open packed

A

least amt of stress
min contact
min stability
max mobility

sprains/strains

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11
Q

what is the humeral scapular ratio

A

every 2 degrees of motion in humerus = 1 degree of motion in scapula

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12
Q

proximal radioulnar joint

convex on concave

A

pivot
uniaxial

convex radial head
concave radial notch of ulna

annular lig
quadrate lig

pronate and supinate

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13
Q

loose pack of proximal radioulnar

A

35 sup
70 flexion

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14
Q

close packed of proximal radioulnar

A

5 supin from neutral

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15
Q

capsular pattern for proximal radioulnar

A

supination–> pronation

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16
Q

distal radioulnar

roll and glide in same direction

A

pivot
uniaxial

concave ulnar head
convex ulnar notch of distal head

articular disc
TFCC
dorsal and palmar radioulnar lig

PRO AND SUP

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17
Q

midcarpal joint type

A

saddle
biaxial

proximal row of carpals
distal row of carpals

transverse carpal ligament

flex, ext, ab, add

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18
Q

intercarpal, intermetacarpal, CMC digits 2-5 joint type

A

plane
uniaxial

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19
Q

CMC digit 1 joint type

A

saddle
triaxial

TRAPEZIUM w first metcarpal

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20
Q

3 transverse joints through wrist that allow for maximum movement and stability

A

radiocarpal
midcarpal
carpometacarpal

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21
Q

MCP joints

A

1st = condyloid, triaxial
2-5 = condyloid, biaxial

convex on concave

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22
Q

what separates the radiocarpal joint from radioulnar joint

A

disc or triangular fibrocartilage complex

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23
Q

TMJ joint type

A

condyloid and hinge
biaxial

convex condyles of mandible on concave mandibular fossali

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24
Q

ligaments of TMJ

A

fibrous joint capsule
temporomandibular
stylomandibular (limited protrusion)
sphenomandibular
fibrocartilaginous articular disc that divides the two joint cavities

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25
Q

upper TMJ joint = plane

A

lower = hinge

disc moves forward as the mouth opens

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26
Q

as mouth opens, ROTATION of mandibular condyles occurs around LOWER joint space

A

followed by TRANSLATION of ARTICULAR DISC on UPPER joint space

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27
Q

loose packed of TMJ

A

mouth slightly open, lips together, teeth not in contact

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28
Q

what mm opens jaw

A

lateral pterygoid

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29
Q

anatomic barrier = end of PROM

A

physiologic barrier = end of AROM

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30
Q

3 types of proprioceptors around joints

A

mm spindles
tendon organs
joint kinesthetic receptors

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31
Q

what type of receptors respond to acceleration / decelerstion of joints during movement

A

small pacinian corpuscles

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32
Q

3 structural joints

A

FIBROUS
CARTILAGINOUS
SYNOVIAL

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33
Q

3 types of fibrous joints

A

sutures
syndesmosis
interosseous membrane

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34
Q

synostosis joint

A

type of suture that is replaced by bone as an adult

complete fusion of two separate bones into one

they are synarthrosis joints = immovable

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35
Q

symphysis cartilaginous joint

A

connecting tissue is also hyaline cartilage but has a broad, flat fibrocartilaginous disc that connects the bones

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36
Q

humeroulnar

loose
closed
capsular

A

loose = 70 elbow flexion, 10 supination
closed = ext, supination
capsular= flexion –> extension

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37
Q

humeroradial

loose
closed
capsular

A

loose = full ext, full supination
closed = elbow 90, supinated to 5
capsular = flexion, ext, supination, pronation

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38
Q

proximal radioulnar joint

loose
closed
capsular

A

loose = 35 supination, 70 flexion
closed = supinated to 5
capsular = supination, pronation

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39
Q

the ulnar collateral lig has what 3 bundles

A

anterior
posterior
transverse / oblique

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40
Q

carrying angle lower than normal =

A

varus

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41
Q

leg positioning for inferior glide of pubic bone via leg pull

A

flexion, adduction, internal rotation

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42
Q

leg positioning for axial posterior glide of SI

A

flexion, abduction, external rotation

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43
Q

medial glide AF joint increasing what?

A

abduction

44
Q

positioning for inferior glide ilium on sacrum

A

abduction and internal rotation

45
Q

posterior glide of tibia on talus =

A

increase plantar flexion

46
Q

superior glide of ilium on sacrum =

A

thigh in external rotation

47
Q

what type of movement at pubic symphysis joint w leg pull

A

increase inferior glide
correct slip up

48
Q

what distraction is performed perpendicular to long axis of joint

A

lateral distraction

49
Q

what mobilization of AF is the hip at 90 flexion and force directed down through femur towards table

A

axial posterior glide of femur

50
Q

which mobilization of AF joint is to specifically increase extension

A

anterior glide

51
Q

when performing an inferior glide of ilium on scarum what two AF range of motions do you put the pt’s leg into prior to pulling it

A

internal rotation, abduction

52
Q

which mob of distal tibiofibular joint increase ankle dorsi and plantar

A

posterior

53
Q

position for inferior glide of ilium on sacrum

A

leg in slight abduction and internal rotation to lock hip out

54
Q

superior glide of ilium on sacrum

A

thigh is slight external rotation

55
Q

CI of superior glide of patellofemoral

A

dont compress patella or force knee into EXTENSION

56
Q

AF joint

loose
closed
capsular

A

loose = 30 flexion, 30 abd, slight lat rotation

closed = full extension, med rotation, abduction

capsular = flex, abduction, med rotation

57
Q

surfaces of SI joint

A

concave sacral surface on sacrum
convex ilium surface on ilium

58
Q

nutation

which way does base of sacrum move

A

inferiorly and anteriorly

59
Q

nutation - pelvic outlet?

A

enlarges

60
Q

nutation - ischial tuberosities ?

A

move apart

61
Q

nutation - pubis symphysis and iliac crests?

A

approximates

62
Q

nutation - PSIS?

A

separates

63
Q

nutation - ASIS

A

flares in

64
Q

lateral collateral ligaments of ankle

A

posterior talofibular
calcaneofibular
anterior talofibular

65
Q

medial collateral ligaments (deltoid)

A

posterior tibiotalar
tibiocalcaneal
tibionavicular
anterior tibiotalar

66
Q

Sacrococcygeal joint surfaces

A

inferior surface of apex of sacrum
superior surface of base of coccyx

fibrocartilaginous disc

67
Q

which ligament has the trapezoid and conoid

A

coracoclavicular

68
Q

Gh joint

loose
closed
capsular

A

loose = 40-55 abduction, 30 horizontal adduction

closed = full horizontal abduction w lateral rotation

capsular = lat rotation, abduction, med rotation

69
Q

ant glide of GH increases what

A

extension

70
Q

pubic symphysis and sacrococcygeal jjoint type

A

cartilaginous
symphysis
amphi
uni

71
Q

no close or loose packed for pubic sympysis, what is the capsular pattern?

A

pain when joint is stressed

72
Q

hip joint arthrokinematics
for flexion

A

rolls anterior
slides posterior

73
Q

most important ligs that protect sacroiliac joint

A

anterior, posterior (long & short) sacroiliac

interosseous sacroiliac

74
Q

posterior ligaments in SI

A

posterior sacroiliac
interosseous sacroiliac
sacrotuberous
sacrospinous

75
Q

surfaces of sacrococcygeal joint

A

inferior surface of apex of sacrum
superior surface of base of coccyx

76
Q

distal inferior tibiofibular joint type

A

fibrous
syndesmosis
amphi
uni

77
Q

talocrural joint type (convex on concave)

A

hinge
uniaxial

78
Q

surfaces of talocrural

A

inferior articular and medial malleolar surfaces of tibia

lateral malleolar articular surface of fibula

trochlea of talus

79
Q

most commonly sprained ankle lig

A

anterior talofibular

80
Q

talocrural

loose
closed
capsular

A

loose = 10 plantar flexion, midway between eversion/inversion

closed = max dorsiflexion

capsular = PF –> DF

81
Q

all deltoid / medial ligaments start with ??

A

TIBIO

82
Q

talocrural arthrokinematics DF

A

dorsiflex - roll anterior
slide posterior

83
Q

subtalar joint type

A

plane
triaxial

gliding/rotation
inversion/eversion

84
Q

subtalar

loose
closed
capsular

A

loose = midway between extremes of ROM
closed = supination
capsular = limited ROM

85
Q

loose, closed, capsular for calcaneocuboid, cuboideonavicular, distal intertarsal, talocalcaneonavicular

A

loose= midway between extremes of ROM

closed = supination

capsular = DF, PF, adduction, med rotation

86
Q

talocalcaneonavicular joint type

A

synovial
ball & socket & plane
diarthrosis
multiaxial

87
Q

which joint has the spring ligament aka plantar calcaneonavicular

A

talocalcaneonavicular

88
Q

calcaneocuboid joint type

A

saddle
uni

gliding
rotation

89
Q

cuboideonavicular joint type

A

fibrous
uniaxial

90
Q

distal intertarsal, tarsometatarsal, intermetatarsal joint type

A

plane
uni

91
Q

what joint links forefoot to rearfoot

A

tarsometatarsal

92
Q

metatarsophalangeal joint type

convex on concave

A

condyloid
biaxial

93
Q

what does the plantar fascia connect

A

calcaneal tuberosity to ligaments around heads of metatarsal bones

94
Q

surfaces of tibiofemoral

A

convex med and lat femoral condyles
concave med and lat superior articualr surfaces of tibia (tibial plateau)

95
Q

where does ACL span from

A

medial aspect of lateral femoral condyle to anterior aspect of tibial intercondylar eminence

96
Q

where does PCL span from

A

lateral aspect of medial femoral condyle to posterior aspect of intercondylar eminence

97
Q

what does MCL resist

A

valgus forces

98
Q

tibiofemoral loose, closed, capsular

A

loose= 25 flexion
closed = fill ext, lat rotation of tibia
capsular = flexion, extension

99
Q

open kinetic chain (kicking a ball)

A

concave on convex

100
Q

open kinetic chain flexion:

A

concave tibial plateau rolls and glides posterior on convex femoral condyles

101
Q

closed kinetic chain flexion

A

convex on concave

femoral condyles roll and glide posterior on tibial plateau

102
Q

genu varum

A

bow legs
Q angle less than 0

open your legs for rum

103
Q

patellofemoral joint type

A

plane
triaxial

concave posterior surface of patella
convex trochlear surface of distal anterior femur

104
Q

rotation between tibia and femur occurs automatically between full ext (0) and 20 degrees of knee flexion

A

during knee extension, tibia glides anteriorly on femur and PCL elongates

105
Q

during last 20 degrees of knee extension, anterior tibial glide persists on tiia medial condyle

A

prolonged ant glide on medial side produces external tibial rotation

106
Q

facet joints loose, closed, capsular

A

loose = between flexion and ext
closed = full ext
capsular= side flexion and rotation equally limited then extension

107
Q
A

Joint mobs (8 decks)

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